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Changes in Health Insurance Coverage, 2019-2021: Geographic and Demographic Patterns in the Uninsured Rate

Publication Date
Aiden Lee, Joel Ruhter, Arielle Bosworth, Christie Peters, Nancy De Lew, Benjamin D. Sommers

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).

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

Related Content:

Product Type
ASPE Issue Brief
Working Age Adults | Black & African American People | American Indian & Alaska Native People (AI-AN) | Asian American & Pacific Islanders People (AAPI) | Hispanic, Latino, Latina, & Latinx People | Racial & Ethnic Groups | White People | Uninsured & Underinsured
Location- & Geography-Based Data
National Data | State Data | Public Use Microdata Areas (PUMAs)