Health Coverage & the Uninsured: Access to Care

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Diane Rowland Testifies on Access to Care
Diane Rowland, executive vice president of KFF and executive director of the Foundation’s KCMU, testified March 24, 2009, before the House Energy and Commerce Subcommittee on Health as part of a hearing entitled, “Making Health Care Work for American Families: Access to Care.” Rowland addressed why Medicaid can be a platform for health care reform.

Trends in Access to Care Among Working-Age Adults, 1997-2006
This policy brief finds about 39 million working-age adults nationally reported cost as a barrier to receiving needed health care in 2006, a number that grew by an average of 1 million people annually over the decade studied. Uninsured working-aged adults experienced the most consistent erosion over the 10 years, resulting in a widening gap in access to care between insured and uninsured adults.

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State High-Risk Pools: An Overview -- January 2010

This issue brief provides an overview of the primary components of state high-risk pools, discusses their benefits and challenges, and concludes with a discussion of high-risk pools in national health reform.

Medicaid and Children’s Health Insurance Program Provisions in Health Reform Bills: Affordable Health Care for America Act & The Patient Protection and Affordable Care Act – January 2010 -- January 2010
This brief compares the Medicaid and Children's Health Insurance Program provisions in the House health reform legislation, the Affordable Health Care for America Act, as passed by the full House on Nov. 7, 2009, with the Senate’s reform legislation, the Patient Protection and Affordable Care Act, as passed on Dec. 24, 2009.

Uninsured Young Adults: Who They Are and How They Might Fare Under Health Reform -- January 2010

This issue brief highlights the current health coverage status of young adults (ages 19-29), current approaches to expand coverage to this population, and how they might be affected by national health reform.

Issues for Structuring Interim High-Risk Pools -- January 2010
This brief examines the role of high-risk pools as a coverage safety net today and reviews key issues involved in implementing a national high-risk pool, which would be one of the first provisions to be implemented under pending health reform legislation.

Access to Abortion Coverage and Health Reform -- January 2010
This issue brief discusses the treatment of coverage for abortion services under the major health reform bills and explores the possible impact of the leading House and Senate passed legislation on coverage for abortion services.

The COBRA Subsidy and Health Insurance for the Unemployed -- December 2009

This issue brief and related fact sheet examine the workings, potential impact and limitations of temporary subsidies created by the American Recovery and Reinvestment Act of 2009 to help people maintain their employer-sponsored health coverage after a layoff.

Racial/Ethnic Disparities in Access to Care Among Children: How Does Medicaid do in Closing the Gaps? -- December 2009
This report assesses how disparities in access to care in Medicaid and the Children’s Health Insurance Program compare with disparities among privately insured and uninsured children.

Immigrants’ Health Coverage and Health Reform: Key Questions and Answers -- December 2009
This issue brief provides an overview of key questions related to immigrant health care and health reform, addressing subjects such as how immigrants receive health coverage, how many of the uninsured are non-citizen immigrants and what would happen to coverage for non-citizen immigrants under current health reform proposals.

Where Are States Today? Medicaid and State-Funded Coverage Eligibility Levels for Low-Income Adults -- December 2009

This fact sheet provides a brief overview of low-income adults' current eligibility for Medicaid and other state-funded coverage programs and a discussion of how this coverage may be impacted by health reform.

Briefing - A Foundation for Health Reform: Findings of An Annual 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009 -- December 2009
This package of resources presents findings of an annual 50-state survey of Medicaid and CHIP eligibility and enrollment policies, as well as other papers on states' efforts to cover children and low-income adults.

This brief compares the Medicaid and Children's Health Insurance Program provisions in the House health reform legislation, the Affordable Health Care for America Act, as passed by the full House on Nov. 7, 2009, with the Senate’s reform legislation, the Patient Protection and Affordable Care Act, as passed on Dec. 24, 2009.

This brief examines the role of high-risk pools as a coverage safety net today and reviews key issues involved in implementing a national high-risk pool, which would be one of the first provisions to be implemented under pending health reform legislation.

This issue brief discusses the treatment of coverage for abortion services under the major health reform bills and explores the possible impact of the leading House and Senate passed legislation on coverage for abortion services.

This report assesses how disparities in access to care in Medicaid and the Children’s Health Insurance Program compare with disparities among privately insured and uninsured children.

This issue brief provides an overview of key questions related to immigrant health care and health reform, addressing subjects such as how immigrants receive health coverage, how many of the uninsured are non-citizen immigrants and what would happen to coverage for non-citizen immigrants under current health reform proposals.

This package of resources presents findings of an annual 50-state survey of Medicaid and CHIP eligibility and enrollment policies, as well as other papers on states' efforts to cover children and low-income adults.

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Health Coverage & the Uninsured: Access to Care

Health insurance affects access to health care as well as the financial well-being of families. Nearly half (47%) of nonelderly uninsured adults have no regular source of health care, and coupled with a fear of high medical bills, many delay or forgo needed care. In 2002, over 40% of uninsured adults postponed seeking medical care, and 28% say they needed but did not get medical care in the past year.