America’s Uninsured: Progress and Prospects for 2014
America’s Uninsured: Progress and Prospects for 2014
September 17, 2013
01:30 PM EDT
Earlier today, the Census Bureau released estimates of the number of
Americans who lacked health insurance in 2012, and the Department of
Health and Human Services (HHS) estimated that nearly 6 out of 10 uninsured Americans
could be able to access low-cost, high value health insurance for under
$100 per person per month starting in 2014. The numbers indicate that
the President’s policies are making progress in expanding access to
affordable health care – progress that will accelerate in the months
ahead, as the Affordable Care Act creates simple new ways for every
American to get the secure health care coverage they deserve.
Overall, Census found that the share of Americans without health
insurance declined by 0.3 percentage points, from 15.7 percent in 2011
to 15.4 percent in 2012. Adding this to last year’s decline, the share
of Americans without health insurance has declined by 0.9 percentage
points since the enactment of the Affordable Care Act in 2010.
The declines in uninsurance were especially large for young adults
ages 19-25. From 2011 to 2012, the share of young adults in this age
group without insurance declined by 0.5 percentage points to 27.2
percent, which tied the largest drop for any age group in 2012 and which
comes on the heels of a sharp 3.7 percent decline from 2009 to 2011.
Research has found that most of the recent coverage gains in this age group can be attributed to the ACA’s provision allowing young adults to remain on their parents’ health insurance plans through age 25.
Stepping back, the Census data also highlight the progress we have
already made in ensuring that children have access to health insurance.
In 2012, the share of children under 18 without health insurance fell to
8.9 percent, substantially lower than the overall uninsurance rate of
15.4 percent. This rate of uninsurance among children is the lowest
since the Census Bureau implemented its current method for measuring
insurance status in 1999, and very likely the lowest since Census began
collecting data on children’s insurance status in 1987 (after adjusting
for methodological changes). It is the fruit, in part, of more than two
decades of bipartisan effort to expand access to care for children
through the Medicaid program and the Children’s Health Insurance
Program, most recently via the Children’s Health Insurance
Reauthorization Act of 2009, which President Obama signed into law in
one of his first acts as President in February 2009.
And contrary to the claims of ACA opponents that the ACA would
accelerate the disappearance of employer coverage, the Census data
showed a continued stabilization in the share of Americans with private
insurance. The share with private insurance was stable in 2012, while
the share with insurance through their employer declined 0.2 percentage
points, considerably smaller than the 1 percentage point annual rate of
decline in private and employer-provided coverage from 2000 to 2010.
HHS, using another data set from the Census Bureau, estimates that
nearly 6 out of 10 uninsured Americans – more than 20 million people --
will qualify for health coverage that costs less than $100 per month per
person, including tax credits and Medicaid. This shows that
competition, holding insurance companies accountable, and premium
assistance for those that need it have great potential to deliver
affordable health care insurance options to Americans.
Nearly 8 out of 10 uninsured Americans – more than 30 million people
-- would have qualified for health coverage at less than $100 per month
per person if all states had expanded Medicaid. In short, over 2
out of 10 uninsured Americans will not qualify for Medicaid in 2014 due
to States’ declining to expand Medicaid – even though federal funds
would finance 100 percent of the costs of covering this population in
2014.
So today’s news gives us proof that the Affordable Care Act
can and will reverse the trends that have led to an increasing number of
uninsured Americans, especially among young people. It gives us confidence that
affordable health coverage will be easily in reach for the majority of
uninsured Americans in 2014. This majority would soar to 8 out of 10
uninsured Americans if all Governors followed the lead of the Republican
Governors in States like Pennsylvania, Michigan, Arizona, and North
Dakota. As more Governors prioritize their citizens’ health, their
health care infrastructure, and their economy over fighting old
political battles, we can together ensure that health care is affordable
and accessible to all Americans, providing greater economic opportunity
and security for middle class families.