The share of working adults without insurance fell 25% between September 2013 and September 2014 (to 10.2%), with the largest gains in rural areas and states that expanded Medicaid, according to recent data from the Urban Institute’s Health Reform Monitoring Survey. The number of adults reporting difficulties with access to health care providers also fell by 3.9 percentage points, the survey found. “This new evidence shows that the share of Americans without health insurance is continuing to decline, and that rural-urban and income gaps in coverage are narrowing,” said Kathy Hempstead, who directs coverage issues at the Robert Wood Johnson Foundation. “Another important finding is that Americans appear to have improved access to care, and are less likely to report having trouble making an appointment to see a doctor.” The foundation provides funding for the survey.