Health Affairs June 7, 2024
The Affordable Care Act (ACA) has dramatically improved health insurance coverage across the U.S. and reduced disparities in who can access that coverage. Uninsurance rose steadily in the decade prior to the law’s passage, reaching 16 percent of the U.S. population—or over 48 million people—in 2010. By 2015, a year after the ACA’s main coverage provisions went into effect, the uninsured rate had fallen to just over 9 percent. However, a few years later these gains began to erode as administrative actions taken by the Trump administration reduced funding for, and enforcement of, certain ACA provisions.
The Biden-Harris Administration has reinvigorated ACA gains, working to further expand access to quality, affordable coverage. The American Rescue Plan Act (ARPA) expanded eligibility...
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