This Issue Brief examines the composition of the population that is uninsured and highlights changes in uninsured rates by geography and demographic factors from 2019 to 2021, during a time of significant federal policy efforts to expand coverage. The analysis shows that the national uninsured rate declined during this period, with larger coverage gains for younger adults; Latino, American Indian, and Alaska Native individuals; non-English speaking adults; and people living in states that recently expanded Medicaid. This report follows a recent ASPE release of a state- and local-level dataset on the uninsured population in the U.S. that uses the newly-released 2021 American Community Survey (ACS).
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