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12.2% (over 5.3 million) of adults with a mental illness remain uninsured. Under the Affordable Care Act (ACA), the US continues to see a decline in Americans who are uninsured. There was a 2.5% reduction from last year’s dataset. 46 states saw a reduction in Adults with AMI who are uninsured. The largest reductions were seen in South Carolina (7.1%), Missouri (6.3%), Arkansas (6.7%), Arizona (5.6%). The state prevalence of uninsured adults with mental illness ranges from 2.2% in Massachusetts to 23.0% in Texas.