HHS Report Highlights Historic Gains in Rural Health Insurance Coverage Under Biden-Harris Administration

Health and Human Services

WASHINGTON, D.C. — The U.S. Department of Health and Human Services (HHS) has released a comprehensive report spotlighting the significant advancements in health insurance coverage for rural Americans, attributed to the strategic efforts of the Biden-Harris Administration. This report, crafted by HHS’ Office of the Assistant Secretary for Planning and Evaluation (ASPE), provides critical insights into current enrollment patterns and the challenges faced by rural populations.

The Biden-Harris Administration has prioritized ensuring that rural communities are not marginalized in health care access. HHS Secretary Xavier Becerra emphasized the administration’s commitment, stating, “HHS has taken many steps to invest in rural America,” highlighting initiatives aimed at sustaining rural hospitals, bolstering the health workforce, and expanding mental health and substance use disorder support services.

A pivotal finding of the ASPE report is that improvements to the Affordable Care Act (ACA) through the American Rescue Plan and the Inflation Reduction Act have resulted in substantial savings for rural enrollees. Specifically, rural beneficiaries of Marketplace coverage are experiencing savings averaging nearly $1,000 annually, a figure that surpasses the benefits accrued by their urban counterparts by approximately 28%.

Since the enactment of the ACA, the uninsured rate among rural Americans has seen a dramatic decline, falling from 23.8% in 2010 to 12.6% in 2023. This translates to approximately three million rural residents gaining coverage, reflecting the tangible impact of the ACA’s provisions. However, disparities persist, particularly in states that have not adopted the ACA’s Medicaid expansion. In these states, nearly 30% of rural residents remain uninsured, in stark contrast to less than 11% in states that have implemented the expansion.

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The report further indicates potential financial implications for rural Americans if congressional inaction leads to the retraction of a crucial tax credit. Such a scenario would result in an average increase of $87 per month for individuals purchasing their health coverage through healthcare.gov.

HHS programs continue to play a vital role in providing health coverage to rural populations, with nearly three million HealthCare.gov enrollees, over 12 million Medicaid enrollees, and more than 14 million Medicare enrollees residing in rural areas. These efforts align with the administration’s overarching strategy to reduce health disparities and promote equitable access to health care across the nation.

The findings of the ASPE report reaffirm the effectiveness of the Biden-Harris Administration’s policies in enhancing health care access for rural Americans, providing them with not only coverage but also the peace of mind that accompanies financial protection in health care. As the administration continues to champion these initiatives, the focus remains on sustaining these gains and addressing ongoing challenges faced by rural communities.

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