The remaining uninsured are more likely to be poor, young ...

Adult uninsured rate remains significantly below pre-ACA levels, but coverage gains have stalled. Percent of adults ages 1964 who were uninsured 25 19.9 20 15 14.8 13.3 12.7 Mar.May 2015 Feb.Apr. 2016 14.0 15.5 13.8 10 5 0 JulySept. 2013 Apr.June 2014 Mar.June 2017 Feb.Mar. 2018 Mar.June 2019 Data: Commonwealth Fund Affordable Care Act Tracking Surveys, JulySept. 2013, Apr.June 2014, Mar.May 2015, Feb.Apr. 2016, Mar.June 2017, Feb.Mar. 2018; and Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019). Among uninsured adults who knew the mandate penalty was repealed, one-quarter chose not to get coverage because of the

repeal. Starting in 2019, people in most states will no longer have to pay a penalty on their federal tax return if they dont have health insurance. Are you aware of this change? Percent of adults ages 1964 who responded they were aware of penalty change* 54 55 Did you choose not to get health insurance for 2019 because in most states people will no longer have to pay a penalty on their federal tax return if they dont have health insurance? Percent of uninsured adults ages 1964 who were aware of the penalty change and chose not to get health insurance because of the penalty change 48 27 24 22 All <250% FPL 250%+ FPL * Does not include adults who live in one of the three states, or the District of Columbia, that has an individual mandate penalty: Massachusetts, New Jersey, or Vermont. Note: FPL = federal poverty level. 250% FPL is $30,350 for an individual and $62,750 for a family of four. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019). Affordability is the top reason why Americans who shopped for marketplace coverage didnt enroll in a plan. Coverage of adults by MarchJune who visited the marketplace in 2019 Percent of adults ages 1964 who visited the marketplace* Percent of adults ages 1964 who visited the marketplace but did not

select a marketplace plan or Medicaid coverage 26 26 25.85% 51.98% 18 18 4.33% 12 Marke... Can you tell me the MAIN reason you did not obtain a private health insurance plan or Medicaid coverage when you visited the marketplace? Me Em Uni O 17.84% You could not find a plan you could afford You obtained health insurance through a different source You decided you didnt need health insurance * 18% of adults visited the marketplace or had someone else go to the marketplace to shop for the respondents/familys health insurance. ** Other includes adults who purchased a health insurance plan directly through an insurance company, adults covered by Medicare, or any other type of insurance. ^ Respondents who reported some other reason cited missed deadlines and citizenship status, among other reasons. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth

Fund, Sept. 2019). Replacing private insurance with public insurance like Medicare does not have strong support, but many need more information. Would you favor or oppose eliminating all private health insurance and making public insurance like Medicare the ONLY health insurance option for everyone, or do you not know enough about this to say? Percent of adults ages 1964 Don't know enough to say All Republican 27 32 12 40 60 Democrat Independent Strongly/somewhat oppose 43 27 27 15 34 41 38 Note: Segments may not sum to 100% because of rounding. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019). There is strong public support for expanding Medicaid in the states that havent yet done so. Under the health reform law, many Americans have gotten covered by Medicaid. States can choose whether to expand Medicaid to cover more of their residents. Do you generally favor or oppose expanding Medicaid? Percent of adults ages 1964 who live in a state that did not expand Medicaid and strongly/somewhat favor expansion* All

<250% FPL 250%+ FPL 91 90 91 77 68 74 60 81 66 57 42 32 All <2 50 %F PL All 25 0%+F PL Al <25 0%F P L 2 50 %+F P L Republican All <2 50 %F PL Democrat 25 0%+F PL All <25 0%F P L 2 50 %+F P L Independent * The following states have not expanded their Medicaid programs: AL, FL, GA, ID, KS, MS, MO, NC, NE, OK, SC, SD, TN, TX, UT, WI, and WY. Ballot initiatives to

expand were approved in three states ID, NE, and UT but the states have not yet expanded. Note: FPL = federal poverty level. 250% FPL is $30,350 for an individual and $62,750 for a family of four. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019). Most adults were satisfied with their current health coverage, with those enrolled in Medicaid and employer plans the most satisfied. Overall, how satisfied are you with your health insurance? Very satisfied Somewhat satisfied Percent of insured adults ages 1964 85 86 90 74 48 48 55 37 38 34 39 All Employer Medicaid Individual* 35 * Individual includes adults enrolled in coverage on and off the Affordable Care Act marketplaces. Note: Segments may not sum to total because of rounding. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019). Nearly two in five adults lacked confidence in affording health care if

they became very sick. How confident are you that if you become seriously ill you will be able to afford the care you need? Percent of adults ages 1964 who were not too or not at all confident 72 Not at all confident Not too confident 39 41 21 21 17 18 20 19 Empl... Medi... Individ... Unins... 38 20 18 29 53 12 * Individual includes adults enrolled in coverage on and off the Affordable Care Act marketplaces. Data: Commonwealth Fund Health Insurance in America Survey, Mar.June 2019. Source: Sara R. Collins and Munira Z. Gunja, What Do Americans Think About Their Health Coverage Ahead of the 2020 Election? Findings from the Commonwealth Fund Health Insurance in America Survey, MarchJune 2019 (Commonwealth Fund, Sept. 2019).

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