New data from the Urban Institute and the AARP Public Policy Institute show that the number of 50- to 64-year-olds without health insurance coverage dropped by nearly half over the first two open enrollment periods of the Affordable Care Act (ACA). This analysis compares results from December 2013, during the first ACA open enrollment period, with results from March 2015, after conclusion of the second ACA open enrollment period. In March 2015, the uninsured rate was lower in states that chose to expand their Medicaid programs under the ACA than in states that did not. Overall, gains in Medicaid and nongroup (individual) coverage appear to be responsible for the greatest drops in the uninsured rate for 50- to 64-year-olds between December 2013 and March 2015. The uninsured rate fell among all demographic groups studied, although some subgroups continue to be uninsured at higher rates.
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