Health insurance form The growing number of uninsureds in non-expansion states shows a vulnerability to market and policy changes in the marketplace and private non-group coverage in the wake of the Affordable Care Act.

A strong economy during 2017 and 2018 didn’t do anything to stem the decrease in Americans aged 64 and younger from obtaining health insurance, according to researchers from the Urban Institute.

The Washington D.C.-based think tank’s report, funded by the Robert Wood Johnson Foundation, found that policies that reduced marketing, access, and affordability of private insurance hampered enrollment among the non-elderly.

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