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. States that experienced the largest drops were those that expanded Medicaid eligibility under the ACA; however, large coverage gaps remain in states that have not expanded Medicaid.
About the Urban Institute
The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. Visit the Urban Institute’s Health Policy Center for more information specific to its staff and its recent research.