During the COVID-19 pandemic, uninsured rates reached record lows for Black, Hispanic, and white adults, a new Commonwealth Fund study finds. Moreover, coverage disparities have narrowed considerably since 2013, particularly in states that expanded Medicaid. But much of this progress may be in jeopardy. That’s because, starting March 31, an estimated 15 million people stand to lose their Medicaid coverage when a federal requirement that states keep beneficiaries continuously enrolled expires.

Indonesia and the U.S. have each made notable gains in health care coverage over the past decade. In 2014, Indonesia introduced a universal insurance program that registered nearly 230 million people, making it the largest single-payer health system in the world. In that same year, the Affordable Care Act’s major coverage expansions took effect in the U.S. But as the Commonwealth Fund’s Evan D. Gumas notes in International Insights, both countries are facing similar challenges in ensuring equitable access to care.