The pending Supreme Court decision and next fall's election raise concerns about what would happen if the insurance expansion in the Affordable Care Act is curtailed. The National Health Interview Surveys for 2000 to 2010 show that access and use for non-elderly adults - the primary targets of the ACA - deteriorated throughout the decade, particularly among those who are uninsured. Children many of whom qualify for Medicaid and CHIP - generally maintained or improved their access to care. This provides a reason for optimism about the ability of the ACA to improve access for adults, but suggests that eliminating the ACA would likely result in continued erosion of adults access to care.
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