Health insurance coverage for adults with diabetes aged <65 years increased significantly after implementation of the Affordable Care Act, according to a cross-sectional analysis involving >6,200 individuals. Participants were people with diabetes from the 2009 and 2016 National Health Interview Surveys. Investigators looked at health insurance coverage, demographics, diabetes-related factors, and amount spent on medical expenses/insurance premiums. Among the results:

• Health insurance coverage increased from 85% in 2009 to 90% in 2016.
• Coverage increased for almost all subgroups of adults aged <65 years, including men, whites, blacks, Hispanics, those who were married, those with < or > a high school education, family income <$35,000, diabetes duration <5 or >15 years, and those taking oral agents.
• Medicaid coverage also increased, from 19% to 24%.
• 8% of those with private insurance acquired coverage through the ACA exchange.
• Among those aged <65 years with an income <$35,000, the proportion of income spent on family medical costs decreased from 6.3% to 4.8%.