Nearly 116,000 Minnesotans lost health insurance over the past two years, marking an abrupt turnaround in health coverage gains that began after enactment of the Affordable Care Act (ACA), according to a state study released Tuesday.
Minnesota's uninsured rate hit a record low of 4.3 percent in 2015 when more people got coverage through federally subsidized private insurance or because of higher income eligibility limits for the Medical Assistance program for the poor.
But in 2017 the uninsured rate rose to 6.3 percent, fueled by a decrease in the number of employers who offered coverage as well as people who exited the individual market, where health premiums took a big jump in 2016.
Uncertainty over the future of the federal health law, with some national surveys finding that half the population mistakenly believes the ACA has been repealed, also could be driving people away from seeking coverage, the state Health Department said.
Still, there were fewer people without health insurance in 2017 than in 2011, when 9 percent of state residents were without health coverage when the federal health law started to take effect.
However, the recent jump in the uninsured is the largest increase in the state since 2001.
"It is particularly concerning that we are seeing a decrease in health insurance coverage of this magnitude during a time of economic growth and low unemployment," said Stefan Gildemeister, state health economist at the Minnesota Health Department.
Health officials are concerned that the swelling number of those without health insurance will have spillover effects, contributing to higher rates of illness and taxing the resources of the health care safety net.