Health >> Health Insurance


Expansion of coverage through the Affordable Care Act (ACA) has reduced the rate of uninsured adults from 16% in 2013 (prior to the ACA individual mandate) to 7% in 2016.  Despite widespread and collective outreach efforts, significant disparities persist. The proportion of uninsured children dropped from 6% in2009 to 2% in 2016.

By race and place

  • Most communities of color remain disproportionately uninsured (American Indians/Alaska Natives, Blacks, and Hispanics/Latinos are all significantly less likely than whites to have coverage). Barriers to coverage such as length-of-residency requirements and documentation status contribute to these differences.
  • Although coverage improved considerably in South Region cities from 2013 to 2016, residents of these cities were still more likely than residents of other areas to be uninsured in 2016.

By poverty and age

  • In 2016, low-income adults (household income below 200% of the Federal Poverty Level) were more than 7 times as likely as those in the highest income households to be uninsured. 
  • Lack of insurance coverage decreased with age, from a high of 8% for 18- to 24-year olds to 5% for adults age 55-64.
  • In 2013, an estimated 6,000 young children under age 6 and 12,000 school-age children (ages 6- 17) were uninsured. By 2016, that fell to 1,600 young children and 7,000 school-age children without health insurance.

By employment and citizenship

  • From 2013 to 2016, lack of coverage decreased 24% among the unemployed and 14% among those who were employed.
  • Among citizens born in the US, lack of health insurance declined 6% between 2013 and 2016; among naturalized citizens, the decline was 11%.