The health insurance coverage for individuals under 19 years old in Ithaca City shows varying trends from 2020 to 2023. Medicaid coverage increased from 857 in 2020 to 1,218 in 2021 but decreased slightly in 2022 and 2023, reaching 912. Direct purchase insurance dropped significantly from 1,438 in 2020 to 736 in 2023, while employer-based coverage remained relatively stable, starting at 2,979 in 2020 and ending at 2,700 in 2023.