Facts and Figures on the ACA in California: What We've Gained and What We Stand to Lose

Nov 1, 2016

The 2016 election of Donald Trump as president, combined with a Republican-controlled Congress, could result in a partial or complete repeal of the Affordable Care Act (ACA). Here is a reminder of what has been achieved under the ACA -- and what California now stands to lose.

Nationally, the uninsured rate is at a historic low:

  • 20 million Americans are covered as a result of the ACA.

  • Close to 90% of all Americans are now covered: The uninsured rate fell from 16.6% in 2013 to a historic low of 10.5% in 2015.

Some of the ACA's biggest gains have been in California:

  • Over 5 million Californians have insurance as a result of the ACA -- roughly a quarter of all Americans covered under the law.

  • 91% of Californians are now insured. The uninsured rate in California fell from 17.2% in 2013 to a historic low of 8.6% in 2015.

  • In California, the uninsured rate dropped across all racial/ethnic groups, with the greatest gains seen among Latinos. Between 2013 and 2015, 1.5 million additional Latinos gained coverage, and the uninsured rate in this population fell from 23% to 12%.

The sources of coverage for the more than 5 million Californians insured under the ACA include:

  • 1.4 million bought insurance on Covered California.

  • 3.7 million Californians enrolled in Medi-Cal under the ACA expansion -- representing more than a quarter of the 13.6 million Californians now covered under Medi-Cal.

  • Hundreds of thousands of young adults under the age of 26 were able to stay on their parents' plan.

Over 1 million Californians receive financial assistance to afford coverage through Covered California:

  • Of Covered California's 1.4 million consumers, 1.2 million receive federal subsidies to help them pay their monthly premiums.

  • The average federal premium subsidy per household is $438/month.

The California Health Care Foundation will work to protect the coverage and access to care that millions of Californians have gained under the ACA. We remain committed to building a health care system that works for all Californians.

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