This brief examines changes in health insurance coverage and health care access and affordability for parents and their children between 2013 and 2018 using data from the Health Reform Monitoring Survey. We find that the gains in coverage, access, and affordability for parents and children that occurred since 2013 have been sustained through March 2018, but significant gaps remain. More than one in five low-income parents are uninsured, with the highest levels of uninsurance found among low-income parents in states that have not expanded Medicaid.

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