Using data from the US Census Bureau's Household Pulse Survey, we analyzed the likelihood of loss of health insurance and enrollment into new health coverage during the early months of the COVID-19 pandemic. Loss of employment was associated with a significant increase in the likelihood of loss of health insurance and, specifically, an increase in the likelihood of employer-sponsored health insurance. However, individuals in Medicaid expansion states experienced a lower likelihood of loss of health insurance compared with individuals in nonexpansion states. At the same time, there was a statistically significant increase in Medicaid enrollment in expansion states, by 3.2 percentage points. Reemployment or acquiring employment was associated with a gain in health insurance coverage. During an economic downturn, eligibility, and coverage gaps leave many without affordable coverage options, and the pandemic will likely bring renewed attention to gaps in Medicaid coverage in nonexpansion states.

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COVID-19 大流行期间的健康保险覆盖范围：扩大医疗补助计划的作用

我们使用美国人口普查局家庭脉搏调查的数据，分析了在 COVID-19 大流行的头几个月失去健康保险和加入新健康保险的可能性。失业与失去健康保险的可能性显着增加有关，特别是与雇主赞助的健康保险的可能性增加有关。然而，与非扩张州的个人相比，医疗补助扩张州的个人失去健康保险的可能性较低。与此同时，扩张州的医疗补助登记人数在统计上显着增加了 3.2 个百分点。再就业或获得就业与获得健康保险有关。在经济衰退期间，资格，