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Friday, December 9, 2016

By Noam N. Levey, Tribune Washington Bureau

WASHINGTON — The share of Americans without health insurance has dropped to the lowest level since before President Barack Obama took office, according to a new national survey that provides more evidence the health care law is extending coverage to millions of the previously uninsured.

Just 14.7 percent of adults lacked coverage in the second half of March, down from 18 percent in the last quarter of 2013, the survey from Gallup found.

The survey results, which track with other recent polling data and enrollment reports, indicate that about eight million people have gained health insurance since September. That figure takes into account any losses in coverage the law may have brought about by the cancellation of health plans that did not meet the new standards.

Gallup’s survey highlights a historic expansion in coverage unparalleled since the creation of Medicare and Medicaid half a century ago.

It also undermines critics’ persistent claims that the law has done little to expand health insurance.

“The uninsured rate has been falling since the fourth quarter of 2013 … a sign that the Affordable Care Act, commonly referred to as Obamacare, appears to be accomplishing its goal of increasing the percentage of Americans with health insurance coverage,” Gallup’s Jenna Levy wrote in an article describing the new poll results.

The gains found by the survey would include several new sources of coverage.

Under the law, Americans could begin shopping Oct. 1 for health coverage on new marketplaces in which insurers could no longer turn away sick customers. As of the end of March, about 7.1 million people had signed up that way, the administration said. Some of them previously had no insurance.

In addition, in about half the states, low-income Americans could sign up for government Medicaid coverage for the first time, an option the law provides to states.

Even more Americans probably gained coverage under provisions of the health care law that took effect earlier. Those gains would not be reflected in the survey if people got covered before September.

For example, as many as three million young people gained coverage by staying on their parents’ health plans until they turn 26.

And more low-income Americans got coverage in states that expanded their safety net programs ahead of 2014.

Without those earlier expansions, the nation’s uninsured rate would have been even higher before the marketplaces opened last fall. The percentage of Americans without insurance began climbing in the last year of the George W. Bush administration as the economy slid into recession, and it continued to rise over the following years.