With the assistance of data from KFF, CAP & ACAP, I've compiled total enrollments in #ACA exchange Qualified Health Plans (QHPs), Basic Health Plans (BHP) in MN, NY & OR, and Medicaid expansion enrollees.

It's important to note certain caveats & assumptions which I had to make in order to fill in some data gaps, especially given the time gap for Medicaid/CHIP data. It's also important to note that the final data ranges anywhere form Feb - Nov 2024 depending on the state & category. 2/

While the #ACA provides important protections & benefits for just about EVERY American to some extent or another, it *directly* provides healthcare coverage for nearly 44 million people via 3 types of programs:

--ACA exchange coverage (QHPs)
--Basic Health Plan (BHP) plans
--Medicaid expansion

Nationally, around 21 million Americans are enrolled in exchange QHPs, plus another 1.7 million in BHPs, while around 21.2 million were enrolled in Medicaid via ACA expansion as of March.

These numbers shift around as people enroll/disenroll or transfer from one type of coverage to the other.

Nationally, this is around 13% of the total U.S. population. At the state level, however, this ranges from as low as 4.4% in Wisconsin to as high as 20% in New York (and 19% in Florida, I should note).

But what about at the CONGRESSIONAL DISTRICT level? That's where things get really interesting. If you *only* include #ACA exchange coverage, there are 9 CDs where more than 20% of the TOTAL population has an exchange plan.

All 9 are in Florida.

In fact, while 6 of the 9 are represented by Dems, 3 of them--including the highest on the list--are Republican-held districts. That's right: Over 1/3 of the *entire* population of GOP Rep. Maria Elvira Salazar has #ACA coverage.

#OBAMACARE = #ACA.

OK, but what happens if you include BHP enrollment (limited to MN, NY & OR) and Medicaid expansion?

This does change things...but not as much as you might think. There's 16 CDs where more than 25% of the total population has some type of ACA-specific coverage.

The partisan pattern isn't as strong as you'd think. 12 of the 16 CDs are blue, *however* the 2nd & 4th highest are red...and the last one (CA-13) may be about to flip from red *to* blue, while 2 more (CA-21 & CA-22) are swing districts.

What about the opposite end of the spectrum?

Well, here's the 12 CDs with the *lowest* percent of their total population enrolled in ACA coverage of any sort.

Interestingly, all 12 are located in either Wisconsin or Kansas...and again, while 9 of the 12 are red, the lowest & 3rd-lowest are blue.

What's up w/WI & KS? Neither one expanded Medicaid under the ACA...but that's true of 8 other states as well.

They're both midwestern states w/huge agriculture industries.

Beyond that I'm stumped.

In any event, feel free to poke around the full spreadsheet (WARNING, IT'S A MONSTER) here and let me know if you come up with any other interesting patterns.

Also feel free to ask any questions...but read the caveats/disclaimers in the blog post first!

docs.google.com/spreadsheets/d…

Enrollment in ACA Coverage by Congressional District

^{Google Docs}

Anyway, if you appreciate my healthcare wonkery & would like to support it, you can do so here, thanks!

secure.actblue.com/donate/acas…

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P.S. Speaking of the #ACA, we're in the middle of the 2025 Open Enrollment Period *right now!* Here's 15 important things to remember when you #GetCovered:

acasignups.net/24/11/06/potent…

The (potentially final) ACA Open Enrollment Period is upon us! Here's 15 important things to remember when you #GetCovered!

The 2025 ACA Open Enrollment Period (OEP) officially begins on November 1st. This is the best OEP ever for the ACA for several reasons: The expanded/enhanced premium subsidies first introduced in 2021 via the American Rescue Plan, which make premiums…

^{ACA Signups}