KFF May 16, 2024

The states with the fastest recent growth in ACA Marketplace signups also had among the highest uninsured rates previously, as enhanced subsidies helped to make coverage more affordable for many consumers, particularly in southern states that did not expand their Medicaid programs to cover low-income adults, a new KFF analysis finds.

The enhanced premium subsidies were first provided in the American Rescue Plan Act in 2021 and then extended through 2025 in the Inflation Reduction Act.

Marketplace enrollment has more than doubled in 15 states since 2020, including in Texas, where signups more than tripled (growing by 212%). On average, states that started out with nonelderly uninsured rates below 10% in 2019 saw an average of 31% growth in...

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Topics: ACA (Affordable Care Act), Govt Agencies, Insurance, Medicaid, Patient / Consumer, States, Survey / Study, Trends
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