KFF designs, conducts and analyzes original public opinion and survey research on Americans’ attitudes, knowledge, and experiences with the health care system to help amplify the public’s voice in major national debates.
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
2023
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
64839311
14591
1550110
23.9
Alabama
1095061
223
26418
24.1
Alaska
114285
20
834
7.3
Arizona
1453732
142
15874
10.9
Arkansas
669268
218
23432
35
California
6637194
1140
113007
17
Colorado
998731
205
18748
18.8
Connecticut
722945
198
23907
33.1
Delaware
237090
41
4630
19.5
District of Columbia
94102
16
2445
26
Florida
5024635
700
83157
16.5
Georgia
1878044
355
38608
20.6
Hawaii
300376
42
4189
13.9
Idaho
382426
80
6090
15.9
Illinois
2345892
662
75757
32.3
Indiana
1346998
509
49745
36.9
Iowa
671695
392
26294
39.1
Kansas
576907
275
17506
30.3
Kentucky
961707
270
25387
26.4
Louisiana
921535
268
32501
35.3
Maine
368889
82
6119
16.6
Maryland
1120743
220
27353
24.4
Massachusetts
1426517
345
41327
29
Michigan
2205222
424
44261
20.1
Minnesota
1119476
338
24201
21.6
Mississippi
631192
184
16105
25.5
Missouri
1305621
488
48626
37.2
Montana
255243
59
5360
21
Nebraska
375213
174
13137
35
Nevada
584438
65
6994
12
New Hampshire
335031
71
7167
21.4
New Jersey
1711263
346
50862
29.7
New Mexico
449789
65
6711
14.9
New York
3821452
601
112155
29.3
North Carolina
2169794
417
43264
19.9
North Dakota
143788
75
5085
35.4
Ohio
2477699
930
82595
33.3
Oklahoma
790684
282
27202
34.4
Oregon
929723
120
9979
10.7
Pennsylvania
2885008
665
83216
28.8
Rhode Island
237623
74
8246
34.7
South Carolina
1191989
189
19961
16.7
South Dakota
193767
83
5145
26.6
Tennessee
1450926
302
34183
23.6
Texas
4628365
1169
132967
28.7
Utah
448951
92
8233
18.3
Vermont
161912
34
2918
18
Virginia
1642111
280
31744
19.3
Washington
1488791
190
17946
12.1
West Virginia
448530
117
10192
22.7
Wisconsin
1283079
322
25543
19.9
Wyoming
123854
32
2784
22.5
2022
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
63442777
14788
1564945
24.7
Alabama
1077908
223
26418
24.5
Alaska
110761
20
830
7.5
Arizona
1419233
143
15835
11.2
Arkansas
658611
215
23269
35.3
California
6490697
1145
113384
17.5
Colorado
972435
210
18905
19.4
Connecticut
704550
204
24656
35
Delaware
229051
41
4662
20.4
District of Columbia
93641
16
2465
26.3
Florida
4914406
699
84031
17.1
Georgia
1831105
356
38574
21.1
Hawaii
294367
43
4148
14.1
Idaho
371355
80
6046
16.3
Illinois
2303399
678
76903
33.4
Indiana
1319951
517
50073
37.9
Iowa
658313
407
27407
41.6
Kansas
565465
280
18005
31.8
Kentucky
948651
277
25977
27.4
Louisiana
904529
269
33458
37
Maine
361609
88
6368
17.6
Maryland
1094927
223
27771
25.4
Massachusetts
1398014
353
42088
30.1
Michigan
2161620
429
44673
20.7
Minnesota
1091884
346
25254
23.1
Mississippi
621632
185
16586
26.7
Missouri
1282049
500
50270
39.2
Montana
249098
68
6016
24.2
Nebraska
367556
175
13211
35.9
Nevada
570475
63
6776
11.9
New Hampshire
325603
70
7083
21.8
New Jersey
1672543
350
51064
30.5
New Mexico
441863
66
6803
15.4
New York
3749925
606
112437
30
North Carolina
2118203
420
43541
20.6
North Dakota
140159
78
5256
37.5
Ohio
2430070
949
84998
35
Oklahoma
775539
286
27545
35.5
Oregon
915019
120
9979
10.9
Pennsylvania
2831471
671
83611
29.5
Rhode Island
231261
75
8375
36.2
South Carolina
1159989
188
19875
17.1
South Dakota
189119
86
5011
26.5
Tennessee
1424012
306
34409
24.2
Texas
4496880
1183
131015
29.1
Utah
436350
92
8128
18.6
Vermont
158468
35
3013
19
Virginia
1603475
280
31644
19.7
Washington
1457185
193
18173
12.5
West Virginia
444839
116
10096
22.7
Wisconsin
1252972
332
26010
20.8
Wyoming
120540
33
2820
23.4
2021
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
62256004
14901
1574232
25.29
Alabama
1064241
225
26567
24.96
Alaska
107685
20
826
7.67
Arizona
1390096
142
15578
11.21
Arkansas
651534
218
23547
36.14
California
6369388
1147
113845
17.87
Colorado
950159
212
19080
20.08
Connecticut
700548
208
25095
35.82
Delaware
221984
41
4571
20.59
District of Columbia
93000
16
2403
25.84
Florida
4797174
699
84310
17.57
Georgia
1789607
358
38566
21.55
Hawaii
288053
43
4123
14.31
Idaho
361466
80
6046
16.73
Illinois
2269454
682
77333
34.08
Indiana
1299250
518
50718
39.04
Iowa
646628
417
28021
43.33
Kansas
555031
286
18456
33.25
Kentucky
939806
280
26271
27.95
Louisiana
892142
268
33329
37.36
Maine
354220
90
6453
18.22
Maryland
1073247
222
27651
25.76
Massachusetts
1372566
365
42475
30.95
Michigan
2128779
431
44962
21.12
Minnesota
1067444
353
26443
24.77
Mississippi
614292
184
16622
27.06
Missouri
1262517
501
49843
39.48
Montana
243357
70
6217
25.55
Nebraska
360061
180
13524
37.56
Nevada
559260
64
6983
12.49
New Hampshire
316433
70
7095
22.42
New Jersey
1642424
353
51573
31.40
New Mexico
434391
66
6764
15.57
New York
3694453
609
112505
30.45
North Carolina
2070452
424
43894
21.20
North Dakota
136691
77
5421
39.66
Ohio
2395503
954
86610
36.16
Oklahoma
763334
291
27767
36.38
Oregon
901258
121
10193
11.31
Pennsylvania
2792547
678
84866
30.39
Rhode Island
226124
76
8244
36.46
South Carolina
1128994
188
20042
17.75
South Dakota
184495
92
5025
27.24
Tennessee
1402848
308
34663
24.71
Texas
4376345
1186
129204
29.52
Utah
424647
92
8107
19.09
Vermont
154977
35
3077
19.85
Virginia
1570511
278
31495
20.05
Washington
1430087
195
18392
12.86
West Virginia
444106
116
10006
22.53
Wisconsin
1225146
339
26593
21.71
Wyoming
117253
33
2838
24.20
2020
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
61211371
15008
1588502
26
Alabama
1056359
226
26607
25.2
Alaska
104078
20
827
7.9
Arizona
1359840
146
15870
11.7
Arkansas
645494
221
23719
36.7
California
6281323
1153
114392
18.2
Colorado
927390
215
19341
20.9
Connecticut
689967
209
25138
36.4
Delaware
214919
42
4647
21.6
District of Columbia
92795
16
2403
25.9
Florida
4674019
704
84250
18
Georgia
1754062
355
38471
21.9
Hawaii
280787
43
4123
14.7
Idaho
349019
82
6203
17.8
Illinois
2246603
687
77521
34.5
Indiana
1282040
527
51226
40
Iowa
637145
414
28139
44.2
Kansas
545607
290
18909
34.7
Kentucky
931126
284
26612
28.6
Louisiana
882812
276
33799
38.3
Maine
345665
93
6546
18.9
Maryland
1056328
224
27774
26.3
Massachusetts
1351220
371
42800
31.7
Michigan
2099433
432
45414
21.6
Minnesota
1045280
357
26649
25.5
Mississippi
609478
183
16547
27.1
Missouri
1246928
505
50266
40.3
Montana
237051
69
6157
26
Nebraska
353434
183
13664
38.7
Nevada
546759
64
6975
12.8
New Hampshire
307435
70
7139
23.2
New Jersey
1622244
362
52125
32.1
New Mexico
427346
69
6981
16.3
New York
3652873
615
114578
31.4
North Carolina
2028204
426
43928
21.7
North Dakota
133840
80
5899
44.1
Ohio
2368612
953
87050
36.8
Oklahoma
753140
292
27824
36.9
Oregon
885544
120
10098
11.4
Pennsylvania
2765923
681
85280
30.8
Rhode Island
222702
78
8350
37.5
South Carolina
1101105
189
20029
18.2
South Dakota
180149
91
5706
31.7
Tennessee
1382574
308
35076
25.4
Texas
4275461
1192
132008
30.9
Utah
412009
91
8063
19.6
Vermont
151220
35
3077
20.3
Virginia
1540473
274
31313
20.3
Washington
1397182
197
18590
13.3
West Virginia
442495
114
9881
22.3
Wisconsin
1200220
347
27680
23.1
Wyoming
113659
33
2838
25
2019
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
59895765
15096
1591788
26.58
Alabama
1040502
226
26683
25.64
Alaska
99901
19
760
7.61
Arizona
1315576
146
15901
12.09
Arkansas
636495
222
23840
37.46
California
6145985
1154
114191
18.58
Colorado
899989
218
19656
21.84
Connecticut
678133
215
25704
37.90
Delaware
207483
41
4621
22.27
District of Columbia
92751
17
2342
25.25
Florida
4550450
698
83099
18.26
Georgia
1708820
356
38404
22.47
Hawaii
273559
44
4063
14.85
Idaho
334292
81
6142
18.37
Illinois
2212802
697
77355
34.96
Indiana
1258716
528
51220
40.69
Iowa
624968
417
28284
45.26
Kansas
534086
292
19196
35.94
Kentucky
917181
285
26713
29.13
Louisiana
867854
278
33997
39.17
Maine
337672
93
6546
19.39
Maryland
1034889
224
27744
26.81
Massachusetts
1329279
375
43276
32.56
Michigan
2063850
439
45848
22.21
Minnesota
1020671
360
27091
26.54
Mississippi
601243
182
16480
27.41
Missouri
1225992
510
50587
41.26
Montana
229633
70
6243
27.19
Nebraska
345802
189
14078
40.71
Nevada
528844
64
7004
13.24
New Hampshire
298585
71
7140
23.91
New Jersey
1599602
363
52301
32.70
New Mexico
416900
69
6873
16.49
New York
3604216
617
114695
31.82
North Carolina
1978972
426
43955
22.21
North Dakota
130540
80
5908
45.26
Ohio
2326789
957
87781
37.73
Oklahoma
738438
290
27650
37.44
Oregon
862861
121
10132
11.74
Pennsylvania
2725186
689
85860
31.51
Rhode Island
218492
80
8624
39.47
South Carolina
1070242
191
19879
18.57
South Dakota
175506
92
5721
32.60
Tennessee
1354299
310
35258
26.03
Texas
4148110
1195
130383
31.43
Utah
397999
92
8147
20.47
Vermont
147134
36
3107
21.12
Virginia
1504299
274
31010
20.61
Washington
1360244
201
19001
13.97
West Virginia
438435
114
9895
22.57
Wisconsin
1171641
354
28552
24.37
Wyoming
109857
34
2848
25.92
2018
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
58402894
15211
1601994
27.430
Alabama
1021510
225
26576
26.016
Alaska
95821
18
693
7.232
Arizona
1261064
147
16235
12.874
Arkansas
626904
226
23737
37.864
California
5993218
1161
114038
19.028
Colorado
869605
219
20018
23.020
Connecticut
665397
223
26684
40.102
Delaware
200326
41
4602
22.973
District of Columbia
91234
17
2342
25.670
Florida
4406427
692
82786
18.788
Georgia
1658014
358
38327
23.116
Hawaii
266265
45
4079
15.319
Idaho
320064
81
6142
19.190
Illinois
2172173
700
77315
35.593
Indiana
1231925
544
51929
42.153
Iowa
612171
419
28782
47.016
Kansas
522274
294
19350
37.049
Kentucky
901217
284
26510
29.416
Louisiana
847633
276
34019
40.134
Maine
329736
94
6438
19.525
Maryland
1009579
224
27783
27.519
Massachusetts
1302579
388
44441
34.118
Michigan
2023176
439
46196
22.833
Minnesota
995167
369
27795
27.930
Mississippi
590608
182
16484
27.910
Missouri
1203282
510
50782
42.203
Montana
222400
72
6289
28.278
Nebraska
337671
196
14578
43.172
Nevada
509092
59
6645
13.053
New Hampshire
290025
71
7087
24.436
New Jersey
1569314
364
52284
33.316
New Mexico
404830
72
7171
17.714
New York
3536603
617
114549
32.390
North Carolina
1926444
427
44090
22.887
North Dakota
127264
80
6000
47.146
Ohio
2281004
964
88912
38.979
Oklahoma
722049
289
27610
38.238
Oregon
836149
124
10201
12.200
Pennsylvania
2678879
690
85784
32.022
Rhode Island
214270
81
8663
40.430
South Carolina
1035644
189
19718
19.039
South Dakota
170867
96
5940
34.764
Tennessee
1322645
310
35130
26.560
Texas
4008203
1204
132158
32.972
Utah
383391
94
8057
21.015
Vermont
143438
36
3052
21.278
Virginia
1464741
274
31067
21.210
Washington
1318699
208
19506
14.792
West Virginia
433747
115
9882
22.783
Wisconsin
1142115
368
30674
26.857
Wyoming
106043
35
2864
27.008
2017
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
56886996
15261
1605314
28.219
Alabama
1001537
226
26447
26.406
Alaska
91529
18
693
7.571
Arizona
1216386
148
16323
13.419
Arkansas
615716
228
23824
38.693
California
5834997
1162
113750
19.494
Colorado
836438
219
20042
23.961
Connecticut
652290
224
26825
41.124
Delaware
192852
40
4524
23.458
District of Columbia
89617
17
2342
26.134
Florida
4289396
690
82662
19.271
Georgia
1606606
362
39312
24.469
Hawaii
258623
45
4109
15.888
Idaho
306228
78
5911
19.303
Illinois
2127228
704
76100
35.774
Indiana
1203215
547
52263
43.436
Iowa
597926
422
29075
48.626
Kansas
509016
295
21292
41.830
Kentucky
885187
287
26565
30.011
Louisiana
827404
277
34033
41.132
Maine
320737
100
6694
20.871
Maryland
982003
224
27839
28.349
Massachusetts
1273519
398
45291
35.564
Michigan
1979477
441
46759
23.622
Minnesota
966251
367
27885
28.859
Mississippi
579634
181
16411
28.313
Missouri
1181375
504
50266
42.549
Montana
214863
73
6354
29.572
Nebraska
329135
199
14578
44.292
Nevada
490025
59
6648
13.567
New Hampshire
280830
71
7144
25.439
New Jersey
1538039
365
52290
33.998
New Mexico
391966
72
7141
18.218
New York
3459318
619
114926
33.222
North Carolina
1872887
425
43539
23.247
North Dakota
123709
81
6087
49.204
Ohio
2234234
966
89652
40.127
Oklahoma
705851
293
27607
39.112
Oregon
806786
126
10389
12.877
Pennsylvania
2627784
688
85730
32.624
Rhode Island
209676
83
8689
41.440
South Carolina
1001874
189
19318
19.282
South Dakota
165312
97
6099
36.894
Tennessee
1292507
307
34098
26.381
Texas
3871575
1206
131706
34.019
Utah
368987
96
8227
22.296
Vermont
138947
36
3107
22.361
Virginia
1422311
275
30764
21.630
Washington
1275707
211
19742
15.475
West Virginia
427663
115
9864
23.065
Wisconsin
1109974
370
31515
28.393
Wyoming
101851
35
2863
28.110
2016
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
55417696
15268
1606828
28.99
Alabama
982189
227
26624
27.11
Alaska
87530
18
693
7.92
Arizona
1170195
148
16087
13.75
Arkansas
605651
225
23688
39.11
California
5683445
1162
113891
20.04
Colorado
804850
212
19632
24.39
Connecticut
639360
224
27003
42.23
Delaware
186117
40
4524
24.31
District of Columbia
87727
17
2342
26.70
Florida
4158057
688
82362
19.81
Georgia
1556458
358
38713
24.87
Hawaii
251274
45
4152
16.52
Idaho
293818
78
5851
19.91
Illinois
2085271
710
76374
36.63
Indiana
1176582
544
52115
44.29
Iowa
584659
419
28834
49.32
Kansas
497547
298
21940
44.10
Kentucky
869247
290
26823
30.86
Louisiana
808420
279
34316
42.45
Maine
312920
103
6869
21.95
Maryland
955944
225
27711
28.99
Massachusetts
1244134
406
46214
37.15
Michigan
1935778
441
46515
24.03
Minnesota
939517
372
28517
30.35
Mississippi
568785
182
16505
29.02
Missouri
1158412
499
49626
42.84
Montana
207647
77
6497
31.29
Nebraska
321611
199
14611
45.43
Nevada
470122
56
6388
13.59
New Hampshire
272214
71
7106
26.10
New Jersey
1508101
365
52352
34.71
New Mexico
379509
72
7072
18.63
New York
3384362
622
114922
33.96
North Carolina
1819411
423
44014
24.19
North Dakota
120520
81
6159
51.10
Ohio
2184459
960
90284
41.33
Oklahoma
692384
295
27333
39.48
Oregon
781341
126
10381
13.29
Pennsylvania
2579850
696
85928
33.31
Rhode Island
205378
84
8690
42.31
South Carolina
969500
189
19442
20.05
South Dakota
160608
96
6169
38.41
Tennessee
1263672
310
34542
27.33
Texas
3745643
1188
130083
34.73
Utah
355914
92
8108
22.78
Vermont
135020
37
3091
22.89
Virginia
1383626
274
30557
22.08
Washington
1233532
217
19983
16.20
West Virginia
421689
117
10006
23.73
Wisconsin
1079521
377
32458
30.07
Wyoming
98179
34
2731
27.82
2015
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
53954834
15229
1600484
29.663
Alabama
962033
225
26382
27.423
Alaska
83398
18
693
8.310
Arizona
1128020
146
16095
14.268
Arkansas
595106
223
23408
39.334
California
5522143
1162
113479
20.550
Colorado
774658
207
19043
24.582
Connecticut
627916
228
27442
43.703
Delaware
179785
40
4493
24.991
District of Columbia
85585
18
2534
29.608
Florida
4026409
687
82531
20.497
Georgia
1506971
356
38510
25.555
Hawaii
244252
45
4082
16.712
Idaho
281868
78
5858
20.783
Illinois
2042261
713
75914
37.172
Indiana
1149122
532
51242
44.592
Iowa
571409
419
28792
50.388
Kansas
486274
295
21094
43.379
Kentucky
852820
289
26866
31.503
Louisiana
787525
279
34247
43.487
Maine
305292
103
6678
21.874
Maryland
928401
225
27635
29.766
Massachusetts
1214992
409
46547
38.311
Michigan
1892364
438
46398
24.519
Minnesota
912595
368
28520
31.252
Mississippi
558311
179
16462
29.485
Missouri
1134292
496
49260
43.428
Montana
200581
79
6532
32.565
Nebraska
313428
199
14400
45.944
Nevada
451979
53
6079
13.450
New Hampshire
263494
72
7145
27.116
New Jersey
1478365
365
52145
35.272
New Mexico
367583
71
6979
18.986
New York
3319322
624
115848
34.901
North Carolina
1768033
421
44150
24.971
North Dakota
117667
80
6022
51.178
Ohio
2134388
959
90663
42.477
Oklahoma
678871
294
27267
40.165
Oregon
753987
126
10945
14.516
Pennsylvania
2532054
693
85862
33.910
Rhode Island
201191
84
8690
43.193
South Carolina
937090
188
19106
20.389
South Dakota
156037
98
6227
39.907
Tennessee
1233913
306
33615
27.243
Texas
3623967
1192
127378
35.149
Utah
343137
91
8048
23.454
Vermont
131050
37
3174
24.220
Virginia
1344559
273
30364
22.583
Washington
1190049
215
19877
16.703
West Virginia
415879
116
9630
23.156
Wisconsin
1049584
381
33409
31.831
Wyoming
94823
34
2724
28.727
2014
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees
United States
52501231
15173
1594719
30.37
Alabama
940745
224
26273
27.93
Alaska
79531
18
693
8.71
Arizona
1084618
144
15794
14.56
Arkansas
584755
225
23638
40.42
California
5349735
1164
113482
21.21
Colorado
743542
203
18886
25.40
Connecticut
617372
229
27636
44.76
Delaware
173661
41
4564
26.28
District of Columbia
83784
18
2534
30.24
Florida
3886843
686
82247
21.16
Georgia
1454760
353
38402
26.40
Hawaii
236788
46
4044
17.08
Idaho
270512
78
5946
21.98
Illinois
2002675
708
74838
37.37
Indiana
1122660
518
49542
44.13
Iowa
560497
419
28804
51.39
Kansas
476255
292
20195
42.40
Kentucky
836679
288
26591
31.78
Louisiana
767241
280
34465
44.92
Maine
298312
103
6639
22.26
Maryland
902719
225
27596
30.57
Massachusetts
1187028
409
46467
39.15
Michigan
1850869
424
45441
24.55
Minnesota
887787
368
28708
32.34
Mississippi
547261
179
16351
29.88
Missouri
1110998
494
48997
44.10
Montana
194054
82
6620
34.11
Nebraska
305403
200
14655
47.99
Nevada
431985
51
5727
13.26
New Hampshire
255710
72
7153
27.97
New Jersey
1450200
363
51721
35.66
New Mexico
355498
69
6798
19.12
New York
3257815
627
116514
35.76
North Carolina
1716372
419
43689
25.45
North Dakota
115533
81
6102
52.82
Ohio
2089382
952
90277
43.21
Oklahoma
665167
295
27236
40.95
Oregon
725720
125
11042
15.22
Pennsylvania
2488302
692
85618
34.41
Rhode Island
197503
84
8656
43.83
South Carolina
903506
188
19167
21.21
South Dakota
151739
98
6320
41.65
Tennessee
1204060
312
33019
27.42
Texas
3503165
1181
128787
36.76
Utah
330210
92
8207
24.85
Vermont
127636
37
3091
24.22
Virginia
1305491
273
30404
23.29
Washington
1144700
216
19926
17.41
West Virginia
410446
117
9689
23.61
Wisconsin
1022226
376
32764
32.05
Wyoming
91784
35
2764
30.11
2013
Location
Total Medicare Part A Enrollees
Skilled Nursing Facilities
Skilled Nursing Facility Beds
Skilled Nursing Facility Beds Per 1,000 Part A Enrollees