From 2010 through 2021, the percentage of New Yorkers without health insurance declined every year to 5.2% in 2021, well below the national average of 8.6%. Rates of uninsured New Yorkers are lower than the nation largely due to the State’s higher rates of enrollment in public health insurance programs, which provided coverage to 4 in 10 New Yorkers in 2021. As the State begins reprocessing eligibility determinations for public health insurance, continued transparency and reporting will be essential for understanding the implications for coverage rates and on the State’s budget.