State Level Trends in Children's Health Insurance Coverage (2016 Report)
This in-depth report examines data from the American Community Survey (ACS) to compare health insurance coverage from 2013 to 2014 and to detail five-year coverage trends (2010 to 2014) for children nationwide and at the state level for all 50 states and the District of Columbia.
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View summary information for the United States as a whole.
Click on the map below to view state level summary information. Scroll down to see key findings from the report.
State Level Summary Information, 2010-2014
Uninsurance among children (aged 0-18) was down nationwide from 7.5 percent in 2013 to 6.3 percent in 2014. This decrease was driven by a concurrent increase in public coverage.
Twenty-three states experienced statistically significant declines in children’s uninsurance between 2013 and 2014, and no state saw a significant increase. Despite coverage gains, close to five million children remained uninsured in 2014, and almost half (2.4 million) reside in just six states: Texas (880,000), California (550,000), Florida (410,000), Georgia (210,000), Arizona (180,000), and New York (160,000).
UNINSURANCE BY INCOME
Children’s uninsurance decreased across income categories between 2013 and 2014, with the largest percentage point drop occurring among low-income children. Coverage gains were driven by increased public coverage for low- and middle-income children and by a small increase in private coverage for high-income children.
UNINSURANCE BY RACE/ETHNICITY
Uninsurance decreased for children across all racial/ethnic populations between 2013 and 2014. The drop was largest for Hispanic children (-1.9pp), driven by increases in private coverage. Decreases in uninsurance among non-white children (-1.5pp) and white children (-0.8pp) were driven by increased public coverage. Despite coverage gains, the percentage of children lacking coverage remained highest among Hispanic children (10.3%) in 2014, followed by non-white children (5.5%) and white children (4.8%).
UNINSURANCE BY DISABILITY STATUS
Uninsurance decreased among children with disabilities from 2013 to 2014. Although children with disabilities have relatively high rates of public coverage, their recent coverage gains were driven by an increase in private coverage.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.