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South
37%
21%
18%
West
24%
NOTE: Totals do not sum to 100% due to rounding.
SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS.
44%
Total: 115 Million Southerners
Distribution of U.S. Residents by Geographic Region,
2011-2012
United States : 309 Million Residents
56%
Texas 22%
Florida 17%
Georgia 8%
North Carolina, 8%
Midwest
Northeast
State Distribution of
Southern Population
Other
Southern
States
66%* 66%* 59% 58%
22%* 20%
21% 20%
13%* 14%* 20%* 21%
Northeast Midwest West South
Uninsured
Medicaid/Other Public
Employer/Other Private
NOTE: *The difference between this region and the South is significantly different at the 0.05 level for this percentage
SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS.
Health Insurance Coverage of the Nonelderly Population,
by Geographic Region, 2011-2012
99.3 M56.6 M 63.7 M47.0 M
Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012
28% 28%
26%
25%
24% 24% 24% 24% 23% 23% 22% 22% 22% 21% 21% 20%
16% 15%
LA MS AR DC SC AL GA KY TN TX WV FL NC OK US DE VA MD
SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS.
Poverty Rates Among Nonelderly Southerners, by State,
2011-2012
United States: 21%
South: 22%
SOURCES: State decisions on the Medicaid expansion as of April 2014. Based on data from the Centers for Medicare and Medicaid
Services, available at: http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Medicaid-and-CHIP-Eligibility-
Levels/medicaid-chip-eligibility-levels.html with state updates.
Status of Medicaid Expansion Decisions in the South as of
April 2014
WV VA
TX
TN
SCOK
NC
MS
MD
LA
KY
GA
FL
DC
DE
AR
AL
Implementing the Medicaid Expansion in 2014
(6 States, including DC)
Not Moving Forward at this Time
(11 States)
319%
214%
138% 138%
266%
200%
138% 138%
253%
208%
119% 119%
215%
190%
52%
0%
Children Pregnant Women Parents Childless Adults
Northeast West Midwest South
NOTE: Eligibility limits are for parents in a family of three and for individual adults. Limits include the standard five percentage point of FPL
disregard.
SOURCE: Based on data from the Centers for Medicare and Medicaid Services at Medicaid.gov
Median Medicaid/CHIP Eligibility Limits as a Percent of the
Federal Poverty Level, by Population Group and Geographic
Region, January 2014
Texas
22%
Florida
16%
Georgia
8%
NC
6%
LA
5%
SC
4%
Other
Southern
States
16%
Midwest
11%
Northeast
6%
West
4%
NOTE: Excludes undocumented immigrants. Totals may not sum due to rounding.
SOURCE: Kaiser Family Foundation analysis based on 2014 Medicaid eligibility levels and 2012-2013 Current Population Survey.
Regional Distribution of Uninsured Adults in the Coverage
Gap, 2014
Total: 4.8 Million Adults in the Coverage Gap
South
79%
(3.8 Million)
51%
47%
56%
52% 54%
Total Whites Blacks Hispanics People of Color
NOTES: Excludes legal immigrants who have been in the country for five years or less and undocumented immigrants.
SOURCE: Kaiser Family Foundation analysis based on 2014 Medicaid eligibility levels and 2012-2013 Current Population Survey.
Share of Nonelderly Uninsured Adults Who Would be Eligible
for the Medicaid Expansion but are in the Coverage Gap, by
Race/Ethnicity, 2014
7.4 M 1.7 M2.1 M3.2 M 4.2 M
Nonelderly Uninsured
Southern Adults Who
Would be Eligible for the
Medicaid Expansion
(<138% FPL)

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Understanding the Effect of Medicaid Expansion Decisions in the South

  • 1. South 37% 21% 18% West 24% NOTE: Totals do not sum to 100% due to rounding. SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS. 44% Total: 115 Million Southerners Distribution of U.S. Residents by Geographic Region, 2011-2012 United States : 309 Million Residents 56% Texas 22% Florida 17% Georgia 8% North Carolina, 8% Midwest Northeast State Distribution of Southern Population Other Southern States
  • 2. 66%* 66%* 59% 58% 22%* 20% 21% 20% 13%* 14%* 20%* 21% Northeast Midwest West South Uninsured Medicaid/Other Public Employer/Other Private NOTE: *The difference between this region and the South is significantly different at the 0.05 level for this percentage SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS. Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012 99.3 M56.6 M 63.7 M47.0 M Health Insurance Coverage of the Nonelderly Population, by Geographic Region, 2011-2012
  • 3. 28% 28% 26% 25% 24% 24% 24% 24% 23% 23% 22% 22% 22% 21% 21% 20% 16% 15% LA MS AR DC SC AL GA KY TN TX WV FL NC OK US DE VA MD SOURCE: KCMU/Urban Institute analysis of 2013 and 2012 ASEC Supplements to the CPS. Poverty Rates Among Nonelderly Southerners, by State, 2011-2012 United States: 21% South: 22%
  • 4. SOURCES: State decisions on the Medicaid expansion as of April 2014. Based on data from the Centers for Medicare and Medicaid Services, available at: http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Medicaid-and-CHIP-Eligibility- Levels/medicaid-chip-eligibility-levels.html with state updates. Status of Medicaid Expansion Decisions in the South as of April 2014 WV VA TX TN SCOK NC MS MD LA KY GA FL DC DE AR AL Implementing the Medicaid Expansion in 2014 (6 States, including DC) Not Moving Forward at this Time (11 States)
  • 5. 319% 214% 138% 138% 266% 200% 138% 138% 253% 208% 119% 119% 215% 190% 52% 0% Children Pregnant Women Parents Childless Adults Northeast West Midwest South NOTE: Eligibility limits are for parents in a family of three and for individual adults. Limits include the standard five percentage point of FPL disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services at Medicaid.gov Median Medicaid/CHIP Eligibility Limits as a Percent of the Federal Poverty Level, by Population Group and Geographic Region, January 2014
  • 6. Texas 22% Florida 16% Georgia 8% NC 6% LA 5% SC 4% Other Southern States 16% Midwest 11% Northeast 6% West 4% NOTE: Excludes undocumented immigrants. Totals may not sum due to rounding. SOURCE: Kaiser Family Foundation analysis based on 2014 Medicaid eligibility levels and 2012-2013 Current Population Survey. Regional Distribution of Uninsured Adults in the Coverage Gap, 2014 Total: 4.8 Million Adults in the Coverage Gap South 79% (3.8 Million)
  • 7. 51% 47% 56% 52% 54% Total Whites Blacks Hispanics People of Color NOTES: Excludes legal immigrants who have been in the country for five years or less and undocumented immigrants. SOURCE: Kaiser Family Foundation analysis based on 2014 Medicaid eligibility levels and 2012-2013 Current Population Survey. Share of Nonelderly Uninsured Adults Who Would be Eligible for the Medicaid Expansion but are in the Coverage Gap, by Race/Ethnicity, 2014 7.4 M 1.7 M2.1 M3.2 M 4.2 M Nonelderly Uninsured Southern Adults Who Would be Eligible for the Medicaid Expansion (<138% FPL)