HEALTH REFORM MONITORING SURVEY

hrms.urban.org

Trends in Uninsurance for Adults

Q1 2013 Q2 2013 Q3 2013 Q4 2013 Q1 2014 Q2 20140%

5%

10%

15%

20%

25%

17.5%18.5%

17.9%17.4%

15.2% **

13.9% **14.8%

16.5% 16.2%

15.1%

12.3% **

10.1% **

20.8% 21.1%20.0%

20.3%

18.7% * 18.3%**

In Medicaid nonexpansion states

All adults

In Medicaid expansion states

Percentage-Point Increase in Insurance Coverage for Adults

At o

r below

138

% o

f FPL

139–

399%

of F

PL

400%

or m

ore

of F

PL

18–3

0

31–4

9

50–6

4

Whi

te, n

on-H

ispan

ic

Nonwhi

te, n

on-H

ispan

ic

Hispan

ic

Fem

ale

Male

4.0 **

7.3 **

5.3 **

0.33415240293528

4.3 **

3.6 **4.0 **

2.6 **

6.9 **

5.3 **

3.5 **

4.3 **

All Adul

tsFamily income Age Race and ethnicity Gender

6.1 **

13.7 **

6.3 **

0.90236760176779

8.8 **

5.4 **4.5 ** 4.2 **

9.8 **

8.1 **

5.4 **6.5 **

1.7 * 1.17721726974852

4.2 **

-0.53549832325441-1.00864064342807

1.927321892020173.4 **

0.68366478108527

3.72734976698698

2.206457469662571.643909574497851.5262815218965

In Medicaid expansion states In Medicaid nonexpansion states

All Adult

sFamily income Age Race and eth-

nicityGen-der

Percentage-Point Increase in Insurance Coverage for Adults by State Decision to Expand Medicaid

Distribution of Uninsured Adults Ages 18–64 by State Medicaid Expansion Status

50.3%49.7%

September 2013

39.4%

60.6%

June 2014

States expanding Medicaid

States not expanding Medicaid

Awareness of Uninsured Adults Ages 18–64 of Key ACA Coverage Provisions, by Insurance Status

58.5%

38.2%

56.4%

67.9%***

49.4%***

69.2%***

All remaining uninsured All insured adults

Reasons Uninsured Adults Ages 18–64 Give for Why They Do Not Have Insurance Coverage

Financial reasons: costs are too high/cannot afford coverage

Time or information barriers: don't have time to get insurance or don't know where to find information on

options

Some other reason or still weighing options

Transitioning: in process of enrolling or transitioning between coverage options

Do not want health insurance or would rather pay the fine

59.5%

9.7%

14.9%

13.5%

20.2%

Use of Marketplaces among Adults Who Were Uninsured for Some or All of the Prior 12 Months

31.7%

52.1%

16.2%

56.7%***

36.0%***

7.3%***

Uninsured at time of survey

Sources Used to Obtain Health Plan Information or Enrollment Assistance Enrolling among Adults Who Were Uninsured for Some or All of the Prior 12 Months

Used website only Used website and another source

Used sources other than website

Used none of the above sources or did not report

source used

40.1%

20.2%22.2%

17.5%

29.3%**

21.8%

35.5%***

13.5%

Uninsured at time of survey Insured at time of survey