Uninsured & Underinsured

The American Rescue Plan (ARP) enhances and expands Marketplace premium tax credits under the Affordable Care Act. Among the nearly 8 million current HealthCare.gov enrollees, we estimate 79 percent could find a zero premium health plan and 87 percent could find a low premium health plan under the ARP.

The American Rescue Plan (ARP) enhances and expands eligibility for premium tax credits under the Affordable Care Act. Under the ARP, we estimate that the availability of zero-premium plans has increased by 19 percentage points and low-premium plans by 16 percentage points, respectively, among uninsured non-elderly adults potentially eligible for Marketplace coverage in HealthCare.gov states.

The Affordable Care Act (ACA), signed into law on March 23, 2010, extended health coverage to millions of Americans through Medicaid (in the states participating in Medicaid expansion) and subsidized Marketplace coverage. However, research prior to enactment of the American Rescue Plan suggests many remaining uninsured people are not aware of their coverage options.

UPDATE November 18, 2022: Uninsured Tables with 2021 American Community Survey data is now available.State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau’s 2019 American Community Survey

Newly released estimates from the National Health Interview Survey show that 11.1 percent of U.S. residents (or 30.0 million) under age 65 lacked health insurance as of January-June 2020. This number reflects a sharp decline in the number of uninsured Americans since 2010, before implementation of the Affordable Care Act's large coverage expansions.

Many community-based organizations serving men coming out of the criminal justice system recognize that their clients have serious physical, mental, and behavioral health needs.

The dataset provides the total number of Qualified Health Plan selections by ZIP Code and county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplaces, State Partnership Marketplaces, and supported State-based Marketplaces, during the Marketplace’s third Open Enrollment Period (based on data for the period November 1, 2015 – February 1, 2016).

The dataset provides the total number of Qualified Health Plan selections by ZIP Code for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces, during the Marketplace open enrollment period to date (November 1, 2015 – January 9, 2016).

ASPE has developed estimates of the number of uninsured who are likely to qualify for coverage for 2016 through Qualified Health Plans (QHPs) in the Health Insurance Marketplace (“QHP-eligible uninsured”) for select designated market areas (DMA) in the United States. A DMA is a geographic area that represents a specific television market defined by the Nielsen Company.