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Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates

Publication Date

This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014. Based on 2023 and early 2024 enrollment data, more than 45 million people are currently enrolled in Marketplace or Medicaid expansion coverage under provisions of the Affordable Care Act (ACA), the highest total on record.

*This content is in the process of Section 508 review. If you need immediate assistance accessing this content, please submit a request to Rose Chu, Rose.Chu@hhs.gov. Content will be updated pending the outcome of the Section 508 review.

Related Products:

Product Type
ASPE Issue Brief
Location- & Geography-Based Data
State Data
Program
Health Insurance Marketplace | Medicaid