A new analysis from KFF shows the U.S. uninsured rate increased in 2024 for the first time since 2019—highlighting ongoing coverage challenges following pandemic-era policy changes.
Key Takeaways:
- Coverage Losses Are Rising Again
The uninsured population reached 26.7 million people (9.8%) in 2024, reversing several years of progress. - Long-Term Outlook Signals Growth
Projections from the Congressional Budget Officesuggest the uninsured population could increase by more than 14 million by 2034. - Most Uninsured Are Working Families
The majority live in households with at least one worker, and many are considered low-income—underscoring affordability challenges, not just employment gaps. - Medicaid Expansion Gap Persists
Individuals in non-expansion states face significantly higher uninsured rates, with a disproportionate share of the uninsured population concentrated in these regions. - Disparities Across Demographics
People of color make up a large portion of the uninsured population, with Hispanic individuals representing a significant share. - State-Level Variation Remains Significant
Uninsured rates vary widely, with some states experiencing far higher coverage gaps than others. - Access to Care Is Limited
Over 40% of uninsured adults lack a regular source of care, impacting preventive services and early intervention. - Financial Strain Is Widespread
Nearly 60% report difficulty affording healthcare, reflecting the direct impact of being uninsured. - Eligibility vs. Enrollment Gap
More than half of uninsured individuals may qualify for Medicaid or subsidized coverage but remain unenrolled. - Coverage Disruptions Are Common
Job changes, loss of public coverage, and administrative barriers—such as missed deadlines—are key drivers of uninsured status.
Resource: 11 things to know about the uninsured population: KFF