Issue Briefs , State Materials | Jun 17, 2014

Early Impacts of the Affordable Care Act on Health Insurance Coverage in Minnesota

State Health Access Data Assistance Center

With full implementation of the health insurance coverage provisions of the Affordable Care Act (ACA) on January 1, 2014, there has been great interest in assessing the law’s early impact on health insurance coverage in Minnesota. At the request of Minnesota’s State-Based Health Insurance Marketplace, MNsure, and with support from the State Health Reform Assistance Network, researchers from the University of Minnesota’s State Health Access Data Assistance Center (SHADAC) compiled data from a variety of sources to analyze, at an aggregate level, the shifts in health insurance coverage that have taken place in Minnesota since the fall of 2013.  The study finds that between September 30, 2013, and May 1, 2014, the number of uninsured Minnesotans fell by 180,500, or 40.6%, from 445,000 (8.2% of the population) to about 264,500 (4.9% of the population).


Expert Perspectives

March 14, 2025

Recent Federal Marketplace Proposal Imposes New Requirements for States and Consumers

On March 10, 2025, the Centers for Medicare & Medicaid Services released a proposed regulation that makes several policy and operational changes to the Affordable Care Act Marketplaces and insurance rules. This expert perspective reviews provisions of the proposed rule to assess their impact on State-Based Marketplaces and state insurance regulators.

Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes

Congress is considering a variety of federal policy changes that will have significant impacts on the Medicaid program, widely expected to reduce enrollment and federal Medicaid funding to states. A variety of state-level estimates have been released, which can be helpful for states as they consider how various policy proposals might impact their Medicaid programs. This expert perspective highlights state agencies that have estimated and quantified the potential impacts of various proposals on enrollment and spending. SHVS will continue to regularly monitor published estimates from states and update this expert perspective.