Distribution of U.S. adults in the Medicaid coverage gap in 2021, by state

In 2021, it was estimated that approximately two million adults fell under the Medicaid coverage gap. These were adults in Medicaid non-expansion states who earned too much to be eligible for Medicaid in their state, but still less than the Federal poverty level, and thus ineligible for Medicaid marketplace subsidy and unable to afford private health insurance. Texas is home to the largest uninsured population, with four in ten people in the coverage gap. This statistic illustrates the distribution of adults in the Medicaid coverage gap in the United States in 2021, by state.