Geographic variation in health insurance coverage : United States, 2019
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Geographic variation in health insurance coverage : United States, 2019

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      Objectives—This report presents state, regional, and national estimates of the percentage of persons who were uninsured, had private health insurance coverage, and had public health insurance coverage at the time of the interview.

      Methods—Data from the 2019 National Health Interview Survey were used to estimate health insurance coverage. Estimates were categorized by age group, state Medicaid expansion status, urbanization level, expanded regions, and state. Estimates by state Medicaid expansion status, urbanization level, and expanded regions were based on data from all 50 states and the District of Columbia. State estimates are shown for 32 states and the District of Columbia.

      Results—In 2019, among persons under age 65, 12.0% were uninsured, 64.3% had private coverage, and 25.9% had public coverage at the time of the interview. Among adults aged 18–64 (working-age adults), the percent uninsured ranged from 12.4% for those living in large fringe (suburban) metropolitan counties to 17.5% for those living in nonmetropolitan counties. Working-age adults living in non-Medicaid expansion states (20.8%) were about twice as likely to be uninsured compared with those living in Medicaid expansion states (10.9%). Similar patterns were observed among children aged 0–17 years. The percentage of working-age adults who were uninsured was significantly higher than the national average (14.5%) in Florida (20.6%), Georgia (22.3%), Oklahoma (25.6%), and Texas (30.5%), and significantly lower than the national average in California (11.5%), Minnesota (6.9%), New York (7.4%), Ohio (10.8%), Pennsylvania (9.8%), and Wisconsin (7.7%). The percentage of people under age 65 who were uninsured was lowest in the New England region (4.6%).

      Suggested citation: Cohen RA, Terlizzi EP, Cha AE, Martinez ME, Parsons VL, Wei R, He Y. Geographic variation in health insurance coverage: United States, 2019. National Health Statistics Reports; no 163. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: https://dx.doi.org/10.15620/cdc:107558.

      CS325253

      nhsr163-508.pdf

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