'Racial/Ethnic Differences in Uninsurance Rates Under the ACA'

'Racial/Ethnic Differences in Uninsurance Rates Under the ACA'

With twenty-seven states and the District of Columbia planning (as of December 2014) to expand Medicaid under the Affordable Care Act, uninsurance rates are projected to fall across all racial/ethnic groups, with significant percentage-point drops projected among Latinos/Hispanics (from 31.2 percent to 19 percent) and American Indians/Alaska Natives (25.7 percent to 13 percent), and smaller drops for African Americans (19.6 percent to 11.3 percent), Asian Americans/Pacific Islanders (17.3 percent to 8.9 percent), and whites (13.1 percent to 6.3 percent), a report from the Urban Institute finds. According to the report, Racial/Ethnic Differences in Uninsurance Rates Under the ACA (58 pages, PDF), white Americans will account for 48.9 percent of the newly insured population nationwide, while African Americans will account for 12.8 percent, in part because a disproportionate share of African Americans live in states that have yet to expand Medicaid eligibility. Funded in part by the Annie E. Casey Foundation, the report notes that the promise of reducing racial/ethnic health disparities as well as expanding access to health care depends in part on the Medicaid decisions of the remaining twenty-three states.