The recession caused by the COVID-19 pandemic is expected to lead to losses of employer-sponsored health insurance coverage (ESI) and a rise in uninsurance (Banthin et al. 2020; Garfield et al. 2020; Garrett and Gangopadhyaya 2020). These coverage losses would test the health care safety net established by the Affordable Care Act (ACA). Further, the strength of this safety net varies across states: adults who lose ESI in the 15 states that have not expanded Medicaid under the ACA face greater challenges finding replacement coverage (Garfield et al. 2020).
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