Health and Health Coverage in the South: A Data Update
| Table 1: Racial and Ethnic Distribution and Poverty Rate of Total U.S. Population, 2014 | |||||||
| State | Total Residents | Racial/Ethnic Distribution | Percent With Income Below Poverty | ||||
| White | Black | Hispanic | Asian | Other | |||
| United States | 316,168,000 | 62% | 12% | 18% | 6% | 3% | 15% |
| South | 118,339,000 | 58% | 19% | 17% | 3% | 2% | 17% |
| Alabama | 4,768,000 | 66% | 27% | 4% | 2% | 1% | 18% |
| Arkansas | 2,896,000 | 72% | 16% | 7% | N/A | 3% | 19% |
| Delaware | 929,000 | 63% | 20% | 10% | 4% | 2% | 11% |
| District of Columbia | 657,000 | 37% | 47% | 11% | 4% | 2% | 19% |
| Florida | 19,731,000 | 55% | 16% | 25% | 3% | 1% | 17% |
| Georgia | 9,965,000 | 53% | 31% | 10% | 4% | 2% | 17% |
| Kentucky | 4,316,000 | 84% | 8% | 4% | 3% | 1% | 20% |
| Louisiana | 4,557,000 | 58% | 31% | 6% | 2% | 2% | 23% |
| Maryland | 5,939,000 | 54% | 29% | 8% | 6% | 3% | 10% |
| Mississippi | 2,965,000 | 57% | 37% | 3% | N/A | 1% | 22% |
| North Carolina | 9,836,000 | 62% | 21% | 10% | 3% | N/A | 17% |
| Oklahoma | 3,742,000 | 68% | 7% | 11% | 2% | 12% | 18% |
| South Carolina | 4,764,000 | 64% | 27% | 6% | 1% | 2% | 17% |
| Tennessee | 6,502,000 | 74% | 17% | 6% | 1% | N/A | 17% |
| Texas | 26,687,000 | 44% | 12% | 38% | 4% | 2% | 16% |
| Virginia | 8,259,000 | 63% | 19% | 8% | 7% | 2% | 10% |
| West Virginia | 1,826,000 | 92% | 3% | 1% | N/A | 2% | 21% |
| U.S Excluding South | 197,829,000 | 64%* | 8%* | 18% | 7%* | 3%* | 14%* |
| Midwest | 67,239,000 | 76%* | 10%* | 8%* | 3% | 2% | 13%* |
| Illinois | 12,798,000 | 64% | 13% | 16% | 6% | 1% | 14% |
| Indiana | 6,478,000 | 78% | 9% | 9% | 3% | 1% | 15% |
| Iowa | 3,081,000 | 88% | 3% | 5% | 3% | N/A | 10% |
| Kansas | 2,853,000 | 75% | 6% | 12% | 4% | 3% | 12% |
| Michigan | 9,906,000 | 75% | 14% | 6% | 3% | 2% | 15% |
| Minnesota | 5,419,000 | 79% | 6% | 6% | 5% | 5% | 8% |
| Missouri | 5,961,000 | 81% | 12% | 4% | 1% | 2% | 11% |
| Nebraska | 1,881,000 | 79% | 4% | 11% | 3% | N/A | 12% |
| North Dakota | 733,000 | 88% | 2% | 3% | 2% | 5% | 10% |
| Ohio | 11,536,000 | 80% | 12% | 3% | 2% | 3% | 16% |
| South Dakota | 847,000 | 85% | 2% | 2% | N/A | 10% | 13% |
| Wisconsin | 5,747,000 | 82% | 6% | 8% | 2% | 3% | 11% |
| Northeast | 55,766,000 | 67%* | 11%* | 13%* | 7%* | 2%* | 13%* |
| Connecticut | 3,578,000 | 71% | 9% | 13% | 6% | 1% | 9% |
| Maine | 1,300,000 | 92% | 1% | 1% | 2% | 4% | 15% |
| Massachusetts | 6,658,000 | 72% | 7% | 11% | 8% | 2% | 14% |
| New Hampshire | 1,320,000 | 92% | 1% | 3% | 3% | 1% | 7% |
| New Jersey | 8,939,000 | 58% | 13% | 19% | 9% | 1% | 11% |
| New York | 19,679,000 | 57% | 13% | 18% | 10% | 2% | 14% |
| Pennsylvania | 12,627,000 | 77% | 10% | 7% | 3% | 2% | 13% |
| Rhode Island | 1,048,000 | 77% | 6% | 12% | 4% | 2% | 12% |
| Vermont | 617,000 | 94% | 1% | 1% | 2% | 2% | 10% |
| West | 74,824,000 | 51%* | 4%* | 30%* | 11%* | 4%* | 15%* |
| Alaska | 696,000 | 57% | 2% | 9% | 10% | 22% | 12% |
| Arizona | 6,657,000 | 49% | 4% | 39% | 4% | 5% | 21% |
| California | 38,701,000 | 39% | 5% | 38% | 15% | 3% | 16% |
| Colorado | 5,377,000 | 70% | 4% | 21% | 2% | 3% | 12% |
| Hawaii | 1,365,000 | 19% | 2% | 9% | 53% | 17% | 11% |
| Idaho | 1,610,000 | 82% | 1% | 13% | 1% | 3% | 13% |
| Montana | 1,009,000 | 90% | 1% | 3% | N/A | 5% | 12% |
| Nevada | 2,823,000 | 50% | 9% | 28% | 9% | 5% | 17% |
| New Mexico | 2,035,000 | 40% | 2% | 43% | N/A | 13% | 20% |
| Oregon | 3,962,000 | 76% | 2% | 12% | 6% | 4% | 15% |
| Utah | 2,929,000 | 81% | 1% | 12% | 4% | 2% | 10% |
| Washington | 7,085,000 | 70% | 4% | 13% | 8% | 5% | 12% |
| Wyoming | 572,000 | 86% | 1% | 9% | N/A | 3% | 10% |
| NOTES: Persons of Hispanic origin may be of any race; all other racial/ethnic groups are non-Hispanic. Asian includes Native Hawaiians and Other Pacific Islanders. Other includes American Indians and Alaska Natives and individuals reporting two or more races. Numbers may not sum to 100% due to rounding. *Indicates the region has a statistically significant difference from the South at p<.05 level. Statistical comparisons not included for total United States or for individual states. N/A: Estimates with relative standard errors greater than 30% are not provided. SOURCE: Kaiser Family Foundation estimates based on the Census Bureau’s March 2015 Current Population Survey (CPS: Annual Social and Economic Supplement). |
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| Table 2: Health Status and Selected Health Indicators | |||||
| Selected Health Indicators among Adults | Infant Deaths per 1,000 Live Births | Cancer Death Rate per 100,000 | |||
| Fair/Poor Health Status | Percent Told by A Doctor Have Diabetes | Percent Overweight or Obese | |||
|
United States |
18% | 11% | 64% | 6.0 | 166.4 |
|
South |
20% | 11% | 66% | 6.7 | 171.4 |
| Alabama | 23% | 13% | 67% | 8.6 | 184.8 |
| Arkansas | 23% | 13% | 71% | 7.9 | 188.6 |
| Delaware | 16% | 11% | 67% | 6.4 | 176.1 |
| District of Columbia | 13% | 8% | 55% | 6.7 | 178.4 |
| Florida | 19% | 11% | 62% | 6.1 | 157.8 |
| Georgia | 19% | 12% | 66% | 7.0 | 169.6 |
| Kentucky | 24% | 12% | 67% | 6.4 | 201.2 |
| Louisiana | 22% | 11% | 69% | 8.7 | 190.5 |
| Maryland | 14% | 10% | 65% | 6.6 | 166.0 |
| Mississippi | 22% | 13% | 71% | 9.6 | 200.0 |
| North Carolina | 19% | 11% | 66% | 7.0 | 170.5 |
| Oklahoma | 20% | 12% | 68% | 6.7 | 189.6 |
| South Carolina | 20% | 12% | 67% | 6.9 | 179.0 |
| Tennessee | 24% | 13% | 67% | 6.8 | 187.9 |
| Texas | 19% | 11% | 68% | 5.8 | 160.6 |
| Virginia | 17% | 10% | 65% | 6.2 | 165.3 |
| West Virginia | 26% | 14% | 70% | 7.6 | 191.1 |
| U.S Excluding South | 17%* | 10%* | 63%* | 5.5* | 163.4* |
| Midwest | 16%* | 10%* | 66% | 6.4* | 174.1* |
| Illinois | 17% | 10% | 64% | 6.0 | 175.5 |
| Indiana | 19% | 11% | 66% | 7.2 | 184.2 |
| Iowa | 14% | 9% | 67% | 4.3 | 167.9 |
| Kansas | 15% | 10% | 66% | 6.5 | 167.7 |
| Michigan | 17% | 10% | 66% | 7.1 | 174.3 |
| Minnesota | 12% | 8% | 64% | 5.1 | 155.6 |
| Missouri | 17% | 11% | 66% | 6.5 | 182.0 |
| Nebraska | 13% | 9% | 67% | 5.2 | 164.6 |
| North Dakota | 14% | 9% | 69% | 6.0 | 150.7 |
| Ohio | 18% | 12% | 67% | 7.3 | 182.1 |
| South Dakota | 14% | 9% | 65% | 6.5 | 162.0 |
| Wisconsin | 16% | 9% | 67% | 6.3 | 166.1 |
| Northeast | 16%* | 10%* | 62%* | 5.2* | 164.1* |
| Connecticut | 14% | 9% | 60% | 4.8 | 152.0 |
| Maine | 15% | 9% | 64% | 7.1 | 179.0 |
| Massachusetts | 14% | 10% | 59% | 4.2 | 163.3 |
| New Hampshire | 14% | 9% | 64% | 5.6 | 167.7 |
| New Jersey | 17% | 10% | 63% | 4.5 | 160.3 |
| New York | 17% | 10% | 61% | 4.9 | 159.5 |
| Pennsylvania | 17% | 11% | 64% | 6.7 | 174.8 |
| Rhode Island | 15% | 9% | 62% | 6.5 | 163.6 |
| Vermont | 12% | 8% | 60% | 4.4 | 164.8 |
| West | 17%* | 10%* | 61%* | 5.0* | 151.9* |
| Alaska | 13% | 7% | 65% | 5.8 | 169.0 |
| Arizona | 19% | 10% | 64% | 5.3 | 148.3 |
| California | 18% | 10% | 60% | 4.8 | 151.0 |
| Colorado | 13% | 7% | 57% | 5.1 | 143.7 |
| Hawaii | 15% | 10% | 58% | 6.4 | 134.6 |
| Idaho | 13% | 8% | 66% | 5.6 | 152.0 |
| Montana | 15% | 9% | 63% | 5.6 | 154.2 |
| Nevada | 18% | 10% | 64% | 5.3 | 163.8 |
| New Mexico | 21% | 12% | 65% | 5.3 | 148.0 |
| Oregon | 16% | 9% | 62% | 4.9 | 168.3 |
| Utah | 12% | 7% | 60% | 5.2 | 128.7 |
| Washington | 16% | 9% | 63% | 4.5 | 161.8 |
| Wyoming | 14% | 8% | 65% | 4.8 | 154.6 |
| NOTES: *Indicates the region has a statistically significant difference from the South at p<.05 level. Infant mortality rates are not subject to sampling variation; as such, these rates were tested using the CDC’s recommended approach described on p.26 of http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_09.pdf. Statistical comparisons not included for total United States or for individual states. SOURCES: KCMU analysis of the Centers for Disease Control and Prevention (CDC)’s Behavioral Risk Factor Surveillance System (BRFSS) 2014 Survey Results. Infant mortality rates based on KCMU analysis of CDC Linked Birth/Infant Death Records, 2013. Cancer-related deaths based on KCMU analysis of CDC and National Cancer Institute United States Cancer Statistics, 2012, Incidence and Mortality Web-based Report. |
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| Table 3: Health Insurance Coverage of the Nonelderly, 2014 | |||||||||
| Total Nonelderly (0-64) | Nonelderly Adults (19-64) | Children | |||||||
| Private | Medicaid/ Other Public |
Uninsured | Private | Medicaid/ Other Public |
Uninsured | Private | Medicaid/ Other Public |
Uninsured | |
| United States | 62% | 26% | 12% | 67% | 19% | 14% | 52% | 41% | 6% |
| South | 60% | 25% | 15% | 65% | 17% | 18% | 49% | 44% | 7% |
| Alabama | 60% | 27% | 13% | 65% | 19% | 16% | 48% | 46% | 5% |
| Arkansas | 57% | 31% | 12% | 63% | 22% | 15% | 44% | 52% | 4% |
| Delaware | 66% | 26% | 8% | 68% | 23% | 9% | 60% | 34% | 6% |
| District of Columbia | 65% | 28% | 7% | 70% | 22% | 8% | 47% | 50% | 4% |
| Florida | 56% | 27% | 17% | 60% | 19% | 20% | 44% | 48% | 8% |
| Georgia | 59% | 24% | 18% | 63% | 15% | 22% | 48% | 43% | 8% |
| Kentucky | 60% | 32% | 8% | 64% | 26% | 9% | 50% | 45% | 5% |
| Louisiana | 56% | 29% | 15% | 63% | 18% | 19% | 41% | 56% | 3% |
| Maryland | 74% | 20% | 7% | 76% | 16% | 8% | 68% | 30% | 2% |
| Mississippi | 51% | 35% | 14% | 58% | 25% | 18% | 35% | 61% | 5% |
| North Carolina | 61% | 26% | 14% | 66% | 18% | 16% | 49% | 43% | 8% |
| Oklahoma | 58% | 24% | 18% | 63% | 17% | 20% | 46% | 40% | 14% |
| South Carolina | 58% | 27% | 15% | 61% | 21% | 18% | 49% | 44% | 7% |
| Tennessee | 64% | 25% | 11% | 69% | 18% | 13% | 53% | 42% | 6% |
| Texas | 59% | 23% | 19% | 64% | 13% | 23% | 47% | 44% | 9% |
| Virginia | 69% | 19% | 11% | 72% | 15% | 13% | 63% | 30% | 6% |
| West Virginia | 55% | 37% | 8% | 59% | 32% | 9% | 43% | 54% | N/A |
| U.S Excluding South | 64%* | 26% | 10%* | 68%* | 20%* | 12%* | 54%* | 40%* | 6%* |
| Midwest | 67%* | 23%* | 10%* | 71%* | 18% | 11%* | 58%* | 37%* | 5%* |
| Illinois | 65% | 24% | 10% | 69% | 18% | 13% | 57% | 39% | 4% |
| Indiana | 65% | 23% | 12% | 69% | 17% | 15% | 56% | 37% | 7% |
| Iowa | 71% | 22% | 7% | 77% | 15% | 8% | 58% | 37% | N/A |
| Kansas | 66% | 22% | 12% | 71% | 15% | 15% | 56% | 38% | 7% |
| Michigan | 66% | 26% | 8% | 69% | 21% | 10% | 58% | 39% | 3% |
| Minnesota | 74% | 19% | 8% | 76% | 16% | 8% | 68% | 26% | 7% |
| Missouri | 69% | 21% | 10% | 72% | 15% | 13% | 62% | 33% | 5% |
| Nebraska | 68% | 21% | 11% | 73% | 13% | 14% | 57% | 39% | 4% |
| North Dakota | 76% | 14% | 10% | 78% | 10% | 11% | 70% | 24% | N/A |
| Ohio | 63% | 29% | 9% | 68% | 22% | 10% | 50% | 46% | 4% |
| South Dakota | 71% | 18% | 11% | 75% | 12% | 13% | 62% | 31% | 7% |
| Wisconsin | 71% | 21% | 8% | 74% | 16% | 10% | 61% | 34% | 4% |
| Northeast | 66%* | 25% | 9%* | 70%* | 20%* | 11%* | 56%* | 39%* | 5%* |
| Connecticut | 72% | 20% | 8% | 75% | 15% | 10% | 67% | 31% | 3% |
| Maine | 62% | 26% | 11% | 66% | 21% | 13% | 53% | 42% | N/A |
| Massachusetts | 67% | 28% | 5% | 70% | 25% | 5% | 58% | 37% | 4% |
| New Hampshire | 75% | 17% | 8% | 78% | 12% | 10% | 64% | 32% | 4% |
| New Jersey | 66% | 22% | 12% | 68% | 17% | 14% | 60% | 34% | 6% |
| New York | 62% | 29% | 9% | 66% | 23% | 10% | 51% | 44% | 5% |
| Pennsylvania | 69% | 22% | 9% | 74% | 15% | 11% | 55% | 40% | 5% |
| Rhode Island | 71% | 22% | 6% | 76% | 17% | 7% | 59% | 38% | 3% |
| Vermont | 68% | 26% | 7% | 72% | 21% | 8% | 55% | 42% | N/A |
| West | 60% | 28%* | 12%* | 64% | 22%* | 14%* | 51%* | 43% | 7% |
| Alaska | 58% | 26% | 16% | 62% | 20% | 18% | 48% | 41% | 12% |
| Arizona | 55% | 31% | 14% | 59% | 25% | 16% | 45% | 45% | 10% |
| California | 59% | 30% | 11% | 63% | 23% | 14% | 49% | 45% | 5% |
| Colorado | 60% | 27% | 13% | 64% | 22% | 15% | 51% | 40% | 9% |
| Hawaii | 65% | 29% | 6% | 70% | 22% | 7% | 53% | 44% | 3% |
| Idaho | 66% | 22% | 12% | 72% | 14% | 14% | 56% | 37% | 7% |
| Montana | 64% | 21% | 15% | 68% | 15% | 17% | 56% | 36% | 8% |
| Nevada | 59% | 27% | 14% | 63% | 21% | 16% | 48% | 41% | 11% |
| New Mexico | 49% | 38% | 14% | 54% | 30% | 16% | 37% | 55% | 8% |
| Oregon | 63% | 27% | 9% | 66% | 23% | 12% | 57% | 39% | 4% |
| Utah | 73% | 14% | 13% | 75% | 10% | 15% | 71% | 19% | 10% |
| Washington | 62% | 28% | 10% | 67% | 21% | 12% | 51% | 44% | 5% |
| Wyoming | 75% | 14% | 11% | 76% | 10% | 13% | 70% | 24% | 6% |
| NOTES: Private includes employer and non-group coverage. Medicaid/Other Public includes those covered by Medicaid, the Children’s Health Insurance Program, Medicare, military and other public coverage. Data may not sum to 100% due to rounding. *Indicates the region has a statistically significant difference from the South at p<.05 level. Statistical comparisons not included for total United States or for individual states. N/A: Estimates with relative standard errors greater than 30% are not provided. SOURCE: Kaiser Family Foundation estimates based on the Census Bureau’s March 2015 Current Population Survey (CPS: Annual Social and Economic Supplement). |
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| Table 4: Medicaid/CHIP Eligibility Limits as a Percent of the Federal Poverty Level, January 2016 | ||||
|
State |
Upper Limit for Children | Upper Limit for Pregnant Women | Parents | Childless Adults |
|
United States Median |
255% | 205% | 138% | 138% |
|
South Median |
217% | 205% | 44% | 0% |
| Alabama | 317% | 146% | 18% | 0% |
| Arkansas | 216% | 214% | 138% | 138% |
| Delaware | 217% | 217% | 138% | 138% |
| District of Columbia | 324% | 324% | 221% | 215% |
| Florida | 215% | 196% | 34% | 0% |
| Georgia | 252% | 225% | 37% | 0% |
| Kentucky | 218% | 200% | 138% | 138% |
| Louisiana* | 255% | 214% | 24% | 0% |
| Maryland | 322% | 264% | 138% | 138% |
| Mississippi | 214% | 199% | 27% | 0% |
| North Carolina | 216% | 201% | 44% | 0% |
| Oklahoma | 210% | 190% | 44% | 0% |
| South Carolina | 213% | 199% | 67% | 0% |
| Tennessee | 255% | 255% | 101% | 0% |
| Texas | 206% | 207% | 18% | 0% |
| Virginia | 205% | 205% | 39% | 0% |
| West Virginia | 305% | 163% | 138% | 138% |
|
U.S. Excluding South Median |
266% | 205% | 138% | 138% |
|
Midwest Median |
253% | 204% | 138% | 138% |
| Illinois | 318% | 213% | 138% | 138% |
| Indiana | 263% | 218% | 139% | 139% |
| Iowa | 380% | 380% | 138% | 138% |
| Kansas | 244% | 171% | 38% | 0% |
| Michigan | 217% | 200% | 138% | 138% |
| Minnesota | 288% | 283% | 138% | 138% |
| Missouri | 305% | 201% | 22% | 0% |
| Nebraska | 218% | 202% | 63% | 0% |
| North Dakota | 175% | 152% | 138% | 138% |
| Ohio | 211% | 205% | 138% | 138% |
| South Dakota | 209% | 138% | 52% | 0% |
| Wisconsin | 306% | 306% | 100% | 100% |
|
Northeast Median |
319% | 214% | 138% | 138% |
| Connecticut | 323% | 263% | 155% | 138% |
| Maine | 213% | 214% | 105% | 0% |
| Massachusetts | 305% | 205% | 138% | 138% |
| New Hampshire | 323% | 201% | 138% | 138% |
| New Jersey | 355% | 205% | 138% | 138% |
| New York | 405% | 223% | 138% | 138% |
| Pennsylvania | 319% | 220% | 138% | 138% |
| Rhode Island | 266% | 258% | 138% | 138% |
| Vermont | 317% | 213% | 138% | 138% |
|
West Median |
265% | 190% | 138% | 138% |
| Alaska | 208% | 205% | 143% | 138% |
| Arizona | 152% | 161% | 138% | 138% |
| California | 266% | 322% | 138% | 138% |
| Colorado | 265% | 265% | 138% | 138% |
| Hawaii | 313% | 196% | 138% | 138% |
| Idaho | 190% | 138% | 26% | 0% |
| Montana | 266% | 162% | 138% | 138% |
| Nevada | 205% | 165% | 138% | 138% |
| New Mexico | 305% | 255% | 138% | 138% |
| Oregon | 305% | 190% | 138% | 138% |
| Utah | 205% | 144% | 45% | 0% |
| Washington | 317% | 198% | 138% | 138% |
| Wyoming | 205% | 159% | 57% | 0% |
| NOTE: *Louisiana has adopted the Medicaid expansion for adults, but coverage is not yet in effect. When coverage becomes effective July 2016, eligibility levels for parents and other adults will be 138% FPL. SOURCE: Based on results from a national survey conducted by KCMU and the Georgetown University Center for Children and Families, January 2016. |
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| Table 5: Eligibility for ACA Coverage Among the Nonelderly Uninsured in 2015 based on Medicaid Expansion Decisions as of January 2016 | |||||||||
|
State |
Total Uninsured | Medicaid Eligible | Eligible for Tax Credits | Ineligible for Financial Assistance Due to Offer of ESI, Income, or Citizenship | In the Coverage Gap | ||||
|
United States |
32,339,000 | 8,850,000 | 27% | 7,022,000 | 22% | 13,572,000 | 42% | 2,895,000 | 9% |
|
South |
15,050,000 | 2,450,000 | 16% | 3,823,000 | 25% | 6,186,000 | 41% | 2,591,000 | 17% |
| Alabama | 513,000 | 75,000 | 15% | 160,000 | 31% | 139,000 | 27% | 139,000 | 27% |
| Arkansas | 285,000 | 127,000 | 44% | 60,000 | 21% | 98,000 | 34% | – | – |
| Delaware | 63,000 | 22,000 | 35% | 15,000 | 24% | 25,000 | 40% | – | – |
| District of Columbia | 42,000 | 20,000 | 48% | N/A | N/A | 19,000 | 45% | – | – |
| Florida | 2,788,000 | 306,000 | 11% | 825,000 | 30% | 1,091,000 | 39% | 567,000 | 20% |
| Georgia | 1,524,000 | 201,000 | 13% | 406,000 | 27% | 612,000 | 40% | 305,000 | 20% |
| Kentucky | 285,000 | 121,000 | 43% | N/A | N/A | 119,000 | 42% | 49,000 | 17% |
| Louisiana+ | 582,000 | 311,000 | 53% | 117,000 | 20% | 154,000 | 26% | – | – |
| Maryland | 336,000 | 133,000 | 40% | 43,000 | 13% | 160,000 | 48% | – | – |
| Mississippi | 359,000 | 42,000 | 12% | 104,000 | 29% | 106,000 | 29% | 108,000 | 30% |
| North Carolina | 1,138,000 | 152,000 | 13% | 289,000 | 25% | 452,000 | 40% | 244,000 | 21% |
| Oklahoma | 581,000 | 109,000 | 19% | 144,000 | 25% | 236,000 | 41% | 91,000 | 16% |
| South Carolina | 604,000 | 100,000 | 17% | 186,000 | 31% | 195,000 | 32% | 123,000 | 20% |
| Tennessee | 605,000 | 104,000 | 17% | 127,000 | 21% | 257,000 | 42% | 118,000 | 19% |
| Texas | 4,425,000 | 493,000 | 11% | 1,035,000 | 23% | 2,132,000 | 48% | 766,000 | 17% |
| Virginia | 804,000 | 77,000 | 10% | 235,000 | 29% | 361,000 | 45% | 131,000 | 16% |
| West Virginia | 116,000 | 56,000 | 48% | 31,000 | 27% | 29,000 | 25% | – | – |
| U.S. Excluding South | 17,289,000 | 6,400,000 | 37%* | 3,199,000 | 19%* | 7,386,000 | 43% | 304,000 | 2%* |
| Midwest | 5,427,000 | 1,916,000 | 35%* | 1,103,000 | 20%* | 2,209,000 | 41% | 198,000 | 4%* |
| Illinois | 1,122,000 | 397,000 | 35% | 166,000 | 15% | 559,000 | 50% | – | – |
| Indiana | 686,000 | 310,000 | 45% | 128,000 | 19% | 248,000 | 36% | – | – |
| Iowa | 188,000 | 88,000 | 47% | 30,000 | 16% | 71,000 | 38% | – | – |
| Kansas | 302,000 | 38,000 | 13% | 83,000 | 28% | 131,000 | 43% | – | – |
| Michigan | 685,000 | 320,000 | 47% | 147,000 | 21% | 218,000 | 32% | – | – |
| Minnesota^ | 364,000 | 126,000 | 35% | 45,000 | 12% | 193,000 | 53% | – | – |
| Missouri | 516,000 | 52,000 | 10% | 156,000 | 30% | 198,000 | 38% | 109,000 | 21% |
| Nebraska | 178,000 | 16,000 | 9% | 46,000 | 26% | 90,000 | 50% | 27,000 | 15% |
| North Dakota | 64,000 | 24,000 | 37% | 16,000 | 25% | 24,000 | 38% | – | – |
| Ohio | 834,000 | 404,000 | 48% | 165,000 | 20% | 264,000 | 32% | – | – |
| South Dakota | 77,000 | 12,000 | 16% | 22,000 | 29% | 30,000 | 39% | 13,000 | 17% |
| Wisconsin | 410,000 | 129,000 | 32% | 100,000 | 24% | 181,000 | 44% | & | & |
| Northeast | 4,249,000 | 1,612,000 | 38%* | 818,000 | 19%* | 1,795,000 | 42% | 24,000 | 1%* |
| Connecticut | 247,000 | 69,000 | 28% | 62,000 | 25% | 116,000 | 47% | – | – |
| Maine | 121,000 | 18,000 | 15% | 40,000 | 33% | 39,000 | 32% | 24,000 | 20% |
| Massachusetts | 288,000 | 93,000 | 32% | N/A | N/A | 147,000 | 51% | – | – |
| New Hampshire | 94,000 | 37,000 | 39% | 17,000 | 18% | 41,000 | 43% | – | – |
| New Jersey | 940,000 | 335,000 | 36% | 131,000 | 14% | 473,000 | 50% | – | – |
| New York^ | 1,476,000 | 548,000 | 37% | 317,000 | 21% | 611,000 | 41% | – | – |
| Pennsylvania | 994,000 | 477,000 | 48% | 180,000 | 18% | 338,000 | 34% | – | – |
| Rhode Island | 55,000 | 27,000 | 49% | 13,000 | 23% | 15,000 | 27% | – | – |
| Vermont | 34,000 | 8,000 | 24% | 11,000 | 33% | 15,000 | 43% | – | – |
| West | 7,613,000 | 2,872,000 | 38%* | 1,277,000 | 17%* | 3,382,000 | 44%* | 81,000 | 1%* |
| Alaska | 100,000 | 51,000 | 51% | 20,000 | 20% | 29,000 | 29% | – | – |
| Arizona | 808,000 | 368,000 | 46% | 100,000 | 12% | 341,000 | 42% | – | – |
| California | 3,845,000 | 1,428,000 | 37% | 623,000 | 16% | 1,795,000 | 47% | – | – |
| Colorado | 593,000 | 223,000 | 38% | 104,000 | 18% | 266,000 | 45% | – | – |
| Hawaii | 70,000 | 35,000 | 50% | N/A | N/A | 28,000 | 39% | – | – |
| Idaho | 166,000 | 21,000 | 13% | 43,000 | 26% | 72,000 | 44% | 30,000 | 18% |
| Montana | 126,000 | 59,000 | 47% | 27,000 | 22% | 40,000 | 32% | – | – |
| Nevada | 350,000 | 147,000 | 42% | 61,000 | 17% | 143,000 | 41% | – | – |
| New Mexico | 233,000 | 109,000 | 47% | 31,000 | 13% | 94,000 | 40% | – | – |
| Oregon | 307,000 | 122,000 | 40% | N/A | N/A | 150,000 | 49% | – | – |
| Utah | 337,000 | 66,000 | 20% | 92,000 | 27% | 138,000 | 41% | 41,000 | 12% |
| Washington | 621,000 | 238,000 | 38% | 116,000 | 19% | 267,000 | 43% | – | – |
| Wyoming | 56,000 | 6,000 | 11% | 19,000 | 34% | 20,000 | 36% | 11,000 | 19% |
| NOTES: Numbers may not sum to 100% due to rounding. N/A indiciates estimates do not meet minimum standards for statistical reliability. *Indicates the region has a statistically significant difference from the South at p<.05 level. Statistical comparisons not included for total United States or for individual states. +LA’s Governor has adopted the Medicaid expansion but coverage is not yet in effect. For this analysis, LA is considered an expansion state. ^Tax credit-eligible population in Minnesota and New York include uninsured adults who are eligible for coverage through the Basic Health Plan. & Wisconsin covers adults up to 100% FPL in Medicaid under a waiver but did not adopt the ACA expansion. SOURCE: Kaiser Family Foundation analysis based on 2015 Current Population Survey data and 2015 Medicaid eligibility levels updated to reflect state Medicaid expansion decisions as of January 2016. |
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| Table 6: Eligibility for Coverage Among the Nonelderly Uninsured in 2015 if All States Expanded Medicaid | |||||||
| State | Total Uninsured | Medicaid Eligible | Eligible for Tax Credits | Ineligible for Financial Assistance Due to Offer of ESI, Income, or Citizenship | |||
| United States | 32,339,000 | 13,542,000 | 42% | 5,628,000 | 17% | 13,169,000 | 41% |
| South | 15,050,000 | 6,615,000 | 44% | 2,602,000 | 17% | 5,832,000 | 39% |
| Alabama | 513,000 | 296,000 | 58% | 95,000 | 18% | 123,000 | 24% |
| Arkansas | 285,000 | 127,000 | 44% | 60,000 | 21% | 98,000 | 34% |
| Delaware | 63,000 | 22,000 | 35% | 15,000 | 24% | 25,000 | 40% |
| District of Columbia | 42,000 | 20,000 | 48% | N/A | N/A | 19,000 | 45% |
| Florida | 2,788,000 | 1,179,000 | 42% | 580,000 | 21% | 1,030,000 | 37% |
| Georgia | 1,524,000 | 675,000 | 44% | 284,000 | 19% | 564,000 | 37% |
| Kentucky | 285,000 | 121,000 | 43% | N/A | N/A | 119,000 | 42% |
| Louisiana | 582,000 | 311,000 | 53% | 117,000 | 20% | 154,000 | 26% |
| Maryland | 336,000 | 133,000 | 40% | 43,000 | 13% | 160,000 | 48% |
| Mississippi | 359,000 | 199,000 | 55% | 64,000 | 18% | 96,000 | 27% |
| North Carolina | 1,138,000 | 583,000 | 51% | 140,000 | 12% | 414,000 | 36% |
| Oklahoma | 581,000 | 260,000 | 45% | 98,000 | 17% | 223,000 | 38% |
| South Carolina | 604,000 | 289,000 | 48% | 133,000 | 22% | 182,000 | 30% |
| Tennessee | 605,000 | 290,000 | 48% | 76,000 | 13% | 239,000 | 40% |
| Texas | 4,425,000 | 1,727,000 | 39% | 677,000 | 15% | 2,022,000 | 46% |
| Virginia | 804,000 | 328,000 | 41% | 143,000 | 18% | 334,000 | 41% |
| West Virginia | 116,000 | 56,000 | 48% | 31,000 | 27% | 29,000 | 25% |
| U.S. Excluding South | 17,289,000 | 6,926,000 | 40%* | 3,026,000 | 18% | 7,337,000 | 42%* |
| Midwest | 5,427,000 | 2,261,000 | 42% | 987,000 | 18% | 2,179,000 | 40% |
| Illinois | 1,122,000 | 397,000 | 35% | 166,000 | 15% | 559,000 | 50% |
| Indiana | 686,000 | 310,000 | 45% | 128,000 | 19% | 248,000 | 36% |
| Iowa | 188,000 | 88,000 | 47% | 30,000 | 16% | 71,000 | 38% |
| Kansas | 302,000 | 134,000 | 44% | 43,000 | 14% | 125,000 | 41% |
| Michigan | 685,000 | 320,000 | 47% | 147,000 | 21% | 218,000 | 32% |
| Minnesota^ | 364,000 | 126,000 | 35% | 45,000 | 12% | 193,000 | 53% |
| Missouri | 516,000 | 220,000 | 43% | 110,000 | 21% | 186,000 | 36% |
| Nebraska | 178,000 | 51,000 | 29% | 40,000 | 22% | 87,000 | 49% |
| North Dakota | 64,000 | 24,000 | 37% | 16,000 | 25% | 24,000 | 38% |
| Ohio | 834,000 | 404,000 | 48% | 165,000 | 20% | 264,000 | 32% |
| South Dakota | 77,000 | 31,000 | 40% | 17,000 | 23% | 29,000 | 37% |
| Wisconsin | 410,000 | 156,000 | 38% | 80,000 | 20% | 174,000 | 42% |
| Northeast | 4,249,000 | 1,649,000 | 39%* | 809,000 | 19% | 1,791,000 | 42% |
| Connecticut | 247,000 | 69,000 | 28% | 62,000 | 25% | 116,000 | 47% |
| Maine | 121,000 | 56,000 | 46% | 31,000 | 25% | 35,000 | 29% |
| Massachusetts | 288,000 | 93,000 | 32% | N/A | N/A | 147,000 | 51% |
| New Hampshire | 94,000 | 37,000 | 39% | 17,000 | 18% | 41,000 | 43% |
| New Jersey | 940,000 | 335,000 | 36% | 131,000 | 14% | 473,000 | 50% |
| New York^ | 1,476,000 | 548,000 | 37% | 317,000 | 21% | 611,000 | 41% |
| Pennsylvania | 994,000 | 477,000 | 48% | 180,000 | 18% | 338,000 | 34% |
| Rhode Island | 55,000 | 27,000 | 49% | 13,000 | 23% | 15,000 | 27% |
| Vermont | 34,000 | 8,000 | 24% | 11,000 | 33% | 15,000 | 43% |
| West | 7,613,000 | 3,016,000 | 40%* | 1,230,000 | 16% | 3,367,000 | 44%* |
| Alaska | 100,000 | 51,000 | 51% | 20,000 | 20% | 29,000 | 29% |
| Arizona | 808,000 | 368,000 | 46% | 100,000 | 12% | 341,000 | 42% |
| California | 3,845,000 | 1,428,000 | 37% | 623,000 | 16% | 1,795,000 | 47% |
| Colorado | 593,000 | 223,000 | 38% | 104,000 | 18% | 266,000 | 45% |
| Hawaii | 70,000 | 35,000 | 50% | N/A | N/A | 28,000 | 39% |
| Idaho | 166,000 | 67,000 | 40% | 31,000 | 19% | 68,000 | 41% |
| Montana | 126,000 | 59,000 | 47% | 27,000 | 22% | 40,000 | 32% |
| Nevada | 350,000 | 147,000 | 42% | 61,000 | 17% | 143,000 | 41% |
| New Mexico | 233,000 | 109,000 | 47% | 31,000 | 13% | 94,000 | 40% |
| Oregon | 307,000 | 122,000 | 40% | N/A | N/A | 150,000 | 49% |
| Utah | 337,000 | 147,000 | 44% | 62,000 | 18% | 129,000 | 38% |
| Washington | 621,000 | 238,000 | 38% | 116,000 | 19% | 267,000 | 43% |
| Wyoming | 56,000 | 23,000 | 41% | 14,000 | 26% | 19,000 | 33% |
|
NOTES: Numbers may not sum to 100% due to rounding. N/A indiciates estimates do not meet minimum standards for statistical reliability. *Indicates the region has a statistically significant difference from the South at p<.05 level. Statistical comparisons not included for total United States or for individual states. ^Tax credit-eligible population in Minnesota and New York include uninsured adults who are eligible for coverage through the Basic Health Plan.
SOURCE: Kaiser Family Foundation analysis based on 2015 Current Population Survey data and 2015 Medicaid eligibility levels, updated to assume adoption of the Medicaid expansion to adults in all states.
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Also of Interest
- Key Data on Health and Health Coverage in South Carolina
- Advancing Opportunities, Assessing Challenges: Key Themes from a Roundtable Discussion of Health Care and Health Equity in the South
- The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid – An Update
- New Estimates of Eligibility for ACA Coverage among the Uninsured