How Many People are Eligible for ACA Coverage?

In mid-October, the Kaiser Family Foundation published a “data note” outlining estimates of people currently without health insurance who would qualify for Affordable Care Act (ACA)  coverage. The “data note”, titled New Estimates of Eligibility for ACA Coverage among the Uninsured, provides background on the ACA, an explanation of coverage gap, and national and state-by-state estimates of who is eligible for ACA Marketplace coverage. Interesting data points include:

  • 32.3 million nonelderly people lacked health coverage in the U.S.
  • Kaiser estimates that nearly half (15.7 million, or 49%) of this population is eligible for financial assistance to gain coverage through either Medicaid or subsidized Marketplace coverage.
  • More than a quarter are either adults eligible for Medicaid (5.4 million, or 17%) or children eligible for Medicaid or the Children’s Health Insurance Program (CHIP) (3.2 million, or 10%).
  • About one in five (7.1 million, or 22%) of the nonelderly uninsured are eligible for premium tax credits to purchase coverage through the Marketplace.
  • One in ten uninsured people (3.1 million) fall into the coverage gap due to their state’s decision not to expand Medicaid.
  • 15% of the uninsured (4.9 million) are undocumented immigrants who are ineligible for ACA coverage under federal law.

Read the full data note.

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