According to the Commonwealth Fund, increases in the number of Americans covered by health insurance after the Affordable Care Act (ACA) was passed in 2010 have not only slowed but are beginning to reverse.
The Commonwealth Fund ACA Tracking Survey found that the uninsured rate among working-age people rose from 12.7 percent in 2016 to 15.5 percent — which translates to about 4 million people who lost coverage.
> The coverage declines are likely the result of two major factors: 1) lack of federal legislative actions to improve specific weaknesses in the ACA and 2) actions by the current administration that have exacerbated those weaknesses.
> These include the administration’s deep cuts in advertising and outreach during the marketplace open-enrollment periods, a shorter open enrollment period, and other actions that collectively may have left people with a general sense of confusion about the status of the law.
Moving forward, it is likely that more Americans will lose coverage, the Commonwealth Fund notes.
> Signs point to further erosion of insurance coverage in 2019: the repeal of the individual mandate penalty included in the 2017 tax law, recent actions to increase the availability of insurance policies that don’t comply with ACA minimum benefit standards, and support for Medicaid work requirements.