Uninsured

Data and analysis

Reconciliation and the ACA, Medicaid, and Uninsured Rate
The CBO estimates that the proposed changes to Medicaid and the ACA in the budget reconciliation package will result in at least 13.7 million more uninsured people in the year 2034 than would otherwise be the case.
Key Facts About the Uninsured Population
The number of people ages 0-64 who were uninsured held steady at 25.3 million in 2023, although the number of uninsured children rose from 3.8 million to 4.0 million. Most uninsured people are in low-income families and have at least one worker in the family.
How Many Uninsured People Are in the Coverage Gap?
This analysis estimates that 1.4 million uninsured individuals in the 10 states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the “coverage gap,” ineligible for Medicaid or for tax credits that would make coverage ACA’s Marketplaces affordable to them.
How the Unwinding Affected Enrollees
Over half who were disenrolled say they put off needed medical care while trying to renew Medicaid. Overall, 19% of adults who had Medicaid prior to the start of unwinding say they were disenrolled at some point in the past year. Of this group, a large majority (70%) were left at least temporarily uninsured.