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California: Affordable Care Act (ACA) Impacts on Insurance Coverage by Congressional District
Click on a California Congressional District to see changes in the uninsured between 2013 and 2015. These data show the impact of the ACA, which was implemented in 2014, on the uninsured.
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2013-2015 Change in Uninsured
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Estimates are provided for several demographic breakdowns, including race; ethnicity; nativity and U.S. citizenship; educational attainment; employment status; and ratio of income to Federal Poverty Level (FPL; see note below for further information about the income categories used in this analysis).
Click here to download the data file for all California Congressional Districts.
Estimates Available for All Districts, All States
Click here to access estimates for Congressional Districts in a different state.
About the American Community Survey
The estimates in this analysis come from the American Community Survey (ACS) via the U.S. Census Bureau's American FactFinder (AFF) tool.
The ACS is a household survey that began in 2005 and produces annually updated data on a variety of population characteristics, including health insurance coverage. In total, the ACS surveys approximately three million US households each year.
An important feature of the ACS is that it includes a large enough sample for state‐level and sub‐state estimates such as the estimates in this analysis.
Note: Federal Poverty Levels
For this analysis, estimates are provided for houshold incomes that are: below 138% of the Federal Poverty Level (FPL); from 138% FPL to 199% FPL; from 200% FPL to 399% FPL; and at or above 400% FPL. In Medicaid expansion states, individuals are eligibile for Medicaid eligibility at incomes below 138% FPL. The limit for premium subsidies for coverage purchased through the Marketplace is 399% FPL. The following table provides 2015 FPL dollar amounts for key income thresholds used in this analysis.
| Ratio of Income to 2015 Federal Poverty Level (FPL) | |||
|---|---|---|---|
| 138% FPL | 200% FPL | 399% FPL | |
| Single Person | $16,673 | $24,164 | $48,207 |
| Family of Four | $33,475 | $48,514 | $96,785 |
| Source: US. Census Bureau. 2015 Federal Poverty Levels. | |||
*The income cuts used in this analysis are slightly different than ACA eligibility levels because of how data are tabulated in American FactFinder, but the differences are negligible. Although Medicaid eligibility for the expansion population covers people with incomes at or below138% FPL, this analysis groups incomes below 138% FPL. The scenario is similar for premium subsidy eligibility. This analysis groups incomes below 400% FPL, but people with incomes up to and including 400% FPL are eligible for premium subsidies
About this Resource
This analysis was supported by a grant from the California HealthCare Foundation.
