An interruption in progress has left many people vulnerable to the health and economic risk of lacking comprehensive and affordable insurance during a public health crisis.
Legislation to reduce racial and ethnic disparities in health insurance coverage and improve access to care have led to some progress but continue to fall short of objectives.
The Affordable Care Act helped, especially in states that expanded eligibility for their Medicaid programs. However, after 2016, coverage gains stalled and slightly eroded. Combined with job and income losses stemming from COVID-19, this interruption in progress has left many people vulnerable to the health and economic risk of lacking comprehensive and affordable insurance during a public health crisis, particularly lower-income residents of the 14 states that have not expanded Medicaid.
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