New HHS report shows national uninsured rate reached all-time low in 2023 after record-breaking ACA enrollment period

Aug. 4, 2023
HHS update.

The U.S. Department of Health and Human Services (HHS) released a new report showing that the national uninsured rate reached an all-time low of 7.7 percent in early 2023.

Key findings from the report, published by HHS’s Office of the Assistant Secretary for Planning and Evaluation (ASPE), include the following:

  • The nation’s uninsured rate declined significantly in early 2023, relative to 2020, reaching an all-time low of 7.7 percent for U.S. residents of all ages in the first quarter (January-March) of 2023, based on new data from the National Health Interview Survey.
  • Approximately 6.3 million people – including 5.5 million adults ages 18-64 and 0.7 million children ages 0-17 – have gained health coverage since 2020. 
  • Uninsured rates among adults ages 18-64 declined from 14.5 percent in late 2020 to 11.0 percent in early 2023.  The uninsured rate among children ages 0-17, which had increased during 2019 and 2020, fell from 6.4 percent in late 2020 to 4.2 percent in early 2023.
  • Approximately 5.8 percent of adults ages 18-64 reported having Marketplace coverage in early 2023 compared to 4.4 percent in 2020. 
  • Changes in uninsured rates from 2020 to 2023 were largest among individuals with incomes below 100% of the Federal Poverty Level (FPL) and incomes between 200% and 400% FPL. These gains follow record breaking sign-ups for health coverage in the ACA Marketplaces during the 2022/2023 Open Enrollment Period, with the increased Marketplace enrollment contributing to the substantial growth of private coverage.
  • These results are likely to mark the low point in the uninsured rate in 2023. 

To read the entire report, click here: https://aspe.hhs.gov/reports/national-uninsured-rate-reaches-all-time-low-early-2023

HHS release

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