CHA News Article

Report Examines California’s Uninsured Population After First Full Year of ACA Implementation

The California HealthCare Foundation (CHCF) has released a report titled California’s Uninsured: Coverage Expands, but Millions Left Behind, examining California’s uninsured population after the first year of full implementation of the Affordable Care Act (ACA). The uninsured rate in California dropped from 16 percent in 2013 to 11 percent in 2014. However, 3.8 million Californians under 65 still remained uninsured. The report provides a national comparison of the uninsured; coverage sources and trends, including health insurance sources and unemployment trends; the likelihood of being uninsured by family income, age group and race/ethnicity; and health status by insurance source.

Key report findings include:

  • From 2013 to 2014, the uninsured rate in California dropped five percentage points, mainly due to increases in Medi-Cal and individually purchased insurance.
  • Californians ages 21 to 24 experienced the largest drop of any non-elderly age group in percentage of uninsured, from 25 percent in 2013 to 16 percent in 2014.
  • Of the state’s remaining uninsured, one in four individuals was between the age of 25 and 34, and more than half (57 percent) were Latino.
  • Nearly 30 percent of California’s uninsured workers were employed by private companies with at least 100 workers. Within the employed population, more than 2 million workers, about one in eight, were uninsured.
  • More than four in 10 Californians without health insurance reported that they had no usual source of care.
  • Californians without insurance were slightly more likely than others to delay medical care. Those without insurance were more likely to cite cost of insurance as the main reason for delaying care.

The full report is available on the CHCF website.