ACA Drove Record Coverage Gains for Small-Business and Self-Employed Workers – CBPP

“Coverage improvements for both groups were driven by enrollment in the ACA marketplace and Medicaid. From 2013 to 2022, Medicaid coverage increased by 2.5 million for employees of small businesses and 1.3 million among self-employed workers, according to Census data. And 2.6 million marketplace enrollees aged 21-64 were small business owners or self-employed in 2021, an analysis of Treasury Department tax data found using definitions of small business ownership and self-employment based on income and other factors. That accounted for about a quarter of all marketplace enrollment.”

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