ACA Implementation

A collection of briefs and reports on current topics related to health insurance coverage and health care costs.

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Doctors with a patient at the Hudson River Health Care Migrant Clinic

About This Collection

The Urban Institute, Georgetown University's Health Policy Institute, Mathematica Policy Research and others have undertaken a comprehensive monitoring and tracking project to analyze national trends among the different groups targeted by Affordable Care Act (ACA) coverage expansions, as well as state-level implementation issues.

This collection includes quantitative reports examining national trends and state-level reports which analyze implementation progress and issues in Colorado, Maryland, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia.

Latest Content


Medicaid and Permanent Supportive Housing

October 14, 2016 | Issue Brief

The ACA gave states tools to use in serving the state's homeless adults. Housing is one of the social and economic factors that play a critical role in determining an individual's health.


Veterans and Their Family Members Gain Coverage Under the ACA, but Opportunities for More Progress Remain

September 28, 2016 | Report

Uninsurance rates for veterans and their family members sharply declined between 2013 and 2015, but coverage gaps remain.


Changes in Coverage by State and in Selected Metropolitan Areas

September 15, 2016 | Issue Brief

The implementation of the ACA led to a drop in the number of uninsured that was far larger than would be expected based on economic and demographic trends.


A Look at Early ACA Implementation

September 8, 2016 | Issue Brief

An Urban Institute report looking at the first year of Affordable Care Act implementation finds that it led to a large drop of uninsured adults.