The Congressional Budget Office (CBO) has released updated projections of health insurance coverage through 2033 for people younger than age 65 over. The share of Americans younger than age 65 who are uninsured is currently at a historic low of 8.3 percent. CBO attributes this to temporary policies instituted in response to the COVID-19 pandemic, including continuous coverage provisions in state Medicaid programs and enhanced premium subsidies in the Affordable Care Act’s (ACA) individual marketplace.
Over the next year and a half, CBO expects substantial declines in enrollment in Medicaid, as the continuous eligibility provisions put in place during the pandemic unwind. CBO projects that 6.2 million of the people leaving Medicaid will become uninsured. Additionally, if the enhanced subsidies expire after 2025, as scheduled, 4.9 million fewer people are estimated to enroll in marketplace coverage, instead enrolling in unsubsidized nongroup or employment-based coverage or becoming uninsured. By 2033, the share of people who are uninsured is projected to be 10.1 percent.
Recent Posts
Appropriations Update
As Congress returns from the August recess, its primary goal is to pass the appropriations bills that fund the federal government by September 30, 2025….
Clinical Decision Support for Vestibular Diagnosis: Large-Scale Machine Learning with Lived Experience Coaching
Pastor et al. (2025) developed a machine learning system (MLS) to help make a vestibular diagnosis based on patient symptoms. They utilized diagnostic data from…
Academy Submits Comments on Proposed Revisions to MPFS CY 2026
In response to the Centers for Medicare and Medicaid Services (CMS) Notice of Proposed Rulemaking (NPRM) regarding revisions to Medicare payment policies under the Medicare…