KFF December 18, 2024
The pandemic-era coverage policies, including the Medicaid continuous enrollment provision and the enhanced Marketplace subsidies, continued to impact health coverage in the U.S. in 2023. During the pandemic, the coverage expansions put in place by the Affordable Care Act (ACA), including Medicaid expansion and subsidized Marketplace coverage, served as a safety net for people who experienced economic and coverage disruptions. Gains in Medicaid and Marketplace coverage contributed to significant declines in the uninsured rate through 2022. Although states began the process of unwinding continuous enrollment in Medicaid in April 2023 and resumed disenrolling people from Medicaid, the full effect of Medicaid disenrollments were not felt in 2023. In addition, the enhanced Marketplace subsidies, which were extended through 2025, remained in...
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