© 2013, The Urban Institute Health Policy Center • www.healthpolicycenter.org

Uninsured New Yorkers After Full Implementation of the Affordable Care Act: Source of Health Insurance Coverage by Individual Characteristics

and Sub-State Geographic Area Revised, May 2013

Fred Blavin, Linda Blumberg, Matthew Buettgens

The Urban Institute developed a New York state-specific version of its Health Insurance Reform Simulation Model (HIPSM) for use in providing analytic support to the state in its effort to assess the implications of the implementation of the Patient Protection and Affordable Care Act of 2010 (ACA). Initial findings from this work were made available in March of 2012.1 As the state develops and designs its health benefits exchange consistent with the requirements of the ACA and stakeholders prepare for the full implementation of the reforms, the need arose for additional detail on the characteristics and areas of residence of those that are likely to be gaining coverage.

The tables presented here provide sub-state analyses, consistent with our previous findings, focusing on those without insurance coverage of any kind prior to reform, the baseline uninsured. We show the share of uninsured expected to gain coverage under the ACA, whether through public insurance (Medicaid or the Children’s Health Insurance Program, CHIP) or through private coverage (via the new exchange or outside it). The tables include the distribution of characteristics (age, income, race/ethnicity, health insurance unit type,2 health status, language, gender, and education) for those anticipated to gain insurance of each type whenever sample sizes allow.

For these results, we assume the small employer size threshold is set to 100 employees and the small group and direct pay markets remain separate for premium rating purposes. The 100 employee threshold is consistent with the fully phased-in federal requirement, and the separate markets are consistent with the state’s most recent policy decision. Together, these design features are consistent with the “Alternative #1” assumptions in our March 2012 report.

The post-reform estimates of the uninsured in the March 2012 report differ somewhat form those presented here. The estimates in the earlier report are the net effects of many uninsured New Yorkers gaining coverage and a small number of other New Yorkers becoming uninsured post-reform. The estimates in the present analysis focus exclusively on those uninsured prior to reform, thus they do not include any adjustment for the small share of individuals expected to go from insured to uninsured post-reform.

Methods The HIPSM-NY model that we have used to analyze the effects of the ACA in earlier reports was based on two years of the Current Population Survey (CPS).3 There were enough observations of New Yorkers in the two-year merged CPS data for statewide analysis, but not for analysis of detailed areas within the state. For that, we reproduced the results of our model on three years (2008-2010) of the American Community Survey (ACS), which yielded a far larger sample size.

We augmented the ACS with several data elements that are important in simulating the effects of the ACA: • Modified Adjusted Gross Income (MAGI) was computed as specified in the ACA. This required the

imputation of unemployment compensation, which was not directly available on the survey. • Immigration status was imputed following a methodology originally developed by Passel.4 • Eligibility for Medicaid and CHIP was imputed using current state rules.5 • The presence of an offer of employer-sponsored insurance was imputed using the methodology

developed for HIPSM.6

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© 2013, The Urban Institute Health Policy Center • www.healthpolicycenter.org

We used the previously published results of HIPSM-NY to predict changes in coverage on our enhanced ACS data. The New York ACS records were reweighted to simultaneously achieve two objectives. First, in developing HIPSM-NY, we had access to state-specific data that allowed us to determine enrollment in various types of health insurance coverage more accurately than survey responses could. This was particularly true of Medicaid, CHIP and individual (nongroup) market enrollment. Second, effects of the ACA, such as Medicaid and exchange enrollment, were calibrated to be consistent with earlier HIPSM-NY results. This multi-constraint reweighting was based on entropy maximization.7

We were then able to tabulate the results by sub-state area. The smallest geographic areas available on the public-use ACS are Public Use Microdata Areas (PUMAs) created by Census. These do not necessarily follow county boundaries, so we were not able to separate results for all counties. We present results for those counties that we could separate and divide the rest of the state into aggregations of PUMAs (Super-PUMAs). In cases where we provide separate tables with county specific estimates, observations for that county are omitted from the tables with Super-PUMA estimates to avoid double-counting.

For each area, we considered three populations, corresponding to the three columns of each table: those simulated to gain Medicaid or CHIP, those simulated to gain private coverage, and those simulated to remain uninsured under full implementation of the ACA. If the unweighted sample count of a column was less than 90, we suppressed the entire column except for the total due to concerns with the reliability of estimates based upon small samples. If the count was greater than 200, we did not suppress estimates.

For columns based on 90 to 200 observations, we tested each variable to determine whether estimates of its distribution should be suppressed. This allowed us to show estimates for many variables in these sub-state areas. The basic idea behind our test is as follows. Note that these are simulated results, not survey responses, so there is no computed standard error. Instead, we check the consistency of our estimates with other estimates in which we have confidence. Estimates in this sample size range are not shown if they were significantly different than that for a large sample. For example:

Take the age distribution of Medicaid coverage in County X: 1. Statewide, we computed the Kullback-Liebler divergence of age distributions among the eligible,

unenrolled population and the population gaining Medicaid/CHIP. This summarizes take-up behavior related to age at the state level.

2. We computed the same divergence for County X. 3. We computed the difference between these two (1. and 2., above). A difference of zero means that the

estimate was perfectly compatible with what we know about take-up of various age groups at the state level, combined with the distribution of age groups among the eligible population in the county. If the difference was greater than 0.01, age group estimates were suppressed. That does not necessarily mean that the estimates are wrong, just that they diverge from other estimates in which we have more confidence, and because the sample size was somewhat questionable, those estimates are not shown. We analyzed several areas manually, looking at the unweighted counts and comparisons with larger, but similar populations. The threshold value of 0.01 was set low enough to suppress at least those variables in whose distributions we were not confident.

For language, a different method was used. Even in areas with relatively large samples there could be individual languages with unreliably small samples. We suppressed estimates for individual languages with low sample size, and also suppressed the “other” category if any individual language was suppressed. For consistency with our prior estimates, the simulations assume fully phased-in implementation of the Affordable Care Act in the year 2012.

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© 2013, The Urban Institute Health Policy Center • www.healthpolicycenter.org

Notes 1. Fredric Blavin, Linda J. Blumberg, Matthew Buettgens, Jeremy Roth, The Coverage and Cost Effects of

Implementation of the Affordable Care Act in New York State, (Washington, DC; The Urban Institute; 2012) http://www.urban.org/health_policy/url.cfm?ID=412534

2. A health insurance unit (HIU) is a group of individuals who would normally be eligible to enroll on a common health insurance plan and includes adult children ages 18 to 22 that do not work the entire year, attend school and live with their parents. A HIU is similar to, yet more restrictive than, the typical survey family definition which includes all related persons in the household.

3. Fredric Blavin, Linda J. Blumberg, Matthew Buettgens, Jeremy Roth, 2012, op cit.

4. Passel, J. and D. Cohen. A Portrait of Unauthorized Immigrants in the United States. Washington, DC: Pew Hispanic Center. 2009.

5. Genevieve M. Kenney, Victoria Lynch, Jennifer Haley, and Michael Huntress (2012) Variation in Medicaid Eligibility and Participation among Adults: Implications for the Affordable Care Act. Inquiry: Fall 2012, Vol. 49, No. 3, pp. 231-253. http://dx.doi.org/10.5034/inquiryjrnl_49.03.08

6. Matthew Buettgens, HIPSM Methodology, 2011 National Version, http://www.urban.org/UploadedPDF/412471-Health-Insurance-Policy-Simulation-Model-Methodology-Documentation.pdf

7. Wittenberg, "An introduction to maximum entropy and minimum cross-entropy estimation using Stata," The Stata Journal (2010) 10, Number 3, pp. 315-330.

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActAll NY State

N % N % N % N % N %Total Nonelderly 469,000 100.0% 327,000 100.0% 82,000 100.0% 170,000 100.0% 1,676,000 100.0%

Age0 - 18 136,000 29.1% 10,000 3.2% 7,000 8.9% 12,000 7.1% 194,000 11.6%19 - 24 years 84,000 18.0% 49,000 15.1% 13,000 15.9% 23,000 13.7% 292,000 17.4%25 - 44 years 139,000 29.6% 171,000 52.5% 45,000 54.4% 97,000 56.7% 793,000 47.3%45 - 64 years 109,000 23.3% 95,000 29.2% 17,000 20.8% 38,000 22.5% 396,000 23.6%

MAGIUnder 138% FPL 389,000 82.8% * 7,000 8.5% 26,000 15.1% 907,000 54.1%138% - 200% FPL 28,000 6.0% 174,000 53.3% 26,000 32.0% 42,000 24.9% 198,000 11.8%200% - 300% FPL 31,000 6.7% 71,000 21.6% 22,000 27.4% 44,000 25.6% 246,000 14.7%300% - 400% FPL 19,000 4.0% 26,000 7.9% 9,000 10.9% 23,000 13.2% 135,000 8.1%400%+ FPL 2,000 0.5% 56,000 17.2% 17,000 21.1% 36,000 21.2% 189,000 11.3%

Race/EthnicityWhite, Non-Hispanic 199,000 42.4% 156,000 47.8% 28,000 34.2% 61,000 35.5% 588,000 35.1%Black, Non-Hispanic 91,000 19.4% 40,000 12.4% 11,000 13.7% 26,000 15.0% 283,000 16.9%Hispanic 132,000 28.1% 89,000 27.3% 31,000 38.3% 61,000 35.7% 574,000 34.2%Other 47,000 10.1% 41,000 12.6% 11,000 13.9% 23,000 13.8% 231,000 13.8%

HIU TypeChild Only 14,000 3.0% * * * 30,000 1.8%Single, No Dependents 230,000 49.0% 149,000 45.5% 39,000 47.5% 82,000 47.9% 739,000 44.1%Single, With Dependents 60,000 12.8% 26,000 8.0% 7,000 8.7% 14,000 8.2% 227,000 13.6%Married, No Dependents 54,000 11.5% 45,000 13.7% 8,000 9.6% 17,000 10.3% 210,000 12.5%Married, With Dependents 112,000 23.8% 107,000 32.8% 28,000 34.2% 57,000 33.5% 470,000 28.0%

Health StatusBetter than Fair/Poor 421,000 89.8% 293,000 89.7% 74,000 90.8% 150,000 87.9% 1,519,000 90.6%Fair/Poor 48,000 10.2% 34,000 10.3% 7,000 9.2% 21,000 12.1% 157,000 9.4%

LanguageEnglish 268,000 57.2% 183,000 56.0% 36,000 44.6% 78,000 45.6% 775,000 46.2%Spanish 109,000 23.2% 82,000 25.2% 29,000 35.1% 57,000 33.7% 528,000 31.5%Chinese 12,000 2.5% 11,000 3.2% 4,000 4.5% 7,000 4.0% 62,000 3.7%Hindi and related 8,000 1.6% 7,000 2.1% 1,000 1.3% 3,000 1.9% 40,000 2.4%French/Haitian 9,000 2.0% 5,000 1.5% 2,000 2.1% 3,000 1.9% 37,000 2.2%Korean 4,000 0.8% 6,000 1.7% 2,000 2.1% 3,000 1.7% 28,000 1.7%Russian 3,000 0.6% 4,000 1.2% 1,000 0.9% 2,000 1.3% 20,000 1.2%Other 27,000 5.8% 27,000 8.3% 6,000 7.7% 14,000 8.4% 144,000 8.6%N/A or blank 30,000 6.3% 2,000 0.7% 1,000 1.7% 2,000 1.5% 41,000 2.4%

GenderMale 260,000 55.5% 188,000 57.4% 52,000 63.7% 100,000 59.0% 942,000 56.2%Female 209,000 44.5% 139,000 42.6% 30,000 36.3% 70,000 41.0% 734,000 43.8%

Education1

Less than High School 64,000 13.6% 53,000 16.2% 17,000 20.4% 31,000 18.2% 364,000 21.7%High School 170,000 36.2% 133,000 40.8% 32,000 38.5% 61,000 36.1% 531,000 31.7%Some College 63,000 13.4% 75,000 23.0% 14,000 16.7% 31,000 18.2% 309,000 18.4%College Graduate 36,000 7.7% 55,000 16.8% 13,000 15.5% 35,000 20.4% 278,000 16.6%

Source: UI Analysis of ACS NY Records1: For adults only.

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Remaining UninsuredNon-Group Exchange Small-Firm ESI Other Private

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActNew York City - Counties 50, 470, 610, 810, 850Bronx, Kings, New York, Queens, Richmond

N % N % N %Total Nonelderly 219,000 100.0% 289,000 100.0% 927,000 100.0%

Age0 - 18 52,000 23.6% 14,000 4.7% 82,000 8.8%19 - 24 years 40,000 18.1% 37,000 12.8% 153,000 16.5%25 - 44 years 72,000 32.7% 165,000 57.1% 468,000 50.6%45 - 64 years 56,000 25.6% 73,000 25.4% 223,000 24.1%

MAGIUnder 138% FPL 189,000 86.2% 17,000 5.8% 505,000 54.5%138% - 200% FPL 10,000 4.7% 118,000 40.8% 113,000 12.2%200% - 300% FPL 12,000 5.7% 68,000 23.5% 138,000 14.9%300% - 400% FPL 6,000 2.9% 30,000 10.3% 74,000 8.0%400%+ FPL 1,000 0.6% 57,000 19.7% 96,000 10.4%

Race/EthnicityWhite, Non-Hispanic 40,000 18.1% 63,000 22.0% 169,000 18.2%Black, Non-Hispanic 62,000 28.2% 55,000 18.9% 201,000 21.7%Hispanic 85,000 39.0% 115,000 40.0% 386,000 41.6%Other 32,000 14.7% 55,000 19.2% 171,000 18.5%

HIU Type1

Single, No Dependents 111,000 50.6% 138,000 47.7% 419,000 45.2%Single, With Dependents 24,000 11.1% 22,000 7.6% 116,000 12.5%Married, No Dependents 30,000 13.6% 39,000 13.4% 130,000 14.0%Married, With Dependents 46,000 21.2% 90,000 31.3% 246,000 26.6%

Health StatusBetter than Fair/Poor 197,000 90.3% 258,000 89.4% 844,000 91.1%Fair/Poor 21,000 9.7% 31,000 10.6% 83,000 8.9%

LanguageEnglish 92,000 42.1% 101,000 35.1% 313,000 33.8%Spanish 74,000 33.8% 107,000 37.2% 359,000 38.8%Chinese 10,000 4.7% 19,000 6.6% 55,000 5.9%Hindi and related 6,000 2.5% 8,000 2.7% 27,000 2.9%French 6,000 2.8% 7,000 2.5% 26,000 2.8%Korean 3,000 1.4% 7,000 2.6% 21,000 2.2%Russian 3,000 1.2% 5,000 1.8% 16,000 1.8%Other 15,000 7.1% 30,000 10.3% 94,000 10.1%N/A or blank 10,000 4.5% 4,000 1.2% 16,000 1.7%

GenderMale 120,000 54.9% 171,000 59.3% 522,000 56.3%Female 99,000 45.1% 117,000 40.7% 405,000 43.7%

Education2

Less than High School 37,000 16.8% 61,000 21.0% 230,000 24.8%High School 80,000 36.6% 103,000 35.5% 278,000 30.0%Some College 29,000 13.4% 53,000 18.3% 164,000 17.7%College Graduate 21,000 9.6% 59,000 20.4% 172,000 18.6%

Private Coverage GainedNon-group Exchange N/A 150,000 51.8% N/ASmall-firm ESI coverage N/A 46,000 16.0% N/AOther Private N/A 93,000 32.2% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 10 - Albany

N % N % N %Total Nonelderly 6,000 100.0% 5,000 100.0% 17,000 100.0%

Age0 - 18 2,000 30.0% * 3,000 14.6%19 - 24 years 1,000 20.1% * 5,000 26.5%25 - 44 years 1,000 23.4% * 7,000 40.8%45 - 64 years 1,000 26.4% * 3,000 18.0%

MAGIUnder 138% FPL 5,000 80.9% * 10,000 55.8%138% - 200% FPL 1,000 10.1% * 1,000 7.4%200% - 300% FPL * * 4,000 21.1%300% - 400% FPL * * 1,000 7.2%400%+ FPL * * 1,000 8.4%

Race/EthnicityWhite, Non-Hispanic * * 9,000 53.7%Black, Non-Hispanic * * 3,000 19.6%Hispanic * * 1,000 8.3%Other * * 3,000 18.4%

HIU Type1

Single, No Dependents 3,000 53.8% * 8,000 47.7%Single, With Dependents * * 2,000 11.6%Married, No Dependents 1,000 15.3% * 2,000 11.4%Married, With Dependents 1,000 22.9% * 5,000 28.2%

Health StatusBetter than Fair/Poor 5,000 90.6% 4,000 90.2% 16,000 91.2%Fair/Poor 1,000 9.4% * 2,000 8.8%

LanguageEnglish 4,000 75.7% 5,000 92.9% 12,000 69.6%Spanish * * 1,000 8.4%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 3,000 58.5% 3,000 56.2% 9,000 54.2%Female 2,000 41.5% 2,000 43.8% 8,000 45.8%

Education2

Less than High School 1,000 9.8% * 2,000 14.0%High School 2,000 34.2% * 5,000 31.6%Some College 1,000 11.0% * 3,000 20.0%College Graduate 1,000 15.0% * 3,000 19.7%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining:Medicaid or CHIP Private Coverage Remaining Uninsured

Baseline Uninsured:

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 50 - Bronx

N % N % N %Total Nonelderly 44,000 100.0% 47,000 100.0% 177,000 100.0%

Age0 - 18 12,000 27.9% 2,000 5.2% 20,000 11.5%19 - 24 years 9,000 21.5% 8,000 15.8% 31,000 17.7%25 - 44 years 14,000 30.7% 27,000 56.8% 85,000 48.4%45 - 64 years 9,000 19.9% 11,000 22.3% 40,000 22.5%

MAGIUnder 138% FPL 37,000 84.8% 4,000 7.8% 107,000 60.4%138% - 200% FPL 3,000 6.1% 22,000 46.0% 20,000 11.4%200% - 300% FPL 3,000 6.4% 11,000 23.3% 25,000 14.4%300% - 400% FPL 1,000 2.3% 4,000 9.4% 12,000 7.1%400%+ FPL * 6,000 13.5% 12,000 6.7%

Race/EthnicityWhite, Non-Hispanic 3,000 7.6% 5,000 9.7% 10,000 5.9%Black, Non-Hispanic 14,000 31.5% 11,000 23.9% 48,000 27.0%Hispanic 25,000 57.4% 29,000 62.0% 108,000 61.1%Other 2,000 3.6% 2,000 4.4% 11,000 6.0%

HIU Type1

Single, No Dependents 22,000 50.6% 25,000 52.3% 73,000 41.2%Single, With Dependents 7,000 16.2% 4,000 8.9% 30,000 17.0%Married, No Dependents 4,000 10.1% 5,000 11.4% 22,000 12.7%Married, With Dependents 8,000 19.0% 13,000 27.3% 48,000 26.9%

Health StatusBetter than Fair/Poor 40,000 91.5% 41,000 86.8% 160,000 90.8%Fair/Poor 4,000 8.5% 6,000 13.2% 16,000 9.2%

LanguageEnglish 16,000 36.1% 13,000 28.1% 47,000 26.9%Spanish 22,000 50.2% 28,000 58.6% 100,000 56.8%Chinese * * 1,000 0.7%Hindi and related 1,000 1.6% * 3,000 1.4%French/Haitian 1,000 1.7% 1,000 1.1% 4,000 2.5%Korean * * 1,000 0.7%Russian * * *Other * * *N/A or blank 3,000 5.7% * 4,000 2.3%

GenderMale 25,000 56.0% 31,000 65.0% 100,000 56.7%Female 19,000 44.0% 17,000 35.0% 77,000 43.3%

Education2

Less than High School 9,000 21.4% 13,000 27.1% 55,000 31.1%High School 15,000 33.2% 18,000 36.9% 54,000 30.7%Some College 6,000 13.5% 9,000 18.4% 31,000 17.3%College Graduate 2,000 4.0% 6,000 12.5% 17,000 9.5%

Private Coverage GainedNon-group Exchange N/A 22,000 45.9% N/ASmall-firm ESI coverage N/A 9,000 18.9% N/AOther Private N/A 17,000 35.2% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 130 - Chautauqua

N % N % N %Total Nonelderly 4,000 100.0% 3,000 100.0% 9,000 100.0%

Age0 - 18 1,000 23.3% * 2,000 17.3%19 - 24 years 1,000 18.6% * 2,000 17.9%25 - 44 years 1,000 25.8% * 4,000 42.8%45 - 64 years 1,000 32.3% * 2,000 22.0%

MAGIUnder 138% FPL * * 6,000 62.4%138% - 200% FPL * * 1,000 7.7%200% - 300% FPL * * 1,000 7.6%300% - 400% FPL * * 1,000 12.1%400%+ FPL * * 1,000 10.2%

Race/EthnicityWhite, Non-Hispanic * * 8,000 83.6%Black, Non-Hispanic * * *Hispanic * * 1,000 11.3%Other * * *

HIU Type1

Single, No Dependents * * 4,000 43.7%Single, With Dependents * * 1,000 7.6%Married, No Dependents * * 1,000 11.8%Married, With Dependents * * 3,000 32.8%

Health StatusBetter than Fair/Poor 3,000 88.0% * 8,000 84.8%Fair/Poor * * 1,000 15.2%

LanguageEnglish 3,000 72.3% * 7,000 78.9%Spanish * * 1,000 8.9%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 2,000 59.3% * 5,000 54.0%Female 1,000 40.7% * 4,000 46.0%

Education2

Less than High School * * 2,000 18.4%High School 2,000 47.1% * 3,000 34.1%Some College * * 2,000 17.2%College Graduate * * 1,000 12.9%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 270 - Dutchess

N % N % N %Total Nonelderly 6,000 100.0% 8,000 100.0% 20,000 100.0%

Age0 - 18 * 1,000 11.5% 3,000 14.4%19 - 24 years * 1,000 14.7% 4,000 18.6%25 - 44 years * 4,000 52.1% 9,000 43.1%45 - 64 years * 2,000 21.7% 5,000 23.9%

MAGIUnder 138% FPL * * 12,000 57.3%138% - 200% FPL * * 2,000 8.8%200% - 300% FPL * * 3,000 13.8%300% - 400% FPL * * 1,000 6.8%400%+ FPL * * 3,000 13.2%

Race/EthnicityWhite, Non-Hispanic 4,000 65.9% 5,000 69.5% 12,000 59.3%Black, Non-Hispanic * * 2,000 8.2%Hispanic 1,000 21.0% 2,000 21.0% 5,000 26.3%Other * * 1,000 6.1%

HIU Type1

Single, No Dependents * * 8,000 40.7%Single, With Dependents * * 3,000 16.7%Married, No Dependents * * 2,000 9.8%Married, With Dependents * * 6,000 29.9%

Health StatusBetter than Fair/Poor 5,000 92.9% 7,000 89.6% 19,000 93.3%Fair/Poor 1,000 10.4% 1,000 6.7%

LanguageEnglish 5,000 79.9% 6,000 73.3% 14,000 66.1%Spanish 1,000 12.1% 1,000 17.7% 4,000 20.4%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 3,000 53.5% * 11,000 55.0%Female 3,000 46.5% * 9,000 45.0%

Education2

Less than High School * 1,000 9.3% 3,000 14.3%High School * 3,000 41.5% 7,000 35.8%Some College * 2,000 24.3% 5,000 23.5%College Graduate * 1,000 13.4% 2,000 12.0%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

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Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 290 - Erie

N % N % N %Total Nonelderly 17,000 100.0% 16,000 100.0% 49,000 100.0%

Age0 - 18 6,000 32.2% 1,000 3.6% 6,000 11.5%19 - 24 years 3,000 18.7% 2,000 14.5% 9,000 18.7%25 - 44 years 5,000 29.1% 9,000 57.1% 24,000 48.3%45 - 64 years 3,000 19.9% 4,000 24.8% 11,000 21.6%

MAGIUnder 138% FPL 15,000 85.4% 1,000 4.9% 28,000 56.4%138% - 200% FPL 1,000 4.6% 8,000 51.8% 6,000 11.7%200% - 300% FPL 1,000 5.6% 3,000 20.6% 7,000 15.0%300% - 400% FPL 1,000 3.8% 1,000 6.5% 3,000 6.8%400%+ FPL * 3,000 16.2% 5,000 10.2%

Race/EthnicityWhite, Non-Hispanic 12,000 68.7% 11,000 70.8% 31,000 62.9%Black, Non-Hispanic 4,000 22.5% 3,000 19.8% 12,000 24.7%Hispanic 1,000 4.8% 1,000 4.6% 3,000 5.4%Other 1,000 4.0% 1,000 4.8% 3,000 7.1%

HIU Type1

Single, No Dependents 10,000 57.7% 9,000 59.1% 26,000 52.6%Single, With Dependents 3,000 18.2% 2,000 10.6% 8,000 15.7%Married, No Dependents 1,000 6.0% 2,000 11.6% 5,000 9.2%Married, With Dependents 3,000 15.8% 3,000 18.6% 10,000 20.6%

Health StatusBetter than Fair/Poor 15,000 88.6% 14,000 89.8% 45,000 91.9%Fair/Poor 2,000 11.4% 2,000 10.2% 4,000 8.1%

LanguageEnglish 14,000 82.6% 14,000 88.2% 41,000 82.5%Spanish * * 2,000 4.6%Chinese * * *Hindi and related * * 1,000 1.8%French/Haitian * * *Korean * * *Russian * * 1,000 1.6%Other * * *N/A or blank 1,000 7.8% * 1,000 2.2%

GenderMale 10,000 54.6% 10,000 60.9% 29,000 58.0%Female 8,000 45.4% 6,000 39.1% 21,000 42.0%

Education2

Less than High School 1,000 6.3% 2,000 9.9% 7,000 14.1%High School 7,000 37.7% 6,000 40.5% 18,000 36.7%Some College 3,000 16.9% 5,000 29.6% 11,000 22.5%College Graduate 1,000 6.8% 3,000 16.5% 7,000 15.2%

Private Coverage GainedNon-group Exchange N/A 10,000 64.4% N/ASmall-firm ESI coverage N/A 2,000 10.4% N/AOther Private N/A 4,000 25.2% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

12

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 470 - Kings

N % N % N %Total Nonelderly 64,000 100.0% 84,000 100.0% 271,000 100.0%

Age0 - 18 16,000 24.4% 5,000 5.4% 25,000 9.3%19 - 24 years 13,000 19.6% 11,000 12.7% 48,000 17.6%25 - 44 years 20,000 30.5% 46,000 55.4% 137,000 50.6%45 - 64 years 16,000 25.5% 22,000 26.5% 61,000 22.6%

MAGIUnder 138% FPL 55,000 86.1% 5,000 6.1% 153,000 56.4%138% - 200% FPL 3,000 4.6% 33,000 39.7% 35,000 12.8%200% - 300% FPL 4,000 5.6% 21,000 24.6% 38,000 14.1%300% - 400% FPL 2,000 3.2% 9,000 10.2% 18,000 6.7%400%+ FPL * 16,000 19.4% 27,000 10.0%

Race/EthnicityWhite, Non-Hispanic 12,000 18.6% 21,000 25.2% 60,000 22.0%Black, Non-Hispanic 26,000 41.0% 25,000 29.7% 91,000 33.4%Hispanic 19,000 29.5% 24,000 28.9% 84,000 31.0%Other 7,000 11.0% 14,000 16.2% 37,000 13.6%

HIU Type1

Single, No Dependents 31,000 47.6% 39,000 46.3% 123,000 45.2%Single, With Dependents 7,000 10.2% 6,000 7.6% 33,000 12.3%Married, No Dependents 10,000 15.0% 11,000 13.4% 37,000 13.6%Married, With Dependents 15,000 23.6% 27,000 32.7% 75,000 27.5%

Health StatusBetter than Fair/Poor 59,000 91.2% 75,000 90.0% 247,000 91.0%Fair/Poor 6,000 8.8% 8,000 10.0% 24,000 9.0%

LanguageEnglish 32,000 49.1% 36,000 43.2% 115,000 42.4%Spanish 16,000 24.6% 22,000 26.5% 77,000 28.3%Chinese 3,000 4.7% 8,000 9.0% 19,000 7.1%Hindi and related 1,000 1.5% 1,000 1.5% 6,000 2.0%French/Haitian 3,000 5.2% 4,000 4.7% 14,000 5.1%Korean * * 1,000 0.3%Russian 1,000 2.2% 3,000 3.9% 9,000 3.4%Other * * 26,000 9.6%N/A or blank 3,000 5.1% 2,000 1.9% 5,000 1.8%

GenderMale 35,000 53.8% 47,000 56.0% 153,000 56.3%Female 30,000 46.2% 37,000 44.0% 119,000 43.7%

Education2

Less than High School 11,000 16.7% 18,000 22.0% 70,000 25.8%High School 25,000 38.8% 30,000 35.3% 84,000 30.9%Some College 8,000 11.7% 15,000 18.3% 48,000 17.6%College Graduate 5,000 8.3% 16,000 19.0% 45,000 16.4%

Private Coverage GainedNon-group Exchange N/A 45,000 53.6% N/ASmall-firm ESI coverage N/A 13,000 15.1% N/AOther Private N/A 26,000 31.2% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

13

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 590 - Nassau

N % N % N %Total Nonelderly 26,000 100.0% 38,000 100.0% 93,000 100.0%

Age0 - 18 10,000 38.1% 3,000 7.2% 13,000 14.5%19 - 24 years 4,000 15.8% 6,000 15.9% 17,000 18.5%25 - 44 years 6,000 22.1% 19,000 49.2% 40,000 43.2%45 - 64 years 6,000 24.0% 10,000 27.7% 22,000 23.9%

MAGIUnder 138% FPL 20,000 75.0% 3,000 6.7% 49,000 53.0%138% - 200% FPL 2,000 8.9% 15,000 40.7% 12,000 12.4%200% - 300% FPL 2,000 8.9% 7,000 19.5% 11,000 12.1%300% - 400% FPL 2,000 6.8% 5,000 12.0% 7,000 7.7%400%+ FPL * 8,000 21.1% 14,000 14.8%

Race/EthnicityWhite, Non-Hispanic 10,000 39.2% 13,000 34.8% 29,000 30.8%Black, Non-Hispanic 4,000 17.0% 4,000 9.2% 13,000 13.5%Hispanic 9,000 33.8% 15,000 38.8% 39,000 41.6%Other 3,000 9.9% 7,000 17.2% 13,000 14.1%

HIU Type1

Single, No Dependents 10,000 40.0% 16,000 41.0% 40,000 42.6%Single, With Dependents 5,000 18.5% 3,000 8.8% 13,000 13.7%Married, No Dependents 3,000 9.9% 2,000 5.8% 9,000 9.7%Married, With Dependents 8,000 30.0% 17,000 44.2% 30,000 32.4%

Health StatusBetter than Fair/Poor 23,000 88.9% 33,000 86.6% 84,000 90.3%Fair/Poor 3,000 11.1% 5,000 13.4% 9,000 9.7%

LanguageEnglish 12,000 47.5% 15,000 39.4% 36,000 38.2%Spanish 7,000 27.8% 14,000 37.2% 34,000 36.7%Chinese * 1,000 2.1% 2,000 1.8%Hindi and related 1,000 2.9% 1,000 3.5% 4,000 4.8%French/Haitian 1,000 3.6% 1,000 2.2% 3,000 3.4%Korean * 1,000 3.8% 4,000 3.8%Russian * * *Other * * *N/A or blank 3,000 10.7% * 4,000 4.8%

GenderMale 15,000 56.2% 21,000 56.7% 50,000 53.4%Female 11,000 43.8% 16,000 43.3% 43,000 46.6%

Education2

Less than High School 3,000 13.2% 6,000 14.6% 18,000 18.9%High School 8,000 29.2% 14,000 36.9% 27,000 29.1%Some College 3,000 11.4% 8,000 22.2% 17,000 18.6%College Graduate 2,000 8.1% 7,000 19.2% 18,000 18.9%

Private Coverage GainedNon-group Exchange N/A 21,000 55.8% N/ASmall-firm ESI coverage N/A 4,000 11.8% N/AOther Private N/A 12,000 32.4% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

14

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 610 - New York

N % N % N %Total Nonelderly 37,000 100.0% 41,000 100.0% 149,000 100.0%

Age0 - 18 6,000 15.9% 1,000 2.2% 12,000 8.1%19 - 24 years 7,000 18.0% 6,000 14.3% 20,000 13.7%25 - 44 years 13,000 35.4% 24,000 58.6% 80,000 53.7%45 - 64 years 11,000 30.6% 10,000 24.9% 37,000 24.5%

MAGIUnder 138% FPL 34,000 92.4% 2,000 5.1% 82,000 55.0%138% - 200% FPL 1,000 2.1% 17,000 41.8% 17,000 11.4%200% - 300% FPL 1,000 2.7% 7,000 17.4% 16,000 10.8%300% - 400% FPL 1,000 2.1% 4,000 9.6% 13,000 8.8%400%+ FPL * 11,000 26.1% 21,000 14.0%

Race/EthnicityWhite, Non-Hispanic 8,000 21.3% 14,000 34.1% 41,000 27.7%Black, Non-Hispanic 8,000 22.2% 5,000 12.4% 24,000 16.4%Hispanic 16,000 43.1% 16,000 38.3% 59,000 39.4%Other 5,000 13.4% 6,000 15.3% 25,000 16.6%

HIU Type1

Single, No Dependents 24,000 63.7% 27,000 65.0% 87,000 58.2%Single, With Dependents 4,000 10.3% 3,000 7.2% 17,000 11.5%Married, No Dependents 5,000 12.8% 6,000 13.4% 21,000 13.8%Married, With Dependents 4,000 10.4% 6,000 14.3% 21,000 14.3%

Health StatusBetter than Fair/Poor 33,000 90.6% 37,000 90.3% 137,000 91.8%Fair/Poor 3,000 9.4% 4,000 9.7% 12,000 8.2%

LanguageEnglish 15,000 41.6% 19,000 45.8% 60,000 40.5%Spanish 14,000 38.4% 14,000 34.6% 56,000 37.2%Chinese 3,000 7.7% 3,000 6.3% 9,000 6.1%Hindi and related * * *French/Haitian 1,000 2.5% 1,000 3.4% 4,000 2.9%Korean * * 2,000 1.6%Russian * * 1,000 0.7%Other * * *N/A or blank 1,000 2.6% * 2,000 1.6%

GenderMale 21,000 55.6% 23,000 56.0% 84,000 56.1%Female 16,000 44.4% 18,000 44.0% 65,000 43.9%

Education2

Less than High School 6,000 17.2% 8,000 19.7% 29,000 19.4%High School 13,000 34.9% 9,000 23.0% 32,000 21.8%Some College 6,000 15.8% 8,000 18.4% 25,000 16.9%College Graduate 6,000 16.1% 15,000 36.6% 50,000 33.8%

Private Coverage GainedNon-group Exchange N/A 22,000 52.8% N/ASmall-firm ESI coverage N/A 5,000 12.3% N/AOther Private N/A 14,000 34.8% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

15

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 630 - Niagara

N % N % N %Total Nonelderly 4,000 100.0% 5,000 100.0% 15,000 100.0%

Age0 - 18 * * 2,000 15.8%19 - 24 years * * 3,000 23.3%25 - 44 years * * 5,000 34.6%45 - 64 years * * 4,000 26.3%

MAGIUnder 138% FPL * * 8,000 51.0%138% - 200% FPL * * 1,000 8.7%200% - 300% FPL * * 2,000 16.4%300% - 400% FPL * * 2,000 11.3%400%+ FPL * * 2,000 12.6%

Race/EthnicityWhite, Non-Hispanic * * 12,000 77.2%Black, Non-Hispanic * * 1,000 9.0%Hispanic * * 1,000 5.5%Other * * 1,000 8.3%

HIU Type1

Single, No Dependents * * 7,000 47.1%Single, With Dependents * * 2,000 14.2%Married, No Dependents * * 2,000 13.1%Married, With Dependents * * 3,000 23.1%

Health StatusBetter than Fair/Poor * 5,000 91.6% 13,000 89.6%Fair/Poor * * 2,000 10.4%

LanguageEnglish 4,000 88.1% 5,000 95.2% 13,000 87.8%Spanish * * 1,000 4.4%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 2,000 50.0% 3,000 62.3% 9,000 58.0%Female 2,000 50.0% 2,000 37.7% 6,000 42.0%

Education2

Less than High School * * 2,000 14.6%High School 2,000 38.1% * 6,000 38.8%Some College 1,000 13.1% * 4,000 23.7%College Graduate * * 1,000 7.1%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

16

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 710 - Orange

N % N % N %Total Nonelderly 9,000 100.0% 13,000 100.0% 29,000 100.0%

Age0 - 18 3,000 1,000 9.9% 5,000 18.7%19 - 24 years 1,000 2,000 17.8% 5,000 19.0%25 - 44 years 3,000 6,000 48.1% 12,000 40.4%45 - 64 years 1,000 3,000 24.3% 6,000 21.8%

MAGIUnder 138% FPL * * 14,000 47.9%138% - 200% FPL * * 3,000 10.4%200% - 300% FPL * * 4,000 14.4%300% - 400% FPL * * 3,000 8.8%400%+ FPL * * 5,000 18.5%

Race/EthnicityWhite, Non-Hispanic * * 13,000 45.3%Black, Non-Hispanic * * 3,000 11.2%Hispanic * * 11,000 37.6%Other * * 2,000 6.0%

HIU Type1

Single, No Dependents * 5,000 38.7% 11,000 37.9%Single, With Dependents * 1,000 5.0% 4,000 13.0%Married, No Dependents * 1,000 7.3% 3,000 10.5%Married, With Dependents * 6,000 49.0% 11,000 37.7%

Health StatusBetter than Fair/Poor 7,000 81.9% 12,000 93.6% 24,000 84.5%Fair/Poor 2,000 18.1% 1,000 6.4% 4,000 15.5%

LanguageEnglish 7,000 74.0% 6,000 48.7% 16,000 56.5%Spanish 1,000 14.8% 4,000 34.7% 9,000 31.7%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale * 7,000 54.5% 15,000 53.2%Female * 6,000 45.5% 13,000 46.8%

Education2

Less than High School * 3,000 22.2% 6,000 21.6%High School * 4,000 35.7% 10,000 33.7%Some College * 2,000 19.4% 4,000 15.0%College Graduate * 2,000 12.9% 3,000 11.0%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

17

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 810 - Queens

N % N % N %Total Nonelderly 64,000 100.0% 107,000 100.0% 300,000 100.0%

Age0 - 18 15,000 23.8% 5,000 4.9% 22,000 7.2%19 - 24 years 9,000 14.5% 12,000 11.1% 47,000 15.8%25 - 44 years 22,000 35.0% 62,000 57.5% 151,000 50.4%45 - 64 years 17,000 26.7% 28,000 26.5% 80,000 26.6%

MAGIUnder 138% FPL 54,000 84.0% 5,000 5.0% 146,000 48.6%138% - 200% FPL 3,000 5.1% 42,000 38.8% 37,000 12.4%200% - 300% FPL 4,000 6.9% 27,000 24.9% 55,000 18.3%300% - 400% FPL 2,000 3.3% 12,000 11.3% 29,000 9.6%400%+ FPL * 22,000 20.1% 34,000 11.2%

Race/EthnicityWhite, Non-Hispanic 12,000 19.1% 19,000 18.1% 47,000 15.7%Black, Non-Hispanic 12,000 18.0% 13,000 11.7% 35,000 11.7%Hispanic 23,000 36.3% 43,000 40.4% 125,000 41.6%Other 17,000 26.6% 32,000 29.8% 93,000 31.0%

HIU Type1

Single, No Dependents 30,000 46.4% 44,000 40.9% 126,000 42.1%Single, With Dependents 6,000 8.9% 7,000 6.6% 31,000 10.4%Married, No Dependents 10,000 15.8% 16,000 14.6% 46,000 15.4%Married, With Dependents 16,000 25.5% 41,000 37.9% 92,000 30.7%

Health StatusBetter than Fair/Poor 57,000 88.7% 96,000 89.6% 273,000 90.9%Fair/Poor 7,000 11.3% 11,000 10.4% 27,000 9.1%

LanguageEnglish 24,000 36.8% 29,000 26.6% 78,000 26.0%Spanish 21,000 32.1% 41,000 38.3% 117,000 39.1%Chinese 4,000 5.8% 8,000 7.7% 24,000 7.8%Hindi and related 4,000 5.7% 6,000 5.3% 18,000 5.9%French/Haitian 1,000 1.5% 1,000 1.2% 4,000 1.2%Korean 3,000 4.0% 6,000 5.8% 16,000 5.4%Russian 1,000 1.3% 2,000 1.5% 4,000 1.4%Other 6,000 8.8% * 35,000 11.8%N/A or blank 3,000 4.1% * 4,000 1.4%

GenderMale 34,000 53.5% 65,000 60.4% 170,000 56.6%Female 30,000 46.5% 42,000 39.6% 130,000 43.4%

Education2

Less than High School 9,000 14.3% 21,000 19.5% 71,000 23.8%High School 24,000 37.0% 41,000 37.8% 96,000 32.1%Some College 9,000 13.5% 20,000 18.3% 55,000 18.5%College Graduate 7,000 11.4% 21,000 19.5% 55,000 18.4%

Private Coverage GainedNon-group Exchange N/A 56,000 51.9% N/ASmall-firm ESI coverage N/A 18,000 17.2% N/AOther Private N/A 33,000 30.9% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

18

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 830 - Rensselaer

N % N % N %Total Nonelderly 4,000 100.0% 4,000 100.0% 7,000 100.0%

Age0 - 18 * * 1,000 12.3%19 - 24 years * * 2,000 23.8%25 - 44 years * * 3,000 45.7%45 - 64 years * * 1,000 18.1%

MAGIUnder 138% FPL * * *138% - 200% FPL * * *200% - 300% FPL * * *300% - 400% FPL * * *400%+ FPL * * *

Race/EthnicityWhite, Non-Hispanic * * 6,000 82.9%Black, Non-Hispanic * * *Hispanic * * *Other * * 1,000 7.9%

HIU Type1

Single, No Dependents * * 4,000 52.6%Single, With Dependents * * 1,000 19.3%Married, No Dependents * * 1,000 9.8%Married, With Dependents * * 1,000 18.3%

Health StatusBetter than Fair/Poor * * 7,000 90.9%Fair/Poor * * 1,000 9.1%

LanguageEnglish * * 6,000 88.5%Spanish * * *Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale * * 5,000 64.2%Female * * 3,000 35.8%

Education2

Less than High School * * 1,000 13.5%High School * * 3,000 43.1%Some College * * 1,000 15.7%College Graduate * * 1,000 15.3%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

19

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 850 - Richmond

N % N % N %Total Nonelderly 9,000 100.0% 9,000 100.0% 29,000 100.0%

Age0 - 18 * * 3,000 9.5%19 - 24 years * * 6,000 21.2%25 - 44 years * * 14,000 48.8%45 - 64 years * * 6,000 20.5%

MAGIUnder 138% FPL * * 18,000 60.5%138% - 200% FPL * * 4,000 12.9%200% - 300% FPL * * 3,000 10.7%300% - 400% FPL * * 2,000 5.3%400%+ FPL * * 3,000 10.5%

Race/EthnicityWhite, Non-Hispanic * 4,000 46.5% 10,000 35.8%Black, Non-Hispanic * 1,000 9.0% 3,000 11.8%Hispanic * 3,000 28.8% 10,000 33.6%Other * 1,000 15.7% 6,000 18.8%

HIU Type1

Single, No Dependents 4,000 48.2% * 11,000 37.0%Single, With Dependents 1,000 10.8% * 4,000 14.0%Married, No Dependents 1,000 8.5% * 4,000 12.5%Married, With Dependents 3,000 28.0% * 10,000 35.6%

Health StatusBetter than Fair/Poor 8,000 86.9% 8,000 91.5% 27,000 91.7%Fair/Poor 1,000 13.1% 1,000 8.5% 2,000 8.3%

LanguageEnglish 6,000 61.1% 5,000 50.0% 12,000 40.1%Spanish 1,000 12.6% 2,000 22.2% 9,000 30.6%Chinese * * 2,000 6.3%Hindi and related * * 1,000 2.3%French/Haitian * * *Korean * * *Russian * * 2,000 5.1%Other * * *N/A or blank * * *

GenderMale * 6,000 62.7% 16,000 52.9%Female * 3,000 37.3% 14,000 47.1%

Education2

Less than High School * * 5,000 16.5%High School * * 11,000 38.4%Some College * * 5,000 18.7%College Graduate * * 5,000 16.9%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

20

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 870 - Rockland

N % N % N %Total Nonelderly 5,000 100.0% 8,000 100.0% 23,000 100.0%

Age0 - 18 * 1,000 11.3% 4,000 17.0%19 - 24 years * 2,000 21.8% 4,000 16.8%25 - 44 years * 3,000 39.5% 11,000 45.4%45 - 64 years * 2,000 27.4% 5,000 20.8%

MAGIUnder 138% FPL * * 12,000 49.9%138% - 200% FPL * * 3,000 11.2%200% - 300% FPL * * 3,000 11.1%300% - 400% FPL * * 2,000 6.6%400%+ FPL * * 5,000 21.1%

Race/EthnicityWhite, Non-Hispanic * 3,000 33.3% 7,000 30.8%Black, Non-Hispanic * 1,000 9.8% 4,000 18.7%Hispanic * 4,000 43.1% 11,000 45.4%Other * 1,000 13.8% 1,000 5.1%

HIU Type1

Single, No Dependents * * 9,000 36.8%Single, With Dependents * * 4,000 15.8%Married, No Dependents * * 2,000 10.7%Married, With Dependents * * 8,000 35.2%

Health StatusBetter than Fair/Poor 5,000 88.6% 8,000 92.1% 21,000 91.1%Fair/Poor 1,000 11.4% 1,000 7.9% 2,000 8.9%

LanguageEnglish 2,000 28.7% 3,000 36.3% 7,000 29.6%Spanish 2,000 44.2% 3,000 37.8% 10,000 42.3%Chinese * * *Hindi and related * * *French/Haitian * * 2,000 8.7%Korean * * *Russian * * *Other * * *N/A or blank 1,000 15.9% * 1,000 5.3%

GenderMale 3,000 55.3% 5,000 60.6% 13,000 54.0%Female 2,000 44.7% 3,000 39.4% 11,000 46.0%

Education2

Less than High School * * 5,000 23.1%High School * * 6,000 26.1%Some College * * 4,000 19.1%College Graduate * * 3,000 14.7%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

21

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 910 - Saratoga

N % N % N %Total Nonelderly 5,000 100.0% 5,000 100.0% 13,000 100.0%

Age0 - 18 * * 2,000 16.9%19 - 24 years * * 3,000 22.6%25 - 44 years * * 5,000 37.4%45 - 64 years * * 3,000 23.1%

MAGIUnder 138% FPL * * 7,000 50.3%138% - 200% FPL * * 2,000 13.9%200% - 300% FPL * * 2,000 14.4%300% - 400% FPL * * 1,000 7.8%400%+ FPL * * 2,000 13.6%

Race/EthnicityWhite, Non-Hispanic * * 12,000 90.9%Black, Non-Hispanic * * *Hispanic * * 1,000 5.3%Other * * *

HIU Type1

Single, No Dependents * * 7,000 51.4%Single, With Dependents * * 2,000 16.9%Married, No Dependents * * 1,000 5.2%Married, With Dependents * * 3,000 22.4%

Health StatusBetter than Fair/Poor * * 11,000 85.9%Fair/Poor * * 2,000 14.1%

LanguageEnglish * * 12,000 89.8%Spanish * * *Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale * * 8,000 60.4%Female * * 5,000 39.6%

Education2

Less than High School * * 2,000 16.4%High School * * 5,000 35.4%Some College * * 3,000 24.2%College Graduate * * 1,000 7.1%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

22

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 930 - Schenectady

N % N % N %Total Nonelderly 3,000 100.0% 5,000 100.0% 11,000 100.0%

Age0 - 18 * * 2,000 17.0%19 - 24 years * * 2,000 18.1%25 - 44 years * * 5,000 46.0%45 - 64 years * * 2,000 18.9%

MAGIUnder 138% FPL * * *138% - 200% FPL * * *200% - 300% FPL * * *300% - 400% FPL * * *400%+ FPL * * *

Race/EthnicityWhite, Non-Hispanic * * *Black, Non-Hispanic * * *Hispanic * * *Other * * *

HIU Type1

Single, No Dependents * * 5,000 44.5%Single, With Dependents * * 2,000 15.5%Married, No Dependents * * 1,000 12.8%Married, With Dependents * * 3,000 24.5%

Health StatusBetter than Fair/Poor * * 11,000 93.5%Fair/Poor * * 1,000 6.5%

LanguageEnglish * * 9,000 82.1%Spanish * * 1,000 9.7%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale * * 7,000 60.3%Female * * 4,000 39.7%

Education2

Less than High School * * 2,000 14.0%High School * * 4,000 35.1%Some College * * 2,000 21.4%College Graduate * * 1,000 12.5%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

23

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActCounty: 1030 - Suffolk

N % N % N %Total Nonelderly 33,000 100.0% 49,000 100.0% 113,000 100.0%

Age0 - 18 11,000 32.8% 3,000 7.0% 18,000 16.1%19 - 24 years 6,000 17.3% 7,000 14.4% 18,000 16.2%25 - 44 years 10,000 30.0% 24,000 49.8% 50,000 44.5%45 - 64 years 7,000 19.9% 14,000 28.7% 26,000 23.2%

MAGIUnder 138% FPL 25,000 75.4% 2,000 4.2% 54,000 47.8%138% - 200% FPL 2,000 7.0% 17,000 35.6% 11,000 10.1%200% - 300% FPL 3,000 9.6% 14,000 27.6% 17,000 15.0%300% - 400% FPL 3,000 7.5% 5,000 10.5% 11,000 9.5%400%+ FPL * 11,000 22.2% 20,000 17.5%

Race/EthnicityWhite, Non-Hispanic 16,000 47.1% 24,000 49.1% 48,000 42.4%Black, Non-Hispanic 3,000 9.5% 4,000 8.5% 10,000 8.9%Hispanic 13,000 38.7% 18,000 36.8% 44,000 39.2%Other 2,000 4.8% 3,000 5.5% 11,000 9.5%

HIU Type1

Single, No Dependents 15,000 46.4% 18,000 37.6% 45,000 39.9%Single, With Dependents 4,000 10.8% 3,000 6.1% 16,000 14.3%Married, No Dependents 3,000 9.8% 5,000 9.5% 11,000 10.1%Married, With Dependents 10,000 29.8% 23,000 46.8% 39,000 34.1%

Health StatusBetter than Fair/Poor 30,000 89.7% 44,000 90.5% 102,000 90.3%Fair/Poor 3,000 10.3% 5,000 9.5% 11,000 9.7%

LanguageEnglish 19,000 56.6% 27,000 55.5% 54,000 47.8%Spanish 9,000 26.8% 17,000 33.7% 40,000 35.4%Chinese * * 1,000 1.2%Hindi and related 1,000 2.1% * 4,000 3.6%French/Haitian * * 2,000 1.7%Korean * * 1,000 0.9%Russian * * *Other * * *N/A or blank 3,000 9.1% * 4,000 3.8%

GenderMale 19,000 56.1% 27,000 55.5% 61,000 53.9%Female 15,000 43.9% 22,000 44.5% 52,000 46.1%

Education2

Less than High School 4,000 11.8% 7,000 15.2% 19,000 16.7%High School 13,000 38.8% 20,000 41.6% 38,000 33.2%Some College 4,000 12.3% 10,000 21.0% 22,000 19.1%College Graduate 1,000 4.3% 7,000 15.1% 17,000 14.9%

Private Coverage GainedNon-group Exchange N/A 29,000 59.4% N/ASmall-firm ESI coverage N/A 7,000 14.2% N/AOther Private N/A 13,000 26.3% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

24

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36010Watertown/ Plattsburgh/ Fort Drum

N % N % N %Total Nonelderly 11,000 100.0% 11,000 100.0% 29,000 100.0%

Age0 - 18 4,000 38.2% * 5,000 17.2%19 - 24 years 2,000 14.1% 2,000 17.0% 6,000 19.4%25 - 44 years 3,000 27.0% 5,000 49.6% 11,000 39.2%45 - 64 years 2,000 20.6% 3,000 29.1% 7,000 24.2%

MAGIUnder 138% FPL 9,000 83.8% 1,000 10.2% 16,000 54.7%138% - 200% FPL 1,000 6.3% 5,000 50.2% 3,000 10.9%200% - 300% FPL 1,000 5.2% 2,000 22.2% 5,000 17.5%300% - 400% FPL * 1,000 8.9% 3,000 9.1%400%+ FPL * 1,000 8.5% 2,000 7.8%

Race/EthnicityWhite, Non-Hispanic 9,000 87.3% 10,000 89.2% 26,000 89.0%Black, Non-Hispanic * * 1,000 2.0%Hispanic * * 1,000 2.0%Other 1,000 10.0% 1,000 9.1% 2,000 7.0%

HIU Type1

Single, No Dependents 4,000 38.0% 5,000 43.2% 11,000 39.2%Single, With Dependents 1,000 11.4% 1,000 7.4% 5,000 15.7%Married, No Dependents 1,000 10.6% 2,000 16.2% 4,000 14.9%Married, With Dependents 4,000 36.6% 4,000 33.2% 8,000 28.8%

Health StatusBetter than Fair/Poor 10,000 92.0% 10,000 88.8% 26,000 88.8%Fair/Poor 1,000 8.0% 1,000 11.2% 3,000 11.2%

LanguageEnglish 9,000 83.0% 10,000 90.5% 25,000 86.2%Spanish * * *Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 6.3% * 1,000 3.4%

GenderMale 6,000 55.0% 6,000 54.9% 16,000 56.7%Female 5,000 45.0% 5,000 45.1% 12,000 43.3%

Education2

Less than High School 1,000 12.1% 1,000 9.3% 5,000 17.3%High School 3,000 32.4% 6,000 53.8% 11,000 38.5%Some College 1,000 13.2% 3,000 23.1% 5,000 18.0%College Graduate * 1,000 9.6% 3,000 9.1%

Private Coverage GainedNon-group Exchange N/A 7,000 62.4% N/ASmall-firm ESI coverage N/A 1,000 8.9% N/AOther Private N/A 3,000 28.7% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

25

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36021Rome/ Amsterdam/ Gloversville Area

N % N % N %Total Nonelderly 14,000 100.0% 14,000 100.0% 31,000 100.0%

Age0 - 18 4,000 31.2% 1,000 3.9% 4,000 13.2%19 - 24 years 3,000 20.4% 2,000 12.1% 7,000 21.5%25 - 44 years 3,000 24.0% 7,000 54.0% 13,000 42.7%45 - 64 years 3,000 24.5% 4,000 29.9% 7,000 22.6%

MAGIUnder 138% FPL 11,000 82.2% * 17,000 55.3%138% - 200% FPL 1,000 5.7% 7,000 48.9% 4,000 12.2%200% - 300% FPL 1,000 6.7% 3,000 24.1% 5,000 15.0%300% - 400% FPL 1,000 5.2% 2,000 11.1% 3,000 8.9%400%+ FPL * 2,000 13.1% 3,000 8.7%

Race/EthnicityWhite, Non-Hispanic 12,000 88.4% 13,000 92.4% 28,000 87.7%Black, Non-Hispanic 1,000 4.5% * 1,000 3.3%Hispanic * 1,000 3.8% 1,000 3.8%Other 1,000 4.7% * 2,000 5.2%

HIU Type1

Single, No Dependents 7,000 47.9% 6,000 41.1% 13,000 42.1%Single, With Dependents 2,000 13.9% 2,000 11.0% 6,000 20.1%Married, No Dependents 2,000 12.2% 2,000 13.3% 3,000 10.0%Married, With Dependents 3,000 22.9% 5,000 34.6% 8,000 25.6%

Health StatusBetter than Fair/Poor 12,000 88.7% 12,000 87.0% 28,000 88.1%Fair/Poor 2,000 11.3% 2,000 13.0% 4,000 11.9%

LanguageEnglish 12,000 86.3% 13,000 94.0% 27,000 85.1%Spanish * * 1,000 3.1%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 8.7% * 1,000 2.3%

GenderMale 8,000 61.0% 8,000 60.5% 18,000 56.0%Female 5,000 39.0% 5,000 39.5% 14,000 44.0%

Education2

Less than High School 1,000 7.7% 2,000 15.5% 5,000 15.6%High School 6,000 46.9% 7,000 51.1% 13,000 41.7%Some College 1,000 8.9% 3,000 21.7% 7,000 20.9%College Graduate 1,000 5.4% 1,000 7.8% 3,000 8.5%

Private Coverage GainedNon-group Exchange N/A 9,000 67.1% N/ASmall-firm ESI coverage N/A 2,000 11.7% N/AOther Private N/A 3,000 21.2% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Medicaid or CHIP Private Coverage Remaining UninsuredBaseline Uninsured:Baseline Uninsured gaining:

26

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36030Syracuse/ Auburn/ Oneida Area

N % N % N %Total Nonelderly 19,000 100.0% 20,000 100.0% 44,000 100.0%

Age0 - 18 5,000 29.0% 1,000 2.6% 7,000 15.2%19 - 24 years 5,000 24.2% 3,000 17.0% 8,000 17.3%25 - 44 years 5,000 25.8% 9,000 48.2% 18,000 40.9%45 - 64 years 4,000 21.0% 6,000 32.2% 12,000 26.6%

MAGIUnder 138% FPL 16,000 82.4% 1,000 5.4% 24,000 55.5%138% - 200% FPL 1,000 7.7% 10,000 49.1% 5,000 11.4%200% - 300% FPL 1,000 4.6% 4,000 19.8% 7,000 15.4%300% - 400% FPL 1,000 4.9% 2,000 12.0% 3,000 7.8%400%+ FPL * 3,000 13.7% 4,000 10.0%

Race/EthnicityWhite, Non-Hispanic 15,000 77.2% 17,000 87.5% 32,000 73.1%Black, Non-Hispanic 2,000 10.9% 1,000 5.5% 4,000 10.0%Hispanic 1,000 4.2% 1,000 4.1% 3,000 7.3%Other 1,000 7.7% 1,000 2.9% 4,000 9.6%

HIU Type1

Single, No Dependents 10,000 54.1% 9,000 46.7% 20,000 45.3%Single, With Dependents 3,000 14.7% 2,000 11.9% 7,000 16.7%Married, No Dependents 1,000 7.8% 3,000 16.6% 5,000 11.2%Married, With Dependents 4,000 21.8% 5,000 24.8% 10,000 23.2%

Health StatusBetter than Fair/Poor 17,000 91.8% 17,000 88.9% 41,000 91.8%Fair/Poor 2,000 8.2% 2,000 11.1% 4,000 8.2%

LanguageEnglish 16,000 86.1% 18,000 91.6% 36,000 81.6%Spanish 1,000 2.8% 1,000 3.9% 3,000 7.1%Chinese * * 1,000 1.7%Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 6.5% * 2,000 3.7%

GenderMale 10,000 55.0% 12,000 62.1% 24,000 54.8%Female 9,000 45.0% 7,000 37.9% 20,000 45.2%

Education2

Less than High School 2,000 8.2% 2,000 12.3% 6,000 13.3%High School 8,000 42.9% 8,000 43.0% 16,000 37.2%Some College 3,000 15.9% 6,000 29.1% 10,000 21.8%College Graduate 1,000 4.0% 3,000 13.0% 6,000 12.5%

Private Coverage GainedNon-group Exchange N/A 12,000 62.6% N/ASmall-firm ESI coverage N/A 2,000 12.4% N/AOther Private N/A 5,000 25.0% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

27

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36041Brighton/ Batavia/ Newark Area

N % N % N %Total Nonelderly 13,000 100.0% 12,000 100.0% 32,000 100.0%

Age0 - 18 5,000 38.3% 0,000 3.0% 5,000 16.0%19 - 24 years 2,000 12.7% 3,000 20.4% 6,000 18.0%25 - 44 years 3,000 25.1% 7,000 54.9% 13,000 39.5%45 - 64 years 3,000 23.8% 3,000 21.6% 9,000 26.4%

MAGIUnder 138% FPL 10,000 79.6% 1,000 6.7% 19,000 58.5%138% - 200% FPL 1,000 7.3% 6,000 50.1% 3,000 10.6%200% - 300% FPL 1,000 6.5% 3,000 25.5% 4,000 12.7%300% - 400% FPL 1,000 4.6% 1,000 7.2% 3,000 8.4%400%+ FPL * 1,000 10.5% 3,000 9.9%

Race/EthnicityWhite, Non-Hispanic 10,000 76.9% 10,000 83.2% 24,000 74.7%Black, Non-Hispanic 1,000 6.3% 1,000 4.3% 2,000 7.0%Hispanic 1,000 7.6% 1,000 7.6% 3,000 10.3%Other 1,000 9.2% 1,000 4.8% 3,000 8.0%

HIU Type1

Single, No Dependents 6,000 44.3% 6,000 52.7% 14,000 43.5%Single, With Dependents 1,000 9.5% 1,000 7.5% 4,000 11.7%Married, No Dependents 1,000 9.0% 2,000 13.2% 3,000 10.4%Married, With Dependents 4,000 32.1% 3,000 26.6% 10,000 31.2%

Health StatusBetter than Fair/Poor 11,000 89.0% 11,000 92.3% 30,000 91.6%Fair/Poor 1,000 11.0% 1,000 7.7% 3,000 8.4%

LanguageEnglish 10,000 81.5% 10,000 85.1% 24,000 75.6%Spanish 1,000 5.2% 1,000 8.3% 3,000 10.6%Chinese * * 0,000 1.3%Hindi and related * * 1,000 1.9%French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 6.1% * 1,000 2.9%

GenderMale 6,000 49.9% 8,000 63.4% 19,000 58.5%Female 6,000 50.1% 4,000 36.6% 13,000 41.5%

Education2

Less than High School 1,000 8.1% 2,000 15.6% 5,000 15.1%High School 4,000 35.5% 6,000 48.4% 11,000 35.0%Some College 2,000 14.0% 2,000 18.4% 6,000 19.8%College Graduate 1,000 4.1% 2,000 14.5% 5,000 14.1%

Private Coverage GainedNon-group Exchange N/A 8,000 64.1% N/ASmall-firm ESI coverage N/A 1,000 10.4% N/AOther Private N/A 3,000 25.5% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

28

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36042Rochester/ Irondequoit/ Greece Area

N % N % N %Total Nonelderly 11,000 100.0% 9,000 100.0% 28,000 100.0%

Age0 - 18 4,000 31.6% * 4,000 13.2%19 - 24 years 2,000 16.0% 2,000 17.7% 5,000 19.3%25 - 44 years 3,000 28.0% 5,000 51.3% 13,000 44.5%45 - 64 years 3,000 24.4% 3,000 29.4% 6,000 23.0%

MAGIUnder 138% FPL 10,000 85.8% * 17,000 61.6%138% - 200% FPL * * 3,000 11.9%200% - 300% FPL 1,000 6.4% * 4,000 14.1%300% - 400% FPL * * 2,000 5.9%400%+ FPL * * 2,000 6.5%

Race/EthnicityWhite, Non-Hispanic 5,000 47.3% 5,000 60.3% 13,000 44.6%Black, Non-Hispanic 4,000 33.7% 2,000 22.5% 9,000 32.5%Hispanic 1,000 12.9% 1,000 13.5% 4,000 15.0%Other 1,000 6.0% 0,000 3.7% 2,000 7.9%

HIU Type1

Single, No Dependents 6,000 56.0% 5,000 56.9% 15,000 51.6%Single, With Dependents 2,000 19.8% 1,000 14.1% 5,000 17.9%Married, No Dependents 1,000 7.7% 1,000 13.1% 3,000 8.9%Married, With Dependents 1,000 11.8% 1,000 15.9% 6,000 20.0%

Health StatusBetter than Fair/Poor 10,000 90.2% 8,000 91.9% 25,000 89.8%Fair/Poor 1,000 9.8% 1,000 8.1% 3,000 10.2%

LanguageEnglish 9,000 74.1% 7,000 74.9% 21,000 74.5%Spanish 1,000 10.8% 1,000 13.6% 4,000 15.3%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 9.4% * *

GenderMale 7,000 62.0% 5,000 56.0% 16,000 57.9%Female 4,000 38.0% 4,000 44.0% 12,000 42.1%

Education2

Less than High School 1,000 8.7% * 6,000 20.7%High School 4,000 32.1% * 10,000 34.3%Some College 2,000 18.0% * 5,000 16.9%College Graduate 1,000 9.7% * 4,000 14.8%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

29

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36060Elmira/ Olean/ Corning Area

N % N % N %Total Nonelderly 13,000 100.0% 11,000 100.0% 25,000 100.0%

Age0 - 18 6,000 48.1% 1,000 11.0% 5,000 21.7%19 - 24 years 2,000 17.9% 2,000 17.1% 4,000 16.0%25 - 44 years 2,000 16.7% 5,000 44.7% 10,000 38.7%45 - 64 years 2,000 17.3% 3,000 27.2% 6,000 23.5%

MAGIUnder 138% FPL 10,000 79.1% 1,000 9.4% 15,000 59.6%138% - 200% FPL 1,000 9.6% 5,000 46.5% 3,000 11.9%200% - 300% FPL 1,000 8.5% 2,000 21.6% 3,000 13.4%300% - 400% FPL * 1,000 8.0% 2,000 7.9%400%+ FPL * 2,000 14.5% 2,000 7.2%

Race/EthnicityWhite, Non-Hispanic 11,000 89.1% 10,000 94.5% 23,000 92.8%Black, Non-Hispanic 1,000 5.9% * *Hispanic * * *Other * * 1,000 5.4%

HIU Type1

Single, No Dependents 5,000 36.2% 4,000 37.9% 10,000 38.0%Single, With Dependents 2,000 14.5% 1,000 8.9% 4,000 16.7%Married, No Dependents 1,000 7.1% 2,000 14.5% 2,000 9.5%Married, With Dependents 5,000 40.0% 4,000 38.8% 9,000 34.5%

Health StatusBetter than Fair/Poor 12,000 91.2% 10,000 90.7% 23,000 89.8%Fair/Poor 1,000 8.8% 1,000 9.3% 3,000 10.2%

LanguageEnglish 10,000 76.0% 9,000 86.5% 20,000 79.5%Spanish * * *Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 10.6% * 1,000 3.8%

GenderMale 8,000 59.6% 6,000 59.4% 14,000 56.8%Female 5,000 40.4% 4,000 40.6% 11,000 43.2%

Education2

Less than High School 1,000 9.6% 2,000 18.1% 4,000 17.5%High School 4,000 29.2% 5,000 45.1% 9,000 34.9%Some College 1,000 10.0% 2,000 21.2% 4,000 16.6%College Graduate * * 2,000 9.3%

Private Coverage GainedNon-group Exchange N/A 7,000 64.7% N/ASmall-firm ESI coverage N/A 1,000 9.8% N/AOther Private N/A 3,000 25.5% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

30

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36070Binghamton/ Ithaca/ Cortland Area

N % N % N %Total Nonelderly 11,000 100.0% 13,000 100.0% 29,000 100.0%

Age0 - 18 3,000 29.3% 1,000 6.9% 4,000 13.4%19 - 24 years 2,000 19.9% 2,000 17.3% 7,000 22.9%25 - 44 years 3,000 28.4% 6,000 49.2% 13,000 44.9%45 - 64 years 3,000 22.4% 3,000 26.6% 5,000 18.8%

MAGIUnder 138% FPL 9,000 83.8% 1,000 11.4% 16,000 55.1%138% - 200% FPL * 5,000 41.5% 4,000 13.0%200% - 300% FPL 1,000 11.7% 3,000 21.5% 4,000 14.0%300% - 400% FPL * 1,000 6.9% 2,000 7.1%400%+ FPL * 2,000 18.7% 3,000 10.8%

Race/EthnicityWhite, Non-Hispanic 10,000 88.9% 12,000 94.5% 26,000 88.0%Black, Non-Hispanic * * 1,000 2.9%Hispanic * * *Other 1,000 4.6% * 2,000 7.5%

HIU Type1

Single, No Dependents 6,000 53.0% 6,000 44.5% 13,000 45.4%Single, With Dependents 2,000 15.5% 1,000 7.3% 4,000 13.6%Married, No Dependents 1,000 7.9% 2,000 15.6% 3,000 9.7%Married, With Dependents 3,000 22.7% 4,000 32.5% 9,000 29.8%

Health StatusBetter than Fair/Poor 10,000 91.7% 11,000 86.4% 27,000 92.0%Fair/Poor 1,000 8.3% 2,000 13.6% 2,000 8.0%

LanguageEnglish 9,000 78.0% 11,000 88.4% 24,000 83.5%Spanish * * *Chinese * * 1,000 2.6%Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 7.7% * 1,000 3.7%

GenderMale 7,000 58.3% 8,000 62.9% 16,000 55.6%Female 5,000 41.7% 5,000 37.1% 13,000 44.4%

Education2

Less than High School 1,000 12.5% 2,000 13.6% 3,000 11.5%High School 4,000 37.3% 6,000 44.4% 11,000 38.3%Some College 2,000 13.5% 2,000 18.1% 6,000 20.5%College Graduate 1,000 7.4% 2,000 17.0% 5,000 16.2%

Private Coverage GainedNon-group Exchange N/A 7,000 59.7% N/ASmall-firm ESI coverage N/A 2,000 13.6% N/AOther Private N/A 3,000 26.7% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

31

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36081Oneonta/ Monticello/ Hudson Area

N % N % N %Total Nonelderly 11,000 100.0% 10,000 100.0% 27,000 100.0%

Age0 - 18 4,000 36.4% * 4,000 15.6%19 - 24 years 2,000 16.4% 1,000 12.7% 6,000 22.6%25 - 44 years 3,000 24.8% 5,000 56.3% 10,000 35.5%45 - 64 years 2,000 22.4% 3,000 27.7% 7,000 26.3%

MAGIUnder 138% FPL 9,000 78.9% * 15,000 54.2%138% - 200% FPL 1,000 8.2% 5,000 49.3% 3,000 10.6%200% - 300% FPL 1,000 8.0% 3,000 27.4% 4,000 13.0%300% - 400% FPL 1,000 4.8% 1,000 7.7% 3,000 9.3%400%+ FPL * 1,000 11.6% 3,000 12.9%

Race/EthnicityWhite, Non-Hispanic 9,000 81.2% 8,000 86.0% 21,000 78.8%Black, Non-Hispanic * * 1,000 4.3%Hispanic 1,000 12.0% 1,000 9.5% 3,000 11.0%Other 1,000 4.9% * 2,000 6.0%

HIU Type1

Single, No Dependents 5,000 46.1% 4,000 45.5% 11,000 41.5%Single, With Dependents 2,000 14.1% 1,000 9.2% 4,000 15.3%Married, No Dependents 1,000 12.0% 1,000 11.9% 4,000 13.1%Married, With Dependents 2,000 22.3% 3,000 33.4% 7,000 26.1%

Health StatusBetter than Fair/Poor 10,000 89.8% 9,000 89.5% 24,000 89.4%Fair/Poor 1,000 10.2% 1,000 10.5% 3,000 10.6%

LanguageEnglish 9,000 81.0% 8,000 79.0% 21,000 78.1%Spanish 1,000 6.8% 1,000 11.6% 3,000 9.7%Chinese * * *Hindi and related * * 1,000 2.6%French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank 1,000 8.8% * 1,000 4.0%

GenderMale 6,000 52.7% 5,000 56.4% 16,000 59.9%Female 5,000 47.3% 4,000 43.6% 11,000 40.1%

Education2

Less than High School 1,000 9.3% 1,000 12.7% 4,000 15.6%High School 4,000 34.8% 5,000 50.5% 9,000 33.8%Some College 1,000 12.9% 2,000 22.3% 6,000 22.4%College Graduate 1,000 6.5% 1,000 11.3% 3,000 12.5%

Private Coverage GainedNon-group Exchange N/A 7,000 75.4% N/ASmall-firm ESI coverage N/A 1,000 5.6% N/AOther Private N/A 2,000 18.9% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

32

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36082Ossining/ Peekskill/ Jefferson Valley‐Yorktown Area

N % N % N %Total Nonelderly 8,000 100.0% 9,000 100.0% 27,000 100.0%

Age0 - 18 3,000 36.3% * 3,000 11.8%19 - 24 years 1,000 16.6% 2,000 5,000 17.5%25 - 44 years 3,000 33.8% 5,000 14,000 50.2%45 - 64 years 1,000 13.4% 2,000 6,000 20.5%

MAGIUnder 138% FPL * * 14,000 52.7%138% - 200% FPL * * 3,000 11.2%200% - 300% FPL * * 4,000 15.8%300% - 400% FPL * * 2,000 8.4%400%+ FPL * * 3,000 12.0%

Race/EthnicityWhite, Non-Hispanic * 4,000 44.0% 11,000 39.1%Black, Non-Hispanic * * 1,000 5.4%Hispanic * 4,000 46.1% 13,000 50.0%Other * 1,000 7.4% 1,000 5.5%

HIU Type1

Single, No Dependents 3,000 37.9% 4,000 45.9% 11,000 40.2%Single, With Dependents 1,000 10.8% 1,000 6.3% 3,000 11.8%Married, No Dependents 1,000 17.5% 1,000 8.5% 3,000 12.7%Married, With Dependents 3,000 33.4% 4,000 39.2% 9,000 34.2%

Health StatusBetter than Fair/Poor 7,000 91.1% 9,000 91.3% 24,000 89.1%Fair/Poor 1,000 8.9% 1,000 8.7% 3,000 10.9%

LanguageEnglish 4,000 51.8% 4,000 42.5% 11,000 41.1%Spanish 3,000 35.5% 4,000 39.5% 13,000 46.4%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 4,000 52.4% 5,000 54.8% 16,000 59.2%Female 4,000 47.6% 4,000 45.2% 11,000 40.8%

Education2

Less than High School * * 7,000 24.7%High School * * 6,000 23.5%Some College * * 5,000 18.4%College Graduate * * 6,000 21.6%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

33

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36083Kingston/ New Paltz/ Highland Area

N % N % N %Total Nonelderly 4,000 100.0% 5,000 100.0% 10,000 100.0%

Age0 - 18 * * 1,000 7.5%19 - 24 years * * 2,000 24.1%25 - 44 years * * 4,000 44.2%45 - 64 years * * 2,000 24.2%

MAGIUnder 138% FPL * * 5,000 49.8%138% - 200% FPL * * 2,000 15.0%200% - 300% FPL * * 2,000 17.3%300% - 400% FPL * * 1,000 7.0%400%+ FPL * * 1,000 10.9%

Race/EthnicityWhite, Non-Hispanic * 4,000 64.8% 8,000 75.3%Black, Non-Hispanic * * 1,000 6.2%Hispanic * 1,000 17.8% 1,000 14.3%Other * 1,000 9.2% *

HIU Type1

Single, No Dependents * * 5,000 44.6%Single, With Dependents * * 1,000 13.6%Married, No Dependents * * 2,000 19.1%Married, With Dependents * * 2,000 18.9%

Health StatusBetter than Fair/Poor 4,000 90.9% 5,000 84.7% 9,000 89.2%Fair/Poor * 1,000 15.3% 1,000 10.8%

LanguageEnglish 3,000 77.5% 4,000 75.5% 8,000 78.5%Spanish * 1,000 20.3% 1,000 14.4%Chinese * * *Hindi and related * * *French/Haitian * * *Korean * * *Russian * * *Other * * *N/A or blank * * *

GenderMale 2,000 54.9% 3,000 61.7% 6,000 54.1%Female 2,000 45.1% 2,000 38.3% 5,000 45.9%

Education2

Less than High School * * 2,000 15.1%High School * * 4,000 36.0%Some College * * 2,000 22.0%College Graduate * * 2,000 19.4%

Private Coverage GainedNon-group Exchange N/A * N/ASmall-firm ESI coverage N/A * N/AOther Private N/A * N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

34

Characteristics of the Uninsured in New York by Insurance Status under the Affordable Care ActSuper PUMA: 36085New Rochelle/ Mount Vernon/ White Plains Area

N % N % N %Total Nonelderly 14,000 100.0% 20,000 100.0% 65,000 100.0%

Age0 - 18 3,000 23.4% 1,000 3.7% 9,000 13.9%19 - 24 years 3,000 20.6% 4,000 18.0% 10,000 14.9%25 - 44 years 5,000 34.7% 10,000 52.8% 31,000 48.3%45 - 64 years 3,000 21.3% 5,000 25.5% 15,000 22.8%

MAGIUnder 138% FPL 12,000 84.9% 1,000 6.5% 35,000 54.1%138% - 200% FPL 1,000 5.4% 9,000 45.9% 9,000 13.9%200% - 300% FPL 1,000 6.0% 4,000 21.7% 10,000 14.8%300% - 400% FPL * 2,000 8.3% 5,000 7.8%400%+ FPL * 3,000 17.6% 6,000 9.4%

Race/EthnicityWhite, Non-Hispanic 3,000 23.2% 5,000 24.9% 15,000 23.9%Black, Non-Hispanic 3,000 25.1% 2,000 10.6% 8,000 13.0%Hispanic 7,000 48.7% 12,000 58.0% 38,000 59.1%Other * 1,000 6.6% 3,000 4.0%

HIU Type1

Single, No Dependents 7,000 51.8% 9,000 47.4% 24,000 37.1%Single, With Dependents 2,000 17.3% 1,000 6.3% 10,000 14.9%Married, No Dependents 1,000 10.3% 3,000 13.2% 7,000 11.4%Married, With Dependents 3,000 18.8% 7,000 32.9% 23,000 35.6%

Health StatusBetter than Fair/Poor 12,000 87.8% 17,000 86.5% 58,000 89.4%Fair/Poor 2,000 12.2% 3,000 13.5% 7,000 10.6%

LanguageEnglish 6,000 46.7% 6,000 32.0% 18,000 27.1%Spanish 6,000 42.5% 11,000 54.3% 35,000 54.6%Chinese * * *Hindi and related * * 1,000 1.2%French/Haitian * * 1,000 1.9%Korean * * *Russian * * *Other * * *N/A or blank * * 2,000 2.9%

GenderMale 7,000 53.1% 12,000 58.2% 38,000 58.6%Female 6,000 46.9% 8,000 41.8% 27,000 41.4%

Education2

Less than High School 2,000 16.4% 4,000 18.0% 18,000 27.7%High School 5,000 34.6% 9,000 47.9% 21,000 32.3%Some College 2,000 18.3% 3,000 16.1% 9,000 14.4%College Graduate 1,000 7.3% 3,000 14.3% 8,000 11.7%

Private Coverage GainedNon-group Exchange N/A 11,000 54.2% N/ASmall-firm ESI coverage N/A 3,000 15.8% N/AOther Private N/A 6,000 30.0% N/A

Source: UI Analysis of ACS NY Records1: Small number of HIU units are child-only HIUs.2: For adults only.*: estimates suppressed due to small sample size

Baseline Uninsured gaining: Baseline Uninsured:Medicaid or CHIP Private Coverage Remaining Uninsured

35