New Findings on CDC and FDA from Department of Emergency Medicine Summarized (The Long-term Trend of the Affordable Care Act On Health Insurance Marketplace Enrollment): CDC and FDA

2025 APR 01 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- A new study on CDC and FDA is now available. According to news reporting originating in Fort Worth, Texas, by NewsRx journalists, research stated, “The Affordable Care Act (ACA) expanded health care access in the United States. This study examines the long-term impact of the ACA on private health insurance enrollment using National Health Interview Survey (NHIS) data.”

Financial supporters for this research include National Institute on Minority Health and Health Disparities through the Texas Center for Health Disparities (NIMHD), National Institute of Health/Artificial Intelligence/Machine Learning Consortium to Advance Health Equity and Researcher Diversity Grant.

The news reporters obtained a quote from the research from the Department of Emergency Medicine, “A repeated cross-sectional study using NHIS data from 2015 to 2022 was analyzed. Given the repeal of the ACA’s individual mandate in 2019, stratified analyses compared Marketplace enrollment before (2015, 2018) and after (2019, 2022) the repeal. The study included US adults aged 26-64 years. Unadjusted enrollment rates were compared across age, sex, race/ethnicity, social determinants of health (SDOH), chronic conditions, body mass index, and smoking. Multivariable logistic regression assessed enrollment trends and associated factors. Marketplace enrollment increased by 1.4 percentage points post-mandate (P < 0.001), with no significant change pre-mandate (0.5-point decline, P = 0.235). Some subgroups (ages 26-39, Midwest, West) saw declines pre-mandate, while many experienced increased enrollments post-mandate. After adjustment, individuals in 2022 had 27% higher odds of enrollment than in 2019 (adjusted odds ratio [aOR] = 1.27, 95% confidence interval [CI] = 1.13-1.43, P< 0.001), whereas no significant change occurred between 2015 and 2018 (aOR = 1.02, 95% CI = 0.89-1.16, P = 0.818). Age, racial minority status, and unfavorable SDOH were associated with higher post-mandate enrollment odds. Marketplace enrollment grew post-mandate, particularly among vulnerable populations.”

According to the news reporters, the research concluded: “While the repeal of the individual mandate may have contributed, other policy changes-expanded enrollment windows, increased subsidies, enhanced outreach, and streamlined applications-likely played a role, particularly in response to COVID-19.”

This research has been peer-reviewed.

For more information on this research see: The Long-term Trend of the Affordable Care Act On Health Insurance Marketplace Enrollment. Population Health Management, 2025. Population Health Management can be contacted at: Mary Ann Liebert, Inc, 140 Huguenot Street, 3RD Fl, New Rochelle, NY 10801, USA. (Mary Ann Liebert, Inc. - www.liebertpub.com; Population Health Management - http://www.liebertpub.com/overview/population-health-management-formerly-disease-management/301/)

Our news correspondents report that additional information may be obtained by contacting Hao Wang, Jps Hlth Network, Dept. of Emergency Medicine, Fort Worth, TX, United States. Additional authors for this research include Julianna Vecchio, Bo Zhou and Usha Sambamoorthi.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1089/pop.2024.0238. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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