Our analysis shows improvements in key measures of health care access for 50- to 64-year-olds over the first two open enrollment periods of the Affordable Care Act (ACA). Between December 2013 and March 2015, the share of 50- to 64-year olds with a usual source of health care other than emergency rooms increased. Concurrently, the share who reported having a problem accessing health care decreased. These measures of health care access improved most in states that chose to expand their Medicaid programs under the ACA. However, despite these early improvements, certain vulnerable populations remain more likely to experience difficulties accessing care.
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