FACT SHEET: Affordable Care Act by the Numbers

The Affordable Care Act is working.  It is giving millions of middle class Americans the health care security they deserve, it is slowing the growth of health care costs and it has brought transparency and competition to the Health Insurance Marketplace.


  • 8 million people signed up for private insurance in the Health Insurance Marketplace. For states that have Federally-Facilitated Marketplaces, 35 percent of those who signed up are under 35 years old and 28 percent are between 18 and 34 years old, virtually the same youth percentage that signed up in Massachusetts in their first year of health reform.
  • 3 million young adults gained coverage thanks to the Affordable Care Act by being able to stay on their parents plan.
  • 3 million more people were enrolled in Medicaid and CHIP as of February, compared to before the Marketplaces opened. Medicaid and CHIP enrollment continues year-round.
  • 5 million people are enrolled in plans that meet ACA standards outside the Marketplace, according to a CBO estimate. When insurers set premiums for next year, they are required to look at everyone who enrolled in plans that meet ACA standards, both on and off the Marketplace.
  • 5.7 million people will be uninsured in 2016 because 24 States have not expanded Medicaid.



  • Health care costs are growing at the slowest level on recordSince the law passed, real per capita health care spending is estimated to have grown at the lowest rate on record for any three-year period and less than one-third the long-term historical average stretching back to 1960. This slower growth in spending is reflected in Medicare, Medicaid, and private insurance.
  • CBO projects the deficit will shrink more and premiums will be lower than expected: CBO previously estimated that the ACA will reduce the deficit by $1.7 trillion over two decades, and, just this week, CBO concluded that lower-than-expected Marketplace premiums and other recent developments will cut $104 billion from our deficit over the next ten years. The CBO report also projects that lower-than-expected premiums will help to save $5 billion this year, and that lower premiums will persist in the years ahead, remaining 15 percent below projections by 2016 (the only year in which CBO provides a precise estimate).
  • Medicare spending growth is down: Medicare per capita spending is growing at historically low rates.  This week, for the fifth straight year, the CBO reduced its projections for Medicare spending over the next 10 years – this time by $106 billion.  CBO projects that Medicare and Medicaid costs in 2020 will be $180 billion below its 2010 estimates.  Recent economic research suggests that the ACA’s reforms to Medicare may have “spillover effects” that reduce costs and improve quality across the health care system, not just in Medicare.



  • Up to 129 million Americans with pre-existing conditions – including up to 17 million children – no longer have to worry about being denied health coverage or charged higher premiums because of their health status.
  • 71 million Americans with private insurance have gained coverage for at least one free preventive health care service such as mammograms, birth control, or immunizations in 2011 and 2012.
  • In 2013, 37 million people with Medicare received at least one preventive service at no out of pocket cost.
  • Approximately 60 million Americans have gained expanded mental health and substance use disorder benefits and/or federal parity protections.
  • Since the health care law was enacted, almost 8 million seniors have saved nearly $10 billion on prescription drugs as the health care law closes Medicare’s “donut hole.”
  • 105 million Americans no longer have to worry about having their health benefits cut off after they reach a lifetime limit.

More Than 7 Million Americans Have Enrolled in Private Health Coverage Under the Affordable Care Act

Today, the White House announced that more than 7 million Americans signed up for affordable care through the Health Insurance Marketplace during the Affordable Care Act‘s open enrollment, which ended on March 31.

The number, announced during Press Secretary Jay Carney’s briefing, means that millions of Americans across the country now have access to quality, affordable care. And as numbers continue to come in from states that run their own Marketplaces, that number will continue to rise.

Though HealthCare.gov got off to a rocky start in October, the open enrollment period ended with soaring interest — including a record-breaking 4.8 million visits to HealthCare.gov, and around 2 million calls to CMS call centers. Throughout this weekend, Americans across the country were literally lined up around the block at local enrollment centers.

It’s important to remember that 7 million represents only part of the total number of people who have received coverage under the Affordable Care Act: millions more have been covered by state Medicaid expansions, and around 3 million Americans under 26 are now covered under their parents’ plans.

DNC Chair Wasserman Schultz’s Statement on more than 7 Million Enrolling in Health Care

Today, the White House announced that more than 7 million people signed up for private health plans during the Affordable Care Act’s first open enrollment season, surpassing the Congressional Budget Office’s early projections. DNC Chair Debbie Wasserman Schultz released the following statement:

Democratic National Chair Debbie Wasserman Schulz
Democratic National Chair Debbie Wasserman Schulz

“In the last six months, more than seven million Americans signed up for private health care plans through the federal and state exchanges. Yesterday’s open enrollment deadline concludes an extraordinary education campaign by the administration, elected officials, community leaders, friends, and families to encourage enrollees to take advantage of the quality, affordable health care available under the Affordable Care Act. These enrollees represent just a fraction of those Americans already benefitting from the Affordable Care Act’s protections for patients with pre-existing conditions, savings on prescription drugs for seniors, and young adults allowed to stay on their parents’ plans.

“The late surge in enrollment to surpass the seven million enrollee milestone means Americans are increasingly discovering the benefits of the Affordable Care Act and how it works for them. Unfortunately, Republicans continue to double down on their repeal obsession and spend taxpayer money and time working to undermine the law that benefits millions of Americans. Instead of celebrating more Americans with health insurance, Republicans would rather take this newfound security away and go back to a broken health care system. In contrast, Democrats will continue to strengthen this law so all Americans have access to quality, affordable health care.”

Another Significant Milestone: Health Insurance Marketplace Enrollment Hits 4 Million

As we head into the last five weeks of this historic open enrollment period, millions of Americans are taking advantage of the new choices they now have to access affordable, quality health care thanks to the Affordable Care Act. The most recent data indicate that approximately 4 million people have now signed up for a private health insurance plan through the Federal and State-based Marketplaces since October 1. A full enrollment report for February will be released in mid-March.

With individuals and families enrolling in coverage every day, we continue to see strong demand nationwide from consumers who want access to quality, affordable coverage. Our outreach efforts are in full force with community partners and local officials participating in hundreds of events each week and enrollment assistors are helping more and more people enroll in coverage. Consumers are shopping and enrolling in plans on HealthCare.gov every day; system error rates are low and response times are consistently less than half a second. Our call center has handled more than 12 million calls so far and is open 24/7 to assist consumers in English, Spanish and more than 150 languages. In person assistance is available nationwide. You can find local help at https://localhelp.healthcare.gov/.

Spread the news to your friends and family. Open enrollment ends March 31.

Health Insurance Marketplace Enrollment Exceeds Targets; Increases by 53 Percent in January

Enrollment in the Health Insurance Marketplace continued to rise in January, with a 53 percent increase in overall enrollment over the prior three month reporting period, with young adult enrollment outpacing all other age groups combined, HHS Secretary Kathleen Sebelius announced today.

hgovNearly 3.3 million people enrolled in the Health Insurance Marketplace plans by Feb. 1, 2014 (the end of the fourth reporting period for open enrollment), with January alone accounting for 1.1 million plan selections in state and federal marketplaces. In January, 27 percent of those who selected plans in the Federally-facilitated Marketplace are between the ages of 18 and 34, a three percentage point increase over the figure reported for the previous three month period. Young adult enrollment grew by 65 percent in January, from 489,460 at the end of December to 807,515 as of Feb. 1, while all other age groups combined grew by 55 percent.

The report for the first time also includes information on the type of plans selected (Bronze, Silver, Gold, etc.) distributed across demographic factors such as gender and age. For example, it shows that 81 percent of young adults ages 18 to 34 selected plans at the Silver metal level or higher (Silver, Gold and Platinum plans).

“These encouraging trends show that more Americans are enrolling every day, and finding quality, affordable coverage in the Marketplace,” Secretary Sebelius said. “There is still plenty of time for you and your family to sign up in a private plan of your choice, so visit HealthCare.gov to learn more and sign up. Open enrollment ends March 31.”

Key findings from today’s report include:

Nearly 3.3 million (3,299,500) people selected Marketplace plans from Oct. 1, 2013, through Feb. 1, 2014, including 1.4 million in the State Based Marketplaces and 1.9 million in the Federally-facilitated Marketplace.
Of the almost 3.3 million:

  • 55 percent are female and 45 percent are male;
  • 31 percent are age 34 and under;
  • 25 percent are between the ages of 18 and 34;
  • 62 percent selected a Silver plan, while 19 percent selected a Bronze plan; and
  • 82 percent selected a plan and are eligible to receive Financial Assistance, up from 79 percent during the Oct. 1 through Dec 28, 2013 reporting period.

Today’s report details state-by-state information where available. In some states, only partial datasets were available.

The report features cumulative data for the four-month reporting period because some people apply, shop, and select a plan across monthly reporting periods. Enrollment is measured as those who selected a plan.

To read the report visit:

To hear stories of Americans enrolling in the Marketplace visit:

Insurance That’s High Quality and Affordable? Now That’s a Slam Dunk

No one plans to get sick or hurt — I certainly didn’t — but most people will need medical care at some point in their lives.

As an athlete, I understood the value of my health insurance. I knew that in my profession, injuries were common and could happen at any time.

It was important that I had the insurance needed to protect me in case I got hurt. It’s been almost 20 years since my playing days and having health insurance is still important to me. All athletes know that a broken bone, or knee surgery can cost a lot, and medical bills can add up. But it doesn’t just happen to professional athletes, it can happen to anybody. And, without health insurance, some medical treatments can cost thousands of dollars.

The good news is, now you can finally get the health insurance you need. The new Health Insurance Marketplace offers affordable, quality health insurance that can help you get the care you need without risking your life savings.

The Marketplace is a new, simpler way to purchase health insurance — all in one place. You can go online to find and compare options, determine if you qualify for lower costs, and enroll in the plan that’s right for you.

I encourage folks to check out my video and visit HealthCare.gov to determine your options.

Everyone should have the opportunity to get affordable, quality health coverage. There’s still time to enroll through March 31.

Protect your health — enroll today.

Related links:

New Health Insurance Options, New Consumer Protections, a New Year

Yesterday was a new day for the millions of Americans who finally have the security that comes from quality, affordable health coverage. On January 1, all of the provisions of the Affordable Care Act went into effect, affording all of us access to private health insurance plans, and those who already have health insurance will have better, more reliable coverage than ever before.From now on, insured Americans won’t be forced to put off a check-up or worry about going broke if they get sick.

While there is much more work to be done, beginning today, no family will be denied coverage because of a pre-existing condition like high blood pressure or asthma. Women can no longer be charged more than men for the same coverage. No American will have to worry that losing a job means you can’t get health coverage. And small businesses may qualify for more financial help to pay for new affordable coverage options for their employees.

The challenges in our health care system were decades in the making and won’t be solved overnight, but now more than 6 million Americans have been enrolled in Marketplace or Medicaid coverage and are getting peace of mind, knowing that they can get the care they need without losing everything they’ve worked and saved for.


  • Protections for People with Pre-Existing Conditions: Up to 129 million Americans with pre-existing conditions no longer have to worry about being denied health coverage or charged higher premiums because of their health status.
  • New Insurance Options: Many previously uninsured Americans have new health insurance options through private health plans in the Marketplace or Medicaid in States that have opted to expand it. Nearly 6 in 10 of Americans who were uninsured could pay $100 or less per month for coverage.
  • No More Annual Caps on Health Benefits: Millions of Americans no longer have to worry about having their health benefits cut off after they reach an annual dollar limit on benefits.
  • Comprehensive Coverage: Health plans in the individual and small group markets are now required to cover ten categories of essential health benefits – including emergency services, maternity and newborn care, mental health and substance use disorder services, and prescription drug coverage. As a result of these new protections, approximately 60 million people will gain expanded mental health and substance use disorder benefits and/or parity protections.


  • Free Preventive Services: 71 million Americans on private insurance have gained coverage for at least one free preventive service such as mammograms, birth control, and immunizations in 2011 and 2012. In the first eleven months of 2013, an additional 25 million people with traditional Medicare received at least one preventive service at no out of pocket cost.
  • New Insurance Options for Young Adults: Over three million young adults have gained health insurance because they can now stay on their parents’ health plans until age 26.
  • No More Lifetime Caps on Health Benefits: 105 million Americans no longer have to worry about having their health benefits cut off after they reach a lifetime dollar limit on benefits.
  • Protections for Children with Pre-Existing Conditions: Parents of the 17 million children with pre-existing conditions have had the security of knowing their children could no longer be denied health coverage due to their health status.
  • Saving Seniors Money on Prescription Drugs: Since the health care law was enacted, more than seven million seniors and people with disabilities have saved an average of $1,200 per person on prescription medications as the health care law closes Medicare’s “donut hole.”
  • Cutting Back on Premium Increases: Insurance companies must submit premium increases of 10% or more for review by experts. Last year, 6.8 million Americans saved an estimated $1.2 billion on health insurance premiums after their insurers cut back on planned increases as a result of this process.
  • Premium Dollars That Work for Consumers, Not Just Insurers: Consumers have saved $5 billion over the past two years due to a new requirement that insurance companies have to spend at least 80% of premium dollars on care for patients (at least 85% for large group insurers). If they don’t, they must send consumers a rebate. Last year, 8.5 million enrollees received rebates averaging $100 per family.
  • Coverage for Some Americans with Severe Pre-Existing Conditions: The federal Pre-Existing Condition Insurance Plan gave tens of thousands of Americans who were previously unable to get health insurance due to pre-existing conditions the security of coverage before plans were available in the Marketplace.
  • Expanding Access to Care in the Community: Using funds available through the Affordable Care Act, community health centers are expanding access to care by providing primary care services, establishing new sites, and renovating existing sites. Health centers served approximately 21 million patients in 2012.