Since the integration of the Affordable Care Act in 2010, uninsured Ohioans below the federal poverty level have drastically dropped to 12.8 percent in 2017 from 36.1 percent in 2008, remaining the lowest rate ever documented, according to the Ohio Department of Medicaid. Although a major decline in the uninsured, Lorain County’s free clinic and nonprofit health care providers said they have experienced an uptick in patients and a greater need in the county.