Table 1
Number of uninsured Black residents before enhanced ACA tax credit expiration, and percent increase in uninsured Black residents after credit expiration, by Metropolitan Statistical Area (MSA)
| MSA | Number of uninsured Black residents | Black participants newly losing coverage | Percent increase in uninsured Black residents |
|---|---|---|---|
| Atlanta-Sandy Springs-Roswell, GA | 179,304 | 40,823 | 23% |
| Chicago-Naperville-Elgin, IL-IN | 78,777 | 6,896 | 9% |
| Dallas-Fort Worth-Arlington, TX | 151,206 | 31,599 | 21% |
| Detroit-Warren-Dearborn, MI | 43,199 | 2,997 | 7% |
| Houston-Pasadena-The Woodlands, TX | 165,249 | 39,474 | 24% |
| Los Angeles-Long Beach-Anaheim, CA | 39,200 | 3,261 | 8% |
| Miami-Fort Lauderdale-West Palm Beach, FL | 89,688 | 14,253 | 16% |
| New York-Newark-Jersey City, NY-NJ | 148,329 | 12,475 | 8% |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 66,626 | 13,866 | 21% |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 57,657 | 8,017 | 14% |
Sources: Authors' analyses of 2023 American Community Survey 1-Year microdata via IPUMS; 2024 Centers for Medicare & Medicaid Services Marketplace Open Enrollment Period Public Use Files; and Ku et al. 2025.
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