The Uninsured by State and Congressional District

The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more than 301 million of whom 15.1%, or 45.5 million, were estimated by the American Community Survey to be without health insurance or uninsured. The uninsured are far more likely than those with health insurance to report problems getting needed medical care, less likely to follow recommended treatments because of costs, have less access to care, receive less preventive care, and are more likely to be hospitalized for avoidable health problems. Moreover, it is widely believed that the uninsured, when they need care, are less able to pay for their care since they do not have health insurance and therefore it is further assumed that other payers take on the financial burden of their care through higher prices.

Many Americans obtain their health insurance through employers. Local factors such as local labor market conditions, the mix of firms and firm sizes, and demographic factors such as age, play a role in the proportion of uninsured among those of working age. The Medicare program has effectively provided health insurance to almost all elderly Americans while the Medicaid program and the State Children’s Health Insurance Program have expanded health insurance coverage to both the poor and to children. State policies to expand coverage, including implementing Medicaid waivers to expand coverage, account for some of the differences across states in the proportion of uninsureds. Similarly, state policies to expand coverage such as employer or personal mandates to purchase insurance in Hawaii and Massachusetts further explain some of the differences in the number of uninsureds across states.

The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, as amended), through an expansion of Medicaid and the creation of state health insurance exchanges, is projected by the Congressional Budget Office to reduce the share of legal non-elderly residents without health insurance to 6% of the population by 2019.

This report, using the U.S. Census Bureau’s 2009 American Community Survey, details differences in the number and proportion of uninsured across states, within states, and across demographic groups.

The Uninsured by State and Congressional District (name redacted) Specialist in Health Care Financing January 24, 2011 Congressional Research Service 7-.... www.crs.gov R41621 CRS Report for Congress Prepared for Members and Committees of Congress The Uninsured by State and Congressional District Summary The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more than 301 million of whom 15.1%, or 45.5 million, were estimated by the American Community Survey to be without health insurance or uninsured. The uninsured are far more likely than those with health insurance to report problems getting needed medical care, less likely to follow recommended treatments because of costs, have less access to care, receive less preventive care, and are more likely to be hospitalized for avoidable health problems. Moreover, it is widely believed that the uninsured, when they need care, are less able to pay for their care since they do not have health insurance and therefore it is further assumed that other payers take on the financial burden of their care through higher prices. Many Americans obtain their health insurance through employers. Local factors such as local labor market conditions, the mix of firms and firm sizes, and demographic factors such as age, play a role in the proportion of uninsured among those of working age. The Medicare program has effectively provided health insurance to almost all elderly Americans while the Medicaid program and the State Children’s Health Insurance Program have expanded health insurance coverage to both the poor and to children. State policies to expand coverage, including implementing Medicaid waivers to expand coverage, account for some of the differences across states in the proportion of uninsureds. Similarly, state policies to expand coverage such as employer or personal mandates to purchase insurance in Hawaii and Massachusetts further explain some of the differences in the number of uninsureds across states. The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, as amended), through an expansion of Medicaid and the creation of state health insurance exchanges, is projected by the Congressional Budget Office to reduce the share of legal non-elderly residents without health insurance to 6% of the population by 2019. This report, using the U.S. Census Bureau’s 2009 American Community Survey, details differences in the number and proportion of uninsured across states, within states, and across demographic groups. Congressional Research Service The Uninsured by State and Congressional District Contents Background...................................................................................................................................... 1 The Uninsured ........................................................................................................................... 1 Methodology.................................................................................................................................... 3 The Survey Question ................................................................................................................. 3 The ACS and Other Surveys of the Uninsured.......................................................................... 4 The Uninsured: National Analysis 2009.......................................................................................... 5 Estimates of the Number of Uninsured by Selected Demographic Characteristics .................. 5 The Patient Protection and Affordable Care Act and the Uninsured ......................................... 6 The Uninsured: Comparisons Across States .................................................................................... 8 Number and Percentage of Uninsureds by State ....................................................................... 8 One-Year Change in Uninsureds ............................................................................................... 8 The Uninsured: Characteristics by State, 2009.............................................................................. 14 The Uninsured: Characteristics by Congressional District (111th Congress)................................. 29 Alabama................................................................................................................................... 31 Alaska...................................................................................................................................... 33 Arizona .................................................................................................................................... 35 Arkansas .................................................................................................................................. 37 California................................................................................................................................. 39 Colorado .................................................................................................................................. 42 Connecticut.............................................................................................................................. 44 Delaware.................................................................................................................................. 46 District of Columbia ................................................................................................................ 48 Florida ..................................................................................................................................... 50 Georgia .................................................................................................................................... 52 Hawaii ..................................................................................................................................... 54 Idaho ........................................................................................................................................ 56 Illinois...................................................................................................................................... 58 Indiana ..................................................................................................................................... 60 Iowa ......................................................................................................................................... 62 Kansas ..................................................................................................................................... 64 Kentucky.................................................................................................................................. 66 Louisiana ................................................................................................................................. 68 Maine....................................................................................................................................... 70 Maryland.................................................................................................................................. 72 Massachusetts.......................................................................................................................... 74 Michigan.................................................................................................................................. 76 Minnesota ................................................................................................................................ 78 Mississippi............................................................................................................................... 80 Missouri................................................................................................................................... 82 Montana................................................................................................................................... 84 Nebraska.................................................................................................................................. 86 Nevada..................................................................................................................................... 88 New Hampshire ....................................................................................................................... 90 New Jersey............................................................................................................................... 92 New Mexico ............................................................................................................................ 94 Congressional Research Service The Uninsured by State and Congressional District New York................................................................................................................................. 96 North Carolina ......................................................................................................................... 98 North Dakota ......................................................................................................................... 100 Ohio ....................................................................................................................................... 102 Oklahoma .............................................................................................................................. 104 Oregon ................................................................................................................................... 106 Pennsylvania.......................................................................................................................... 108 Rhode Island.......................................................................................................................... 110 South Carolina....................................................................................................................... 112 South Dakota ......................................................................................................................... 114 Tennessee............................................................................................................................... 116 Texas...................................................................................................................................... 118 Utah ....................................................................................................................................... 120 Vermont ................................................................................................................................. 122 Virginia .................................................................................................................................. 124 Washington ............................................................................................................................ 126 West Virginia ......................................................................................................................... 128 Wisconsin .............................................................................................................................. 130 Wyoming ............................................................................................................................... 132 Figures Figure 1. Map: The Uninsured by State – 2009............................................................................. 12 Tables Table 1. Estimates of the Uninsured by Selected Demographic Characteristics, 2009 ................... 7 Table 2. Number and Percentage of Uninsured, by State, 2009 ...................................................... 9 Table 3. Ranking of States, by Percentage Uninsured, 2009 ......................................................... 10 Table 4. One-year Change in Percentage Uninsured, by State, 2008-2009 ................................... 13 Table 5. Percentage Uninsured by Age, by State, 2009 ................................................................. 16 Table 6. Ranking of States by Percentage Uninsured by Age, 2009.............................................. 18 Table 7. Percentage Uninsured, by Income by State, 2009............................................................ 21 Table 8. Ranking of States by Percentage Uninsured by Income, 2009 ........................................ 23 Table 9. Percentage Uninsured by Marital and Employment Status by State, 2009...................... 24 Table 10. Ranking of States by Percentage Uninsured by Marital Status, 2009............................ 26 Table 11. Ranking of States by Percentage Uninsured by Employment Status, 2009 ................... 28 Table A-1. Alabama: Characteristics of the Uninsured, 2009........................................................ 31 Table A-2. Alabama: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 32 Table A-3. Alaska: Characteristics of the Uninsured, 2009 ........................................................... 33 Table A-4. Alaska: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................... 34 Congressional Research Service The Uninsured by State and Congressional District Table A-5. Arizona: Characteristics of the Uninsured, 2009 ......................................................... 35 Table A-6. Arizona: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 36 Table A-7. Arkansas: Characteristics of the Uninsured, 2009 ....................................................... 37 Table A-8. Arkansas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 38 Table A-9.California: Characteristics of the Uninsured, 2009....................................................... 39 Table A-10.California: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 40 Table A-11.Colorado: Characteristics of the Uninsured, 2009 ...................................................... 42 Table A-12.Colorado: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 43 Table A-13.Connecticut: Characteristics of the Uninsured, 2009.................................................. 44 Table A-14.Connecticut: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 45 Table A-15.Delaware: Characteristics of the Uninsured, 2009...................................................... 46 Table A-16.Delaware: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 47 Table A-17.District of Columbia: Characteristics of the Uninsured, 2009.................................... 48 Table A-18.District of Columbia; Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ..................................................... 49 Table A-19.Florida: Characteristics of the Uninsured, 2009 ......................................................... 50 Table A-20.Florida: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 51 Table A-21.Georgia: Characteristics of the Uninsured, 2009 ........................................................ 52 Table A-22.Georgia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 53 Table A-23. Hawaii: Characteristics of the Uninsured, 2009 ........................................................ 54 Table A-24. Hawaii: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 55 Table A-25.Idaho: Characteristics of the Uninsured, 2009............................................................ 56 Table A-26.Idaho: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................... 57 Table A-27.Illinois: Characteristics of the Uninsured, 2009.......................................................... 58 Table A-28.Illinois: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................... 59 Table A-29.Indiana: Characteristics of the Uninsured, 2009 ......................................................... 60 Table A-30.Indiana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 61 Table A-31.Iowa: Characteristics of the Uninsured, 2009 ............................................................. 62 Congressional Research Service The Uninsured by State and Congressional District Table A-32.Iowa: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................... 63 Table A-33.Kansas: Characteristics of the Uninsured, 2009 ......................................................... 64 Table A-34.Kansas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 65 Table A-35.Kentucky: Characteristics of the Uninsured, 2009 ..................................................... 66 Table A-36.Kentucky: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 67 Table A-37.Louisiana: Characteristics of the Uninsured, 2009 ..................................................... 68 Table A-38.Louisiana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 69 Table A-39.Maine: Characteristics of the Uninsured, 2009........................................................... 70 Table A-40.Maine: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................... 71 Table A-41.Maryland: Characteristics of the Uninsured, 2009 ..................................................... 72 Table A-42.Maryland: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 73 Table A-43.Massachusetts: Characteristics of the Uninsured, 2009.............................................. 74 Table A-44.Massachusetts: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ...................................................................... 75 Table A-45.Michigan: Characteristics of the Uninsured, 2009...................................................... 76 Table A-46.Michigan: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 77 Table A-47.Minnesota: Characteristics of the Uninsured, 2009 .................................................... 78 Table A-48.Minnesota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 79 Table A-49.Mississippi: Characteristics of the Uninsured, 2009................................................... 80 Table A-50.Mississippi: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 81 Table A-51.Missouri: Characteristics of the Uninsured, 2009....................................................... 82 Table A-52.Missouri: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 83 Table A-53.Montana: Characteristics of the Uninsured, 2009....................................................... 84 Table A-54.Montana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 85 Table A-55. .Nebraska: Characteristics of the Uninsured, 2009.................................................... 86 Table A-56.Nebraska: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 87 Table A-57.Nevada: Characteristics of the Uninsured, 2009......................................................... 88 Table A-58.Nevada: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 89 Congressional Research Service The Uninsured by State and Congressional District Table A-59.New Hampshire: Characteristics of the Uninsured, 2009........................................... 90 Table A-60.New Hampshire: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................... 91 Table A-61.New Jersey: Characteristics of the Uninsured, 2009 .................................................. 92 Table A-62.New Jersey: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 93 Table A-63.New Mexico: Characteristics of the Uninsured, 2009 ................................................ 94 Table A-64.New Mexico: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ...................................................................... 95 Table A-65.New York: Characteristics of the Uninsured, 2009..................................................... 96 Table A-66.New York: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ........................................................................... 97 Table A-67.North Carolina: Characteristics of the Uninsured, 2009............................................. 98 Table A-68.North Carolina: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ...................................................................... 99 Table A-69.North Dakota: Characteristics of the Uninsured, 2009 ............................................. 100 Table A-70.North Dakota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 101 Table A-71.Ohio: Characteristics of the Uninsured, 2009 ........................................................... 102 Table A-72.Ohio: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................. 103 Table A-73.Oklahoma: Characteristics of the Uninsured, 2009 .................................................. 104 Table A-74.Oklahoma: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 105 Table A-75.Oregon: Characteristics of the Uninsured, 2009 ....................................................... 106 Table A-76.Oregon: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 107 Table A-77.Pennsylvania: Characteristics of the Uninsured, 2009.............................................. 108 Table A-78.Pennsylvania: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 109 Table A-79.Rhode Island: Characteristics of the Uninsured, 2009.............................................. 110 Table A-80.Rhode Island: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 111 Table A-81.South Carolina: Characteristics of the Uninsured, 2009........................................... 112 Table A-82.South Carolina: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 113 Table A-83.South Dakota: Characteristics of the Uninsured, 2009 ............................................. 114 Table A-84.South Dakota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 115 Table A-85.Tennessee: Characteristics of the Uninsured, 2009................................................... 116 Congressional Research Service The Uninsured by State and Congressional District Table A-86.Tennessee: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 117 Table A-87.Texas: Characteristics of the Uninsured, 2009.......................................................... 118 Table A-88.Texas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................. 119 Table A-89.Utah: Characteristics of the Uninsured, 2009 ........................................................... 120 Table A-90.Utah: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................................. 121 Table A-91.Vermont: Characteristics of the Uninsured, 2009 ..................................................... 122 Table A-92.Vermont: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 123 Table A-93.Virginia: Characteristics of the Uninsured, 2009 ...................................................... 124 Table A-94.Virginia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 125 Table A-95.Washington: Characteristics of the Uninsured, 2009 ................................................ 126 Table A-96.Washington: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 127 Table A-97.West Virginia: Characteristics of the Uninsured, 2009 ............................................. 128 Table A-98.West Virginia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 .................................................................... 129 Table A-99.Wisconsin: Characteristics of the Uninsured, 2009 .................................................. 130 Table A-100.Wisconsin: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 131 Table A-101.Wyoming: Characteristics of the Uninsured, 2009 ................................................. 132 Table A-102.Wyoming: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 ......................................................................... 133 Appendixes Appendix. State and Congressional District Data Tables .............................................................. 31 Contacts Author Contact Information......................................................................................................... 133 Acknowledgments ....................................................................................................................... 133 Congressional Research Service The Uninsured by State and Congressional District Background The Uninsured Roughly 15% of Americans are not covered by health insurance.1 The uninsured are more likely to:2 • report problems getting needed medical care; and • be hospitalized for avoidable health problems. In addition, they are less likely, among other things, to: • follow recommended treatments because of costs; • have access to care; or • receive preventive care. Moreover, it is widely believed that the uninsured, when they need care, face higher prices since they do not benefit from negotiated discounts.3 In addition, they are less able to pay for their care since they do not have health insurance and therefore other payers are forced indirectly to assume the financial burden of their care through higher prices. While two-thirds of the uninsured are poor or near poor (i.e., with family incomes less than 133% of federal poverty level (FPL)), in 2008 it was estimated that “the uninsured contributed $30 billion toward their own medical care. In addition, they benefited from $56 billion in uncompensated care—$43 billion of which was government spending for care on behalf of the uninsured (Medicaid disproportionate share hospital (DSH) and supplemental payment programs, Medicare DSH and indirect medical education (IME) payments,4 various direct care programs, and state and local tax appropriations).”5 The Institute of Medicine has estimated that among 1 While the actual proportion of uninsured varies somewhat from survey to survey, the various well designed federally sponsored surveys provide consistent and reliable estimates over time. See Office of the Assistant Secretary for Planning and Evaluation, Understanding Estimates of the Uninsured: Putting the Differences in Context , Department of Health and Human Services, ASPE Issue Brief, Washington, DC, September 2005, http://aspe.hhs.gov/health/ reports/05/uninsured-understanding-ib/index.htm. 2 The Henry J. Kaiser Family Foundation, The Uninsured: A Primer, Washington, DC, October 2009, http://www.kff.org/uninsured/upload/7451-05.pdf. 3 L. Lagnado, “Hospitals Try Extreme Measures to Collect Their Overdue Debts,” The Wall Street Journal, October 30, 2003, but also see Glenn A. Melnick and Katya Fonkych , “Hospital Pricing And The Uninsured: Do The Uninsured Pay Higher prices?,” Health Affairs, vol. 27, no. 2 (2008), pp. w116-w122 . 4 Medicaid DSH payments or disproportionate share hospital payments are additional payments made to hospitals that serve a large number of low-income patients. See Christie Provost Peters, The Basics: Medicaid Disproportionate Hospital (DSH) Payments, National Health Policy Forum, Washington, DC, June 15, 2009, http://www.nhpf.org/ library/the-basics/Basics_DSH_06-15-09.pdf. Indirect Medical Education payments, or IME payments, are additional Medicare payments to teaching hospitals for the higher cost of patient care in those facilities. 5 Jack Hadley, John Holahan, and Teresa Coughlin, et al., “Covering The Uninsured In 2008: Current Costs, Sources Of Payment, And Incremental Costs,” Health Affairs Web Exclusive, August 25, 2008, pp. W411-W413. Congressional Research Service 1 The Uninsured by State and Congressional District individuals ages 25-64, approximately 18,000 excess deaths per year can be attributed to the lack of health insurance.6 As this report details, there are considerable differences across states, within states, and across demographic groups in the proportion of uninsured. The Medicare program has effectively provided health insurance to almost all elderly Americans while the Medicaid program and the State Children’s Health Insurance Program have expanded health insurance coverage to both the poor and to children. State policies to expand health insurance coverage, including Medicaid waivers, account for some of the differences across states in the proportion of uninsureds.7 For instance, Vermont has extended Medicaid benefits to childless adults with incomes up to 150% of FPL and only 8.6% of the state’s population is uninsured.8 Similarly, state policies such as employer or personal mandates to purchase health insurance in Hawaii and Massachusetts further explain some of the differences. The explanation for variations in health insurance coverage among working adults is complex since it must include decisions on the part of employers to offer coverage and decisions regarding the nature of the coverage, including cost sharing, if insurance is offered. In addition, it needs to take into consideration employees’ decisions to purchase insurance. According to the Kaiser Family Foundation, 61% of the non-elderly population received employer-sponsored health insurance in 2009.9 While employer-based health insurance is nearly universally offered by large employers (over 200 employees), only 59% of small firms (3-9 employees) offered health insurance.10 Thus, the working uninsured, poor, and unemployed who are not otherwise eligible for a public program, covered under a family member’s policy, or cannot afford coverage are either relegated to the more expensive individual market or to do without coverage. To understand those who are employed and have health insurance, one needs to understand the decision-making process that firms engage in when deciding whether to offer employees health insurance and how to share these costs. While many policy analysts have focused on the tax treatment of health insurance premiums as one impetus for employer provided health insurance, other factors such as local labor market conditions and company image are also likely to play a role in these decisions. Even if one is employed and works for a firm that offers health insurance, there is a further set of calculations that employees make regarding whether to take-up the offer of health insurance. These considerations include: one’s current health status, one’s expectation of future health insurance requirements, cost (including cost sharing of the premium, deductibles, and coinsurance), and the availability of other benefits through Section 125 cafeteria plans (where employees can personalized benefits from a set of offerings). In 2005, it was estimated that about 7% of those who are offered employer health insurance are actually uninsured.11 All of these 6 Institute of Medicine, Care without Coverage: Too Little, Too Late , Washington , DC: National Academies Press, 2002. 7 For additional background on Medicaid waivers, see CRS Report RL33202, Medicaid: A Primer, by (name redacted). 8 See Kaiser State Health Facts – Income Eligibility – Childless Adults. http://www.statehealthfacts.org/ comparetable.jsp?ind=749&cat=4. 9 Jonathan Gruber, The Tax Exclusion For Employer-Sponsored Health Insurance, National Bureau Of Economic Research, Working Paper 15766, Cambridge, MA, February 2010, http://www.nber.org/papers/w15766 citing Kaiser Family Foundation. 10 Smaller firms also tend to have higher employee contributions to premiums and less generous benefits. See Kaiser Family Foundation and Health Research & Educational Trust, Employer Health Benefits: 2010 Summary of Findings, 2010, http://ehbs.kff.org/pdf/2010/8086.pdf. 11 Jonathan Gruber and Ebonya Washington, “Subsidies to Employee Health Insurance Premiums and the Health (continued...) Congressional Research Service 2 The Uninsured by State and Congressional District factors, in addition to others, will affect the proportion of working aged Americans without health insurance. Methodology This report employs the U.S. Census Bureau’s 2009 American Community Survey (ACS) to describe the characteristics of the uninsured and provide estimates of the number and percentage of uninsureds at the national, state, and congressional district level.12 The survey is briefly described below and more fully documented at the U.S. Census Bureau’s Website.13 The ACS is representative of the civilian non-institutionalized population and is designed to produce reliable estimates of the number of uninsured at the time of the survey. Respondents in the 2009 survey were sampled between January 1 and December 31, 2009. The ACS is a mailout/mailback survey with telephone and in-person nonresponse follow-up, conducted continuously throughout the year, with results consolidated to produce annual estimates using 90% confidence intervals. This is the second year that the Congressional Research Service has used the ACS to generate these estimates. While this year we report the state-level change in the proportion of uninsured in 2009 compared to 2008, in future years we will use the ACS to track changes in the number and proportion of uninsured over a longer period of time. The Survey Question The ACS contains a single multipart question (question 16) addressing health insurance coverage. The question is replicated below. Someone who responds “no” to every item is characterized as uninsured. (...continued) Insurance Market,” Journal of Health Economics, vol. 24, no. 2 (2005), p. 590. 12 The 2009 American Community Survey dataset was released by the U.S. Census Bureau in October 2010. 13 http://www.census.gov/acs/www. Congressional Research Service 3 The Uninsured by State and Congressional District ACS Health Insurance Question 16. Is this person CURRENTLY covered by any of the following types of health insurance of health coverage plans? Mark “Yes” or “No” for EACH type of coverage for items a – h. Item Yes No Insurance through a current or former employer or union (of this person or another family member) [] [] b. Insurance purchased directly from an insurance company (by this person or another family member) [] [] c. Medicare, for people 65 or older, or people with certain disabilities [] [] d. Medicaid, Medical Assistance, or any kind of governmentassistance plan for those with low incomes or a disability [] [] e. TRICARE or other military health care [] [] f. VA (including those who have ever used or enrolled for VA health care) [] [] g. Indian Health Service [] [] h. Any other type of health insurance or health coverage plan – [] [] a. Specify ______________________________ Source: U.S. Census Bureau, 2009 American Community Survey (ACS). The ACS and Other Surveys of the Uninsured There are several national surveys that estimate the uninsured including the Current Population Survey (CPS), the American Community Survey (ACS), and the National Health Interview Survey (NHIS). Each of these efforts have limitations – many of which have been well documented and acknowledged by the Census Bureau and other research organizations.14 For example, the CPS and NHIS have historically undercounted Medicaid beneficiaries and estimates are less reliable for small states.15 The ACS, with a sample size of roughly 2 million completed surveys per year, allows for reasonably accurate estimates of areas with a population of 65,000 or more. Therefore, the ACS does a better job of reducing error associated with small sample size as compared to either the CPS or NHIS. However, regardless of the survey used, discrepancies exist between survey estimates of the number of uninsureds and estimates based on state and national administrative data. 14 See Thomas J. Plewes, Rapporteur National Research Council and National Research Council, “Federal Surveys,” in Databases for Estimating Health Insurance Coverage for Children: A Workshop Summary, http://www.nap.edu/ catalog.php?record_id=13024 ed. (Washington , DC: National Academies Press, 2010). 15 U.S. Census Bureau, “Income, Poverty, and Health Insurance Coverage in the United States: 2008,” Current Population Reports P60-236(RV), Washington, DC, 2009, at http://www.census.gov/prod/2009pubs/p60-236.pdf, p. 20 and p. 57. Congressional Research Service 4 The Uninsured by State and Congressional District The ACS is not without its limitations, including that:16 • it is primarily a mail survey completed without the assistance of an interviewer; • there is a single health insurance question that uses an itemized list of coverage types; • the survey does not clearly delineate the coverage categories or clearly direct respondents that “direct purchase” of insurance should be completely independent of a current or former employer; and • the characterization of uninsured is not collected directly, rather uninsured status is derived from the answers to the various types of coverage and the result is not verified. Despite these limitations, the ACS produces results that are generally very similar to those obtained from other surveys and the larger sample size allows for reliable state and congressional district estimates of the uninsured.17 The Uninsured: National Analysis 2009 Estimates of the Number of Uninsured by Selected Demographic Characteristics The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more than 301 million of whom 15.1%, or 45.7 million, were uninsured (see Table 1). Women were about 20% more likely to be uninsured than men with 16.9% of women being uninsured compared to 13.4% of men. Older Americans, above age 65, were least likely to be uninsured, fewer than 1%, because of the near universal coverage offered by Medicare. Those under age 19 were also less likely to be uninsured (9.0%) with only about 5% of those under age 1 and 7% of those under age 6 being uninsured. Individuals age 19 through 21 were most likely to be uninsured (29.7%). Low income is associated with not having health insurance and individuals with incomes equal or less than 133% of FPL are least likely to have health insurance (27.7%) compared to other income groups. Almost 95% of those at 400% or more of FPL have health insurance. Marital and employment status are also associated with being uninsured. Single individuals, age 18-64, were twice as likely to be uninsured compared to married individuals and those working part-time were almost twice as likely to be uninsured compared to individuals working full time.18 16 Thomas J. Plewes, Rapporteur National Research Council and National Research Council, “Federal Surveys,” in Databases for Estimating Health Insurance Coverage for Children: A Workshop Summary, http://www.nap.edu/ catalog.php?record_id=13024 ed. (Washington , DC: National Academies Press, 2010). 17 Ibid. 18 Full time is defined in PPACA § 1513(c)(4) as working 30 hours a week. To align with PPACA’s definition, full time is defined in this report as working 30 or more hours a week for 50 or more weeks and part-time is defined as working fewer than 30 hours a week or less than 50 weeks per year. Congressional Research Service 5 The Uninsured by State and Congressional District The Patient Protection and Affordable Care Act and the Uninsured The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, as amended) was designed, in part, to expand access to health insurance. For instance, beginning with renewals from September 23, 2010, PPACA provides that dependent children up to age 26 can remain on their parent’s health insurance generally beginning with the next subsequent renewal. Beginning in 2014, or sooner at state option, PPACA requires states to expand Medicaid to certain individuals who are under age 65 with income up to 133% of FPL. This reform not only expands eligibility to a group that is not currently eligible for Medicaid (low income childless adults), but also raises Medicaid’s mandatory income eligibility level for certain existing groups to 133% of the FPL.19 The Congressional Budget Office (CBO) and Joint Committee on Taxation estimated that the coverage expansion provisions in the health reform law would result in a Medicaid enrollment increase, over what otherwise would have been the case, of approximately 16 million by FY2019.20 Under PPACA, states are to establish health insurance exchanges that provide eligible individuals and small businesses with access to health insurance. In addition, individuals with incomes greater than 133% of FPL up to 400% of FPL are eligible for premium tax credits and costsharing subsidies. CBO estimates that 24 million individuals will obtain health insurance through an exchange and 5 million more will obtain their insurance through their employer’s participation in an exchange. While some individuals who are currently privately insured will be covered through an exchange in the future, CBO estimated that, on net, PPACA will reduce the number of uninsured by 32 million by 2019, leaving 23 million (or 6%) of non-elderly Americans uninsured.21 19 PPACA extended Medicaid coverage of children 6 through 18 up to 133% of FPL but the subsequent Medicare and Medicaid Extenders Act of 2010 (P.L. 111-309). 20 Congressional Budget Office, letter to Honorable Nancy Pelosi, March 20, 2010, available at http://www.cbo.gov/doc.cfm?index=11379. 21 Ibid. Congressional Research Service 6 The Uninsured by State and Congressional District Table 1. Estimates of the Uninsured by Selected Demographic Characteristics, 2009 (numbers in thousands) Total Population Total Populationa Number Uninsured Percent Uninsured Above (+), At (x), Below (-) Overall National Averageb 301,472 45,665 15.1 Male 153,927 20,699 13.4 - Female 147,545 24,966 16.9 + Under 1 Year 4,054 207 5.1 - Under Age 6 25,201 1,764 7.0 - Under Age 19 79,011 7,116 9.0 - Under Age 26 108,259 16,399 15.1 x Age 19 through 21 13,038 3,873 29.7 + Age 21 through 64 175,729 35,665 20.3 + 37,932 358 0.9 - Poverty Status 298,038 45,395 15.2 ≤133% FPL 61,314 16,991 27.7 + >133 to <400% FPL 127,517 22,486 17.6 + ≥400% + FPL 109,206 5,918 5.4 - 189,181 38,937 20.6 Singlec 90,884 25,608 28.2 + Married 98,297 13,329 13.6 - Employed Full Timed 100,110 14,295 14.3 - Timee 33,093 8,759 26.5 + Age 65 and over Total Population Age 18-64 Employed Part Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate with a confidence interval around the estimate. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured as compared to the overall national average. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup and the national average. c. The population estimates based on poverty status are less than the total population estimates since these estimates exclude people in military group quarters, people in college dormitories, and unrelated individuals under 15 years old as well as institutionalized individuals. d. Never married, separated, divorced, or widowed. e. Working 30 or more hours for 50 or more weeks a year. 6: Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 7 The Uninsured by State and Congressional District The Uninsured: Comparisons Across States Number and Percentage of Uninsureds by State There is wide variation across states in terms of the percentage of each state’s civilian noninstitutionalized population not having insurance (see Table 2). For instance, residents of Texas are five times more likely not to have health insurance as residents of Massachusetts. Table 3 ranks orders the states from lowest to highest in terms of each state’s percent uninsured population and Figure 1 presents the same data on a map of the United States. While there are many factors that can potentially influence these estimates, two of the 10 states with the lowest percentage of uninsureds, Massachusetts and Hawaii, have insurance mandates (see Table 3). Hawaii has had an employer health insurance mandate since 1974 which covers employees who work 20 hours a week or more;22 and Massachusetts adopted an individual mandate beginning in July 2007. The District of Columbia has a low proportion of uninsureds in part due to its low-income childless-adult Medicaid waiver and the District’s Healthcare Alliance Program which provides care to non-disabled childless-adults, non-qualified aliens and some individuals who are over-income for Medicaid. Most of the remaining states in the top ten, with the exception of Iowa, also have Medicaid waivers that cover low-income childless adults. Iowa has a high percentage of non-elderly adults covered by private health insurance and a low percentage of uninsured children. One-Year Change in Uninsureds While in aggregate there was not a change in the percentage of uninsureds in the United States between 2008 and 2009, several states experienced either a disproportionate increase or decrease in the number of uninsureds. Table 4 presents the percentage of uninsured in each state in 2008 and 2009, the one year change in the percentage uninsured and the one-year percentage change in the percentage uninsured. Arizona, Arkansas, Colorado, the District of Columbia, New Mexico, and West Virginia experienced the largest declines in the percentage uninsured while Alaska, Kansas, Nebraska, Rhode Island, South Dakota, and Wyoming experienced the largest increases in the percentage of uninsured (column 4). Arizona, Colorado, the District of Columbia, New Mexico, North Dakota, and West Virginia each experienced a year-on-year decline of more than 7% (column 5). Kansas, Nebraska, Rhode Island, South Dakota, and Wyoming each experienced a year-on-year increase of more than 7% (column 5). 22 Gardiner Harris, “In Hawaii’s Health System, Lessons for Lawmakers ,” The New York Times, October 16, 2009, http://www.nytimes.com/2009/10/17/health/policy/17hawaii.html. Congressional Research Service 8 The Uninsured by State and Congressional District Table 2. Number and Percentage of Uninsured, by State, 2009 Uninsured State Total Population (in thousands)a United States Number (in thousands) Percent 301,472 45,522 15.1 4,616 637 13.8 678 143 21.1 Arizona 6,502 1,127 17.3 Arkansas 2,833 483 17.0 California 36,377 6,559 18.0 Colorado 4,930 778 15.8 Connecticut 3,457 305 8.8 Delaware 869 89 10.2 District of Columbia 589 41 7.0 Florida 18,193 3,795 20.9 Georgia 9,594 1,836 19.1 Hawaii 1,232 86 7.0 Idaho 1,521 264 17.4 Illinois 12,720 1,694 13.3 Indiana 6,316 901 14.3 Iowa 2,957 255 8.6 Kansas 2,757 363 13.2 Kentucky 4,225 613 14.5 Louisiana 4,392 762 17.4 Maine 1,301 137 10.5 Maryland 5,590 621 11.1 Massachusetts 6,496 271 4.2 Michigan 9,835 1,203 12.2 Minnesota 5,197 473 9.1 Mississippi 2,880 514 17.9 Missouri 5,871 774 13.2 Montana 958 174 18.2 Nebraska 1,763 210 11.9 Nevada 2,610 572 21.9 New Hampshire 1,309 134 10.2 New Jersey 8,583 1,084 12.6 New Mexico 1,976 390 19.7 19,264 2,195 11.4 9,149 1,471 16.1 Alabama Alaska New York North Carolina Congressional Research Service 9 The Uninsured by State and Congressional District Uninsured Total Population (in thousands)a Number (in thousands) Percent 630 61 9.7 11,352 1,383 12.2 Oklahoma 3,590 672 18.7 Oregon 3,780 643 17.0 Pennsylvania 12,366 1,220 9.9 Rhode Island 1,035 117 11.3 South Carolina 4,454 750 16.8 793 104 13.1 6,188 883 14.3 Texas 24,292 5,783 23.8 Utah 2,755 401 14.6 615 53 8.6 Virginia 7,644 908 11.9 Washington 6,546 878 13.4 West Virginia 1,793 254 14.2 Wisconsin 5,566 521 9.4 Wyoming 534 81 15.2 State North Dakota Ohio South Dakota Tennessee Vermont Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the confidence level are not presented, they are available. Table 3. Ranking of States, by Percentage Uninsured, 2009 (lowest to highest) Rank/Statea 1. Massachusetts Total Population (in thousands) Number Uninsured (in thousands) Percent Uninsured 6,496 271 4.2 589 41 7.0 2. Hawaii 1,232 86 7.0 4. Iowa 2,957 255 8.6 615 53 8.6 4. Connecticut 3,457 305 8.8 7. Minnesota 5,197 473 9.1 8. Wisconsin 5,566 521 9.4 9. North Dakota 630 61 9.7 10. Pennsylvania 12,366 1,220 9.9 869 89 10.2 2. District of Columbia 4. Vermont 11. Delaware Congressional Research Service 10 The Uninsured by State and Congressional District Rank/Statea Total Population (in thousands) Number Uninsured (in thousands) Percent Uninsured 11. New Hampshire 1,309 134 10.2 13. Maine 1,301 137 10.5 14. Maryland 5,590 621 11.1 15. Rhode Island 1,035 117 11.3 16. New York 19,264 2,195 11.4 17. Nebraska 1,763 210 11.9 17. Virginia 7,644 908 11.9 19. Michigan 9,835 1,203 12.2 11,352 1,383 12.2 8,583 1,084 12.6 793 104 13.1 23. Kansas 2,757 363 13.2 23. Missouri 5,871 774 13.2 12,720 1,694 13.3 26. Washington 6,546 878 13.4 27. Alabama 4,616 637 13.8 28. West Virginia 1,793 254 14.2 29. Indiana 6,316 901 14.3 29. Tennessee 6,188 883 14.3 31. Kentucky 4,225 613 14.5 32. Utah 2,755 401 14.6 301,472 45,522 15.1 33. Wyoming 534 81 15.2 34. Colorado 4,930 778 15.8 35. North Carolina 9,149 1,471 16.1 36. South Carolina 4,454 750 16.8 37. Arkansas 2,833 483 17.0 37. Oregon 3,780 643 17.0 39. Arizona 6,502 1,127 17.3 40. Idaho 1,521 264 17.4 40. Louisiana 4,392 762 17.4 42. Mississippi 2,880 514 17.9 43. California 36,377 6,559 18.0 958 174 18.2 45. Oklahoma 3,590 672 18.7 46. Georgia 9,594 1,836 19.1 19. Ohio 21. New Jersey 22. South Dakota 25. Illinois United States 44. Montana Congressional Research Service 11 The Uninsured by State and Congressional District Total Population (in thousands) Rank/Statea 47. New Mexico Number Uninsured (in thousands) Percent Uninsured 1,976 390 19.7 48. Florida 18,193 3,795 20.9 49. Alaska 678 143 21.1 2,610 572 21.9 24,292 5,783 23.8 50. Nevada 51. Texas Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. Figure 1. Map: The Uninsured by State – 2009 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. Congressional Research Service 12 The Uninsured by State and Congressional District Table 4. One-year Change in Percentage Uninsured, by State, 2008-2009 One-year Change in Percentage Uninsured (Percentage Points) One-year Percentage Change in Percentage Uninsured (Percentage Change) 2008 Estimate of Percentage Uninsured (%) 2009 Estimate of Percentage Uninsured (%) United States 15.1 15.1 0.0 0.0% Alabama 14.0 13.8 -0.2 -1.43% Alaska 20.1 21.1 +1.0 4.98% Arizona 18.7 17.3 -1.4 -7.49% Arkansas 18.0 17.0 -1.0 -5.56% California 17.8 18.0 +0.2 1.12% Colorado 17.2 15.8 -1.4 -8.14% 9.0 8.8 -0.2 -2.22% Delaware 10.3 10.2 -0.1 -0.97% District of Columbia 8.0 7.0 -1.0 -12.50% Florida 20.8 20.9 +0.1 0.48% Georgia 18.8 19.1 +0.3 1.60% Hawaii 6.7 7.0 +0.3 4.48% Idaho 17.8 17.4 -0.4 -2.25% Illinois 12.8 13.3 +0.5 3.91% Indiana 13.9 14.3 +0.4 2.88% 9.1 8.6 -0.5 -5.49% Kansas 12.2 13.2 +1.0 8.20% Kentucky 14.1 14.5 +0.4 2.84% Louisiana 17.8 17.4 -0.4 -2.25% Maine 10.9 10.5 -0.4 -3.67% Maryland 11.1 11.1 0.0 0.00% 4.1 4.2 +0.1 2.44% 11.5 12.2 +0.7 6.09% Minnesota 8.7 9.1 +0.4 4.60% Mississippi 17.9 17.9 0.0 0.00% Missouri 13.0 13.2 +0.2 1.54% Montana 18.5 18.2 -0.3 -1.62% Nebraska 11.1 11.9 +0.8 7.21% Nevada 21.3 21.9 +0.6 2.82% New Hampshire 10.8 10.2 -0.6 -5.56% New Jersey 12.4 12.6 +0.2 1.61% New Mexico 21.4 19.7 -1.7 -7.94% Statea Connecticut Iowa Massachusetts Michigan Congressional Research Service 13 The Uninsured by State and Congressional District One-year Change in Percentage Uninsured (Percentage Points) One-year Percentage Change in Percentage Uninsured (Percentage Change) 2008 Estimate of Percentage Uninsured (%) 2009 Estimate of Percentage Uninsured (%) New York 11.8 11.4 -0.4 -3.39% North Carolina 15.9 16.1 +0.2 1.26% North Dakota 10.5 9.7 -0.8 -7.62% Ohio 11.8 12.2 +0.4 3.39% Oklahoma 19.5 18.7 -0.8 -4.10% Oregon 16.4 17.0 +0.6 3.66% Pennsylvania 9.4 9.9 +0.5 5.32% Rhode Island 10.5 11.3 +0.8 7.62% South Carolina 17.4 16.8 -0.6 -3.45% South Dakota 11.7 13.1 +1.4 11.97% Tennessee 13.6 14.3 +0.7 5.15% Texas 24.1 23.8 -0.3 -1.24% Utah 15.5 14.6 -0.9 -5.81% 9.1 8.6 -0.5 -5.49% Virginia 12.0 11.9 -0.1 -0.83% Washington 13.1 13.4 +0.3 2.29% West Virginia 15.8 14.2 -1.6 -10.13% Wisconsin 9.1 9.4 +0.3 3.30% Wyoming 13.9 15.2 +1.3 9.35% Statea Vermont Source: CRS analysis of data from 2008 and 2009 American Community Survey, U.S. Census Bureau. a. Data are based on a sample and are subject to sampling variability. The reported year-on-year change are based solely on the point estimates and therefore should be interpreted with the understanding that these differences may be within the confidence interval. The Uninsured: Characteristics by State, 2009 Table 5 presents the percentage uninsured in each state by four age categories: under age 6, under age 19, age 21 through age 64, and age 65 and above.23 The first two categories depict two overlapping groups children, the third category generally captures working adults, and the final category describes the elderly who are generally covered by Medicare. 23 The under age 6 category is relevant as there is mandatory eligibility for Medicaid for these children with family incomes up to 133% of FPL. The under age 19 category is relevant since there is also mandatory eligibility for Medicaid for children ages 6 through 18 with family incomes up to 100% of FPL and 133% of FPL beginning January 1, 2014 although states can choose to extend this coverage prior to 2014. Congressional Research Service 14 The Uninsured by State and Congressional District Table 6 rank orders states by the percentage uninsured in each of the age categories, from lowest to highest. Nationally, 7% of children under age 6 and 9% of children under age 19 were uninsured. Massachusetts had the lowest proportion of uninsured children, 1.2% under age 6 and 1.5% under age 19, followed by Hawaii, the District of Columbia, and Vermont. Nevada had the highest proportion of uninsured children, 16.8% under age 6 and 18.4% under age 19, followed by Alaska, Montana, Texas, and Florida. Among those adults age 21 through 64, nationally 20.3% were uninsured (see Table 5). Massachusetts had the lowest proportion of non-elderly adults uninsured with 5.9% followed by the District of Columbia, Hawaii, Minnesota, and Vermont. Texas, with 30.3%, had the highest proportion of non-elderly adults uninsured followed by Florida, New Mexico, Nevada, and Alaska (see Table 6). While no state had more than 1.9% of its elderly population, over age 65, uninsured, the proportion across the states ranged from 0.1% in Vermont, West Virginia, and Iowa to 1.9% in Nevada. Table 7 presents the percentage uninsured in each state by three income categories: under 133% of FPL , between 133% and 400% of FPL, and above 400% of FPL. Table 8 rank orders the states by the percentage uninsured in each of the three income categories, from lowest to highest. Nationally, 27.7% of individual with incomes under 133% of FPL were uninsured, 17.6% of individuals with incomes between 133% and 400% of FPL were uninsured, and 5.4% of individuals with incomes over 400% of FPL were uninsured. Massachusetts had the lowest proportion of individuals with incomes under 133% of FPL, 7.6%, followed by the District of Columbia, Vermont, and Hawaii. Nevada had the highest proportion of individuals with incomes under 133% of FPL uninsured, 41.8%, followed by Texas, Florida, Georgia, and Alaska (see Table 8). Table 9 presents the percentage uninsured in each state by marital status (single/married). Table 10 rank orders the states by the percentage uninsured by marital status, lowest to highest. Nationally, 28.2% of those individuals not married (single, separated, divorced, or widowed) were uninsured whereas 13.6% of those individuals who were married were uninsured. Massachusetts had the lowest proportion of single adults, age 18 through 64, uninsured with 8.9% followed by the District of Columbia, Hawaii, Connecticut, and Minnesota. Texas, with 38.4%, had the highest proportion of single adults, age 18 through 64, uninsured followed by Alaska, Florida, Nevada, and Oklahoma. Massachusetts had the lowest proportion of married adults, age 18 through 64, uninsured with 2.8% followed by the District of Columbia, Hawaii, Minnesota, and Vermont. Texas, with 24.3%, had the highest proportion of married adults, age 18 through 64, uninsured followed by Florida, New Mexico, Nevada, and Oklahoma. Table 9 also presents the percentage uninsured in each state by employment status (full/part time) and Table 11 rank orders the states by the percentage uninsured by employment status, lowest to highest. Nationally, 14.3% of those employed full-time were uninsured while 26.5% of those employed part-time were uninsured.24 Massachusetts had the lowest proportion of full-time employed adults, age 18 through 64, uninsured with 4.0% followed by Hawaii, the District of Columbia, Connecticut, and Minnesota. Texas, with 23.0%, had the highest proportion of full time employed adults, age 18 through 64, uninsured followed by New Mexico, Florida, Montana, and Louisiana. Massachusetts had the lowest proportion of part-time employed adults, age 18 24 Individuals did not necessarily obtain their health insurance coverage from their employer and an insured working part-time may have been covered by another family member working full-time. Congressional Research Service 15 The Uninsured by State and Congressional District through 64, uninsured with 8.0% followed by the District of Columbia, Hawaii, Minnesota, and Iowa. Texas, with 41.2%, had the highest proportion of part-time employed adults, age 18 through 64, uninsured followed by Arkansas, Florida, Nevada, and Oklahoma. Table 5. Percentage Uninsured by Age, by State, 2009 Under Age 6 (%) Under Age 19 (%)b Age 21 Through 64 (%) Age 65 and Over (%) United States 7.0 9.0 20.3 0.9 Alabama 4.5 6.2 19.5 0.5 Alaska 13.7 14.6 26.0 0.7 Arizona 10.0 12.7 22.6 1.3 Arkansas 5.1 7.0 24.6 0.5 California 7.0 10.0 24.1 1.8 Colorado 8.2 10.6 20.0 1.0 Connecticut 3.7 4.0 12.3 0.7 Delaware 4.6 5.6 14.2 0.6 District of Columbia 1.7 3.4 9.4 0.7 Florida 12.1 15.3 28.3 1.3 Georgia 9.2 11.6 25.1 1.2 Hawaii 1.4 2.9 10.0 0.8 Idaho 7.2 11.8 23.0 0.7 Illinois 3.4 4.9 18.8 1.3 Indiana 8.3 9.1 18.9 0.4 Iowa 4.1 4.9 11.9 0.1 Kansas 7.4 8.7 17.3 0.5 Kentucky 5.4 6.9 19.9 0.5 Louisiana 4.8 7.2 24.8 0.8 Maine 5.0 5.8 14.6 0.2 Maryland 3.1 5.1 15.3 0.8 Massachusetts 1.2 1.5 5.9 0.2 Michigan 3.7 5.1 15.3 0.8 Minnesota 5.3 6.7 11.4 0.3 Mississippi 8.7 10.9 24.2 0.2 Missouri 5.9 7.3 18.0 0.4 Montana 12.7 13.1 24.1 0.3 Nebraska 5.2 6.6 16.2 0.6 16.8 18.4 26.4 1.9 New Hampshire 3.1 4.9 13.9 0.3 New Jersey 4.8 6.7 17.1 1.4 Statea Nevada Congressional Research Service 16 The Uninsured by State and Congressional District Under Age 6 (%) Under Age 19 (%)b Age 21 Through 64 (%) Age 65 and Over (%) New Mexico 8.3 12.3 26.8 1.3 New York 4.1 4.9 15.9 1.0 North Carolina 5.6 8.7 22.0 0.6 North Dakota 6.2 5.7 13.4 0.4 Ohio 5.2 6.7 16.7 0.4 10.3 11.7 25.4 0.6 Oregon 8.8 10.9 22.6 0.8 Pennsylvania 5.0 5.6 13.6 0.5 Rhode Island 4.9 5.7 15.5 0.5 South Carolina 9.1 10.5 22.6 0.4 South Dakota 6.8 7.8 18.1 0.4 Tennessee 4.9 6.4 20.3 0.4 Texas 12.5 16.9 30.3 1.8 Utah 9.0 10.6 18.6 0.7 Vermont 2.0 3.5 11.8 0.1 Virginia 5.8 6.9 15.8 0.7 Washington 5.7 7.4 17.8 0.8 West Virginia 4.5 6.0 20.2 0.1 Wisconsin 3.9 5.3 12.4 0.4 Wyoming 8.1 9.3 20.0 0.5 Statea Oklahoma Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. Under age 19 is includes those under age 6 (i.e., the first two columns are not mutually exclusive). See footnote 23 for the justification for these age categories. Congressional Research Service 17 Table 6. Ranking of States by Percentage Uninsured by Age, 2009 Under Age 6 (lowest to highest) Ranking/Statea Percent (%) Under Age 19 (lowest to highest)b Ranking/State Percent (%) Age 21 Through 64 (lowest to highest) Ranking/State Percent (%) Age 65 and Over (lowest to highest) Ranking/State Percent (%) 1. Massachusetts 1.2 1. Massachusetts 1.5 1. Massachusetts 5.9 1. Iowa 0.1 2. Hawaii 1.4 2. Hawaii 2.9 2. District of Columbia 9.4 1. Vermont 0.1 3. District of Columbia 1.7 3. District of Columbia 3.4 3. Hawaii 10.0 1. West Virginia 0.1 4. Vermont 2.0 4. Vermont 3.5 4. Minnesota 11.4 4. Maine 0.2 5. Maryland 3.1 5. Connecticut 4.0 5. Vermont 11.8 4. Massachusetts 0.2 5. New Hampshire 3.1 6. Illinois 4.9 6. Iowa 11.9 4. Mississippi 0.2 7. Illinois 3.4 6. Iowa 4.9 7. Connecticut 12.3 7. Minnesota 0.3 8. Connecticut 3.7 6. New Hampshire 4.9 8. Wisconsin 12.4 7. Montana 0.3 8. Michigan 3.7 6. New York 4.9 9. North Dakota 13.4 7. New Hampshire 0.3 10. Wisconsin 3.9 10. Maryland 5.1 10. Pennsylvania 13.6 10. Indiana 0.4 11. Iowa 4.1 10. Michigan 5.1 11. New Hampshire 13.9 10. Missouri 0.4 11. New York 4.1 12. Wisconsin 5.3 12. Delaware 14.2 10. North Dakota 0.4 13. Alabama 4.5 13. Delaware 5.6 13. Maine 14.6 10. Ohio 0.4 13. West Virginia 4.5 13. Pennsylvania 5.6 14. Maryland 15.3 10. South Carolina 0.4 15. Delaware 4.6 15. North Dakota 5.7 14. Michigan 15.3 10. South Dakota 0.4 16. Louisiana 4.8 15. Rhode Island 5.7 16. Rhode Island 15.5 10. Tennessee 0.4 16. New Jersey 4.8 17. Maine 5.8 17. Virginia 15.8 10. Wisconsin 0.4 18. Rhode Island 4.9 18. West Virginia 6.0 18. New York 15.9 18. Alabama 0.5 18. Tennessee 4.9 19. Alabama 6.2 19. Nebraska 16.2 18. Arkansas 0.5 20. Maine 5.0 20. Tennessee 6.4 20. Ohio 16.7 18. Kansas 0.5 20. Pennsylvania 5.0 21. Nebraska 6.6 21. New Jersey 17.1 18. Kentucky 0.5 22. Arkansas 5.1 22. Minnesota 6.7 22. Kansas 17.3 18. Pennsylvania 0.5 23. Nebraska 5.2 22. New Jersey 6.7 23. Washington 17.8 18. Rhode Island 0.5 CRS-18 Under Age 6 (lowest to highest) Ranking/Statea Percent (%) Under Age 19 (lowest to highest)b Ranking/State Percent (%) Age 21 Through 64 (lowest to highest) Ranking/State Percent (%) Age 65 and Over (lowest to highest) Ranking/State Percent (%) 23. Ohio 5.2 22. Ohio 6.7 24. Missouri 18.0 18. Wyoming 0.5 25. Minnesota 5.3 25. Kentucky 6.9 25. South Dakota 18.1 25. Delaware 0.6 26. Kentucky 5.4 25. Virginia 6.9 26. Utah 18.6 25. Nebraska 0.6 27. North Carolina 5.6 27. Arkansas 7.0 27. Illinois 18.8 25. North Carolina 0.6 28. Washington 5.7 28. Louisiana 7.2 28. Indiana 18.9 25. Oklahoma 0.6 29. Virginia 5.8 29. Missouri 7.3 29. Alabama 19.5 29. Alaska 0.7 30. Missouri 5.9 30. Washington 7.4 30. Kentucky 19.9 29. Connecticut 0.7 31. North Dakota 6.2 31. South Dakota 7.8 31. Colorado 20.0 29. District of Columbia 0.7 32. South Dakota 6.8 32. Kansas 8.7 31. Wyoming 20.0 29. Idaho 0.7 33. California 7.0 32. North Carolina 8.7 33. West Virginia 20.2 29. Utah 0.7 United States 7.0 United States 9.0 34. Tennessee 20.3 29. Virginia 0.7 34. Idaho 7.2 34. Indiana 9.1 United States 20.3 35. Hawaii 0.8 35. Kansas 7.4 35. Wyoming 9.3 35. North Carolina 22.0 35. Louisiana 0.8 36. Wyoming 8.1 36. California 10.0 36. Arizona 22.6 35. Maryland 0.8 37. Colorado 8.2 37. South Carolina 10.5 36. Oregon 22.6 35. Michigan 0.8 38. Indiana 8.3 38. Colorado 10.6 36. South Carolina 22.6 35. Oregon 0.8 38. New Mexico 8.3 38. Utah 10.6 39. Idaho 23.0 35. Washington 0.8 40. Mississippi 8.7 40. Mississippi 10.9 40. California 24.1 United States 0.9 41. Oregon 8.8 40. Oregon 10.9 40. Montana 24.1 41. Colorado 1.0 42. Utah 9.0 42. Georgia 11.6 42. Mississippi 24.2 41. New York 1.0 43. South Carolina 9.1 43. Oklahoma 11.7 43. Arkansas 24.6 43. Georgia 1.2 44. Georgia 9.2 44. Idaho 11.8 44. Louisiana 24.8 44. Arizona 1.3 45. Arizona 10.0 45. New Mexico 12.3 45. Georgia 25.1 44. Florida 1.3 46. Oklahoma 10.3 46. Arizona 12.7 46. Oklahoma 25.4 44. Illinois 1.3 47. Florida 12.1 47. Montana 13.1 47. Alaska 26.0 44. New Mexico 1.3 CRS-19 Under Age 6 (lowest to highest) Ranking/Statea Percent (%) Under Age 19 (lowest to highest)b Ranking/State Percent (%) Age 21 Through 64 (lowest to highest) Ranking/State Percent (%) Age 65 and Over (lowest to highest) Ranking/State Percent (%) 48. Texas 12.5 48. Alaska 14.6 48. Nevada 26.4 48. New Jersey 1.4 49. Montana 12.7 49. Florida 15.3 49. New Mexico 26.8 49. California 1.8 50. Alaska 13.7 50. Texas 16.9 50. Florida 28.3 49. Texas 1.8 51. Nevada 16.8 51. Nevada 18.4 51. Texas 30.3 51. Nevada 1.9 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All rankings are for the civilian non-institutionalized population. While the rankings are based on the point estimates, there is a confidence interval around each estimate and therefore the rankings should be interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available. Columns sorted initially by percent uninsured and then alphabetically. Ties are not indicated. b. Under age 19 is includes those under age 6 (i.e., the first two columns are not mutually exclusive). See footnote 23 for the justification for these age categories. CRS-20 The Uninsured by State and Congressional District Table 7. Percentage Uninsured, by Income by State, 2009 Statea Under 133% of the FPL Between 133% - 400% of the FPL Greater than 400% of the FPL United States 27.7 17.6 5.4 Alabama 26.3 13.5 3.9 Alaska 33.9 27.4 11.7 Arizona 28.0 19.2 7.2 Arkansas 28.1 17.0 5.9 California 29.8 22.7 6.7 Colorado 33.6 18.8 5.2 Connecticut 18.8 13.0 3.7 Delaware 17.1 13.5 4.7 8.3 11.0 4.0 Florida 35.0 23.4 7.6 Georgia 34.8 20.8 6.1 Hawaii 15.1 7.7 3.3 Idaho 30.5 18.0 5.8 Illinois 25.5 15.8 5.2 Indiana 27.9 15.3 4.4 Iowa 19.2 9.4 2.6 Kansas 28.0 14.2 3.8 Kentucky 26.5 14.8 3.7 Louisiana 28.0 19.0 7.1 Maine 15.2 12.9 4.8 Maryland 24.4 15.6 4.8 7.6 6.2 1.9 Michigan 22.1 13.2 4.4 Minnesota 18.1 11.4 3.5 Mississippi 27.4 17.6 6.6 Missouri 25.6 14.0 4.4 Montana 29.5 20.2 7.5 Nebraska 25.6 12.9 3.3 Nevada 41.8 24.3 7.8 New Hampshire 23.0 13.2 4.5 New Jersey 25.7 18.4 5.4 New Mexico 31.1 21.3 7.3 New York 17.5 15.0 5.4 North Carolina 29.8 17.4 4.7 District of Columbia Massachusetts Congressional Research Service 21 The Uninsured by State and Congressional District Statea Under 133% of the FPL Between 133% - 400% of the FPL Greater than 400% of the FPL North Dakota 22.0 10.5 3.4 Ohio 23.4 13.1 4.1 Oklahoma 31.7 19.7 7.0 Oregon 31.8 18.9 5.9 Pennsylvania 18.6 11.7 3.9 Rhode Island 19.7 14.3 5.5 South Carolina 28.7 18.2 5.6 South Dakota 27.3 13.4 3.6 Tennessee 24.8 14.9 4.8 Texas 39.7 26.8 7.9 Utah 30.1 15.0 5.6 Vermont 12.2 11.2 4.6 Virginia 26.5 15.6 3.9 Washington 25.7 16.8 4.9 West Virginia 23.5 14.1 5.5 Wisconsin 19.8 10.1 3.4 Wyoming 29.1 17.8 7.0 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population – all ages. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. Congressional Research Service 22 The Uninsured by State and Congressional District Table 8. Ranking of States by Percentage Uninsured by Income, 2009 (lowest to highest) Under 133% of the FPLa Ranking/State Percent (%) Between 133% - 400% of the FPL Ranking/State Percent (%) Greater than 400% of the FPL Ranking/State Percent (%) 1. Massachusetts 7.6 1. Massachusetts 6.2 1. Massachusetts 1.9 2. District of Columbia 8.3 2. Hawaii 7.7 2. Iowa 2.6 9.4 3. Hawaii 3.3 3. Vermont 12.2 3. Iowa 4. Hawaii 15.1 4. Wisconsin 10.1 3. Nebraska 3.3 5. Maine 15.2 5. North Dakota 10.5 5. North Dakota 3.4 6. Delaware 17.1 6. District of Columbia 11.0 5. Wisconsin 3.4 7. New York 17.5 7. Vermont 11.2 7. Minnesota 3.5 8. Minnesota 18.1 8. Minnesota 11.4 8. South Dakota 3.6 9. Pennsylvania 18.6 9. Pennsylvania 11.7 9. Connecticut 3.7 10. Connecticut 18.8 10. Maine 12.9 9. Kentucky 3.7 11. Iowa 19.2 10. Nebraska 12.9 11. Kansas 3.8 12. Rhode Island 19.7 12. Connecticut 13.0 12. Alabama 3.9 13. Wisconsin 19.8 13. Ohio 13.1 12. Pennsylvania 3.9 14. North Dakota 22.0 14. Michigan 13.2 12. Virginia 3.9 15. Michigan 22.1 14. New Hampshire 13.2 15. District of Columbia 4.0 16. New Hampshire 23.0 16. South Dakota 13.4 16. Ohio 4.1 17. Ohio 23.4 17. Alabama 13.5 17. Indiana 4.4 18. West Virginia 23.5 17. Delaware 13.5 17. Michigan 4.4 19. Maryland 24.4 19. Missouri 14.0 17. Missouri 4.4 20. Tennessee 24.8 20. West Virginia 14.1 20. New Hampshire 4.5 21. Illinois 25.5 21. Kansas 14.2 21. Vermont 4.6 22. Missouri 25.6 22. Rhode Island 14.3 22. Delaware 4.7 22. Nebraska 25.6 23. Kentucky 14.8 22. North Carolina 4.7 24. New Jersey 25.7 24. Tennessee 14.9 24. Maine 4.8 24. Washington 25.7 25. New York 15.0 24. Maryland 4.8 26. Alabama 26.3 25. Utah 15.0 24. Tennessee 4.8 27. Kentucky 26.5 27. Indiana 15.3 27. Washington 4.9 27. Virginia 26.5 28. Maryland 15.6 28. Colorado 5.2 29. South Dakota 27.3 28. Virginia 15.6 28. Illinois 5.2 30. Mississippi 27.4 30. Illinois 15.8 30. New Jersey 5.4 United States 27.7 31. Washington 16.8 30. New York 5.4 31. Indiana 27.9 32. Arkansas 17.0 United States 5.4 Congressional Research Service 23 The Uninsured by State and Congressional District Under 133% of the FPLa Ranking/State Percent (%) Between 133% - 400% of the FPL Ranking/State Percent (%) Greater than 400% of the FPL Ranking/State Percent (%) 32. Arizona 28.0 33. North Carolina 17.4 32. Rhode Island 5.5 32. Kansas 28.0 34. Mississippi 17.6 32. West Virginia 5.5 32. Louisiana 28.0 United States 17.6 34. South Carolina 5.6 35. Arkansas 28.1 35. Wyoming 17.8 34. Utah 5.6 36. South Carolina 28.7 36. Idaho 18.0 36. Idaho 5.8 37. Wyoming 29.1 37. South Carolina 18.2 37. Arkansas 5.9 38. Montana 29.5 38. New Jersey 18.4 37. Oregon 5.9 39. California 29.8 39. Colorado 18.8 39. Georgia 6.1 39. North Carolina 29.8 40. Oregon 18.9 40. Mississippi 6.6 41. Utah 30.1 41. Louisiana 19.0 41. California 6.7 42. Idaho 30.5 42. Arizona 19.2 42. Oklahoma 7.0 43. New Mexico 31.1 43. Oklahoma 19.7 42. Wyoming 7.0 44. Oklahoma 31.7 44. Montana 20.2 44. Louisiana 7.1 45. Oregon 31.8 45. Georgia 20.8 45. Arizona 7.2 46. Colorado 33.6 46. New Mexico 21.3 46. New Mexico 7.3 47. Alaska 33.9 47. California 22.7 47. Montana 7.5 48. Georgia 34.8 48. Florida 23.4 48. Florida 7.6 49. Florida 35.0 49. Nevada 24.3 49. Nevada 7.8 50. Texas 39.7 50. Texas 26.8 50. Texas 7.9 51. Nevada 41.8 51. Alaska 27.4 51. Alaska 11.7 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. Rankings are for the civilian non-institutionalized population. While rankings are based on the point estimates, there is a confidence interval around each estimate and therefore the rankings should be interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available. Columns sorted initially by percent uninsured and then alphabetically. Table 9. Percentage Uninsured by Marital and Employment Status by State, 2009 Statea Single Married Employed Full Timeb Employed Part Time United States 28.2 13.6 14.3 26.5 Alabama 28.5 11.9 12.3 27.1 Alaska 38.3 15.1 18.0 33.4 Arizona 29.5 16.8 17.3 29.0 Arkansas 34.6 17.5 17.1 36.2 California 30.8 18.0 17.3 30.3 Colorado 28.6 13.4 14.1 26.8 Congressional Research Service 24 The Uninsured by State and Congressional District Statea Single Married Employed Full Timeb Employed Part Time Connecticut 18.6 6.8 7.8 16.9 Delaware 19.8 8.7 10.4 19.7 District of Columbia 10.8 4.6 6.8 11.5 Florida 37.0 20.1 21.6 36.1 Georgia 34.4 17.0 17.2 33.3 Hawaii 15.3 5.7 5.4 14.7 Idaho 33.6 16.8 15.8 32.8 Illinois 27.2 11.4 12.5 23.0 Indiana 28.2 11.7 12.1 25.1 Iowa 19.9 6.3 8.4 16.0 Kansas 26.4 10.8 12.3 24.9 Kentucky 29.5 13.3 12.8 28.1 Louisiana 34.5 15.1 19.0 32.0 Maine 21.7 8.4 11.2 21.0 Maryland 22.0 9.0 9.8 21.6 8.9 2.8 4.0 8.0 Michigan 25.8 9.8 11.0 22.2 Minnesota 18.8 6.0 8.2 15.9 Mississippi 33.3 15.9 16.6 34.2 Missouri 26.8 10.9 12.2 24.2 Montana 33.7 15.4 19.2 28.5 Nebraska 25.8 9.4 17.4 21.9 Nevada 36.1 19.0 17.4 35.8 New Hampshire 21.7 7.9 8.9 20.9 New Jersey 25.4 10.3 12.2 21.5 New Mexico 34.6 19.8 21.8 32.1 New York 21.2 10.2 12.1 20.6 North Carolina 31.1 14.5 15.0 30.7 North Dakota 21.9 6.6 9.3 17.8 Ohio 25.6 8.7 10.3 21.8 Oklahoma 35.2 18.0 18.7 35.3 Oregon 32.1 14.5 14.7 29.0 Pennsylvania 20.6 7.4 8.8 18.4 Rhode Island 22.3 8.5 10.8 17.7 South Carolina 32.2 14.2 15.0 30.7 South Dakota 27.3 10.7 13.2 24.5 Tennessee 29.3 12.5 13.3 26.3 Texas 38.4 24.3 23.0 41.2 Massachusetts Congressional Research Service 25 The Uninsured by State and Congressional District Statea Single Employed Full Timeb Married Employed Part Time Utah 26.9 13.5 13.4 23.7 Vermont 19.2 6.0 9.9 17.0 Virginia 23.2 9.7 10.6 23.0 Washington 26.3 11.2 11.2 24.8 West Virginia 30.5 12.8 15.5 29.3 Wisconsin 21.0 6.1 8.5 16.0 Wyoming 30.0 13.7 14.1 30.4 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. Full time is defined as working 30 or more hours a week for 50 or more weeks and part-time is defined as working fewer than 30 hours a week or less than 50 weeks per year. Table 10. Ranking of States by Percentage Uninsured by Marital Status, 2009 (lowest to highest) Single Rank State Married Percent Uninsured (%) Rank State Percent Uninsured (%) 1. Massachusetts 8.9 1. Massachusetts 2.8 2. District of Columbia 10.8 2. District of Columbia 4.6 3. Hawaii 15.3 3. Hawaii 5.7 4. Connecticut 18.6 4. Minnesota 6.0 5. Minnesota 18.8 4 Vermont 6.0 6. Vermont 19.2 6. Wisconsin 6.1 7. Delaware 19.8 7. Iowa 6.3 8. Iowa 19.9 8. North Dakota 6.6 9. Pennsylvania 20.6 9. Connecticut 6.8 10 Wisconsin 21.0 10 Pennsylvania 7.4 11. New York 21.2 11. New Hampshire 7.9 12. Maine 21.7 12. Maine 8.4 12. New Hampshire 21.7 13. Rhode Island 8.5 14. North Dakota 21.9 14. Delaware 8.7 15. Maryland 22.0 14. Ohio 8.7 16. Rhode Island 22.3 16. Maryland 9.0 17. Virginia 23.2 17. Nebraska 9.4 18. New Jersey 25.4 18. Virginia 9.7 19. Ohio 25.6 19. Michigan 9.8 Congressional Research Service 26 The Uninsured by State and Congressional District Single Rank State Married Percent Uninsured (%) Rank State Percent Uninsured (%) 20. Michigan 25.8 20 New York 10.2 20. Nebraska 25.8 21. New Jersey 10.3 22. Washington 26.3 22. South Dakota 10.7 23. Kansas 26.4 23. Kansas 10.8 24. Missouri 26.8 24. Missouri 10.9 25. Utah 26.9 25. Washington 11.2 26. Illinois 27.2 26. Illinois 11.4 27. South Dakota 27.3 27. Indiana 11.7 United States 28.2 28. Alabama 11.9 28. Indiana 28.2 29. Tennessee 12.5 29 Alabama 28.5 30. West Virginia 12.8 30. Colorado 28.6 31. Kentucky 13.3 31. Tennessee 29.3 32. Colorado 13.4 32. Arizona 29.5 33. Utah 13.5 32. Kentucky 29.5 United States 13.6 34. Wyoming 30.0 34. Wyoming 13.7 35. West Virginia 30.5 35. South Carolina 14.2 36. California 30.8 36. North Carolina 14.5 37. North Carolina 31.1 36. Oregon 14.5 38. Oregon 32.1 38. Louisiana 15.1 39 South Carolina 32.2 38 Alaska 15.1 40. Mississippi 33.3 40. Montana 15.4 41. Idaho 33.6 41. Mississippi 15.9 42. Montana 33.7 42. Arizona 16.8 43. Georgia 34.4 42. Idaho 16.8 44. Louisiana 34.5 44. Georgia 17.0 45. Arkansas 34.6 45. Arkansas 17.5 45. New Mexico 34.6 46. California 18.0 47. Oklahoma 35.2 46. Oklahoma 18.0 48. Nevada 36.1 48. Nevada 19.0 49 Florida 37.0 49 New Mexico 19.8 50. Alaska 38.3 50. Florida 20.1 51. Texas 38.4 51. Texas 24.3 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. Congressional Research Service 27 The Uninsured by State and Congressional District Notes: Rankings are for the civilian non-institutionalized population age 18-64. While rankings are based on the point estimates, there is a confidence interval around each estimate and therefore the rankings should be interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available. Columns sorted initially by percent uninsured and then alphabetically. Table 11. Ranking of States by Percentage Uninsured by Employment Status, 2009 (lowest to highest) Employed Full Time Rank State Employed Part Time Percent Uninsured (%) Rank State Percent Uninsured (%) 1. Massachusetts 4.0 1. Massachusetts 2. Hawaii 5.4 2. District of Columbia 11.5 3. District of Columbia 6.8 3. Hawaii 14.7 4. Connecticut 7.8 4. Minnesota 15.9 5. Minnesota 8.2 5. Iowa 16.0 6. Iowa 8.4 5. Wisconsin 16.0 7. Wisconsin 8.5 7. Connecticut 16.9 8. Pennsylvania 8.8 8. Vermont 17.0 9. New Hampshire 8.9 9. Rhode Island 17.7 10 North Dakota 9.3 10 North Dakota 17.8 11. Maryland 9.8 11. Pennsylvania 18.4 12. Vermont 9.9 12. Delaware 19.7 13. Ohio 10.3 13. New York 20.6 14. Delaware 10.4 14. New Hampshire 20.9 15. Virginia 10.6 15. Maine 21.0 16. Rhode Island 10.8 16. New Jersey 21.5 17. Michigan 11.0 17. Maryland 21.6 18. Maine 11.2 18. Ohio 21.8 18. Washington 11.2 19. Nebraska 21.9 20 Indiana 12.1 20 Michigan 22.2 20. New York 12.1 21. Illinois 23.0 22. Missouri 12.2 21. Virginia 23.0 22. New Jersey 12.2 23. Utah 23.7 24. Alabama 12.3 24. Missouri 24.2 24. Kansas 12.3 25. South Dakota 24.5 26. Illinois 12.5 26. Washington 24.8 27. Kentucky 12.8 27. Kansas 24.9 28. South Dakota 13.2 28. Indiana 25.1 29. Tennessee 13.3 29. Tennessee 26.3 Congressional Research Service 8.0 28 The Uninsured by State and Congressional District Employed Full Time Rank State Employed Part Time Percent Uninsured (%) 30. Utah 13.4 31. Colorado 14.1 31. Wyoming Rank State Percent Uninsured (%) United States 26.5 30. Colorado 26.8 14.1 31. Alabama 27.1 United States 14.3 32. Kentucky 28.1 33. Oregon 14.7 33. Montana 28.5 34. North Carolina 15.0 34. Arizona 29.0 34. South Carolina 15.0 34. Oregon 29.0 36. West Virginia 15.5 36. West Virginia 29.3 37. Idaho 15.8 37. California 30.3 38. Mississippi 16.6 38. Wyoming 30.4 39 Arkansas 17.1 39 North Carolina 30.7 40. Georgia 17.2 39. South Carolina 30.7 41. Arizona 17.3 41. Louisiana 32.0 41. California 17.3 42. New Mexico 32.1 43. Nebraska 17.4 43. Idaho 32.8 43. Nevada 17.4 44. Georgia 33.3 45. Alaska 18.0 45. Alaska 33.4 46. Oklahoma 18.7 46. Mississippi 34.2 47. Louisiana 19.0 47. Oklahoma 35.3 48. Montana 19.2 48. Nevada 35.8 49 Florida 21.6 49 Florida 36.1 50. New Mexico 21.8 50. Arkansas 36.2 51. Texas 23.0 51. Texas 41.2 Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau. Notes: Rankings are for the civilian non-institutionalized population age 18-64. While rankings are based on the point estimates, there is a confidence interval around each estimate and therefore the rankings should be interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available. Columns sorted initially by percent uninsured and then alphabetically. The Uninsured: Characteristics by Congressional District (111th Congress) Of the 435 congressional districts, 245 had fewer uninsureds in 2009, as a proportion of their population, than the national average of 15.1% and more than 80 congressional districts had fewer then 10% of their populations uninsured in 2009. Of the 10 congressional districts with the lowest proportion of uninsureds, nine were in Massachusetts. The 4th congressional district in Congressional Research Service 29 The Uninsured by State and Congressional District Massachusetts, an area west and south of Boston, had the lowest proportion of uninsureds in the country with just 3.2% of its population uninsured. The fifth congressional district in Wisconsin, north and west of Milwaukee, was the only non-Massachusetts district among the ten districts with the lowest proportion of uninsureds. There were 12 congressional districts in 2009 where more than 30% of their populations were uninsured: six in Texas (32, 18, 28, 30, 9, and 29), three in California (47, 34, and 31), two in Florida (23 and 17) and one in Arizona (4). California’s 31st congressional district, covering parts of Los Angeles, had the highest proportion of uninsureds of any congressional district with 38.5% uninsured. In the appendix that follows, two tables are presented for each state and the District of Columbia. The first table presents the proportion uninsured in 2009 by gender, age, income, and marital and employment status. The second table presents the proportion of uninsured, estimated by the Census Bureau, for each congressional district in 2009. Both sets of estimates were generated by the Census Bureau based on the 2009 American Community Survey. Congressional Research Service 30 The Uninsured by State and Congressional District Appendix. State and Congressional District Data Tables Alabama Table A-1. Alabama: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,616 637 13.8 - Male 2,400 301 12.5 - Female 2,216 336 15.2 - 373 17 4.5 - Under Age 19 1,194 74 6.2 - Under Age 26 1,640 216 13.2 - Age 19 through 21 206 64 31.0 x Age 21 through 64 2,660 518 19.5 - 624 3 0.5 - Under Age 6 Age 65 and over Poverty Status 4,570 ≤133% FPL 1,140 300 26.3 - >133 to <400% FPL 2,067 279 13.5 - ≥400% + FPL 1,363 53 3.9 - 1,360 388 28.5 x Total Population Age 18-64 Singlec Married 2,868 1,508 179 11.9 - Timed 1,448 178 12.3 - Employed Part Timee 431 117 27.1 x Employed Full Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significant higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 31 The Uninsured by State and Congressional District Table A-2. Alabama: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Alabama Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,616 637 13.8 Congressional District 1 684 107 15.6 + Congressional District 2 661 91 13.7 - Congressional District 3 661 97 14.6 - Congressional District 4 652 100 15.4 + Congressional District 5 703 90 12.8 - Congressional District 6 735 68 9.2 - Congressional District 7 612 97 15.9 + Source: U.S. Census Bureau, 2009 American Community Survey (ACS). a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 32 The Uninsured by State and Congressional District Alaska Table A-3. Alaska: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 678 143 21.1 + Male 334 63 19.0 + Female 344 80 23.1 + Under Age 6 64 9 13.7 + Under Age 19 198 29 14.6 + Under Age 26 273 58 21.2 + Age 19 through 21 34 12 36.5 + Age 21 through 64 406 105 26.0 + 0.7 x Age 65 and over 51 0.4 Poverty Status 669 ≤133% FPL 91 31 33.9 + >133 to <400% FPL 276 76 27.4 + ≥400% + FPL 303 35 11.7 + Total Population Age 18-64 444 Singlec 219 84 38.3 + Married 225 34 15.1 x Employed Full Timed 212 38 18.0 + Employed Part Timee 105 35 33.4 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 33 The Uninsured by State and Congressional District Table A-4. Alaska: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Alaska 678 143 21.1 At Large Alaska 678 143 21.1 Above (+), At (x), or Below (-) National Averageb + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 34 The Uninsured by State and Congressional District Arizona Table A-5. Arizona: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,502 1,127 17.3 + Male 3,269 497 15.2 + Female 3,233 629 19.5 + 616 62 10.0 + Under Age 19 1,821 232 12.7 + Under Age 26 2,428 437 18.0 + Age 19 through 21 260 88 33.9 + Age 21 through 64 3,653 827 22.6 + 854 11 1.3 + Under Age 6 Age 65 and over Poverty Status 6,459 ≤133% FPL 1,519 425 28.0 x >133 to <400% FPL 2,853 547 19.2 + ≥400% + FPL 2,087 150 7.2 + Total Population Age 18-64 3,918 Singlec 1,964 579 29.5 + Married 1,953 329 16.8 + Employed Full Timed 2,006 348 17.3 + Employed Part Timee 651 189 29.0 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 35 The Uninsured by State and Congressional District Table A-6. Arizona: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Arizona Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,502 1,127 17.3 Congressional District 1 758 130 17.1 + Congressional District 2 957 144 15.0 - Congressional District 3 758 121 16.0 + Congressional District 4 761 234 30.7 + Congressional District 5 726 107 14.7 - Congressional District 6 974 137 14.1 - Congressional District 7 892 187 20.9 + Congressional District 8 768 84 10.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 36 The Uninsured by State and Congressional District Arkansas Table A-7. Arkansas: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,833 483 17.0 + Male 1,457 233 16.0 + Female 1,376 250 18.1 + Under Age 6 242 12 5.1 - Under Age 19 750 53 7.0 - Under Age 26 1,017 158 15.5 x Age 19 through 21 121 46 38.4 + Age 21 through 64 1,611 396 24.6 + 392 2 0.5 - 758 213 28.1 x 1,308 222 17.0 x 732 43 5.9 x Age 65 and over Poverty Status ≤133% FPL >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 2,798 1,735 Singlec 776 269 34.6 + Married 959 168 17.5 + Employed Full Timed 901 154 17.1 + Employed Part Timee 276 100 36.2 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 37 The Uninsured by State and Congressional District Table A-8. Arkansas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Arkansas Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,833 483 17.0 Congressional District 1 679 115 16.9 + Congressional District 2 737 108 14.7 - Congressional District 3 819 150 18.3 + Congressional District 4 655 120 18.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 38 The Uninsured by State and Congressional District California Table A-9.California: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 36,377 6,559 18.0 + Male 18,305 2,914 15.9 + Female 18,072 3,645 20.2 + Under Age 6 3,246 228 7.0 x Under Age 19 9,985 997 10.0 + Under Age 26 13,603 2,311 17.0 + Age 19 through 21 1,591 544 34.2 + Age 21 through 64 21,300 5,137 24.1 + 4,024 73 1.8 + Age 65 and over Poverty Status 36,089 ≤133% FPL 7,542 2,249 29.8 + >133 to <400% FPL 14,788 3,360 22.7 + ≥400% + FPL 13,759 924 6.7 + 11,435 3,523 30.8 + Total Population Age 18-64 Singlec Married 22,930 11,495 2,073 18.0 + Employed Full Timed 11,503 1,992 17.3 + Employed Part Timee 4,249 1,286 30.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 39 The Uninsured by State and Congressional District Table A-10.California: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District California Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 36,377 6,559 18.0 Congressional District 1 695 104 14.9 - Congressional District 2 713 117 16.4 + Congressional District 3 760 90 11.8 - Congressional District 4 769 81 10.5 - Congressional District 5 703 112 15.9 + Congressional District 6 649 79 12.1 - Congressional District 7 672 106 15.7 + Congressional District 8 675 85 12.6 - Congressional District 9 649 94 14.5 - Congressional District 10 703 74 10.5 - Congressional District 11 760 89 11.7 - Congressional District 12 644 59 9.1 - Congressional District 13 650 82 12.6 - Congressional District 14 656 68 10.3 - Congressional District 15 681 74 10.8 - Congressional District 16 686 106 15.5 + Congressional District 17 653 127 19.4 + Congressional District 18 714 149 20.9 + Congressional District 19 751 133 17.7 + Congressional District 20 724 187 25.8 + Congressional District 21 767 150 19.6 + Congressional District 22 763 116 15.2 + Congressional District 23 662 130 19.6 + Congressional District 24 677 89 13.2 - Congressional District 25 819 134 16.4 + Congressional District 26 700 97 13.8 - Congressional District 27 674 138 20.4 + Congressional District 28 669 182 27.2 + Congressional District 29 658 115 17.5 + Congressional District 30 644 63 9.8 - Congressional District 31 630 242 38.5 + Congressional District 32 645 152 23.6 + Congressional Research Service 40 The Uninsured by State and Congressional District Congressional District Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb Congressional District 33 644 183 28.4 + Congressional District 34 646 223 34.5 + Congressional District 35 673 179 26.6 + Congressional District 36 677 116 17.2 + Congressional District 37 644 146 22.6 + Congressional District 38 639 161 25.2 + Congressional District 39 657 156 23.8 + Congressional District 49 676 129 19.1 + Congressional District 41 783 131 16.7 + Congressional District 42 668 77 11.5 - Congressional District 43 721 195 27.0 + Congressional District 44 825 151 18.3 + Congressional District 45 898 198 22.0 + Congressional District 46 656 84 12.8 - Congressional District 47 639 213 33.3 + Congressional District 48 724 76 10.5 - Congressional District 49 777 148 19.0 + Congressional District 50 752 99 13.2 - Congressional District 51 732 169 23.1 + Congressional District 52 674 86 12.7 - Congressional District 53 638 126 19.7 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 41 The Uninsured by State and Congressional District Colorado Table A-11.Colorado: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,930 778 15.8 + Male 2,473 339 13.7 x Female 2,457 439 17.8 + 433 35 8.2 + Under Age 19 1,299 138 10.6 + Under Age 26 1,781 292 16.4 + Age 19 through 21 206 60 29.1 x Age 21 through 64 2,979 596 20.0 x 517 5 1.0 x 889 298 33.6 - >133 to <400% FPL 1,978 372 18.8 + ≥400% + FPL 2,025 105 5.2 x 1,453 415 28.6 x Under Age 6 Age 65 and over Poverty Status 4,892 ≤133% FPL Total Population Age 18-64 Singlec Married 3,188 1,735 233 13.4 x Employed Full Timed 11,503 248 14.1 x Employed Part Timee 4,249 161 26.8 x Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 42 The Uninsured by State and Congressional District Table A-12.Colorado: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Colorado Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,930 778 15.8 Congressional District 1 671 133 19.9 + Congressional District 2 732 105 14.4 - Congressional District 3 700 139 19.8 + Congressional District 4 731 117 16 + Congressional District 5 708 100 14.1 - Congressional District 6 808 63 7.8 - Congressional District 7 676 136 20.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 43 The Uninsured by State and Congressional District Connecticut Table A-13.Connecticut: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,457 305 8.8 - Male 1,778 125 7.0 - Female 1,679 180 10.7 - Under Age 6 250 9 3.7 - Under Age 19 860 35 4.0 - Under Age 26 1,181 101 8.6 - Age 19 through 21 154 27 17.8 - Age 21 through 64 2,030 249 12.3 - 460 3 0.7 - 438 83 18.8 - >133 to <400% FPL 1,191 155 13.0 - ≥400% + FPL 1,774 66 3.7 - 1,034 193 18.6 - Age 65 and over Poverty Status 3,404 ≤133% FPL Total Population Age 18-64 Singlec Married 2,190 1,156 79 6.8 - Employed Full Timed 1,207 94 7.8 - Employed Part Timee 423 71 16.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 44 The Uninsured by State and Congressional District Table A-14.Connecticut: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Connecticut Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,457 305 8.8 Congressional District 1 698 59 8.5 - Congressional District 2 721 50 6.9 - Congressional District 3 698 62 8.9 - Congressional District 4 696 76 10.9 - Congressional District 5 705 63 9.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 45 The Uninsured by State and Congressional District Delaware Table A-15.Delaware: Characteristics of the Uninsured, 2009 Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 869 89 10.2 - Male 451 38 8.5 x Female 418 51 12.1 - Under Age 6 70 3 4.6 - Under Age 19 222 12 5.6 - Under Age 26 298 31 10.3 - Age 19 through 21 34 7 21.8 - Age 21 through 64 504 71 14.2 - Age 65 and over 121 1 0.6 x Total Populationa (in thousands) Total Population Poverty Status 856 ≤133% FPL 137 24 17.1 - >133 to <400% FPL 357 48 13.5 - ≥400% + FPL 362 17 4.7 x 269 53 19.8 - Total Population Age 18-64 Singlec Married 541 272 24 8.7 - Employed Full Timed 298 31 10.4 - Employed Part Timee 94 19 19.7 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 46 The Uninsured by State and Congressional District Table A-16.Delaware: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands)1 Number Uninsured (in thousands) Percent Uninsured Delaware 869 89 10.2 At Large Delaware 869 89 10.2 Above (+), At (x), or Below (-) National Averageb - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 47 The Uninsured by State and Congressional District District of Columbia Table A-17.District of Columbia: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 589 41 7.0 - Male 314 17 5.3 - Female 276 25 9.0 - Under Age 6 43 1 1.7 - Under Age 19 126 4 3.4 - Under Age 26 200 13 6.8 - Age 19 through 21 32 3 9.7 - Age 21 through 64 373 35 9.4 - 66 0 0.7 x Age 65 and over Poverty Status 568 ≤133% FPL 131 11 8.3 - >133 to <400% FPL 180 20 11.0 - ≥400% + FPL 257 10 4.0 - 306 33 10.8 - Total Population Age 18-64 Singlec Married 410 104 5 4.6 - Employed Full Timed 221 15 6.8 - Employed Part Timee 58 7 11.5 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 48 The Uninsured by State and Congressional District Table A-18.District of Columbia; Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured District of Columbia 589 41 7.0 At Large District of Columbia 589 41 7.0 Above (+), At (x), or Below (-) National Averageb - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 49 The Uninsured by State and Congressional District Florida Table A-19.Florida: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 18,193 3,795 20.9 + Male 9,336 1,750 18.7 + Female 8,857 2,045 23.1 + Under Age 6 1,364 165 12.1 + Under Age 19 4,294 659 15.3 + Under Age 26 5,924 1,321 22.3 + Age 19 through 21 730 292 40.0 + Age 21 through 64 10,299 2,910 28.3 + 3,118 40 1.3 + Age 65 and over Poverty Status 18,070 ≤133% FPL 3,950 1,382 35.0 + >133 to <400% FPL 8,389 1,964 23.4 + ≥400% + FPL 5,731 435 7.6 + 5,561 2,056 37.0 + Total Population Age 18-64 Singlec Married 11,024 5,463 1,099 20.1 + Employed Full Timed 5,759 1,241 21.6 + Employed Part Timee 1,775 641 36.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 50 The Uninsured by State and Congressional District Table A-20.Florida: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Florida Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 18,193 3,795 20.9 Congressional District 1 697 127 18.2 + Congressional District 2 717 123 17.2 + Congressional District 3 648 169 26.1 + Congressional District 4 736 121 16.4 + Congressional District 5 926 155 16.7 + Congressional District 6 810 126 15.6 + Congressional District 7 805 143 17.8 + Congressional District 8 789 162 20.5 + Congressional District 9 754 123 16.3 + Congressional District 10 629 112 17.8 + Congressional District 11 672 155 23.0 + Congressional District 12 789 147 18.7 + Congressional District 13 750 134 17.8 + Congressional District 14 829 162 19.6 + Congressional District 15 795 160 20.1 + Congressional District 16 773 149 19.3 + Congressional District 17 650 212 32.6 + Congressional District 18 713 202 28.3 + Congressional District 19 724 141 19.4 + Congressional District 20 687 138 20.1 + Congressional District 21 671 190 28.4 + Congressional District 22 708 140 19.8 + Congressional District 23 673 207 30.8 + Congressional District 24 767 130 17.0 + Congressional District 25 826 240 29.0 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 51 The Uninsured by State and Congressional District Georgia Table A-21.Georgia: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,594 1,836 19.1 + Male 4,950 853 17.2 + Female 4,644 984 21.2 + 885 81 9.2 + Under Age 19 2,735 316 11.6 + Under Age 26 3,671 685 18.7 + Age 19 through 21 421 157 37.3 + Age 21 through 64 5,592 1,401 25.1 + 975 12 1.2 + Under Age 6 Age 65 and over Poverty Status 9,485 ≤133% FPL 2,233 778 34.8 + >133 to <400% FPL 4,101 853 20.8 + ≥400% + FPL 3,152 194 6.1 + 2,954 1,936 34.4 + Total Population Age 18-64 Singlec Married 6,044 3,089 526 17.0 + Employed Full Timed 3,180 548 17.2 + Employed Part Timee 943 314 33.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 52 The Uninsured by State and Congressional District Table A-22.Georgia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Georgia Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,594 1,836 19.1 Congressional District 1 693 147 21.2 + Congressional District 2 639 123 19.3 + Congressional District 3 799 109 13.6 - Congressional District 4 703 191 27.2 + Congressional District 5 765 161 21.1 + Congressional District 6 754 109 14.5 - Congressional District 7 925 179 19.4 + Congressional District 8 698 115 16.5 + Congressional District 9 817 158 19.4 + Congressional District 10 731 125 17.1 + Congressional District 11 809 139 17.2 + Congressional District 12 690 136 19.7 + Congressional District 13 806 189 23.4 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 53 The Uninsured by State and Congressional District Hawaii Table A-23. Hawaii: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,232 86 7.0 - Male 626 36 5.8 - Female 606 50 8.2 - Under Age 6 103 1 1.4 - Under Age 19 306 9 2.9 - Under Age 26 411 27 6.6 - Age 19 through 21 39 6 15.3 - Age 21 through 64 718 72 10.0 - Age 65 and over 181 1 0.8 x Poverty Status 1,223 ≤133% FPL 185 28 15.1 - >133 to <400% FPL 517 40 7.7 - ≥400% + FPL 521 17 3.3 - 353 54 15.3 - Total Population Age 18-64 Singlec Married 763 410 23 5.7 - Employed Full Timed 433 23 5.4 - Employed Part Timee 137 20 14.7 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 54 The Uninsured by State and Congressional District Table A-24. Hawaii: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Hawaii Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,232 86 7.0 Congressional District 1 641 37 5.7 - Congressional District 2 654 54 8.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 55 The Uninsured by State and Congressional District Idaho Table A-25.Idaho: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,521 264 17.4 + Male 761 122 16.0 + Female 760 143 18.8 + Under Age 6 148 11 7.2 x Under Age 19 444 53 11.8 + Under Age 26 600 103 17.2 + Age 19 through 21 64 21 32.8 x Age 21 through 64 856 197 23.0 + Age 65 and over 178 1 0.7 x Poverty Status 1,507 ≤133% FPL 334 102 30.5 + >133 to <400% FPL 764 138 18.0 x ≥400% + FPL 409 24 5.8 x 363 122 33.6 + Total Population Age 18-64 Singlec Married 924 561 94 16.8 + Employed Full Timed 458 72 15.8 + Employed Part Timee 190 62 32.8 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 56 The Uninsured by State and Congressional District Table A-26.Idaho: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Idaho Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,521 264 17.4 Congressional District 1 825 141 17.1 + Congressional District 2 721 128 17.7 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 57 The Uninsured by State and Congressional District Illinois Table A-27.Illinois: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 12,720 1,694 13.3 - Male 6,477 740 11.4 - Female 6,242 954 15.3 - Under Age 6 1,056 36 3.4 - Under Age 19 3,363 166 4.9 - Under Age 26 4,626 546 11.8 - Age 19 through 21 561 160 28.5 - Age 21 through 64 7,460 1,404 18.8 - Age 65 and over 1,517 19 1.3 + Poverty Status 12,559 ≤133% FPL 2,397 611 25.5 - >133 to <400% FPL 5,133 810 15.8 - ≥400% + FPL 5,029 263 5.2 x 3,919 1,065 27.2 - Total Population Age 18-64 Singlec Married 8,034 4,115 468 11.4 - Employed Full Timed 4,269 534 12.5 - Employed Part Timee 1,440 331 23.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 58 The Uninsured by State and Congressional District Table A-28.Illinois: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Illinois Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 12,720 1,694 13.3 Congressional District 1 616 103 16.8 + Congressional District 2 618 112 18.2 + Congressional District 3 667 103 15.4 + Congressional District 4 607 158 26.1 + Congressional District 5 693 116 16.7 + Congressional District 6 651 73 11.2 - Congressional District 7 631 108 17.2 + Congressional District 8 734 81 11.1 - Congressional District 9 646 106 16.4 + Congressional District 10 666 68 10.2 - Congressional District 11 777 88 11.3 - Congressional District 12 659 80 12.1 - Congressional District 13 769 67 8.7 - Congressional District 14 831 107 12.9 - Congressional District 15 667 63 9.4 - Congressional District 16 733 92 12.5 - Congressional District 17 621 71 11.4 - Congressional District 18 659 59 8.9 - Congressional District 19 666 62 9.3 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 59 The Uninsured by State and Congressional District Indiana Table A-29.Indiana: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,316 901 14.3 - Male 3,216 410 12.7 - Female 3,100 491 15.8 - 528 44 8.3 + Under Age 19 1,677 153 9.1 x Under Age 26 2,303 343 14.9 x Age 19 through 21 284 76 26.6 - Age 21 through 64 3,663 693 18.9 - 784 3 0.4 - Under Age 6 Age 65 and over Poverty Status 6,222 ≤133% FPL 1,262 352 27.9 x >133 to <400% FPL 2,958 454 15.3 - ≥400% + FPL 2,002 89 4.4 - 1,793 506 28.2 x Total Population Age 18-64 Singlec Married 3,949 2,156 252 11.7 - Employed Full Timed 2,048 249 12.1 - Employed Part Timee 727 182 25.1 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 60 The Uninsured by State and Congressional District Table A-30.Indiana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Indiana Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,316 901 14.3 Congressional District 1 703 93 13.2 - Congressional District 2 678 102 15.0 - Congressional District 3 723 121 16.8 + Congressional District 4 794 94 11.9 - Congressional District 5 797 88 11.1 - Congressional District 6 673 97 14.4 - Congressional District 7 669 128 19.1 + Congressional District 8 680 96 14.1 - Congressional District 9 707 98 13.8 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 61 The Uninsured by State and Congressional District Iowa Table A-31.Iowa: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,957 255 8.6 - Male 1,497 114 7.6 - Female 1,460 140 9.6 - Under Age 6 236 10 4.1 - Under Age 19 754 37 4.9 - Under Age 26 1,063 99 9.3 - Age 19 through 21 142 26 18.4 - Age 21 through 64 1,690 201 11.9 - 415 0 0.1 - 508 98 19.2 - >133 to <400% FPL 1,369 128 9.4 - ≥400% + FPL 1,025 26 2.6 - 785 156 19.9 - Age 65 and over Poverty Status 2,902 ≤133% FPL Total Population Age 18-64 Singlec Married 1,835 1,051 66 6.3 - Employed Full Timed 1,100 92 8.4 - Employed Part Timee 350 56 16.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 62 The Uninsured by State and Congressional District Table A-32.Iowa: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Iowa Total Populationa (in thousands)1 Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,957 255 8.6 Congressional District 1 594 49 8.3 - Congressional District 2 617 59 9.5 - Congressional District 3 637 50 7.9 - Congressional District 4 594 45 7.5 - Congressional District 5 566 57 10.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 63 The Uninsured by State and Congressional District Kansas Table A-33.Kansas: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,757 363 13.2 - Male 1,397 168 12.0 - Female 1,360 194 14.3 - Under Age 6 240 18 7.4 x Under Age 19 744 65 8.7 x Under Age 26 1,041 144 13.9 - Age 19 through 21 128 31 23.8 - Age 21 through 64 1,587 275 17.3 - 342 2 0.5 - 529 148 28.0 x 1,222 174 14.2 - 966 37 3.8 - 758 200 26.4 - Age 65 and over Poverty Status 2,717 ≤133% FPL >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 Singlec Married 1,714 956 103 10.8 - Employed Full Timed 991 121 12.3 - Employed Part Timee 304 76 24.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 64 The Uninsured by State and Congressional District Table A-34.Kansas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Population (in thousands)a Kansas Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,757 363 13.2 Congressional District 1 644 89 13.8 - Congressional District 2 702 84 12.0 - Congressional District 3 768 100 13.0 - Congressional District 4 705 97 13.8 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 65 The Uninsured by State and Congressional District Kentucky Table A-35.Kentucky: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,225 613 14.5 - Male 2,174 293 13.5 x Female 2,051 320 15.6 - 343 18 5.4 - Under Age 19 1,075 74 6.9 - Under Age 26 1,472 210 14.3 - Age 19 through 21 180 64 35.5 + Age 21 through 64 2,482 493 19.9 x 544 3 0.5 - Under Age 6 Age 65 and over Poverty Status 4,173 ≤133% FPL 1,065 282 26.5 - >133 to <400% FPL 1,899 280 14.8 - ≥400% + FPL 1,209 45 3.7 - 1,176 347 29.5 + Total Population Age 18-64 Singlec Married 2,666 1,490 199 13.3 x Employed Full Timed 1,316 169 12.8 - Employed Part Timee 433 122 28.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 66 The Uninsured by State and Congressional District Table A-36.Kentucky: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Kentucky Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,225 613 14.5 Congressional District 1 686 103 15.0 - Congressional District 2 746 110 14.7 - Congressional District 3 705 85 12.0 - Congressional District 4 733 98 13.4 - Congressional District 5 681 124 18.2 + Congressional District 6 764 107 14.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 67 The Uninsured by State and Congressional District Louisiana Table A-37.Louisiana: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,392 762 17.4 + Male 2,280 379 16.6 + Female 2,111 383 18.2 + 384 18 4.8 - Under Age 19 1,191 85 7.2 - Under Age 26 1,647 246 15.0 x Age 19 through 21 204 67 32.8 + Age 21 through 64 2,537 629 24.8 + 527 4 0.8 x Under Age 6 Age 65 and over Poverty Status 4,352 ≤133% FPL 1,078 302 28.0 x >133 to <400% FPL 1,887 358 19.0 + ≥400% + FPL 1,388 99 7.1 + 1,398 483 34.5 + Total Population Age 18-64 Singlec Married 2,745 1,346 203 15.1 + Employed Full Timed 1,459 277 19.0 + Employed Part Timee 430 138 32.0 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 68 The Uninsured by State and Congressional District Table A-38.Louisiana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Louisiana Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,392 762 17.4 Congressional District 1 685 107 15.6 + Congressional District 2 511 123 24.0 + Congressional District 3 631 101 16.0 + Congressional District 4 652 113 17.3 + Congressional District 5 638 129 20.2 + Congressional District 6 710 107 15.1 x Congressional District 7 665 101 15.2 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 69 The Uninsured by State and Congressional District Maine Table A-39.Maine: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,301 137 10.5 - Male 668 58 8.7 - Female 633 79 12.5 - Under Age 6 85 4 5.0 - Under Age 19 290 17 5.8 - Under Age 26 404 46 11.5 - Age 19 through 21 56 12 20.7 - Age 21 through 64 777 114 14.6 - Age 65 and over 197 0 0.2 - Poverty Status 1,278 ≤133% FPL 241 37 15.2 - >133 to <400% FPL 614 79 12.9 - ≥400% + FPL 423 20 4.8 x 385 84 21.7 - Total Population Age 18-64 Singlec Married 834 449 38 8.4 - Employed Full Timed 443 50 11.2 - Employed Part Timee 168 35 21.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 70 The Uninsured by State and Congressional District Table A-40.Maine: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Maine Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,301 137 10.5 Congressional District 1 673 65 9.7 - Congressional District 2 646 74 11.4 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 71 The Uninsured by State and Congressional District Maryland Table A-41.Maryland: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,590 621 11.1 - Male 2,899 273 9.4 - Female 2,691 348 12.9 - 449 14 3.1 - Under Age 19 1,433 73 5.1 - Under Age 26 1,960 205 10.5 - Age 19 through 21 227 52 22.7 - Age 21 through 64 3,335 511 15.3 - 667 6 0.8 x 715 175 24.4 - >133 to <400% FPL 1,946 304 15.6 - ≥400% + FPL 2,867 137 4.8 - 1,759 387 22.0 - Under Age 6 Age 65 and over Poverty Status 5,527 ≤133% FPL Total Population Age 18-64 Singlec Married 3,574 1,815 164 9.0 - Employed Full Timed 2,102 206 9.8 - Employed Part Timee 599 129 21.6 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 72 The Uninsured by State and Congressional District Table A-42.Maryland: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Maryland Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,590 621 11.1 Congressional District 1 726 68 9.4 - Congressional District 2 703 82 11.6 - Congressional District 3 717 79 11.0 - Congressional District 4 695 99 14.2 - Congressional District 5 755 74 9.8 - Congressional District 6 730 64 8.7 - Congressional District 7 649 73 11.2 - Congressional District 8 725 96 13.3 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 73 The Uninsured by State and Congressional District Massachusetts Table A-43.Massachusetts: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,496 271 4.2 - Male 3,345 104 3.1 - Female 3,151 168 5.3 - 464 5 1.2 - Under Age 19 1,540 23 1.5 - Under Age 26 2,184 85 3.9 - Age 19 through 21 299 22 7.4 - Age 21 through 64 3,913 233 5.9 - 842 2 0.2 - 924 70 7.6 - >133 to <400% FPL 2,211 137 6.2 - ≥400% + FPL 3,224 61 1.9 - 2,158 192 8.9 - Under Age 6 Age 65 and over Poverty Status 6,359 ≤133% FPL Total Population Age 18-64 Singlec Married 4,224 2,066 57 2.8 - Employed Full Timed 2,102 91 4.0 - Employed Part Timee 599 66 8.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 74 The Uninsured by State and Congressional District Table A-44.Massachusetts: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Massachusetts Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,496 271 4.2 Congressional District 1 646 25 3.9 - Congressional District 2 668 25 3.7 - Congressional District 3 667 25 3.8 - Congressional District 4 651 21 3.2 - Congressional District 5 654 25 3.8 - Congressional District 6 660 23 3.5 - Congressional District 7 647 34 5.3 - Congressional District 8 684 45 6.6 - Congressional District 9 660 23 3.5 - Congressional District 10 658 29 4.4 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 75 The Uninsured by State and Congressional District Michigan Table A-45.Michigan: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,835 1,203 12.2 - Male 5,024 527 10.5 - Female 4,811 675 14.0 - 739 28 3.7 - Under Age 19 2,500 128 5.1 - Under Age 26 3,450 402 11.6 - Age 19 through 21 450 118 26.3 - Age 21 through 64 5,741 997 17.4 - Age 65 and over 1,289 6 0.5 - Under Age 6 Poverty Status 9,729 ≤133% FPL 2,172 481 22.1 - >133 to <400% FPL 4,345 573 13.2 - ≥400% + FPL 3,211 142 4.4 - 2,996 774 25.8 - Total Population Age 18-64 Singlec Married 6,203 3,207 316 9.8 - Employed Full Timed 2,840 312 11.0 - Employed Part Timee 1,199 266 22.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 76 The Uninsured by State and Congressional District Table A-46.Michigan: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Michigan Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,835 1,203 12.2 Congressional District 1 646 81 12.6 - Congressional District 2 695 80 11.5 - Congressional District 3 701 81 11.5 - Congressional District 4 674 81 12.0 - Congressional District 5 637 71 11.2 - Congressional District 6 676 89 13.2 - Congressional District 7 680 78 11.5 - Congressional District 8 705 68 9.6 - Congressional District 9 654 67 10.3 - Congressional District 10 716 80 11.2 - Congressional District 11 656 68 10.4 - Congressional District 12 638 85 13.4 - Congressional District 13 624 110 17.7 + Congressional District 14 613 101 16.5 + Congressional District 15 656 76 11.6 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 77 The Uninsured by State and Congressional District Minnesota Table A-47.Minnesota: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,197 473 9.1 - Male 2,618 205 7.8 - Female 2,579 268 10.4 - 430 23 5.3 - Under Age 19 1,336 90 6.7 - Under Age 26 1,844 198 10.7 - Age 19 through 21 218 44 20.1 - Age 21 through 64 3,085 351 11.4 - 629 2 0.3 - 812 147 18.1 - >133 to <400% FPL 2,156 246 11.4 - ≥400% + FPL 2,161 75 3.5 - 1,474 277 18.8 - Under Age 6 Age 65 and over Poverty Status 5,129 ≤133% FPL Total Population Age 18-64 Singlec Married 3,312 1,838 110 6.0 - Employed Full Timed 1,906 157 8.2 - Employed Part Timee 657 104 15.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 78 The Uninsured by State and Congressional District Table A-48.Minnesota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Population (in thousands)a Minnesota Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,197 473 9.1 Congressional District 1 635 50 7.9 - Congressional District 2 731 62 8.5 - Congressional District 3 652 46 7.1 - Congressional District 4 614 64 10.5 - Congressional District 5 619 74 12.0 - Congressional District 6 749 56 7.5 - Congressional District 7 615 59 9.6 - Congressional District 8 651 66 10.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 79 The Uninsured by State and Congressional District Mississippi Table A-49.Mississippi: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,880 514 17.9 + Male 1,493 243 16.3 + Female 1,387 271 19.5 + Under Age 6 261 23 8.7 + Under Age 19 817 89 10.9 + Under Age 26 1,111 198 17.8 + Age 19 through 21 144 52 36.2 + Age 21 through 64 1,609 389 24.2 + 357 1 0.2 - 856 234 27.4 x 1,288 226 17.6 x 691 46 6.6 + 888 296 33.3 + Age 65 and over Poverty Status 2,835 ≤133% FPL >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 Singlec Married 1,759 871 139 15.9 + Employed Full Timed 876 145 16.6 + Employed Part Timee 262 90 34.2 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 80 The Uninsured by State and Congressional District Table A-50.Mississippi: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Mississippi Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,880 514 17.9 Congressional District 1 778 132 16.9 + Congressional District 2 670 127 18.9 + Congressional District 3 764 125 16.3 + Congressional District 4 740 145 19.6 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 81 The Uninsured by State and Congressional District Missouri Table A-51.Missouri: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,871 774 13.2 - Male 3,014 361 12.0 - Female 2,857 413 14.5 - 480 28 5.9 - Under Age 19 1,515 111 7.3 - Under Age 26 2,083 273 13.1 - Age 19 through 21 247 72 29.3 x Age 21 through 64 3,412 614 18.0 - 781 3 0.4 - Under Age 6 Age 65 and over Poverty Status 5,805 ≤133% FPL 1,217 312 25.6 - >133 to <400% FPL 2,684 374 14.0 - ≥400% + FPL 1,904 83 4.4 - 1,713 460 26.8 - Total Population Age 18-64 Singlec Married 3,664 1,951 212 10.9 - Employed Full Timed 1,987 243 12.2 - Employed Part Timee 633 154 24.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 82 The Uninsured by State and Congressional District Table A-52.Missouri: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Missouri Total Population (in thousands)a Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,871 774 13.2 Congressional District 1 598 84 14.1 - Congressional District 2 698 45 6.4 - Congressional District 3 655 78 11.9 - Congressional District 4 661 98 14.8 - Congressional District 5 667 116 17.4 + Congressional District 6 698 76 10.9 - Congressional District 7 708 113 15.9 + Congressional District 8 634 103 16.2 + Congressional District 9 670 78 11.6 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 83 The Uninsured by State and Congressional District Montana Table A-53.Montana: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 958 174 18.2 + Male 482 83 17.2 + Female 475 92 19.3 + Under Age 6 72 9 12.7 + Under Age 19 238 31 13.1 + Under Age 26 336 65 19.2 + Age 19 through 21 45 14 31.9 x Age 21 through 64 555 134 24.1 + Age 65 and over 134 0 0.3 - Poverty Status 943 ≤133% FPL 209 62 29.5 x >133 to <400% FPL 447 90 20.2 + ≥400% + FPL 287 21 7.5 + 287 97 33.7 + Total Population Age 18-64 Singlec Married 603 315 49 15.4 + Employed Full Timed 310 59 19.2 + Employed Part Timee 123 35 28.5 x Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 84 The Uninsured by State and Congressional District Table A-54.Montana: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Montana 958 174 18.2 At Large Montana 958 174 18.2 Above (+), At (x), or Below (-) National Averageb + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 85 The Uninsured by State and Congressional District Nebraska Table A-55. .Nebraska: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,763 210 11.9 - Male 890 97 10.9 - Female 873 114 13.0 - Under Age 6 161 8 5.2 - Under Age 19 473 31 6.6 - Under Age 26 661 83 12.6 - Age 19 through 21 81 22 26.7 - Age 21 through 64 1,010 164 16.2 - 227 1 0.6 - Age 65 and over Poverty Status 1,733 ≤133% FPL 324 83 25.6 - >133 to <400% FPL 826 107 12.9 - ≥400% + FPL 584 19 3.3 - 480 124 25.8 - Total Population Age 18-64 Singlec Married 1,091 611 57 9.4 - Employed Full Timed 665 156 17.4 - Employed Part Timee 202 44 21.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 86 The Uninsured by State and Congressional District Table A-56.Nebraska: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Nebraska Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,763 210 11.9 Congressional District 1 611 64 10.4 - Congressional District 2 632 84 13.3 - Congressional District 3 553 66 12.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 87 The Uninsured by State and Congressional District Nevada Table A-57.Nevada: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,610 572 21.9 + Male 1,289 263 20.4 + Female 1,321 309 23.4 + Under Age 6 239 40 16.8 + Under Age 19 717 132 18.4 + Under Age 26 946 234 24.8 + Age 19 through 21 93 46 49.0 + Age 21 through 64 1,529 403 26.4 + 303 6 1.9 + 488 204 41.8 + 1,214 295 24.3 + 894 70 7.8 + 796 287 36.1 + Age 65 and over Poverty Status 2,597 ≤133% FPL >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 Singlec Married 1,625 829 158 19.0 + Employed Full Timed 898 156 17.4 + Employed Part Timee 255 92 35.8 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 88 The Uninsured by State and Congressional District Table A-58.Nevada: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Nevada Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,610 572 21.9 Congressional District 1 810 211 26.1 + Congressional District 2 831 176 21.2 + Congressional District 3 1002 191 19.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 89 The Uninsured by State and Congressional District New Hampshire Table A-59.New Hampshire: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,309 134 10.2 - Male 663 60 9.0 - Female 646 74 11.5 - Under Age 6 88 3 3.1 - Under Age 19 310 15 4.9 - Under Age 26 436 44 10.1 - Age 19 through 21 58 13 22.3 - Age 21 through 64 789 110 13.9 - Age 65 and over 169 0 0.3 - Poverty Status 1,284 ≤133% FPL 153 35 23.0 - >133 to <400% FPL 542 71 13.2 - ≥400% + FPL 589 26 4.5 - 382 37 21.7 - Total Population Age 18-64 Singlec Married 851 469 83 7.9 - Employed Full Timed 479 43 8.9 - Employed Part Timee 170 36 20.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 90 The Uninsured by State and Congressional District Table A-60.New Hampshire: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District New Hampshire Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,309 134 10.2 Congressional District 1 667 67 10.1 - Congressional District 2 658 68 10.3 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 91 The Uninsured by State and Congressional District New Jersey Table A-61.New Jersey: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 8,583 1,084 12.6 - Male 4,397 481 10.9 - Female 4,186 603 14.4 - 669 32 4.8 - Under Age 19 2,164 145 6.7 - Under Age 26 2,902 368 12.7 - Age 19 through 21 319 85 26.7 - Age 21 through 64 5,078 869 17.1 - Age 65 and over 1,125 16 1.4 + Under Age 6 Poverty Status 8,518 ≤133% FPL 1,152 296 25.7 - >133 to <400% FPL 2,970 547 18.4 + ≥400% + FPL 4,397 237 5.4 x 2,525 641 25.4 - Total Population Age 18-64 Singlec Married 5,413 2,888 298 10.3 - Employed Full Timed 3,010 367 12.2 - Employed Part Timee 936 201 21.5 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 92 The Uninsured by State and Congressional District Table A-62.New Jersey: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) New Jersey Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 8,583 1,084 12.6 Congressional District 1 671 79 11.8 - Congressional District 2 696 88 12.6 - Congressional District 3 692 57 8.2 - Congressional District 4 707 76 10.7 - Congressional District 5 666 51 7.6 - Congressional District 6 659 96 14.5 - Congressional District 7 671 52 7.7 - Congressional District 8 638 99 15.6 + Congressional District 9 651 104 16.0 + Congressional District 10 630 125 19.9 + Congressional District 11 664 47 7.1 - Congressional District 12 699 57 8.1 - Congressional District 13 663 170 25.7 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 93 The Uninsured by State and Congressional District New Mexico Table A-63.New Mexico: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,976 390 19.7 + 1,012 180 17.8 + Female 964 210 21.8 + Under Age 6 177 15 8.3 + Under Age 19 549 67 12.3 + Under Age 26 743 142 19.1 + Age 19 through 21 79 31 39.8 + Age 21 through 64 1,115 299 26.8 + 258 3 1.3 x Male Age 65 and over Poverty Status 1,960 ≤133% FPL 506 157 31.1 + >133 to <400% FPL 884 189 21.3 + ≥400% + FPL 569 41 7.3 + 604 209 34.6 + Total Population Age 18-64 Singlec Married 1,203 599 119 19.8 + Employed Full Timed 635 139 21.8 + Employed Part Timee 188 60 32.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 94 The Uninsured by State and Congressional District Table A-64.New Mexico: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District New Mexico Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,976 390 19.7 Congressional District 1 679 119 17.5 + Congressional District 2 651 128 19.6 + Congressional District 3 679 149 22.0 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 95 The Uninsured by State and Congressional District New York Table A-65.New York: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 19,264 2,195 11.4 - Male 9,948 918 9.2 - Female 9,316 1,277 13.7 - Under Age 6 1,457 60 4.1 - Under Age 19 4,705 232 4.9 - Under Age 26 6,592 713 10.8 - Age 19 through 21 848 184 21.7 - Age 21 through 64 11,464 1,817 15.9 - 2,513 26 1.0 x Age 65 and over Poverty Status 18,995 ≤133% FPL 3,735 655 17.5 - >133 to <400% FPL 7,361 1,101 15.0 - ≥400% + FPL 7,898 425 5.4 x 6,444 1,365 21.2 - Total Population Age 18-64 Singlec Married 12,338 5,894 598 10.2 - Employed Full Timed 6,556 791 12.1 - Employed Part Timee 2,085 429 20.6 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 96 The Uninsured by State and Congressional District Table A-66.New York: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District New York Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 19,264 2,195 11.4 Congressional District 1 719 68 9.4 - Congressional District 2 694 76 10.9 - Congressional District 3 659 47 7.2 - Congressional District 4 663 75 11.3 - Congressional District 5 705 130 18.5 + Congressional District 6 660 92 13.9 - Congressional District 7 679 111 16.4 + Congressional District 8 701 66 9.4 - Congressional District 9 697 74 10.6 - Congressional District 10 687 83 12.1 - Congressional District 11 674 96 14.3 - Congressional District 12 694 135 19.4 + Congressional District 13 705 62 8.8 - Congressional District 14 672 63 9.4 - Congressional District 15 667 111 16.6 + Congressional District 16 690 129 18.7 + Congressional District 17 675 86 12.7 - Congressional District 18 675 74 11.0 - Congressional District 19 716 62 8.7 - Congressional District 20 681 60 8.8 - Congressional District 21 666 55 8.3 - Congressional District 22 668 76 11.4 - Congressional District 23 658 64 9.7 - Congressional District 24 639 57 9.0 - Congressional District 25 652 55 8.5 - Congressional District 26 652 44 6.8 - Congressional District 27 630 53 8.4 - Congressional District 28 610 61 10.0 - Congressional District 29 653 56 8.6 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 97 The Uninsured by State and Congressional District North Carolina Table A-67.North Carolina: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,149 1,471 16.1 + Male 4,742 669 14.1 + Female 4,407 801 18.2 + 778 43 5.6 - Under Age 19 2,414 209 8.7 x Under Age 26 3,278 495 15.1 x Age 19 through 21 391 123 31.3 + Age 21 through 64 5,325 1,170 22.0 + Age 65 and over 1,139 7 0.6 - Under Age 6 Poverty Status 9,030 ≤133% FPL 2,102 626 29.8 + >133 to <400% FPL 4,014 700 17.4 x ≥400% + FPL 2,915 136 4.7 - 2,680 834 31.1 + Total Population Age 18-64 Singlec Married 5,739 3,059 444 14.5 + Employed Full Timed 2,956 443 15.0 + Employed Part Timee 982 302 30.7 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 98 The Uninsured by State and Congressional District Table A-68.North Carolina: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) North Carolina Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 9,149 1,471 16.1 Congressional District 1 609 105 17.3 + Congressional District 2 743 126 17.0 + Congressional District 3 702 110 15.6 + Congressional District 4 821 89 10.9 - Congressional District 5 681 91 13.4 - Congressional District 6 717 113 15.7 + Congressional District 7 719 131 18.2 + Congressional District 8 702 123 17.5 + Congressional District 9 863 117 13.5 - Congressional District 10 690 124 17.9 + Congressional District 11 678 111 16.4 + Congressional District 12 703 141 20.0 + Congressional District 13 753 129 17.1 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 99 The Uninsured by State and Congressional District North Dakota Table A-69.North Dakota: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 630 61 9.7 - Male 316 28 9.0 - Female 314 32 10.3 - Under Age 6 50 3 6.2 x Under Age 19 153 9 5.7 - Under Age 26 234 24 10.1 - Age 19 through 21 34 5 15.5 - Age 21 through 64 367 49 13.4 - 88 0 0.4 - Age 65 and over Poverty Status 616 ≤133% FPL 103 23 22.0 - >133 to <400% FPL 285 30 10.5 - ≥400% + FPL 228 8 3.4 - 171 37 21.9 - Total Population Age 18-64 Singlec Married 401 230 15 6.6 - Employed Full Timed 241 22 9.3 - Employed Part Timee 82 15 17.8 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 100 The Uninsured by State and Congressional District Table A-70.North Dakota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured North Dakota 630 61 9.7 At Large North Dakota 630 61 9.7 Above (+), At (x), or Below (-) National Averageb - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 101 The Uninsured by State and Congressional District Ohio Table A-71.Ohio: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 11,352 1,383 12.2 - Male 5,832 619 10.6 - Female 5,520 764 13.8 - 879 45 5.2 - Under Age 19 2,889 193 6.7 - Under Age 26 3,927 480 12.2 - Age 19 through 21 469 121 25.7 - Age 21 through 64 6,626 1,105 16.7 - Age 65 and over 1,520 7 0.4 - Under Age 6 Poverty Status 11,210 ≤133% FPL 2,374 556 23.4 - >133 to <400% FPL 5,065 666 13.1 - ≥400% + FPL 3,771 154 4.1 - 3,445 884 25.6 - Total Population Age 18-64 Singlec Married 7,122 3,677 320 8.7 - Employed Full Timed 3,715 384 10.3 - Employed Part Timee 1,257 273 21.8 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 102 The Uninsured by State and Congressional District Table A-72.Ohio: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Ohio Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 11,352 1,383 12.2 Congressional District 1 628 85 13.6 - Congressional District 2 687 71 10.3 - Congressional District 3 638 75 11.7 - Congressional District 4 630 78 12.3 - Congressional District 5 625 66 10.5 - Congressional District 6 610 65 10.6 - Congressional District 7 675 76 11.2 - Congressional District 8 656 82 12.5 - Congressional District 9 643 87 13.6 - Congressional District 10 598 71 11.9 - Congressional District 11 539 77 14.3 - Congressional District 12 736 89 12.1 - Congressional District 13 640 70 11.0 - Congressional District 14 655 69 10.5 - Congressional District 15 679 93 13.7 - Congressional District 16 653 74 11.4 - Congressional District 17 611 74 12.1 - Congressional District 18 639 106 16.6 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 103 The Uninsured by State and Congressional District Oklahoma Table A-73.Oklahoma: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,590 672 18.7 + Male 1,843 322 17.5 + Female 1,747 350 20.0 + Under Age 6 322 33 10.3 + Under Age 19 975 114 11.7 + Under Age 26 1,347 257 19.1 + Age 19 through 21 158 56 35.2 + Age 21 through 64 2,037 518 25.4 + 474 3 0.6 - 837 266 31.7 + >133 to <400% FPL 1,669 328 19.7 + ≥400% + FPL 1,041 73 7.0 + 990 348 35.2 + Age 65 and over Poverty Status 3,548 ≤133% FPL Total Population Age 18-64 Singlec Married 2,198 1,208 217 18.0 + Employed Full Timed 1,204 225 18.7 + Employed Part Timee 350 123 35.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 104 The Uninsured by State and Congressional District Table A-74.Oklahoma: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Oklahoma Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,590 672 18.7 Congressional District 1 753 140 18.6 + Congressional District 2 720 157 21.8 + Congressional District 3 719 122 17.0 + Congressional District 4 751 119 15.8 + Congressional District 5 745 152 20.4 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 105 The Uninsured by State and Congressional District Oregon Table A-75.Oregon: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,780 643 17.0 + Male 1,918 296 15.4 + Female 1,862 347 18.7 + Under Age 6 290 26 8.8 + Under Age 19 928 101 10.9 + Under Age 26 1,284 227 17.7 + Age 19 through 21 152 45 30.0 x Age 21 through 64 2,250 509 22.6 + 503 4 0.8 x 772 245 31.8 + >133 to <400% FPL 1,699 320 18.9 + ≥400% + FPL 1,273 74 5.9 x 1,134 364 32.1 + Age 65 and over Poverty Status 3,744 ≤133% FPL Total Population Age 18-64 Singlec Married 2,406 1,272 184 14.5 + Employed Full Timed 1,167 171 14.7 x Employed Part Timee 494 143 29.0 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 106 The Uninsured by State and Congressional District Table A-76.Oregon: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Oregon Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 3,780 643 17.0 Congressional District 1 804 119 14.8 - Congressional District 2 760 141 18.5 + Congressional District 3 766 132 17.3 + Congressional District 4 730 131 17.9 + Congressional District 5 766 129 16.8 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 107 The Uninsured by State and Congressional District Pennsylvania Table A-77.Pennsylvania: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 12,366 1,220 9.9 - Male 6,377 529 8.3 - Female 5,989 691 11.5 - 888 45 5.0 - Under Age 19 2,961 165 5.6 - Under Age 26 4,124 445 10.8 - Age 19 through 21 555 112 20.3 - Age 21 through 64 7,185 978 13.6 - Age 65 and over 1,842 9 0.5 - Under Age 6 Poverty Status 12,153 ≤133% FPL 2,181 406 18.6 - >133 to <400% FPL 5,320 621 11.7 - ≥400% + FPL 4,651 182 3.9 - 3,711 766 20.6 - Total Population Age 18-64 Singlec Married 7,758 4,047 298 7.4 - Employed Full Timed 4,145 365 8.8 - Employed Part Timee 1,373 252 18.4 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 108 The Uninsured by State and Congressional District Table A-78.Pennsylvania: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Pennsylvania Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 12,366 1,220 9.9 Congressional District 1 651 109 16.8 + Congressional District 2 643 82 12.7 - Congressional District 3 643 65 10.1 - Congressional District 4 642 42 6.6 - Congressional District 5 634 66 10.4 - Congressional District 6 731 58 8.0 - Congressional District 7 664 46 6.9 - Congressional District 8 672 40 5.9 - Congressional District 9 658 85 12.9 - Congressional District 10 654 69 10.6 - Congressional District 11 674 68 10.1 - Congressional District 12 616 61 9.9 - Congressional District 13 687 66 9.6 - Congressional District 14 583 62 10.7 - Congressional District 15 711 66 9.3 - Congressional District 16 704 95 13.5 - Congressional District 17 665 65 9.7 - Congressional District 18 653 46 7.1 - Congressional District 19 720 52 7.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 109 The Uninsured by State and Congressional District Rhode Island Table A-79.Rhode Island: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,035 117 11.3 - Male 534 51 9.5 - Female 502 66 13.2 - Under Age 6 71 3 4.9 - Under Age 19 244 14 5.7 - Under Age 26 350 41 11.7 - Age 19 through 21 55 13 23.9 - Age 21 through 64 610 95 15.5 - Age 65 and over 143 1 0.5 - Poverty Status 1,012 ≤133% FPL 174 34 19.7 - >133 to <400% FPL 398 57 14.3 - ≥400% + FPL 440 24 5.5 x 342 76 22.3 - Total Population Age 18-64 Singlec Married 666 324 28 8.5 - Employed Full Timed 351 38 10.8 - Employed Part Timee 132 23 17.7 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 110 The Uninsured by State and Congressional District Table A-80.Rhode Island: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Rhode Island Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,035 117 11.3 Congressional District 1 517 55 10.6 - Congressional District 2 536 64 11.9 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 111 The Uninsured by State and Congressional District South Carolina Table A-81.South Carolina: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,454 750 16.8 + Male 2,315 356 15.4 + Female 2,139 394 18.4 + 371 34 9.1 + Under Age 19 1,150 121 10.5 + Under Age 26 1,570 272 17.3 + Age 19 through 21 196 66 33.8 + Age 21 through 64 2,572 582 22.6 + 599 2 0.4 - Under Age 6 Age 65 and over Poverty Status 4,395 ≤133% FPL 1,067 306 28.7 x >133 to <400% FPL 1,994 363 18.2 x ≥400% + FPL 1,335 75 5.6 x 1,367 440 32.2 + Total Population Age 18-64 Singlec Married 2,778 1,411 200 14.2 x Employed Full Timed 1,423 214 15.0 + Employed Part Timee 433 133 30.7 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 112 The Uninsured by State and Congressional District Table A-82.South Carolina: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District South Carolina Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 4,454 750 16.8 Congressional District 1 842 151 17.9 + Congressional District 2 805 113 14.1 - Congressional District 3 713 109 15.3 + Congressional District 4 772 141 18.2 + Congressional District 5 762 124 16.3 + Congressional District 6 667 129 19.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 113 The Uninsured by State and Congressional District South Dakota Table A-83.South Dakota: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 793 104 13.1 - Male 399 48 11.9 - Female 394 56 14.3 - Under Age 6 69 5 6.8 x Under Age 19 209 16 7.8 - Under Age 26 293 40 13.6 - Age 19 through 21 39 9 24.5 - Age 21 through 64 448 81 18.1 - Age 65 and over 109 0 0.4 - Poverty Status 780 ≤133% FPL 161 44 27.3 x >133 to <400% FPL 380 51 13.4 - ≥400% + FPL 239 9 3.6 - 218 60 27.3 x Total Population Age 18-64 Singlec Married 490 271 29 10.7 - Employed Full Timed 296 39 13.2 x Employed Part Timee 88 22 24.5 x Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 114 The Uninsured by State and Congressional District Table A-84.South Dakota: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured South Dakota 793 104 13.1 At Large South Dakota 793 104 13.1 Above (+), At (x), or Below (-) National Averageb - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 115 The Uninsured by State and Congressional District Tennessee Table A-85.Tennessee: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,188 883 14.3 - Male 3,188 391 12.3 - Female 3,000 492 16.4 - 503 25 4.9 - Under Age 19 1,581 102 6.4 - Under Age 26 2,153 276 12.8 - Age 19 through 21 245 64 26.1 - Age 21 through 64 3,642 738 20.3 x 801 3 0.4 - Under Age 6 Age 65 and over Poverty Status 6,120 ≤133% FPL 1,490 369 24.8 - >133 to <400% FPL 2,844 422 14.9 - ≥400% + FPL 1,786 85 4.8 - 1,820 532 29.3 + Total Population Age 18-64 Singlec Married 3,899 2,079 260 12.5 - Employed Full Timed 1,975 263 13.3 - Employed Part Timee 649 171 26.3 x Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 116 The Uninsured by State and Congressional District Table A-86.Tennessee: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Tennessee Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,188 883 14.3 Congressional District 1 676 102 15.1 x Congressional District 2 728 87 11.9 - Congressional District 3 688 99 14.4 - Congressional District 4 679 102 15.0 - Congressional District 5 712 112 15.7 + Congressional District 6 781 110 14.1 - Congressional District 7 770 76 9.9 - Congressional District 8 649 97 15.0 - Congressional District 9 613 113 18.5 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 117 The Uninsured by State and Congressional District Texas Table A-87.Texas: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 24,292 5,783 23.8 + Male 12,294 2,760 22.5 + Female 11,998 3,023 25.2 + Under Age 6 2,454 308 12.5 + Under Age 19 7,249 1,227 16.9 + Under Age 26 9,682 2,284 23.6 + Age 19 through 21 1,062 456 42.9 + Age 21 through 64 13,893 4,210 30.3 + 2,439 45 1.8 + Age 65 and over Poverty Status 24,099 ≤133% FPL 5,987 2,375 39.7 + 10,270 2,750 26.8 + 7,842 622 7.9 + 6,949 2,670 38.4 + >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 Singlec Married 14,975 8,026 1,948 24.3 + Employed Full Timed 8,319 1,913 23.0 + Employed Part Timee 2,357 972 41.2 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 118 The Uninsured by State and Congressional District Table A-88.Texas: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Texas Congressional District 1 Congressional District 2 Congressional District 3 Congressional District 4 Congressional District 5 Congressional District 6 Congressional District 7 Congressional District 8 Congressional District 9 Congressional District 10 Congressional District 11 Congressional District 12 Congressional District 13 Congressional District 14 Congressional District 15 Congressional District 16 Congressional District 17 Congressional District 18 Congressional District 19 Congressional District 20 Congressional District 21 Congressional District 22 Congressional District 23 Congressional District 24 Congressional District 25 Congressional District 26 Congressional District 27 Congressional District 28 Congressional District 29 Congressional District 30 Congressional District 31 Congressional District 32 Total Populationa (in thousands) 24,292 710 750 873 818 723 805 787 809 738 943 693 820 657 760 769 713 750 741 680 701 838 895 805 792 810 907 714 817 675 753 858 677 Number Uninsured (in thousands) 5,783 155 147 193 163 166 176 142 165 266 198 162 197 143 157 230 197 145 233 145 177 124 163 183 173 197 180 209 265 258 257 125 207 Percent Uninsured Above (+), At (x), or Below (-) National Averageb 23.8 21.8 19.6 22.1 19.9 22.9 21.9 18.0 20.4 36.0 21.0 23.3 24.0 21.7 20.6 29.9 27.6 19.4 31.4 21.3 25.3 14.8 18.2 22.7 21.9 24.3 19.8 29.2 32.4 38.2 34.1 14.6 30.5 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 119 The Uninsured by State and Congressional District Utah Table A-89.Utah: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 2,755 401 14.6 x Male 1,372 185 13.5 x Female 1,383 216 15.6 - Under Age 6 323 29 9.0 + Under Age 19 919 97 10.6 + Under Age 26 1,253 180 14.4 x Age 19 through 21 141 33 23.1 - Age 21 through 64 1,501 280 18.6 - 245 2 0.7 x 473 142 30.1 + 1,389 208 15.0 - 873 49 5.6 x 664 179 26.9 - Age 65 and over Poverty Status 2,734 ≤133% FPL >133 to <400% FPL ≥400% + FPL Total Population Age 18-64 Singlec Married 1,642 978 132 13.5 x Employed Full Timed 852 114 13.4 - Employed Part Timee 353 84 23.7 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 120 The Uninsured by State and Congressional District Table A-90.Utah: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Utah Congressional District 1 Congressional District 2 Congressional District 3 Total Populationa (in thousands) 2,755 897 898 989 Number Uninsured (in thousands) 401 129 122 154 Percent Uninsured Above (+), At (x), or Below (-) National Averageb 14.6 14.4 13.6 15.6 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 121 The Uninsured by State and Congressional District Vermont Table A-91.Vermont: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 615 53 8.6 - Male 312 19 6.2 - Female 303 34 11.1 - Under Age 6 38 1 2.0 - Under Age 19 138 5 3.5 - Under Age 26 204 21 10.4 - Age 19 through 21 34 7 20.6 - Age 21 through 64 368 44 11.8 - 85 0 0.1 - Age 65 and over Poverty Status 600 ≤133% FPL 97 12 12.2 - >133 to <400% FPL 275 31 11.2 - ≥400% + FPL 227 10 4.6 - 189 36 19.2 - Total Population Age 18-64 Singlec Married 403 215 13 6.0 - Employed Full Timed 219 22 9.9 - Employed Part Timee 84 14 17.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 122 The Uninsured by State and Congressional District Table A-92.Vermont: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Vermont 615 53 8.6 At Large Vermont 615 53 8.6 Above (+), At (x), or Below (-) National Averageb - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 123 The Uninsured by State and Congressional District Virginia Table A-93.Virginia: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 7,644 908 11.9 - Male 3,949 416 10.5 - Female 3,695 492 13.3 - 631 37 5.8 - Under Age 19 1,977 136 6.9 - Under Age 26 2,736 337 12.3 - Age 19 through 21 332 77 23.1 - Age 21 through 64 4,520 714 15.8 - 919 7 0.7 - Under Age 6 Age 65 and over Poverty Status 7,515 ≤133% FPL 1,156 307 26.5 - >133 to <400% FPL 2,966 461 15.6 - ≥400% + FPL 3,393 134 3.9 - 2,270 526 23.2 - Total Population Age 18-64 Singlec Married 4,882 2,612 253 9.7 - Employed Full Timed 2,785 297 10.6 - Employed Part Timee 790 182 23.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 124 The Uninsured by State and Congressional District Table A-94.Virginia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Virginia Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 7,644 908 11.9 Congressional District 1 784 78 9.9 - Congressional District 2 634 75 11.9 - Congressional District 3 680 111 16.3 + Congressional District 4 729 93 12.8 - Congressional District 5 668 83 12.4 - Congressional District 6 696 83 11.9 - Congressional District 7 744 76 10.2 - Congressional District 8 690 84 12.2 - Congressional District 9 648 86 13.2 - Congressional District 10 838 88 10.5 - Congressional District 11 770 81 10.5 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 125 The Uninsured by State and Congressional District Washington Table A-95.Washington: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,546 878 13.4 - Male 3,308 387 11.7 - Female 3,238 490 15.1 - 533 30 5.7 - Under Age 19 1,666 123 7.4 - Under Age 26 2,283 311 13.6 - Age 19 through 21 267 78 29.4 - Age 21 through 64 3,919 696 17.8 x 781 7 0.8 x Under Age 6 Age 65 and over Poverty Status 6,488 ≤133% FPL 1,147 294 25.7 - >133 to <400% FPL 2,639 445 16.8 - ≥400% + FPL 2,702 134 4.9 - 1,945 511 26.3 - Total Population Age 18-64 Singlec Married 4,195 2,250 253 11.2 - Employed Full Timed 2,162 243 11.2 - Employed Part Timee 804 199 24.8 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 126 The Uninsured by State and Congressional District Table A-96.Washington: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Washington Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 6,546 878 13.4 Congressional District 1 725 72 9.9 - Congressional District 2 748 98 13.1 - Congressional District 3 780 101 13.0 - Congressional District 4 757 149 19.7 + Congressional District 5 717 98 13.7 - Congressional District 6 704 107 15.2 + Congressional District 7 711 84 11.8 - Congressional District 8 792 76 9.6 - Congressional District 9 730 110 15.1 x Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 127 The Uninsured by State and Congressional District West Virginia Table A-97.West Virginia: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,793 254 14.2 - Male 915 126 13.8 x Female 878 128 14.6 - Under Age 6 129 6 4.5 - Under Age 19 410 25 6.0 - Under Age 26 571 81 14.2 - Age 19 through 21 72 23 32.5 x Age 21 through 64 1,058 213 20.2 x 276 0 0.1 - Age 65 and over Poverty Status 1,770 ≤133% FPL 445 105 23.5 - >133 to <400% FPL 853 120 14.1 - ≥400% + FPL 472 26 5.5 x 495 151 30.5 + Total Population Age 18-64 Singlec Married 1,134 640 82 12.8 x Employed Full Timed 557 86 15.5 + Employed Part Timee 168 49 29.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 128 The Uninsured by State and Congressional District Table A-98.West Virginia: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) West Virginia Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 1,793 254 14.2 Congressional District 1 598 76 12.7 - Congressional District 2 637 87 13.6 - Congressional District 3 585 95 16.3 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 129 The Uninsured by State and Congressional District Wisconsin Table A-99.Wisconsin: Characteristics of the Uninsured, 2009 Total Populationa (in thousands) Total Population Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,566 521 9.4 - Male 2,812 212 7.5 - Female 2,754 309 11.2 - 430 17 3.9 - Under Age 19 1,386 73 5.3 - Under Age 26 1,948 201 10.3 - Age 19 through 21 256 58 22.7 - Age 21 through 64 3,279 406 12.4 - 726 3 0.4 - 981 195 19.8 - >133 to <400% FPL 2,495 253 10.1 - ≥400% + FPL 2,014 69 3.4 - 1,593 334 21.0 - Under Age 6 Age 65 and over Poverty Status 5,490 ≤133% FPL Total Population Age 18-64 Singlec Married 3,537 1,944 119 6.1 - Employed Full Timed 1,984 169 8.5 - Employed Part Timee 716 114 16.0 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 130 The Uninsured by State and Congressional District Table A-100.Wisconsin: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Wisconsin Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 5,566 521 9.4 Congressional District 1 728 71 9.7 - Congressional District 2 748 58 7.7 - Congressional District 3 719 73 10.1 - Congressional District 4 679 103 15.2 + Congressional District 5 704 39 5.6 - Congressional District 6 691 55 7.9 - Congressional District 7 682 66 9.7 - Congressional District 8 704 65 9.2 - Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Congressional Research Service 131 The Uninsured by State and Congressional District Wyoming Table A-101.Wyoming: Characteristics of the Uninsured, 2009 Number Uninsured (in thousands) Percent Uninsured Above (+), At (x), or Below (-) National Averageb 534 81 15.2 x Male 262 40 15.3 + Female 272 41 15.0 - Under Age 6 48 4 8.1 x Under Age 19 136 13 9.3 x Under Age 26 191 29 15.2 x Age 19 through 21 24 7 28.1 x Age 21 through 64 316 63 20.0 x 64 0 0.5 - Total Populationa (in thousands) Total Population Age 65 and over Poverty Status 527 ≤133% FPL 80 23 29.1 x >133 to <400% FPL 238 42 17.8 x ≥400% + FPL 209 15 7.0 + 137 41 30.0 x Total Population Age 18-64 Singlec Married 341 204 28 13.7 x Employed Full Timed 197 28 14.1 x Employed Part Timee 65 20 30.4 + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate with an associated confidence interval around it. While the confidence intervals are not presented, they are available. b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a statistically significantly higher (lower) likelihood of being uninsured than the same subgroup at the national level. If a subgroup is at the national level, there is no statistical difference between the proportion of individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level. c. Never married, separated, divorced, or widowed. d. Working 30 or more hours for 50 or more weeks a year. e. Working fewer than 30 hours a week for fewer than 50 weeks a year. Congressional Research Service 132 The Uninsured by State and Congressional District Table A-102.Wyoming: Number and Percentage of People Without Health Insurance, by State and Congressional District (111th), 2009 Congressional District Total Populationa (in thousands) Number Uninsured (in thousands) Percent Uninsured Wyoming 534 81 15.2 At Large Wyoming 534 81 15.2 Above (+), At (x), or Below (-) National Averageb + Source: U.S. Census Bureau, 2009 American Community Survey. a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not presented, they are available. b. No statistical test of this difference was performed. Author Contact Information (name redacted) Specialist in Health Care Financing [redacted]@crs.loc.gov, 7-.... Acknowledgments Evelyn Baumrucker, (name redacted), and Liza Herz commented extensively on the design and content of the report, and Scott Talaga, a CRS intern, assisted in generating the report. Congressional Research Service 133 EveryCRSReport.com The Congressional Research Service (CRS) is a federal legislative branch agency, housed inside the Library of Congress, charged with providing the United States Congress non-partisan advice on issues that may come before Congress. EveryCRSReport.com republishes CRS reports that are available to all Congressional staff. The reports are not classified, and Members of Congress routinely make individual reports available to the public. Prior to our republication, we redacted names, phone numbers and email addresses of analysts who produced the reports. We also added this page to the report. We have not intentionally made any other changes to any report published on EveryCRSReport.com. 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