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Expand chart
Reproduced from The Commonwealth Fund Affordable Care Act Tracking Surveys; Note: Surveys conducted July–Sept. 2013, April–June 2014, March–May 2015, Feb.–April 2016, March–June 2017, Feb.–March 2018. Chart: Axios Visuals

The number of Americans without health insurance is creeping back up, after seeing a big drop once the Affordable Care Act took effect, according to the latest tracking survey from the Commonwealth Fund.

The numbers that matter: About 15.5% of adults are uninsured, by Commonwealth’s count, up roughly three percentage points from the same time in 2016. That represents an increase of about 4 million people, the organization said.

Between the lines: Lower-income families saw the biggest coverage losses. Families making more than about $60,000 per year saw relatively stable coverage levels.

The context: Commonwealth attributes the increase largely to the way Congress and the Trump administration has handled the ACA.

  • The survey accounts for all sources of coverage, not just the individual market or the ACA’s exchanges, but lower-income households are more likely to rely on the exchanges or the ACA’s Medicaid expansion.

Yes, but: Roughly 11.8 million people selected insurance plans through the ACA’s exchanges in the most recent open enrollment period — nearly identical to the number who bought coverage for 2016.

Go deeper

In photos: D.C. and U.S. states on alert for pre-inauguration violence

National Guard troops stand behind security fencing with the dome of the U.S. Capitol Building behind them, on Jan. 16. Photo: Kent Nishimura / Los Angeles Times via Getty Images

Security has been stepped up in Washington, D.C., and state capitols across the U.S. as authorities brace for potential violence this weekend.

Driving the news: Following the Jan. 6 insurrection at the U.S. Capitol by some supporters of President Trump, the FBI has said there could be armed protests in D.C. and in all 50 state capitols in the run-up to President-elect Joe Biden's inauguration Wednesday.

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Illustration: Sarah Grillo/Axios

The Axios subject-matter experts brief you on the incoming administration's plans and team.

Rep. Lou Correa tests positive for COVID-19

Lou Correa. Photo: Tom Williams/CQ-Roll Call, Inc via Getty Images

Rep. Lou Correa (D-Calif.) announced on Saturday that he has tested positive for the coronavirus.

Why it matters: Correa is the latest Democratic lawmaker to share his positive test results after last week's deadly Capitol riot. Correa did not shelter in the designated safe zone with his congressional colleagues during the siege, per a spokesperson, instead staying outside to help Capitol Police.