Contents
INTRODUCTION 1
BACKGROUND 1
HIGHLIGHTS 3
CHILDREN UNDER THE AGE OF 19: STATE-LEVEL CHANGES IN UNINSURED, PUBLIC, AND PRIVATE COVERAGE RATES 4
WORKING-AGE ADULTS: STATE-LEVEL CHANGES IN UNINSURED, PUBLIC, AND PRIVATE COVERAGE RATES 6
ADULTS AGED 65 AND OLDER: STATE-LEVEL CHANGES IN UNINSURED, PUBLIC, AND PRIVATE COVERAGE RATES 8
UNINSURED RATES BY THREE MAJOR AGE GROUPS AMONG TOP 25 METRO AREAS: 2019 AND 2023 11
SUMMARY 13
Table 1. Select Provisions of the Affordable Care Act 2
Table 2. Number of States Where the Uninsured Rate for Children Decreased by Changes in Public and Private Coverage: 2013 to 2019 4
Table 3. Number of States Where the Uninsured Rate for Children Decreased by Changes in Public and Private Coverage: 2019 to 2023 6
Table 4. Number of States Where the Uninsured Rate for Working-Age Adults Decreased by Changes in Public and Private Coverage: 2013 to 2019 8
Table 5. Number of States Where the Uninsured Rate for Working-Age Adults Decreased by Changes in Public and Private Coverage: 2019 to 2023 8
Table 6. Number of States Where the Uninsured Rate of Adults Aged 65 or Older Decreased by Changes in Public and Private Coverage: 2013 to 2019 10
Table 7. Number of States Where the Uninsured Rate of Adults Aged 65 and Over Increased by Changes in Public and Private Coverage: 2019 to 2023 10
Figure 1. Uninsured Rate by Age: 2023 2
Figure 2. Uninsured Rates of Children Under the Age of 19: 2023, 2019, and 2013 5
Figure 3. Uninsured Rate of Working-Age Adults Aged 19 to 64 by State: 2023 7
Figure 4. Private Insurance Coverage Rates for Adults Aged 65 and Older: 2023, 2019, and 2013 9
Figure 5. Health Insurance Coverage for Adults Aged 65 and Older With Coverage Combinations and With Any Private Insurance: 2013, 2019, and 2023 11
Appendix Table A-1. Medicaid Expansion States 14
Appendix Table B-1. Percentage of Children Under the Age of 19 Uninsured, With Private or Public Coverage by State: 2013, 2019, and 2023 15
Appendix Table B-2. Change in Uninsured, Private, and Public Coverage Rates for Children Under the Age of 19: 2013, 2019, and 2023 17
Appendix Table B-3. Percentage of Working-Age Adults Aged 19 to 64 Uninsured, With Private or Public Coverage by State: 2013, 2019, and 2023 19
Appendix Table B-4. Changes in Uninsured, Private, and Public Coverage Rates for Working-Age Adults Aged 19 to 64 by State: 2013, 2019, and 2023 21
Appendix Table B-5. Percentage of Adults Aged 65 and Older Uninsured, With Private or Public Coverage by State: 2013, 2019, and 2023 23
Appendix Table B-6. Changes in Uninsured, Private, and Public Coverage Rates for Adults Aged 65 and Older by State: 2013, 2019, and 2023 25
Appendix Table B-7. Percentage Without Health Insurance Coverage by Three Major Age Groups Among Top 25 Metropolitan Area: 2019 and 2023 27
Appendix Table B-8. Margins of Error for Population Without Health Insurance Coverage by Three Major Age Groups Among Top 25 Metropolitan Area: 2019 and 2023 28