Changes in health insurance coverage, 2019-2021 : geographic and demographic patterns in the uninsured rate ASPE issue brief Lee, Aiden, author. Ruhter, Joel, author. Bosworth, Arielle, author. Peters, Christie, author. De Lew, Nancy, author. Sommers, Benjamin D., author. Insurance Coverage -- statistics & numerical data Insurance Coverage -- trends Medically Uninsured -- statistics & numerical data Ethnicity Racial Groups State Government Nationally, the uninsured rate for the U.S. population under age 65 fell from 11.1 percent in 2019 to 10.5 percent in 2021. Gains in coverage were largest in several states with recent Medicaid expansions, including Maine (-3.2 percentage points, representing 32,000 additional people covered) and Idaho (-2.1 percentage points, or 23,000 additional people covered). (1) Larger gains in coverage occurred for demographic groups with higher historical uninsured rates, including adults ages 19-34 and 35-49 (both declined by 1.0 percentage point), Latino individuals (-1.0 percentage point), American Indian/Alaska Native individuals (-0.9 percentage points), and non-English speaking adults (-1.5 percentage points). (2) By household income, the decline in the uninsured rate was largest for those with incomes between 100 and 250 percent of the Federal Poverty Level (FPL). (3) Coverage gains varied widely across Asian American and Native Hawaiian/Pacific Islander (AANHPI) and Latino communities; disaggregating data for these groups reveals important differences in coverage patterns. (4) Federal policies--such as an extended Marketplace Special Enrollment Period in 2021, expanded and enhanced premium tax credits under the American Rescue Plan, enhanced funding for Marketplace outreach and enrollment assistance, and the Medicaid continuous enrollment provision during the COVID-19 public health emergency--likely contributed to gains in health coverage since 2019, particularly among low-income populations and communities of color. Washington, D.C. : Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy, January 2023 United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation. Office of Health Policy, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (15 pages)) nlm:nlmuid-9918590888506676-pdf 9918590888506676 http://resource.nlm.nih.gov/9918590888506676 English United States The National Library of Medicine believes this item to be in the public domain. https://creativecommons.org/publicdomain/mark/1.0