In the United States, major medical insurance policies for those who don't have healthcare coverage through their employer, Medicare, Medicaid, CHIP, the Veteran's Administration or some other source are available via the ACA's individual market exchanges. The individual market for residents of 36 states is HealthCare.Gov; the remaining 14 states + DC each have their own ACA exchange, such as Covered California, NY State of Health and so forth.
There are usually dozens of ACA policies available via the ACA exchanges, but they fall into five major categories: Catastrophic, Bronze, Silver, Gold and Platinum plans (other major distinctions include HMOs vs. PPOs and other variables,but those are for another day).
With rare exceptions, Catastrophic plans are only available to enrollees under 30 years old. ACA premium subsidies can't be used to help pay for Catastrophic plans either, so enrollment is rare; during the 2020 Open Enrollment Period, only 89,000 ACA exchange enrollees selected Catastrophic plans out of over 11.4 million total, or just 0.8%.
The data below comes from the GitHub data repositories of Johns Hopkins University, except for Utah, which comes from the GitHub data of the New York Times due to JHU not breaking the state out by county but by "region" for some reason.
Important:
Every county except those in Alaska lists the 2020 Biden/Trump partisan lean; Alaska still uses the 2016 Clinton/Trump results (the 2020 Alaska results are only available by state legislative district, not by county/borough for some reason...if anyone has that info let me know)
I define a "Swing District" as one where the difference between Biden & Trump was less than 6.0%. FWIW, there's just 187 swing districts (out of over 3,100 total), with around 33.7 million Americans out of 332 million total, or roughly 10.2% of the U.S. population.
For the U.S. territories, Puerto Rico only includes the case breakout, not deaths, which are unavailable by county equivalent for some reason.
With those caveats in mind, here's the top 100 counties ranked by per capita COVID-19 cases as of Thursday, March 18th, 2021 (click image for high-res version).
Blue = Joe Biden won by more than 6 points
Orange = Donald Trumpwon by more than 6 points
Yellow = Swing District (Biden or Trump won by less than 6 points)
Missouri just voted #YesOn2 to expand Medicaid, and now, because of YOUR vote, over 230,000 hardworking people will have access to life-saving healthcare!pic.twitter.com/azHN0GJjEW
— YesOn2: Healthcare for Missouri (@YesOn2MO) August 5, 2020
Last summer, when activists in both Missouri and Oklahoma were preparing for this historic vote, I wrote the following:
How NY State of Health Enrollees Benefit from the American Rescue Plan
The American Rescue Plan, which was signed into law on March 11, 2021, will lower health care costs by providing new and expanded financial assistance to New Yorkers enrolling in health insurance through NY State of Health. This enhanced assistance is available to current enrollees and new enrollees, including to higher-income individuals for the first time. Starting in early April, individuals with low and moderate incomes can access higher tax credits. Starting in June, NY State of Health will apply these higher tax credits to current enrollees without requiring any action by the enrollee. Also in June, higher-income New Yorkers can access the new tax credits.
The information on this page is organized into six sections. Click the section from the following list to learn how the American Rescue Plan can help you:
GOV. HOGAN ANNOUNCES EXTENSION OF STATE HEALTH INSURANCE SPECIAL ENROLLMENT PERIOD UNTIL AUG. 15
(BALTIMORE) — Gov. Larry Hogan and Maryland Health Benefit Exchange announced today that the state health insurance marketplace, Maryland Health Connection, will extend its current Coronavirus Special Enrollment Period. Uninsured Marylanders have the opportunity to enroll in health coverage now until Aug. 15.
This deadline aligns with the federal special enrollment period extension announced by President Joe Biden for those 35 states that use HealthCare.gov, the federally run health insurance marketplace.
“We are pleased to announce the additional extension of this special enrollment period to Aug. 15, which
is already one of the nation’s longest in response to the COVID-19 pandemic,” said Governor Hogan.
“Our administration remains committed to ensuring Marylanders have access to the resources they need
UPDATE 3/16/21:Health Source Rhode Island just released their 2021 OEP report as well; they ended up down around 8% y/y. With that, I now have either the final official enrollment numbers or at least close approximations for all 50 states + DC. The table, graph and text below have been updated accordingly.
With New York State of Health releasing their 2021 Open Enrollment Report data (w/some caveats), I now have official (or semi-official) enrollment data for 49 states and the District of Columbia. The odd man out is Rhode Island...which also happens to be one of the smallest states with the smallest number of ACA enrollments; last year they enrolled around 34,600 people.
There's a few caveats:
New York's QHP tally included enrollments through 2/28; the official CMS report will likely cut them off as of 1/31.
The numbers for DC, Idaho, Rhode Island and Vermont are estimates...it's possible that the official numbers for each will be slightly lower.
At the very worst, the official CMS 2021 OEP report will come in at something like 11.98 million or so.
UPDATE 3/16/21: With Rhode Island added, the semi-official tally comes in at just over 12.0 million (12,005,270 QHP selections total). Again, it could drop slightly below that if my estimates for a handful of states are off, but it should be damned close to it.
I've done my best to label every state/territory, which obviously isn't easy to do for most of them given how tangled it gets in the middle. For cases per capita, the most obvious point is that New York and New Jersey, which towered over every other state last spring, are now dwarfed by North & South Dakota, although things are pretty horrible nearly everywhere now.
1 out of every 8 residents of North Dakota, South Dakota and Rhode Island have tested positive for COVID-19 over the past year.
1 out of every 9 residents of Utah, Iowa, Tennessee and Arizona have tested positive.
1 out of 10 in Oklahoma Arkansas, Nebraska, South Carolina, Alabama, Kansas, Mississippi,Indiana and Idaho.
1 out of 20 in every state except Washington, Oregon, Maine, Vermont and Hawaii.
Governor McKee and HealthSource RI Announce New Enrollment Period Extended Through August 15
Historic level of financial assistance is now available through HealthSource RI.
New Enrollment Period has been extended through August 15, 2021, adding three months to the previous May 15, 2021 deadline.
Starting April 1, most HSRI customers will have a lower monthly bill.
Beginning in summer 2021, HSRI will make more financial assistance available to people who previously did not qualify to receive it based on their income.
Individuals and families who have received unemployment payments in 2021 will be newly eligible for additional financial help for this year or may qualify for health coverage at no cost.
Rhode Islanders should enroll in coverage as soon as possible to take full advantage of these new benefits.
A few weeks ago, Pennie (Pennsylvania's ACA exchange), like several other state-based exchanges, put out a simple statement celebrating the passage of the American Rescue Plan (ARP) and the dramatic improvement in ACA affordability that it brings for the next two years. Like most of the other exchanges, Pennie's initial press release was pretty bare-bones, as the bill had just been signed into law and there were a ton of logistical details to be worked out.
Implement ARP provisions as soon as possible, and as broadly as possible, to maximize savings for Pennie customers
Automate these provisions, to the extent possible, to ensure that the benefits under the new law reach Pennie customers without requiring customer action
Ensure that customers who need to take an action are given specific instructions on what they need to do to maximize their benefits
Use this unique opportunity to connect more Pennsylvanians to comprehensive coverage and reduce the number of uninsured throughout the Commonwealth
