ACA-related coverage reaches record-high 35.8 million people, report says

A record high 35.8 millions Americans have insurance through ACA-related coverage as of early 2022, according to an April 29 report from HHS. 

That includes 21 million people with coverage through Medicaid expansion and 13.6 million with plans purchased through the ACA marketplace. Both figures are also record highs, according to the report. 

The report also said that the uninsured rate for the fourth quarter of 2021 was 8.8 percent, down from 10.3 percent during the same period of 2020. 

Medicaid eligibility expanded during the COVID-19 public health emergency, which has been extended through July 15. The Urban Institute projected in March that 14.4 million people could lose Medicaid coverage if the emergency expires after the second quarter of 2022. That estimate increases to 15.8 million if it expires after the third quarter. 

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