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Since key provisions of the Affordable Care Act took effect, fewer U.S. adults lack health insurance and have difficulty affording the care or medicines they need, but they remain concerned about the cost and quality of healthcare.

In his recent article in the Journal of the American Medical Association, President Obama relied on data from the Gallup-Healthways Well-Being Index to assess changes and identify patterns in states' uninsured rates.

In the second quarter of 2016, the uninsured rate remains at 11.0%, matching the first quarter for the lowest rate in Gallup's eight-year trend. This remains down from 11.9% in the fourth quarter of 2015.

The 15.5% of Americans who now report struggling to pay for necessary healthcare and/or medicines in the past 12 months is the lowest it has been since Gallup and Healthways began tracking this metric in 2008.

Americans are split on whether they approve or disapprove of the Affordable Care Act, but overall, they are steadily seeing more benefits to the law since 2012.

In the first quarter of 2016, the uninsured rate among U.S. adults averaged 11.0%, down from 11.9% in the fourth quarter of 2015. This marks a new low in Gallup and Healthways' eight-year trend.

Arkansas and Kentucky continued to have the biggest declines in the rate of uninsured adults in 2015, followed closely by Oregon. Nine states now have uninsured rates below 7.0%, compared with only one before 2014.

For the fifth time in eight years, Hawaii claimed the top spot among U.S. states for well-being, while 2014's highest well-being state, Alaska, slipped to second. West Virginia had the lowest well-being for the seventh consecutive year.

Gallup analyzes the public opinion context surrounding many of the proposals and statements President Barack Obama made in his Tuesday State of the Union address.

The uninsured rate among U.S. adults was 11.9% in the fourth quarter of 2015, up slightly from 11.6% in the third quarter and matching the rate recorded in the first quarter of 2015.