Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates

March 2023 ISSUE BRIEF 1 HP‐2023‐08 Health Coverage Under the Affordable Care Act: Current Enrollment Trends and State Estimates Based on 2022 and early 2023 enrollment data, more than 40 million people are currently enrolled in Marketplace or Medicaid expansion coverage related to provisions of the Affordable Care Act (ACA), the highest total on record. [...] Across these coverage groups, a total of 40.2 million Americans were enrolled in coverage related to the ACA based on 2022 and early 2023 enrollment data, the highest total on record. [...] health care system since the creation of Medicare and Medicaid in 1965. [...] ACA Medicaid expansion to adults with incomes up to 133% FPL is a state option, and as of February 2023, 39 states and the District of Columbia had adopted Medicaid expansion.March 2023 ISSUE BRIEF 3 enrollment data are from September 2022. [...] BHP enrollment data for 2023 is projected for the second quarter of 2023 for New York and June 2023 for Minnesota. [...] 3 Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates. Office of the Assistant Secretary for Planning and Evaluation, U.S. [...] Office of the Assistant Secretary for Planning and Evaluation, U.S. [...] Office of the Assistant Secretary for Planning and Evaluation, U.S. [...] 8 Office of the Assistant Secretary for Planning and Evaluation, U.S. [...] Washington (DC): Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.