133%–249% FPL 3.4 million 23% 250%–399% FPL 1.5 million 10%

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THE COMMONWEALTH FUND Adults Ages and the Affordable Care Act Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance AARP and Alliance.

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Exhibit 1. Low-Income Adults Have Higher Rates of Being Uninsured for Long Periods of Time * Combines Insured now, time uninsured in past year and Uninsured.

Exhibit 1. There Were 14.8 Million Uninsured Young Adults in 2009, Up by 4 Million in the Past Decade Uninsured young adults ages 19–29 (in millions) Source:

Exhibit 1. Nearly Two of Five Young Adults Spent Some Time Uninsured in the Past Year Notes: FPL refers to federal poverty level. Numbers may not sum to.

Exhibit Million Uninsured Young Adults in 2008, Up by 2.8 Million in Last Eight Years Millions uninsured, adults ages 19–29 Source: Analysis of.

Exhibit 1. The Impact of Health Reform: Percent of Women Ages 19–64 Uninsured by State Source: Urban Institute and Kaiser Commission on Medicaid and the.

Millions of U.S. women ages 19–64 Source: Analysis of the March 2001–2010 Current Population Surveys by N. Tilipman and B. Sampat of Columbia University.

Exhibit 1. Only One of Three Small-Firm Workers Was Insured Through Their Employer in 2010 ^ Includes both part-time and full-time workers who are not.

Exhibit Million Uninsured Young Adults in 2009, Up by 1.1 Million in Past Year Millions uninsured, adults ages 19–29 Source: Analysis of the 2001–2010.

Exhibit Million Uninsured Adults Ages 50–64 in 2009, Up by 1.1 Million in Last Year Millions uninsured, adults ages 50–64 Source: Analysis of the.

THE COMMONWEALTH FUND Oceans Apart: The Higher Health Costs of Women in the U.S. Compared to Other Nations, and How Reform Is Helping Ruth Robertson, M.Sc.

The Income Divide in Health Care:

Number of uninsured, in millions ACA Repeal Tax deduction

Nonelderly uninsured = 46.4 million

At Least Half of Uninsured Adults Are Likely Eligible for Marketplace Subsidies or Medicaid Eligible for unsubsidized coverage through the individual market.

WA OR ID MT ND WY NV 23% CA UT AZ NM 28% KS NE MN MO WI TX 31% IA IL

Lower-Income Adults with Marketplace Plans More Likely to View Their Premiums as Affordable Than Adults with Higher Incomes How easy or difficult is it.

Exhibit 1 The Number of Uninsured People Under Age 65 Declined to 27.5 Million in 2016 Source: Source: U.S. Census Bureau, 2013, 2014, 2015, and 2016.

Uninsured Adults and Those with Coverage Gaps Reported Medical Bill Problems at Higher Rates Than Did Those Continuously Insured, 2016 Percent of adults.

Percent of uninsured adults ages 19–64 Income level Race Age Firm size

Paid less than $125 Percent of adults ages 19–64 with single policies

Adults ages 19– Uninsured now 15%

Overall, how satisfied are you with your health insurance?

State Uninsured Rates by Poverty and Firm Size

Across Income Groups, Increasing Numbers of U. S

Percent adults ages 19–64 who pay all or some of premium

Most Adults with Marketplace or Medicaid Coverage Who Have Used Their Plans Were Satisfied with the Doctors Covered Since you switched/gained your insurance,

Sales across state lines

Distribution of 8.6 Million Uninsured Adults Ages 50–64 by Federal Poverty Level and Provisions of the Affordable Care Act Uninsured adults ages 50–64.

Distribution of Uninsured or Underinsured by Poverty, 2012

Percentage-point reduction in uninsured adults between 2012 and 2014

Adults with marketplace plans or Medicaid express the least confidence in being able to keep their coverage in the future. You said you currently have.

Percent of Women Ages 19 to 64 Uninsured by State,

Insurance Sources for Young Adults, Ages 19–23, 2006

Deductibles Have Become a Growing Factor in Underinsurance Rates

Percent of women ages 19–64 Total <133% FPL 133%–249% FPL

Two of Five Insured Adults with Incomes Below the Federal Poverty Level Spent 5 Percent or More of Their Income on Medical Out-of-Pocket Costs Percent.

An Estimated 116 Million Adults Were Uninsured, Underinsured, Reported a Medical Bill Problem, and/or Did Not Access Needed Health Care Because of Cost,

Millions of uninsured, ages 0–64 Romney Baseline Affordable Care Act

Percent uninsured 200% FPL or more 32% Less than 100% FPL 39% 100%–

Percent of adults ages 19–64* Total <133% FPL 133%–249% FPL

Percent of Population Uninsured Under the Affordable Care Act and Governor Romney’s Plan Compared with Baseline by Poverty, 2022 Percent of nonelderly.

Uninsured Rate Among Adults Ages 19–64, 2008–09 and 2019

16 Million Adults Under Age 65 Were Underinsured in 2005

About Three of Five Privately Insured Adults with Low Incomes Reported That It Was Difficult or Impossible to Afford Their Deductible How easy or difficult.

25 Million Adults Underinsured in 2007, Up from 16 Million in 2003

Seven of 10 Adults with Marketplace Plans Rate Their Coverage as Excellent, Very Good, or Good Now thinking about (your current health insurance coverage/

Subsidized private insurance

Post-Reform: Projected Percent of Adults Ages 19–64 Uninsured by State

Medicaid <133% FPL 26 million

More Adults with Lower Incomes Found It Easy to Find an Affordable Plan Than Did Adults with Higher Incomes How easy or difficult was it to find a plan.

Uninsured Adults with Low and Moderate Incomes Are Less Likely to Be Up to Date with Recommended Preventive Tests Percent of adults ages 19–64, income.

Percent of Population Uninsured Under the Affordable Care Act and Governor Romney’s Plan Compared with Baseline by Age Group, 2022 Percent of nonelderly.

Total Population = 299 million Under-65 Population = 260 million

Two of Five Adults Uninsured or Underinsured 25 Million Underinsured 60 Percent Increase in Underinsured from 2003 to 2007 Percent of adults (ages 19–64)

Percent of adults ages 19–64 Total <200% FPL 200% FPL or more

Under the health reform law, many provisions will make it easier for young adults to remain covered after they graduate. Do you think this is a major improvement.

Uninsured young adults = 13.2 million

Premium tax credits have made the cost of marketplace plans similar to employer plans for low-income adults, but adults with higher incomes pay more Percent.

Subsidized private insurance with consumer protections million %

Larger Shares of Adults with Marketplace Coverage Have Plans with High Deductibles Compared to Those with Employer Plans No deductible Less than $1,000.

Source of Insurance Coverage Under the Affordable Care Act and Governor Romney’s Plan Compared with Baseline, 2022 Among million people ages 0–64.

When Low-Income Adults Have a Medical Home and Insurance, Their Rates of Having Cost-Related Access Problems Decline Percent of adults ages 19–64 with.

Uninsured Rates Among Part-Time Students and Non-Students Ages 19–23 Are About Twice That of Full-Time Students Own-employer 7% Own- employer 26% Uninsured.

Under the Affordable Care Act, Young Adults Will Benefit from Newly Subsidized Sources of Health Insurance Percent of young adults ages 19–29 Total

47 Million Uninsured in 2005; Increase of 7 Million Since 2000

Half of Young Adults Who Lost a Job with Health Benefits from November 2009 to November 2011 Became Uninsured Became uninsured 52% Adults ages 19–29 who.

Changes in Family Income, U. S

All adults ages 55–64 = 29.5 million

Uninsured young adults ages 19–29 Federal Poverty Level Percent

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Distribution of 14.8 Million Uninsured Young Adults by Federal Poverty Level in 2009 133%–249% FPL 3.4 million 23% 250%–399% FPL 1.5 million 10% <133% FPL 7.2 million 49% >400% FPL 930,238 6% Undocumented 1.8 million 12% 14.8 million uninsured young adults ages 19–29 Note: “FPL” refers to Federal Poverty Level. Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund; estimates of undocumented uninsured young adults by Jonathan Gruber and Ian Perry of MIT using the Gruber Microsimulation Model for The Commonwealth Fund. 1 1