New data from the Census Bureau shows that the group of states that did not expand Medicaid eligibility under the Affordable Care Act (ACA) experienced increases in uninsurance between 2016 and 2017 for the first time since before the ACA took effect on January 1, 2014. In total, 702,000 fewer nonelderly Americans had coverage in 2017 than in 2016. This coverage loss occurred despite broad economic improvements, including increased employment and increasing median incomes, and net growth in employer-sponsored insurance. Declines in private nongroup coverage in 36 states help explain the increase in the share of the population uninsured.
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