Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates

This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the Affordable Care Act (ACA) Marketplaces, Medicaid expansion, Children's Health Insurance Program, Basic Health Program and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014. As of early 2023, the report finds that more than 40 million Americans have coverage under the ACA, the highest total on record.

*This content is in the process of Section 508 review. If you need immediate assistance accessing this content, please submit a request to Rose Chu, rose.chu@hhs.gov. Content will be updated pending the outcome of the Section 508 review.

Related Content:

• Children’s Health Coverage Trends: Gains in 2020-2022 Reverse Previous Coverage Losses
• Changes in Health Insurance Coverage, 2019-2021: Geographic and Demographic Patterns in the Uninsured Rate
• State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2021 American Community Survey
• Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches
• National Uninsured Rate Reaches All-Time Low in Early 2022
• Health Coverage Changes Under the Affordable Care Act: End of 2021 Update

Children | Men | Women | Working Age Adults | Youth | Low-Income Populations | Uninsured & Underinsured

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