State Health Access Report
- 1. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. Exhibit 1 Percent of Population Under Age 65 Uninsured, 2013, 2014, and 2015 Data: U.S. Census Bureau, 2013, 2014, and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS). 2013 2014 2015 <10% (4 states plus D.C.) 10%–14% (18 states) 15%–19% (18 states) ≥20% (10 states) <10% (11 states plus D.C.) 10%–14% (25 states) 15%–19% (12 states) ≥20% (2 states) <10% (23 states plus D.C.) 10%–14% (21 states) 15%–19% (6 states)
- 2. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. Exhibit 2 Change in Health System Performance by Access Indicator, 2013−2015 Notes: This exhibit measures change from 2013 to 2015, the most recently available data year, except in the case of the dental indicator, for which the most recently available data year and comparable data year are 2014 and 2012. a For the purposes of this exhibit, we treat the District of Columbia as a state, creating a total of 51. “Improved” or “Worsened” refers to a change of at least 0.5 standard deviations between the two time periods. “Little or no change” includes states with changes of less than 0.5 standard deviations as well as states with no change or without sufficient data to assess change over time. b Improvement also occurred at the national level. c At-risk adults defined as all adults age 50 or older, or adults ages 18 to 49 in fair or poor health, or ever told they have diabetes or pre-diabetes, acute myocardial infarction, heart disease, stroke, or asthma. Data: U.S. Census Bureau, 2013, 2014, and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS); and Behavioral Risk Factor Surveillance System (BRFSS), 2012, 2013, 2014, and 2015. 17 39 28 49 42 31 12 23 2 9 3 Adults without a dental visit in past year (2014 vs. 2012) At-risk adults without a routine doctor visit in past two years Adults who went without care because of costs in past year Children ages 0–18 uninsured Adults ages 19–64 uninsured Improved Little or no change Worsened b b Number of statesa b c
- 3. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. 0 5 10 15 20 25 30 Massachusetts DistrictofColumbiaᵇ Hawaiiᵇ Minnesotaᵇ Vermontᵇ Iowaᵇ RhodeIslandᵃᵇ Connecticutᵇ Delawareᵇ Kentuckyᵃᵇ WestVirginiaᵃᵇ Wisconsinᵇ Marylandᵇ Michiganᵃᵇ NorthDakotaᵇ Ohioᵃᵇ Pennsylvaniaᵃᵇ Washingtonᵃᵇ Illinoisᵃᵇ NewHampshireᵃᵇ NewYorkᵇ Oregonᵃᵇ Coloradoᵃᵇ Nebraskaᵇ Californiaᵃᵇ Maineᵇ NewJerseyᵃᵇ Indianaᵃᵇ Kansasᵇ Missouriᵃᵇ Virginiaᵇ Arkansasᵃᵇ Utahᵇ Wyomingᵃᵇ Arizonaᵃᵇ Tennesseeᵇ Alabamaᵇ Montanaᵃᵇ NewMexicoᵃᵇ NorthCarolinaᵃᵇ SouthCarolinaᵃᵇ SouthDakotaᵃ Idahoᵇ Nevadaᵃᵇ Louisianaᵃᵇ Alaskaᵃᵇ Georgiaᵃᵇ Mississippiᵃᵇ Floridaᵃᵇ Oklahomaᵇ Texasᵃᵇ Exhibit 3 Percent of Adults Ages 19–64 Uninsured, 2013, 2014, and 2015 Note: States are arranged in rank order based on their current data year (2015) value. a At least a –0.5 standard deviation change (at least 3 percentage points) between 2014 and 2015. b At least a –0.5 standard deviation change (at least 3 percentage points) between 2013 and 2015. Data: U.S. Census Bureau, 2013, 2014, and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS). Percent 2014 20152013
- 4. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. 0 10 20 30 40 50 60 Vermont Massachusetts DistrictofColumbia RhodeIsland WestVirginia Hawaii Minnesota Kentucky Iowa Delaware Michigan Ohio NewYork Oregon Pennsylvania Connecticut Washington NorthDakota Maryland Colorado Illinois California NewHampshire Arkansas NewMexico Arizona Nevada NewJersey Wisconsin Maine Indiana Nebraska Tennessee Utah Kansas Missouri Idaho Montana Virginia Wyoming SouthCarolina Alabama Mississippi NorthCarolina Louisiana Alaska Florida SouthDakota Oklahoma Georgia Texas States that had not expanded Medicaid as of January 1, 2015 States that expanded Medicaid as of January 1, 2015 Exhibit 4 Percent of Low-Income Adults Ages 19–64 Uninsured, 2013, 2014, 2015 Notes: Low-income defined as living in a household with income <200% of the federal poverty level. States are arranged in rank order based on their current data year (2015) value. Alaska, Indiana, Louisiana, and Montana expanded their Medicaid programs after January 1, 2015. Data: U.S. Census Bureau, 2013, 2014, and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS). 2014 20152013Percent
- 5. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. 0 10 20 30 Massachusetts Hawaii Alabamaᵇ Illinoisᵇ Michiganᵇ Minnesotaᵇ NewYork RhodeIslandᵇ Washingtonᵃᵇ WestVirginiaᵇ Californiaᵃᵇ Coloradoᵃᵇ Connecticut Iowa Kentuckyᵇ Louisianaᵇ Maryland NewHampshire NewJerseyᵇ Ohio Oregonᵇ Pennsylvania SouthCarolinaᵃᵇ Tennesseeᵇ Wisconsin Arkansas Kansasᵇ Mississippiᵇ Nebraska NewMexicoᵃᵇ NorthCarolina Virginia Idahoᵃᵇ Maine Missouri Floridaᵃᵇ Georgiaᵇ Indianaᵇ Montanaᵃᵇ Wyoming Nevadaᵃᵇ Oklahomaᵇ SouthDakota Utah Alaskaᵃᵇ Arizonaᵇ NorthDakotaᵃ Texasᵃᵇ Exhibit 5 Percent of Children Ages 0–18 Uninsured, 2013, 2014, and 2015 Note: States are arranged in rank order based on their current data year (2015) value. Data for 2015 not available for Delaware and data for 2013, 2014, and 2015 not available for the District of Columbia and Vermont. a At least a –0.5 standard deviation change (at least 2 percentage points) between 2014 and 2015. b At least a –0.5 standard deviation change (at least 2 percentage points) between 2013 and 2015. Data: U.S. Census Bureau, 2013, 2014, and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS). 2014 20152013Percent
- 6. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. 0 10 20 30 Iowaᵃᵇ Hawaii Minnesotaᵇ NorthDakota SouthDakotaᵃᵇ Vermont DistrictofColumbiaᵃᵇ Maineᵃ Massachusetts NewHampshireᵃᵇ Wisconsinᵃᵇ RhodeIslandᵃᵇ Connecticut Delaware Illinoisᵇ Kansasᵃᵇ Marylandᵇ Montanaᵇ Ohioᵃᵇ Washingtonᵇ Californiaᵃᵇ Coloradoᵇ Kentuckyᵃᵇ Nebraska NewJerseyᵃᵇ NewYorkᵃᵇ Pennsylvania Virginiaᵇ Wyomingᵇ Michiganᵃᵇ Oregonᵇ Utahᵇ Alaskaᵃ Idahoᵃᵇ Indianaᵇ Missouriᵇ NewMexicoᵃᵇ WestVirginiaᵃᵇ Arizonaᵇ Nevadaᵃᵇ NorthCarolinaᵇ Oklahomaᵇ Arkansasᵃᵇ Georgiaᵃᵇ Louisianaᵇ SouthCarolinaᵃᵇ Tennesseeᵇ Alabama Floridaᵇ Texas Mississippiᵇ Exhibit 6 Percent of Adults Who Went Without Care Because of Costs, 2013, 2014, and 2015 Note: States are arranged in rank order based on their current data year (2015) value. a at least -0.5 standard deviation change (at least 2 percentage points) between 2014 and 2015. b at least -0.5 standard deviation change (at least 2 percentage points) between 2013 and 2015. Data: Behavioral Risk Factor Surveillance System (BRFSS), 2013, 2014, and 2015. 2014 20152013Percent
- 7. Source: S. L. Hayes, S. R. Collins, D. C. Radley, D. McCarthy, and S. Beutel, A Long Way in a Short Time: States’ Progress on Health Care Coverage and Access, 2013–2015, The Commonwealth Fund, December 2016. 10% 24% 33% 12% 40% 60% 5% 15% 24% 8% 28% 53% 0% 10% 20% 30% 40% 50% 60% 70% Lowest state rate U.S. average Highest state rate Lowest state rate U.S. average Highest state rate Black, non-Hispanic adults, ages 19–64, uninsured Hispanic adults, ages 19–64, uninsured Black and Hispanic Adults Made Significant Coverage Gains Under the Affordable Care Act, but Wide State Variation Persists 20152013 Notes: Data not available for black or for Hispanic adults in Alaska, Hawaii, Maine, Montana, New Hampshire, North Dakota, South Dakota, and Vermont, or for black adults in Idaho, Utah, and Wyoming, or for Hispanic adults in the District of Columbia and West Virginia, for 2013 and 2015. Data also not available for black adults in Iowa, New Mexico, Oregon, Rhode Island, or West Virginia in 2015. * Lowest “state” rate is in the District of Columbia. Data: U.S. Census Bureau, 2013 and 2015 1-Year American Community Surveys, Public Use Micro Sample (ACS PUMS). *