Who Will Gain Coverage Under Health Reform?


With the full implementation of the Affordable Care Act (ACA), the New York State Health Foundation (NYSHealth) estimates that more than 1 million uninsured New Yorkers could gain health care coverage. The ACA expands and simplifies Medicaid; creates an online marketplace of low-cost and State-approved private health plans; and provides financial subsidies to help offset the cost of health insurance premiums and copays for individuals, families, and small businesses. Across the State, health reform will make coverage affordable and available to all New Yorkers.

Achieving health reform’s promise will take time, but data can illuminate our progress along the way.

This map provides a snapshot of the New Yorkers estimated to gain coverage under Medicaid, gain coverage through the private plan options, or remain uninsured. The map identifies the areas and populations with the potential for the greatest impact.

Scroll down and click the map to explore. You can find information about areas or populations of greatest need, send and share information, or print a PDF snapshot of any page for reference.

This map uses data compiled by the Urban Institute using a simulation model developed for New York State.

Where a county has sufficient population density, available data for that specific county are provided. Where a county does not have sufficient population density to derive estimates, neighboring geographies are grouped together in a Super PUMA (Public Use Microdata Areas), represented here as regions.

Uninsured New Yorkers live in every part of the State, but are concentrated in specific geographies. The percent of currently uninsured New Yorkers who are expected to gain coverage resulting from the ACA varies by geography.
  • Statewide
  • Region
    Regional results where County sample sizes are too small.
  • County
    County-specific results
  • NYC

In New York Area X, XXX,XXX or XX% among the currently uninsured will gain health coverage.

Calculating... Medicaid and CHIP
Calculating... Private Coverage
Calculating... Remaining Uninsured

CHIP: Children’s Health Insurance Program is a public insurance program for children who do not qualify for Medicaid. The program is called Child Health Plus in New York State and extends eligibility up to 400% FPL.

FPL: Federal Poverty Level is a federal measure that indexes income to eligibility for a range of federal programs, including public health insurance.

* Estimates suppressed due to small sample size

Frequently Asked Questions

  • Q : What is the New York State Health Foundation (NYSHealth)?
    NYSHealth, the sponsor of this map, is a private, statewide foundation dedicated to improving the health of all New Yorkers. To achieve meaningful impact, we make grants, inform health care policy and practice, and spread effective programs that work to improve New York's health system. One of NYSHealth’s strategic priority areas is expanding health care coverage, and NYSHealth is supporting a range of efforts to reach and educate consumers about their insurance options and how to enroll in coverage.
  • Q : How do I get health insurance?
    To learn more about health coverage options you may qualify for, visit NY State of Health, the State’s online website for enrollment, or call its customer service center at 1-855-355-5777.
  • Q : What type of coverage is available under private coverage?
    Private coverage includes private health insurance plans that are purchased either through NY State of Health, the State’s online marketplace, or through the wider commercial market. These plans may be subsidized or unsubsidized.
  • Q : Where can I find the data used here?
    The data used here was compiled by the Urban Institute using a simulation model developed for New York State. It is available here.