The 2016 election of Donald Trump as president, combined with a Republican-controlled Congress, could result in a partial or complete repeal of the Affordable Care Act (ACA). Here is a reminder of what has been achieved under the ACA — and what California now stands to lose.

Nationally, the uninsured rate is at a historic low:

• 20 million Americans are covered as a result of the ACA.
• 90% of all Americans are now covered: The uninsured rate fell from 14.4% in 2013 to a historic low of 9.4% in 2015.

Some of the ACA’s biggest gains have been in California:

• Over 5 million Californians have insurance as a result of the ACA — roughly a quarter of all Americans covered under the law.
• 91% of Californians are now insured. The uninsured rate in California fell from 17.0% in 2013 to a historic low of 8.5% in 2015.
• In California, the uninsured rate dropped across all racial/ethnic groups, with the greatest gains seen among Latinos. Between 2013 and 2015, the number of California Latinos who were uninsured fell by 1.5 million, and the uninsured rate in this population fell from 23% to 12%.

The sources of coverage for the more than 5 million Californians insured under the ACA include:

• 1.4 million bought insurance on Covered California.
• 3.7 million Californians enrolled in Medi-Cal under the ACA expansion — representing more than a quarter of the 13.6 million Californians now covered under Medi-Cal.
• Hundreds of thousands of young adults under the age of 26 were able to stay on their parents’ plan.

Over 1 million Californians receive financial assistance to afford coverage through Covered California:

• Of Covered California’s 1.4 million consumers, 1.2 million receive federal subsidies to help them pay their monthly premiums.
• The average federal premium subsidy per household is $438/month.

The California Health Care Foundation will continue to work to protect the coverage and access to care that millions of Californians have gained under the ACA. We remain committed to building a health care system that works for all Californians.

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