
Summary: Key Facts about the Uninsured Population This issue brief describes trends in health coverage prior to the pandemic, examines the characteristics of the uninsured population in 2019, and summarizes the access and financial implications of not having coverage. A decision by the Court to invalidate the ACA would eliminate the coverage pathways created by the ACA, leading to significant coverage losses.Īlthough the number of uninsured has likely increased further in 2020, the data from 2019 provide an important baseline for understanding changes in health coverage leading up to the pandemic. Texas, a case supported by the Trump administration that seeks to overturn the ACA in its entirety. The future of the ACA is once again before the Supreme Court in California vs. However, beginning in 2017, the number of uninsured nonelderly Americans increased for three straight years, growing by 2.2 million from 26.7 million in 2016 to 28.9 million in 2019, and the uninsured rate increased from 10.0% in 2016 to 10.9% in 2019. Following the ACA, the number of uninsured nonelderly Americans declined by 20 million, dropping to an historic low in 2016.

The Affordable Care Act (ACA) sought to address the gaps in our health care system that leave millions of people without health insurance by extending Medicaid coverage to many low-income individuals and providing subsidies for Marketplace coverage for individuals below 400% of poverty. The economic downturn caused by the coronavirus pandemic has renewed attention on health insurance coverage as millions have lost their jobs and potentially their health coverage.
