Exhiit 1 Percent of Population Under Age 65 Uninsured, 13, 14, and 15 13 14 15 <1% (4 states plus D.C.) 1% 14% (18 states) 15% 19% (18 states) % (1 states) <1% (11 states plus D.C.) 1% 14% (25 states) 15% 19% (12 states) % (2 states) <1% (23 states plus D.C.) 1% 14% (21 states) 15% 19% (6 states) Data: U.S. Census Bureau, 13, 14, and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS). on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Exhiit 2 Change in Health System Performance y Access Indicator, 13 15 Numer of states a Improved Little or no change Worsened Adults ages 19 64 uninsured 49 2 Children ages 18 uninsured 28 23 Adults who went without care ecause of costs in past year 39 12 At- risk adults without a routine doctor visit in past two years c 17 31 3 Adults without a dental visit in past year (14 vs. 12) 42 9 Notes: This exhiit measures change from 13 to 15, the most recently availale data year, except in the case of the dental indicator, for which the most recently availale data year and comparale data year are 14 and 12. a For the purposes of this exhiit, we treat the District of Columia as a state, creating a total of 51. Improved or Worsened refers to a change of at least.5 standard deviations etween the two time periods. Little or no change includes states with changes of less than.5 standard deviations as well as states with no change or without sufficient data to assess change over time. Improvement also occurred at the national level. c At- risk adults defined as all adults age 5 or older, or adults ages 18 to 49 in fair or poor health, or ever told they have diaetes or pre- diaetes, acute myocardial infarction, heart disease, stroke, or asthma. Data: U.S. Census Bureau, 13, 14, and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS); and Behavioral Risk Factor Surveillance System (BRFSS), 12, 13, 14, and 15. on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Exhiit 3 Percent of Adults Ages 19 64 Uninsured, 13, 14, and 15 Percent 13 14 15 25 15 1 5 District of Columiaᵇ Hawaiiᵇ Minnesotaᵇ Vermontᵇ Iowaᵇ Rhode Islandᵃᵇ Connecticutᵇ Delawareᵇ Kentuckyᵃᵇ West Virginiaᵃᵇ Wisconsinᵇ Marylandᵇ Michiganᵃᵇ North Dakotaᵇ Ohioᵃᵇ Pennsylvaniaᵃᵇ Washingtonᵃᵇ Illinoisᵃᵇ New Hampshireᵃᵇ New Yorkᵇ Oregonᵃᵇ Coloradoᵃᵇ Neraskaᵇ Californiaᵃᵇ Maineᵇ New Jerseyᵃᵇ Indianaᵃᵇ Kansasᵇ Missouriᵃᵇ Virginiaᵇ Arkansasᵃᵇ Utahᵇ Wyomingᵃᵇ Arizonaᵃᵇ Tennesseeᵇ Alaamaᵇ Montanaᵃᵇ New Mexicoᵃᵇ North Carolinaᵃᵇ South Carolinaᵃᵇ South Dakotaᵃ Idahoᵇ Nevadaᵃᵇ Louisianaᵃᵇ Alaskaᵃᵇ Georgiaᵃᵇ Mississippiᵃᵇ Floridaᵃᵇ Oklahomaᵇ Texasᵃᵇ Note: States are arranged in rank order ased on their current data year (15) value. a At least a.5 standard deviation change (at least 3 percentage points) etween 14 and 15. At least a.5 standard deviation change (at least 3 percentage points) etween 13 and 15. Data: U.S. Census Bureau, 13, 14, and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS). on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Exhiit 4 Percent of Low- Income Adults Ages 19 64 Uninsured, 13, 14, 15 Percent 6 5 4 1 13 14 15 Vermont District of Columia Rhode Island West Virginia Hawaii Minnesota Kentucky Iowa Delaware Michigan Ohio New York Oregon Pennsylvania Connecticut Washington North Dakota Maryland Colorado Illinois California New Hampshire Arkansas New Mexico Arizona Nevada New Jersey States that expanded Medicaid as of January 1, 15 Wisconsin Maine Indiana Neraska Tennessee Utah Kansas Missouri Idaho Montana Virginia Wyoming South Carolina Alaama Mississippi North Carolina Louisiana Alaska Florida South Dakota Oklahoma Georgia Texas States that had not expanded Medicaid as of January 1, 15 Notes: Low- income defined as living in a household with income <% of the federal poverty level. States are arranged in rank order ased on their current data year (15) value. Alaska, Indiana, Louisiana, and Montana expanded their Medicaid programs after January 1, 15. Data: U.S. Census Bureau, 13, 14, and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS). on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Exhiit 5 Percent of Children Ages 18 Uninsured, 13, 14, and 15 Percent 13 14 15 1 Hawaii Alaamaᵇ Illinoisᵇ Michiganᵇ Minnesotaᵇ New York Rhode Islandᵇ Washingtonᵃᵇ West Virginiaᵇ Californiaᵃᵇ Coloradoᵃᵇ Connecticut Iowa Kentuckyᵇ Louisianaᵇ Maryland New Hampshire New Jerseyᵇ Ohio Oregonᵇ Pennsylvania South Carolinaᵃᵇ Tennesseeᵇ Wisconsin Arkansas Kansasᵇ Mississippiᵇ Neraska New Mexicoᵃᵇ North Carolina Virginia Idahoᵃᵇ Maine Missouri Floridaᵃᵇ Georgiaᵇ Indianaᵇ Montanaᵃᵇ Wyoming Nevadaᵃᵇ Oklahomaᵇ South Dakota Utah Alaskaᵃᵇ Arizonaᵇ North Dakotaᵃ Texasᵃᵇ Note: States are arranged in rank order ased on their current data year (15) value. Data for 15 not availale for Delaware and data for 13, 14, and 15 not availale for the District of Columia and Vermont. a At least a.5 standard deviation change (at least 2 percentage points) etween 14 and 15. At least a.5 standard deviation change (at least 2 percentage points) etween 13 and 15. Data: U.S. Census Bureau, 13, 14, and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS). on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Exhiit 6 Percent of Adults Who Went Without Care Because of Costs, 13, 14, and 15 Percent 13 14 15 1 Iowaᵃᵇ Hawaii Minnesotaᵇ North Dakota South Dakotaᵃᵇ Vermont District of Columiaᵃᵇ Maineᵃ New Hampshireᵃᵇ Wisconsinᵃᵇ Rhode Islandᵃᵇ Connecticut Delaware Illinoisᵇ Kansasᵃᵇ Marylandᵇ Montanaᵇ Ohioᵃᵇ Washingtonᵇ Californiaᵃᵇ Coloradoᵇ Kentuckyᵃᵇ Neraska New Jerseyᵃᵇ New Yorkᵃᵇ Pennsylvania Virginiaᵇ Wyomingᵇ Michiganᵃᵇ Oregonᵇ Utahᵇ Alaskaᵃ Idahoᵃᵇ Indianaᵇ Missouriᵇ New Mexicoᵃᵇ West Virginiaᵃᵇ Arizonaᵇ Nevadaᵃᵇ North Carolinaᵇ Oklahomaᵇ Arkansasᵃᵇ Georgiaᵃᵇ Louisianaᵇ South Carolinaᵃᵇ Tennesseeᵇ Alaama Floridaᵇ Texas Mississippiᵇ Note: States are arranged in rank order ased on their current data year (15) value. a at least -.5 standard deviation change (at least 2 percentage points) etween 14 and 15. at least -.5 standard deviation change (at least 2 percentage points) etween 13 and 15. Data: Behavioral Risk Factor Surveillance System (BRFSS), 13, 14, and 15. on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.
Black and Hispanic Adults Made Significant Coverage Gains Under the Affordale Care Act, ut Wide State Variation Persists 7% 13 15 6% 5% 6% 53% 4% % % 24% 33% 24% 4% 28% 1% % 1% 5% * Lowest state 15% U.S. average Highest state 12% 8% Lowest state U.S. average Highest state Black, non- Hispanic adults, ages 19 64, uninsured Hispanic adults, ages 19 64, uninsured Notes: Data not availale for lack or for Hispanic adults in Alaska, Hawaii, Maine, Montana, New Hampshire, North Dakota, South Dakota, and Vermont, or for lack adults in Idaho, Utah, and Wyoming, or for Hispanic adults in the District of Columia and West Virginia, for 13 and 15. Data also not availale for lack adults in Iowa, New Mexico, Oregon, Rhode Island, or West Virginia in 15. * Lowest state is in the District of Columia. Data: U.S. Census Bureau, 13 and 15 1- Year American Community Surveys, Pulic Use Micro Sample (ACS PUMS). on Health Care Coverage and Access, 13 15, The Commonwealth Fund, Decemer 16.