A new analysis by the State Health Access Data Assistance Center (SHADAC) provides information about the impacts of the Affordable Care Act (ACA) on the uninsured by all 435 congressional districts in the 50 states. The analysis, funded by the California Health Care Foundation, includes detailed infographics and data tables illustrating changes in the number and rate (percentage) of uninsured between 2013 and 2015 across all congressional districts and for a range of demographic groups within each district, including: race/ethnicity, income, citizenship, educational attainment, and employment status.

Health care continues to be an extremely political and divisive issue. Understanding the impacts of the ACA at the congressional district level is important for policymakers, the media, and other stakeholders engaged in the debate. This analysis can be used to understand trends within individual states as well as to provide insights into how coverage rates for specific groups within individual congressional districts — racial and ethnic minorities, low income populations, etc. — have changed under the ACA.

Lacey Hartman

Lacey Hartman is a senior research fellow at the State Health Access Data Assistance Center (SHADAC), where she leads a range of projects aimed at helping states use data to inform policy. Lacey previously worked as the research and policy director at Portico Healthnet and as a senior research economist in the Health Economics Program at the Minnesota Department of Health. She holds a bachelor’s in women’s studies and political science from Macalester College in St. Paul and a master’s degree in public policy from the University of Minnesota.

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