KFF March 5, 2020
Samantha Artiga, Kendal Orgera, and Anthony Damico

Executive Summary

The Affordable Care Act (ACA) created new health coverage options that provided an opportunity to narrow longstanding racial and ethnic disparities in health coverage. This brief examines how health coverage by race and ethnicity has changed since enactment of the ACA in 2010 and after the Trump Administration took office in 2017 and made changes that affect the availability of and enrollment in coverage. It is based on KFF analysis of American Community Survey data for the nonelderly population.

There were large coverage gains for groups of color under the ACA. Coverage rates increased for all racial/ethnic groups between 2010 and 2016, with the largest increases occurring after implementation of the ACA Medicaid and Marketplace coverage expansions in...

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