Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance

Laura Skopec, John Holahan, and Megan McGrath
Published: Apr 21, 2015

TABLE 1: CHANGE IN HEALTH INSURANCE COVERAGE AMONG THE NONELDERLY BY INCOME, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
All incomes (millions of people)	261.4	265.1		3.7^a	267.8		2.7^a
Employer	61.0%	57.1%	-3.9%*	-8.2^a	56.6%	-0.5%^*	0.3
Medicaid and State	15.3%	18.2%	2.9%*	8.1^a	19.3%	1.1%^*	3.5^a
CHAMPUS/Medicare	2.4%	2.6%	0.3%*	0.8^a	2.8%	0.2%^*	0.6^a
Private Non-group	4.5%	4.2%	-0.2%*	-0.5^a	4.3%	0.0%	0.2^b
Uninsured	16.8%	17.9%	1.1%*	3.5^a	16.9%	-0.9%^*	-2.0^a
Less than 138% FPL	71.6	85.9		14.3^a	89.2		3.3^a
Employer	21.0%	18.9%	-2.1%*	1.2^a	20.8%	1.9%^*	2.3^a
Medicaid and State	41.6%	43.6%	2.0%*	7.7^a	44.7%	1.1%^*	2.4^a
CHAMPUS/Medicare	3.0%	2.9%	-0.1%	0.4^a	3.1%	0.2%^*	0.2^a
Private Non-group	3.3%	3.2%	-0.1%*	0.4^a	3.0%	-0.2%^*	-0.1^a
Uninsured	31.0%	31.4%	0.3%*	4.7^a	28.4%	-2.9%^*	-1.6^a
138 to 400% FPL	99.6	97.1		-2.5^a	96.7		-0.3
Employer	65.5%	64.6%	-0.9%*	-2.5^a	63.8%	-0.8%^*	-1.0^a
Medicaid and State	9.3%	10.1%	0.8%*	0.6^a	11.1%	1.0%^*	0.9^a
CHAMPUS/Medicare	2.6%	3.0%	0.4%*	0.3^a	3.3%	0.3%^*	0.3^a
Private Non-group	4.7%	4.6%	0.0%	-0.2^a	4.7%	0.1%	0.1
Uninsured	17.9%	17.6%	-0.3%*	-0.7^a	17.1%	-0.5%^*	-0.6^a
400% FPL and above	90.2	82.2		-8^a	81.9		-0.3
Employer	87.9%	88.1%	0.3%*	-6.8^a	87.2%	-0.9%^*	-1.0^a
Medicaid and State	1.2%	1.2%	0.0%	-0.1^a	1.4%	0.2%^*	0.2^a
CHAMPUS/Medicare	1.6%	1.9%	0.3%*	0.1^a	2.0%	0.1%^*	0.1^a
Private Non-group	5.2%	4.9%	-0.3%*	-0.7^a	5.1%	0.3%^*	0.2^a
Uninsured	4.2%	4.0%	-0.3%*	-0.6^a	4.3%	0.3%^*	0.2^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 2: Change in Health Insurance Coverage among Nonelderly Adults by Income, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
All incomes (millions of people)	183.0	186.5		3.5^a	189.9		3.4^a
Employer	63.7%	59.9%	-3.9%^*	-5.0^a	59.7%	-0.1%	1.8^a
Medicaid and State	8.3%	10.1%	1.7%^*	3.5^a	10.9%	0.9%^*	2.0^a
CHAMPUS/Medicare	2.7%	3.0%	0.3%^*	0.7^a	3.3%	0.3%^*	0.6^a
Private Non-group	5.2%	5.0%	-0.2%^*	-0.1^b	5.0%	0.0%	0.1^a
Uninsured	20.0%	22.0%	2.0%^*	4.4^a	21.0%	-1.0%^*	-1.1^a
Less than 138% FPL	45.0	54.9		9.9^a	58.3		3.5^a
Employer	23.6%	21.5%	-2.2%^*	1.1^a	24.5%	3.0%^*	2.5^a
Medicaid and State	26.4%	27.4%	1.0%^*	3.2^a	28.6%	1.2%^*	1.6^a
CHAMPUS/Medicare	4.1%	3.9%	-0.2%^*	0.3^a	4.1%	0.2%^*	0.3^a
Private Non-group	4.5%	4.4%	-0.1%^*	0.4^a	4.1%	-0.4%^*	-0.1^a
Uninsured	41.3%	42.8%	1.5%^*	4.9^a	38.7%	-4.0%^*	-0.9^a
138 to 400% FPL	68.6	68.0		-0.6^a	68.2		0.2
Employer	65.8%	64.7%	-1.2%^*	-1.2^a	64.6%	-0.1%	0.1
Medicaid and State	4.2%	4.7%	0.6%^*	0.4^a	5.1%	0.4%^*	0.3^a
CHAMPUS/Medicare	2.8%	3.3%	0.5%^*	0.3^a	3.7%	0.3%^*	0.2^a
Private Non-group	5.6%	5.6%	0.0%	0.0	5.6%	0.1%	0.1
Uninsured	21.6%	21.7%	0.1%	-0.1	21.0%	-0.7%^*	-0.4^a
400% FPL and above	69.3	63.6		-5.7^a	63.4		-0.3
Employer	87.7%	87.8%	0.1%	-4.9^a	87.0%	-0.8%^*	-0.8^a
Medicaid and State	0.7%	0.8%	0.1%^*	0.0	0.9%	0.1%^*	0.1^a
CHAMPUS/Medicare	1.6%	1.9%	0.3%^*	0.1^a	2.0%	0.1%^*	0.1^a
Private Non-group	5.2%	5.0%	-0.2%^*	-0.5^a	5.3%	0.3%^*	0.2^a
Uninsured	4.8%	4.5%	-0.3%^*	-0.4^a	4.8%	0.3%^*	0.2^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 3: Change in Health Insurance Coverage among Nonelderly Adults by Age, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
All nonelderly adults	183.0	186.5		3.5^a	189.9		3.4^a
Employer	63.7%	59.9%	-3.9%^*	-5.0^a	59.7%	-0.1%	1.8^a
Medicaid and State	8.3%	10.1%	1.7%^*	3.5^a	10.9%	0.9%^*	2.0^a
CHAMPUS/Medicare	2.7%	3.0%	0.3%^*	0.7^a	3.3%	0.3%^*	0.6^a
Private Non-group	5.2%	5.0%	-0.2%^*	-0.1^b	5.0%	0.0%	0.1^a
Uninsured	20.0%	22.0%	2.0%^*	4.4^a	21.0%	-1.0%^*	-1.1^a
Ages 19-25	28.9	29.6		0.7^a	30.7		1.1^a
Employer	50.5%	46.2%	-4.2%^*	-0.9^a	53.0%	6.7%^*	2.6^a
Medicaid and State	9.8%	12.0%	2.1%^*	0.7^a	12.1%	0.1%	0.2^a
CHAMPUS/Medicare	1.6%	1.9%	0.3%^*	0.1^a	2.0%	0.1%^*	0.1^a
Private Non-group	7.7%	7.7%	0.0%	0.1^b	7.5%	-0.3%^*	0.0
Uninsured	30.4%	32.2%	1.8%^*	0.7^a	25.5%	-6.7%^*	-1.7^a
Ages 26-45	81.4	80.6		-0.8^a	81.3		0.7^a
Employer	64.1%	59.8%	-4.3%^*	-4.0^a	58.7%	-1.0%^*	-0.4^a
Medicaid and State	8.5%	10.4%	1.9%^*	1.5^a	11.4%	1.0%^*	0.9^a
CHAMPUS/Medicare	1.5%	1.7%	0.2%^*	0.2^a	2.0%	0.3%^*	0.2^a
Private Non-group	3.8%	3.6%	-0.2%^*	-0.2^a	3.6%	0.0%	0.0
Uninsured	22.1%	24.5%	2.4%^*	1.7^a	24.2%	-0.3%^*	-0.1
Ages 46-64	72.7	76.3		3.6^a	78.0		1.6^a
Employer	68.6%	65.2%	-3.4%^*	-0.1	63.4%	-1.8%^*	-0.3^a
Medicaid and State	7.6%	9.0%	1.4%^*	1.3^a	10.0%	1.0%^*	0.9^a
CHAMPUS/Medicare	4.4%	4.8%	0.4%^*	0.4^a	5.1%	0.3%^*	0.3^a
Private Non-group	5.7%	5.5%	-0.2%^*	0.0	5.5%	0.0%	0.1^a
Uninsured	13.6%	15.5%	1.9%^*	1.9^a	16.0%	0.5%^*	0.6^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 4: Change in Health Insurance Coverage among Children by Income, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
All incomes (millions of people)	78.4	78.6		0.2^a	77.9		-0.7^a
Employer	54.7%	50.5%	-4.2%^*	-3.2^a	49.1%	-1.5%^*	-1.5^a
Medicaid and State	31.7%	37.5%	5.8%^*	4.6^a	39.8%	2.4%^*	1.6^a
CHAMPUS/Medicare	1.6%	1.7%	0.1%^#	0.1^b	1.8%	0.1%^*	0.0^b
Private Non-group	2.8%	2.3%	-0.5%^*	0.0^a	2.4%	0.0%	0.0
Uninsured	9.2%	8.0%	-1.2%^*	-1.0^a	7.0%	-1.0%^*	-0.8^a
Less than 138% FPL	26.6	31.0		4.4^a	30.8		-0.2
Employer	16.6%	14.3%	-2.2%^*	0.0	13.7%	-0.6%^*	-0.2^a
Medicaid and State	67.3%	72.3%	5.0%^*	4.5^a	75.4%	3.1%^*	0.8^a
CHAMPUS/Medicare	1.1%	1.1%	0.1%^#	0.1^a	1.1%	-0.1%	0.0
Private Non-group	1.3%	1.0%	-0.3%^*	0.0^a	0.9%	-0.1%^*	0.0^a
Uninsured	13.8%	11.3%	-2.5%^*	-0.2^a	8.9%	-2.3%^*	-0.7^a
138 to 400% FPL	30.9	29.1		-1.9^a	28.5		-0.5^a
Employer	64.7%	64.5%	-0.2%	-1.3^a	61.9%	-2.6%^*	-1.1^a
Medicaid and State	20.6%	22.7%	2.0%^*	0.2^a	25.3%	2.7%^*	0.6^a
CHAMPUS/Medicare	2.2%	2.3%	0.0%	0.0	2.5%	0.3%^*	0.1^a
Private Non-group	2.7%	2.4%	-0.3%^*	0.0^a	2.4%	0.1%	0.0
Uninsured	9.7%	8.2%	-1.5%^*	-0.6^a	7.8%	-0.4%^*	-0.2^a
400% FPL and above	20.9	18.6		-2.3^a	18.6		0.0
Employer	88.4%	89.2%	0.7%^*	-1.9^a	88.0%	-1.2%^*	-0.2^b
Medicaid and State	2.6%	2.5%	0.0%	-0.1^a	3.2%	0.6%^*	0.1^a
CHAMPUS/Medicare	1.5%	1.8%	0.3%^*	0.0	1.8%	0.0%	0.0
Private Non-group	4.9%	4.4%	-0.5%^*	0.0^a	4.7%	0.2%^*	0.0^a
Uninsured	2.6%	2.1%	-0.5%^*	-0.1^a	2.4%	0.3%^*	0.1^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 5: Change in Health Insurance Coverage among the Nonelderly by Race and Ethnicity, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
White, non-Hispanic	165.9	162.9		-3.0^a	160.5		-2.3^a
Employer	69.0%	66.0%	-3.0%^*	-7.0^a	65.5%	-0.4%^*	-2.3^a
Medicaid and State	10.6%	12.6%	2.0%^*	3.0^a	13.4%	0.8%^*	1.0^a
CHAMPUS/Medicare	2.5%	2.8%	0.3%^*	0.4^a	3.1%	0.3%^*	0.4^a
Private Non-group	5.5%	5.3%	-0.2%^*	-0.5^a	5.3%	0.0%	-0.1
Uninsured	12.4%	13.3%	0.9%^*	1.1^a	12.6%	-0.7%^*	-1.4^a
Black, non-Hispanic	32.4	33.4		1.0^a	33.9		0.5^a
Employer	49.0%	43.9%	-5.1%^*	-1.2^a	43.7%	-0.2%	0.2^b
Medicaid and State	27.4%	31.4%	4.0%^*	1.6^a	32.3%	0.9%^*	0.5^a
CHAMPUS/Medicare	2.9%	3.3%	0.4%*	0.2^a	3.5%	0.2%^*	0.1^a
Private Non-group	1.9%	1.7%	-0.2%^*	-0.1^a	1.7%	0.1%	0.0^a
Uninsured	18.7%	19.7%	1.0%^*	0.5^a	18.7%	-1.0%^*	-0.2^a
Hispanic	43.6	47.3		3.7^a	50.0		2.7^a
Employer	40.4%	36.2%	-4.2%^*	-0.5^a	36.9%	0.7%^*	1.3^a
Medicaid and State	24.2%	28.2%	4.0%^*	2.8^a	29.8%	1.6%^*	1.6^a
CHAMPUS/Medicare	1.5%	1.6%	0.1%^*	0.1^a	1.7%	0.1%^*	0.1^a
Private Non-group	2.0%	1.8%	-0.1%*	0.0	2.0%	0.1%^*	0.1^a
Uninsured	32.0%	32.2%	0.2%	1.3^a	29.7%	-2.6%^*	-0.4^a
Other, non-Hispanic	19.5	21.6		2.1^a	23.4		1.8^a
Employer	59.2%	56.2%	-2.9%^*	0.6^a	56.5%	0.3%	1.1^a
Medicaid and State	16.0%	18.2%	2.2%*	0.8^a	19.0%	0.8%^*	0.5^a
CHAMPUS/Medicare	2.2%	2.3%	0.1%	0.1^a	2.4%	0.1%^#	0.1^a
Private Non-group	5.5%	5.4%	-0.1%	0.1^a	5.3%	-0.1%	0.1^a
Uninsured	17.2%	17.9%	0.7%^*	0.5^a	16.7%	-1.2%^*	0.0
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 6: Change in Health Insurance Coverage among the Nonelderly by Region, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
Northeast	46.9	47.1		0.2^a	47.1		0.0^a
Employer	66.9%	63.2%	-3.7%^*	-1.6^a	62.2%	-1.0%^*	-0.5^a
Medicaid and State	16.2%	19.3%	3.1%^*	1.5^a	20.5%	1.2%^*	0.6^a
CHAMPUS/Medicare	1.4%	1.5%	0.1%^#	0.0^a	1.7%	0.2%^*	0.1^a
Private Non-group	3.9%	3.7%	-0.2%^*	0.0^a	3.8%	0.1%	0.0
Uninsured	11.6%	12.3%	0.8%^*	0.4^a	11.9%	-0.5%^*	-0.2^a
Midwest	57.2	57.3		0.1^a	57.2		-0.2^a
Employer	66.3%	61.9%	-4.5%^*	-2.5^a	61.5%	-0.4%^#	-0.3^a
Medicaid and State	14.7%	17.7%	3.0%^*	1.7^a	18.7%	1.0%^*	0.5^a
CHAMPUS/Medicare	1.7%	1.9%	0.2%^*	0.1^a	2.1%	0.2%^*	0.1^a
Private Non-group	4.3%	4.3%	0.0%	0.0	4.4%	0.1%^#	0.1
Uninsured	12.9%	14.2%	1.3%^*	0.8^a	13.3%	-0.9%^*	-0.6^a
South	95.6	98.1		2.5^a	100.0		1.9^a
Employer	57.1%	53.3%	-3.9%^*	-2.4^a	52.9%	-0.3%^*	0.7^a
Medicaid and State	15.2%	17.9%	2.7%^*	3.0^a	19.1%	1.2%^*	1.5^a
CHAMPUS/Medicare	3.3%	3.6%	0.3%^*	0.4^a	3.9%	0.2%^*	0.3^a
Private Non-group	4.2%	4.0%	-0.3%^*	-0.1^a	3.9%	0.0%	0.1
Uninsured	20.2%	21.3%	1.1%^*	1.6^a	20.2%	-1.1%^*	-0.7^a
West	61.7	62.6		0.9^a	63.6		1.0^a
Employer	57.7%	54.1%	-3.6%^*	-1.7^a	54.0%	-0.1%	0.5^a
Medicaid and State	15.5%	18.4%	2.8%^*	1.9^a	19.5%	1.1%^*	0.9^a
CHAMPUS/Medicare	2.3%	2.5%	0.3%^*	0.2^a	2.7%	0.2%^*	0.1^a
Private Non-group	5.5%	5.1%	-0.4%^*	-0.2^a	5.0%	-0.1%	0.0
Uninsured	19.1%	20.0%	0.9%^*	0.7^a	18.9%	-1.1%^*	-0.5^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 7: Change in Uninsurance among the Nonelderly by State, 2010-2013
Number and Share of State Population Uninsured					Change, 2010-2013
	2010		2013		Percentage point change	Change in millions of people
	Number Uninsured	Uninsured Rate	Number Uninsured	Uninsured Rate	Percentage point change	Change in millions of people
United States	47.3	17.9%	45.4	16.9%	-0.9%*	-2.0^a
Alabama	0.7	17.3%	0.7	16.4%	-0.8%^#	0.0^a
Alaska	0.1	19.3%	0.1	20.5%	1.2%	0.0
Arizona	1.1	19.7%	1.1	20.6%	0.9%*	0.1^a
Arkansas	0.5	20.2%	0.5	19.0%	-1.2%^#	0.0^b
California	6.8	21.0%	6.5	19.7%	-1.3%*	-0.3^a
Colorado	0.8	18.0%	0.7	16.1%	-1.9%*	-0.1^a
Connecticut	0.3	10.5%	0.3	11.0%	0.5%	0.0
Delaware	0.1	11.8%	0.1	11.8%	0.0%	0.0
DC	0.0	9.1%	0.0	7.7%	-1.3%#	0.0
Florida	3.9	25.7%	3.9	24.6%	-1.1%*	-0.1^b
Georgia	1.9	22.0%	1.8	21.2%	-0.8%*	0.0
Hawaii	0.1	8.9%	0.1	8.6%	-0.3%	0.0
Idaho	0.3	20.7%	0.3	18.9%	-1.8%*	0.0^b
Illinois	1.8	15.8%	1.6	14.5%	-1.3%*	-0.2^a
Indiana	0.9	16.9%	0.9	16.1%	-0.8%*	0.0^a
Iowa	0.3	11.0%	0.3	10.5%	-0.4%	0.0
Kansas	0.4	15.8%	0.4	14.6%	-1.3%*	0.0^a
Kentucky	0.7	17.7%	0.6	17.0%	-0.7%^#	0.0
Louisiana	0.8	20.3%	0.8	19.4%	-1.0%*	0.0^b
Maine	0.1	12.8%	0.1	13.6%	0.8%	0.0
Maryland	0.7	13.0%	0.6	11.8%	-1.2%*	-0.1^a
Massachusetts	0.3	5.4%	0.3	4.8%	-0.6%*	0.0^a
Michigan	1.2	14.6%	1.1	13.2%	-1.4%*	-0.1^a
Minnesota	0.5	10.3%	0.5	9.7%	-0.5%	0.0
Mississippi	0.5	20.8%	0.5	19.7%	-1.1%^#	0.0^a
Missouri	0.8	15.4%	0.8	15.4%	0.1%	0.0
Montana	0.2	20.3%	0.2	20.0%	-0.3%	0.0
Nebraska	0.2	13.8%	0.2	12.4%	-1.4%*	0.0^a
Nevada	0.6	25.5%	0.6	23.5%	-2.0%*	0.0^a
New Hampshire	0.1	12.6%	0.1	12.6%	0.0%	0.0
New Jersey	1.1	15.2%	1.2	15.5%	0.3%	0.0
New Mexico	0.4	23.1%	0.4	22.5%	-0.6%	0.0
New York	2.3	13.8%	2.1	12.7%	-1.1%*	-0.2^a
North Carolina	1.6	19.4%	1.5	18.4%	-1.0%*	-0.1^a
North Dakota	0.1	11.9%	0.1	12.3%	0.3%	0.0
Ohio	1.4	14.1%	1.3	12.9%	-1.3%*	-0.1^a
Oklahoma	0.7	21.9%	0.7	20.3%	-1.5%*	0.0^a
Oregon	0.7	20.1%	0.6	17.8%	-2.3%*	-0.1^a
Pennsylvania	1.3	12.2%	1.2	11.7%	-0.5%*	-0.1^a
Rhode Island	0.1	14.1%	0.1	14.1%	0.0%	0.0
South Carolina	0.8	20.4%	0.7	18.6%	-1.8%*	-0.1^a
South Dakota	0.1	14.0%	0.1	14.7%	0.6%	0.0
Tennessee	0.9	16.7%	0.9	16.4%	-0.3%	0.0
Texas	5.8	26.3%	5.7	24.5%	-1.7%*	-0.2^a
Utah	0.4	17.1%	0.4	14.9%	-2.2%*	0.0^a
Vermont	0.0	9.4%	0.0	8.3%	-1.1%	0.0
Virginia	1.0	14.6%	1.0	14.3%	-0.3%	0.0
Washington	0.9	16.3%	1.0	16.5%	0.2%	0.0
West Virginia	0.3	17.3%	0.2	16.3%	-0.9%	0.0^b
Wisconsin	0.5	11.2%	0.5	10.8%	-0.4%	0.0
Wyoming	0.1	16.7%	0.1	15.2%	-1.6%	0.0
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Table 8: Change in Health Insurance Coverage among Workers by Industry, 2008-2013
	Coverage distribution within income category		Change, 2008-2010		Coverage distribution within income category	Change 2010-2013
	2008	2010	Percentage point change	Change in millions of people	2013	Percentage point change	Change in millions of people
All workers	140.4	133.1		-7.3^a	138.0		4.8^a
Employer	72.4%	70.8%	-1.6%^*	-7.5^a	70.2%	-0.6%^*	2.6^a
Medicaid and State	4.3%	4.9%	0.6%^*	0.5^a	5.5%	0.6%^*	1.1^a
CHAMPUS/Medicare	1.3%	1.5%	0.1%^*	0.1^a	1.6%	0.2%^*	0.3^a
Private Non-group	4.8%	4.7%	-0.1%^*	-0.4^a	4.8%	0.1%^#	0.3^a
Uninsured	17.2%	18.1%	0.9%^*	0.0	17.9%	-0.2%^*	0.6^a
High ESI industries	50.2	47.3		-2.9^a	48.0		0.7^a
Employer	84.9%	84.1%	-0.8%^*	-2.8^a	83.2%	-0.8%^*	0.2
Medicaid and State	2.2%	2.5%	0.3%^*	0.1^a	2.8%	0.3%^*	0.2^a
CHAMPUS/Medicare	1.2%	1.5%	0.3%^*	0.1^a	1.7%	0.2%^*	0.1^a
Private Non-group	3.1%	3.1%	0.0%	-0.1^a	3.2%	0.1%^*	0.1^a
Uninsured	8.6%	8.9%	0.3%^*	-0.1^a	9.1%	0.2%^*	0.2^a
Low ESI industries	90.2	85.8		-4.4^a	90.0		4.2^a
Employer	65.5%	63.5%	-2.0%^*	-4.6^a	63.2%	-0.2%^#	2.4^a
Medicaid and State	5.4%	6.2%	0.8%^*	0.5^a	6.9%	0.7%^*	0.9^a
CHAMPUS/Medicare	1.5%	1.5%	0.0%	0.0^b	1.6%	0.1%^*	0.2^a
Private Non-group	5.7%	5.6%	-0.1%^#	-0.3^a	5.6%	0.0%	0.2^a
Uninsured	22.0%	23.2%	1.3%^*	0.1	22.6%	-0.6%^*	0.4^a
SOURCE: Analysis of the Urban Institute’s Health Policy Center’s American Community Survey (ACS) Medicaid/CHIP Simulation Model based on data from the Integrated Public Use Microdata Series (IPUMS) from 2010 and 2013. NOTE: Excludes persons aged 65 and older and those in the Armed Forces. Estimates reflect an adjustment for the misreporting of coverage on the ACS. * Indicates change in percent of people is statistically significant (at the 95% confidence level). # Indicates change in percent of people is statistically significant (at the 90% confidence level) a Indicates change in numbers of people is statistically significant (at the 95% confidence level). b Indicates change in numbers of people is statistically significant (at the 90% confidence level).

Conclusion

Health Insurance Coverage in 2013: Gains in Public Coverage Continue to Offset Loss of Private Insurance

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