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DC Has the Second Lowest Uninsured Rate in the Nation

Wednesday, September 11, 2019
Despite ongoing attacks on the ACA, District continues to expand health insurance coverage

(Washington, DC)­­ – Yesterday, the United States Census Bureau released its annual report on health insurance coverage. Contrary to nearly 2 million people nationwide losing coverage and the nation’s uninsured rate climbing to 8.5% from 7.9%, the District saw gains. The District reduced its uninsured rate from 3.8% in 2017 to 3.2% in 2018. According to the Census, the District has the second lowest uninsured rate in the nation, only behind Massachusetts for the second consecutive year.

The Census report is the latest report to show that the Affordable Care Act (ACA) is working in the District of Columbia to help residents obtain quality, affordable health coverage – private and public. When DC Health Link opened for business in 2013, there were approximately 42,000 uninsured people in the District. Leveraging the ACA, the District expanded health coverage so that nearly 97% of residents are now covered. Currently, the District has the lowest uninsured rate in the city’s history.

“The District’s success demonstrates what is possible by fully embracing, and building on, the ACA,” said Mila Kofman, J.D., Executive Director of the DC Health Benefit Exchange Authority. “It also shows that states cannot do this alone and strong national standards and financial commitment through federal premium tax credits and Medicaid expansion is necessary.”

The District has taken multiple steps setting up its own state-based marketplace and building on the Affordable Care Act including: most recently enacting a local individual responsibility requirement when the federal government repealed the federal one; adopting a three month open enrollment period after the federal government reduced open enrollment to six weeks for; investing in navigators to help people enroll while the federal government slashed such funding to federal marketplace states; enacting laws to protect District residents from federal Administration efforts to expand junk health insurance like short term limited duration plans and association health plans; and increasing outreach activities.

“It’s an honor to be a member of the Executive Board for the DC Health Benefit Exchange Authority,” said Dr. Leighton Ku, PhD, MPH, Chair of the Research Committee of the Executive Board and professor of health policy at the Milken Institute School of Public Health, George Washington University. “Because the District made the wise choice to pursue a state-based marketplace, we’ve been able to consistently build on the ACA to expand coverage, despite federal attacks designed to weaken enrollment over the last two and a half years.”

View the Census Bureau’s report “Health Insurance Coverage in the United States: 2018.


Open Enrollment for residents to enroll in individual and family coverage for 2020 begins November 1, 2019 and ends January 31, 2020. Residents can choose health insurance plans from CareFirst Blue Cross Blue Shield and Kaiser Permanente. Eligible District residents can enroll in a health insurance plan online through or by calling (855) 532-LINK [5465]. Small businesses can enroll any time. Residents seeking Medicaid can enroll any time.

The Affordable Care Act provides individuals, families, and small businesses in the District of Columbia with affordable options for quality health insurance. DC Health Link is the District’s online health insurance marketplace for consumers to shop, compare, and enroll in coverage that fits their needs and budgets.