Unlike during previous recessions, the national uninsured rate held steady at 11% during the COVID-19 pandemic and its resulting economic fallout, according to a recent analysis by the Urban Institute and Robert Wood Johnson Foundation. Between March 2019 and April 2021, the share of nonelderly adults covered by employer-sponsored insurance declined from 65.0% to 62.3%, while the share of enrollees with public coverage jumped from 13.6% to 17.5%. States that had not expanded Medicaid under the Affordable Care Act saw a higher uninsured rate in 2021 (18.2%) than in 2020 (16.5%) and 2019 (17.2%). In Medicaid expansion states, that rate remained around 8% across all three years.

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