How Many Uninsured Are in the Coverage Gap and How Many Could be Eligible if All States Adopted the Medicaid Expansion? – 2

KFF February 25, 2025
Sammy Cervantes, Clea Bell, Jennifer Tolbert, Anthony Damico

Since implementation of the Affordable Care Act’s (ACA) Medicaid expansion in 2014, all but ten states have adopted the expansion to cover adults on Medicaid with income up to 138% of the federal poverty level (FPL) helping to drive the uninsured rate among the population under age 65 to record low levels. While the number of people who fall into the coverage gap has declined as more states implemented the expansion, 1.4 million uninsured individuals remain in the coverage gap in the ten states that have not expanded Medicaid.

Limited Medicaid eligibility in non-expansion states leaves many adults without children, people of color, and those with disabilities without coverage. Most adults in the coverage gap are in working families, though...

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