Commonwealth Fund December 10, 2025
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Kentucky has one of the lowest uninsured rates in the country but ranks in the bottom half of states for overall health system performance
Kentucky has one of the lowest uninsured rates in the country but ranks in the bottom half of states for overall health system performance
Despite Kentucky’s uninsured rate dropping from 14.5 percent in 2013 to 5.6 percent in 2023 following the adoption of the Affordable Care Act’s Medicaid expansion and subsidized marketplaces, Kentucky ranks in the bottom half of states for overall health system performance. Impending Medicaid cuts, work requirements, and marketplace changes imposed by H.R. 1, along with looming expiration of the enhanced premium subsidies, will assuredly worsen Kentuckians’ health care access and outcomes.
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