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Health Coverage and Care in the South: A Chartbook

    Section 4: Health Insurance Coverage
    View Exhibits
    1. Exhibit 4.1: Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012
    2. Exhibit 4.2: Uninsured Rates Among Nonelderly Southerners, by State, 2011-2012
    3. Exhibit 4.3: Health Insurance Coverage of Nonelderly Southerners, by Race/Ethnicity, 2011-2012
    4. Exhibit 4.4: Distribution of Nonelderly Uninsured Southerners, by Race/Ethnicity, 2011-2012
    5. Exhibit 4.5: Characteristics of Nonelderly Uninsured Southerners, 2011-2012
    6. Exhibit 4.6: Health Insurance Coverage of Nonelderly Southerners, by Age, 2011-2012
    7. Exhibit 4.7: Percent of Nonelderly Southerners with Medicaid or CHIP Coverage, 2011-2012
    8. Exhibit 4.8: Current Status of State Medicaid Expansion Decisions, 2014
    9. Exhibit 4.9: Median Medicaid/CHIP Eligibility Limits as a Percent of the Federal Poverty Level, by Population Group and Geographic Region, January 2014
    10. Exhibit 4.10: Medicaid/CHIP Eligibility Limits for Children in Southern States as a Percent of the FPL, as of April 1, 2014
    11. Exhibit 4.11: Medicaid Eligibility Limits for Parents in Southern States as a Percent of the FPL, as of April 1, 2014
    12. Exhibit 4.12: Medicaid Eligibility for Childless Adults in Southern States, April 2014
    13. Exhibit 4.13: Child/Adult Distribution of Uninsured Individuals Eligible for Medicaid Coverage in 2014
    14. Exhibit 4.14: Regional Distribution of Uninsured Adults in the Coverage Gap, 2014
    15. Exhibit 4.15: Share of Nonelderly Uninsured Adults Who Would be Eligible for the Medicaid Expansion but are in the Coverage Gap, by Race/Ethnicity, 2014
    16. Exhibit 4.16: Distribution of Nonelderly Southerners in the Coverage Gap, by Race/Ethnicity, 2011-2012
    17. Exhibit 4.17: Percentage Change in State and Federal Funds Due to Medicaid Expansion, 2013-2022
    18. Exhibit 4.18: Eligibility for Health Coverage as of January 2014 Among Nonelderly Uninsured Southerners
    19. Exhibit 4.19: State Health Insurance Marketplace Decisions, 2014
    20. Exhibit 4.20: Marketplace Enrollment as a Share of the Potential Marketplace Population, by Region, as of April 19, 2014
    21. Exhibit 4.21: Marketplace Enrollment in the Southern States as a Share of the Potential Marketplace Population, by State, as of April 19, 2014
    x

    Exhibit 1.1

    Distribution of U.S. Residents, by Geographic Region, 2011-2012
    Figure 1.1: Distribution of U.S. Residents, by Geographic Region, 2011-2012
    x

    Exhibit 1.2

    Share of Total Population Residing in the South, by Race/Ethnicity, 2011-2012
    Figure 1.2: Share of Total Population Residing in the South, by Race/Ethnicity, 2011-2012
    x

    Exhibit 1.3

    Population Growth, by Geographic Region, 2000-2010
    Figure 1.3: Population Growth, by Geographic Region, 2000-2010
    x

    Exhibit 1.4

    Population Growth in the South, by State, 1970-2010
    Figure 1.4: Population Growth in the South, by State, 1970-2010
    x

    Exhibit 1.5

    Distribution of the Southern Population, by Race/Ethnicity, 2011-2012
    Figure 1.5: Distribution of the Southern Population, by Race/Ethnicity, 2011-2012
    x

    Exhibit 1.6

    Racial/Ethnic Distribution of the Southern Population, by State, 2011-2012
    Figure 1.6: Racial/Ethnic Distribution of the Southern Population, by State, 2011-2012
    x

    Exhibit 1.7

    Selected Demographic Characteristics of the Southern Population, 2011-2012
    Figure 1.7: Selected Demographic Characteristics of the Southern Population, 2011-2012
    x

    Exhibit 1.8

    Selected Demographic Characteristics of the Population, by Geographic Region, 2011-2012
    Figure 1.8: Selected Demographic Characteristics of the Population, by Geographic Region, 2011-2012
    x

    Exhibit 1.9

    Share of Nonelderly Population Living in Poverty, by Region, 2011-2012
    Figure 1.9: Share of Nonelderly Population Living in Poverty, by Region, 2011-2012
    x

    Exhibit 1.10

    Poverty Rates Among Nonelderly Southerners, by State, 2011-2012
    Figure 1.10: The South also includes states with some of the highest poverty rates in the nation
    x

    Exhibit 2.1

    Distribution of Gross Domestic Product, by Region and State in the South, 2013
    Figure 2.1: Economic activity in the South accounts for over a third of the national GDP
    x

    Exhibit 2.2

    Seasonally-Adjusted Unemployment Rate, by Region, April 2014
    Figure 2.2 The unemployment rate is lower in the South than in any other region
    x

    Exhibit 2.3

    Selected Employment Characteristics of Nonelderly Workers, 2012
    Figure 2.3: Selected Employment Characteristics of Nonelderly Workers, 2012
    x

    Exhibit 2.4

    Distribution of Nonelderly Workers in the South, by Industry, 2011-2012
    Figure 2.4: Distribution of Nonelderly Workers in the South, by Industry, 2011-2012
    x

    Exhibit 2.5

    Distribution of Nonelderly Workers by Industry and Region, 2012
    Figure 2.5: Distribution of Nonelderly Workers by Industry and Region, 2012
    x

    Exhibit 2.6

    Median Annual Earnings for Workers, by Region, 2012
    Figure 2.6: Median Annual Earnings for Workers, by Region, 2012
    x

    Exhibit 2.7

    Median Annual Earnings for Full-Time, Year-Round Workers in the South by Race/Ethnicity and Sex, 2012
    Figure 2.7: Median Annual Earnings for Full-Time, Year-Round Workers in the South by Race/Ethnicity and Sex, 2012
    x

    Exhibit 2.8

    Personal Income Per Capita, by Region, 2012
    Figure 2.8: Personal Income Per Capita, by Region, 2012
    x

    Exhibit 2.9

    Personal Income Per Capita in the South, by State, 2012
    Figure 2.9: Personal Income Per Capita in the South, by State, 2012
    x

    Exhibit 2.10

    Income Inequality by State, 2012
    Figure 2.1: Economic activity in the South accounts for over a third of the national GDP
    x

    Exhibit 3.1

    Share of individuals Reporting Fair or Poor Health Status, by Region, 2012
    Figure 3.1: Share of individuals Reporting Fair or Poor Health Status, by Region, 2012
    x

    Exhibit 3.2

    Share of Individuals in the South Reporting Fair or Poor Health Status, by Race/Ethnicity, 2012
    Figure 3.2: Share of Individuals in the South Reporting Fair or Poor Health Status, by Race/Ethnicity, 2012
    x

    Exhibit 3.3

    Percent of Adults Who Have Ever Been Told by a Doctor that they Have Diabetes, by State, 2012
    Figure 3.3: Percent of Adults Who Have Ever Been Told by a Doctor that they Have Diabetes, by State, 2012
    x

    Exhibit 3.4

    Percent of Adults Who are Overweight or Obese, 2012
    Figure 3.4: Percent of Adults Who are Overweight or Obese, 2012
    x

    Exhibit 3.5

    Infant Mortality Rate, by State, 2011
    Figure 3.5: Infant Mortality Rate, by State, 2011
    x

    Exhibit 3.6

    Cancer Death Rate, by State, 2010
    Figure 3.6: Cancer Death Rate, by State, 2010
    x

    Exhibit 4.1

    Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012
    Figure 4.1: Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012
    x

    Exhibit 4.2

    Uninsured Rates Among Nonelderly Southerners, by State, 2011-2012
    Figure 4.2: Uninsured Rates Among Nonelderly Southerners, by State, 2011-2012
    x

    Exhibit 4.3

    Health Insurance Coverage of Nonelderly Southerners, by Race/Ethnicity, 2011-2012
    4.3: Health Insurance Coverage of Nonelderly Southerners, by Race/Ethnicity, 2011-2012
    x

    Exhibit 4.4

    Distribution of Nonelderly Uninsured Southerners, by Race/Ethnicity, 2011-2012
    4.4: Distribution of Nonelderly Uninsured Southerners, by Race/Ethnicity, 2011-2012
    x

    Exhibit 4.5

    Characteristics of Nonelderly Uninsured Southerners, 2011-2012
    Figure 4.5: Characteristics of Nonelderly Uninsured Southerners, 2011-2012
    x

    Exhibit 4.6

    Health Insurance Coverage of Nonelderly Southerners, by Age, 2011-2012
    Figure 4.6: Health Insurance Coverage of Nonelderly Southerners, by Age, 2011-2012
    x

    Exhibit 4.7

    Percent of Nonelderly Southerners with Medicaid or CHIP Coverage, 2011-2012
    Figure 4.7: Percent of Nonelderly Southerners with Medicaid or CHIP Coverage, 2011-2012
    x

    Exhibit 4.8

    Current Status of State Medicaid Expansion Decisions, 2014
    Figure 4.8: Most southern states are not implementing the Medicaid expansion in 2014
    x

    Exhibit 4.9

    Median Medicaid/CHIP Eligibility Limits as a Percent of the Federal Poverty Level, by Population Group and Geographic Region, January 2014
    Figure 4.9: Median Medicaid/CHIP Eligibility Limits as a Percent of the Federal Poverty Level, by Population Group and Geographic Region, January 2014
    x

    Exhibit 4.10

    Medicaid/CHIP Eligibility Limits for Children in Southern States as a Percent of the FPL, as of April 1, 2014
    Figure 4.10: All southern states provide broad eligibility to children through Medicaid and CHIP
    x

    Exhibit 4.11

    Medicaid Eligibility Limits for Parents in Southern States as a Percent of the FPL, as of April 1, 2014
    Figure 4.11: Half of southern states limit Medicaid eligibility for parents to below half of poverty
    x

    Exhibit 4.12

    Medicaid Eligibility for Childless Adults in Southern States, April 2014
    Figure 4.12: The majority of southern states offer no Medicaid coverage to childless adults, regardless of income
    x

    Exhibit 4.13

    Child/Adult Distribution of Uninsured Individuals Eligible for Medicaid Coverage in 2014
    Figure 4.13: Child/Adult Distribution of Uninsured Individuals Eligible for Medicaid Coverage in 2014
    x

    Exhibit 4.14

    Regional Distribution of Uninsured Adults in the Coverage Gap, 2014
    Figure 4.14: Regional Distribution of Uninsured Adults in the Coverage Gap, 2014
    x

    Exhibit 4.15

    Share of Nonelderly Uninsured Adults Who Would be Eligible for the Medicaid Expansion but are in the Coverage Gap, by Race/Ethnicity, 2014
    Figure 4.15: Share of Nonelderly Uninsured Adults Who Would be Eligible for the Medicaid Expansion but are in the Coverage Gap, by Race/Ethnicity, 2014
    x

    Exhibit 4.16

    Distribution of Nonelderly Southerners in the Coverage Gap, by Race/Ethnicity, 2011-2012
    Figure 4.16: Distribution of Nonelderly Southerners in the Coverage Gap, by Race/Ethnicity, 2011-2012
    x

    Exhibit 4.17

    Percentage Change in State and Federal Funds Due to Medicaid Expansion, 2013-2022
    Figure 4.17: Percentage Change in State and Federal Funds Due to Medicaid Expansion, 2013-2022
    x

    Exhibit 4.18

    Eligibility for Health Coverage as of January 2014 Among Nonelderly Uninsured Southerners
    Figure 4.18: Eligibility for Health Coverage as of January 2014 Among Nonelderly Uninsured Southerners
    x

    Exhibit 4.19

    State Health Insurance Marketplace Decisions, 2014
    Figure 4.19: State Health Insurance Marketplace Decisions, 2014
    x

    Exhibit 4.20

    Marketplace Enrollment as a Share of the Potential Marketplace Population, by Region, as of April 19, 2014
    8578 Figure 4.20
    x

    Exhibit 4.21

    Marketplace Enrollment in the Southern States as a Share of the Potential Marketplace Population, by State, as of April 19, 2014
    8578 Figure 4.21
    x

    Exhibit 5.1

    Selected Measures of Health Care Access Among Nonelderly Adults, by Geographic Region, 2011
    Figure 5.1: Selected Measures of Health Care Access Among Nonelderly Adults, by Geographic Region, 2011
    x

    Exhibit 5.2

    Number of Emergency Room Visits per 100,000 Population for Selected Conditions, by Geographic Region, 2011
    Figure 5.2: Number of Emergency Room Visits per 100,000 Population for Selected Conditions, by Geographic Region, 2011
    x

    Exhibit 5.3

    Share of Population Residing in a Primary Care Health Professional Shortage Area (HPSA) by Region, 2013
    Figure 5.3: Share of Population Residing in a Primary Care Health Professional Shortage Area (HPSA) by Region, 2013
    x

    Exhibit 5.4

    State Variation in Scope-of-Practice Laws Governing Nurse Practitioners, 2012
    Figure 5.4: State Variation in Scope-of-Practice Laws Governing Nurse Practitioners, 2012
    x

    Exhibit 5.5

    Medicaid-to-Medicare Fee Ratios in the South, 2012
    Figure 5.5: Medicaid-to-Medicare Fee Ratios in the South, 2012
    x

    Exhibit 5.6

    Use of Risk-Based Medicaid Managed Care in the South, by State, 2011
    Figure 5.6: Use of Risk-Based Medicaid Managed Care in the South, by State, 2011
    x

    Exhibit 5.7

    Share of Hospital Patients by Uninsured Patients, by Region and Hospital Type, 2011
    Figure 5.7: Share of Hospital Patients by Uninsured Patients, by Region and Hospital Type, 2011
    x

    Exhibit 5.8

    Selected Characteristics of Public Hospital Patients in the United States, the West, and South, 2011
    Figure 5.8: Selected Characteristics of Public Hospital Patients in the United States, the West, and South, 2011
    x

    Exhibit 5.9

    Number of Medicare-Certified Rural Health Clinics per 100,000 Population Residing in a Rural Area, by Region, 2011-2012
    Figure 5.9: Number of Medicare-Certified Rural Health Clinics per 100,000 Population Residing in a Rural Area, by Region, 2011-2012
    x

    Exhibit 5.10

    Number of Federally-Funded Federally Qualified Health Centers per 1 Million Population, 2011-2012
    Figure 5.10: Number of Federally-Funded Federally Qualified Health Centers per 1 Million Population, 2011-2012
    x

    Exhibit 5.11

    Number of Federally-Funded Federally Qualified Health Centers per 1 Million Low-Income Population, by State 2011-2012
    Figure 5.11: Number of Federally-Funded Federally Qualified Health Centers per 1 Million Low-Income Population, by State 2011-2012
    x

    Exhibit 5.12

    Characteristics of Patients Served by Federally-Funded Health Centers in the South, 2011
    Figure 5.12: Characteristics of Patients Served by Federally-Funded Health Centers in the South, 2011
    x

    Exhibit 6.1

    Federal Medical Assistance Percentage by State, FFY 2015
    Figure 6.1: In many southern states, the federal government pays at least two dollars for every dollar spent on Medicaid
    x

    Exhibit 6.2

    Medicaid Spending in the South, by Funding Source, FY 2012
    Figure 6.2: Medicaid Spending in the South, by Funding Source, FY 2012
    x

    Exhibit 6.3

    Distribution of Medicaid Financing in Southern States, by State and Funding Source, FY 2012
    Figure 6.3: Distribution of Medicaid Financing in Southern States, by State and Funding Source, FY 2012
    x

    Exhibit 6.4

    State Tax Revenue, 2009-2013
    Figure 6.4 : State Tax Revenue, 2009-2013
    x

    Exhibit 6.5

    Medicaid Enrollees and Expenditures by Region, FY 2010
    Figure 6.5: Medicaid Enrollees and Expenditures by Region, FY 2010