CFED Scorecard

CFED Assets & Opportunity Scorecard

Health Care
Uninsured by Income
Definition

Ratio of the uninsured rate of the non-elderly (under 65) population in the top household income quintile to the non-elderly population in the bottom household income quintile, 2014.

Description

While the Affordable Care Act (ACA) has significantly reduced the uninsured rate, millions of Americans still lack coverage, including the low-income individuals who fall into the coverage gap as a result of some states' decisions not to expand Medicaid under ACA. These individuals may be working in low-wage jobs that do not provide health insurance but still earn too much to qualify for Medicaid under their state’s income guidelines. At the same time, they do not make enough to meet the minimum income requirements to qualify for financial assistance to purchase coverage in the Marketplace. 

This measure provides an indication of the disparity in the rate of being uninsured between the low-income population and individuals with higher income levels. For example, the uninsured rate for people in the bottom income bracket in Nebraska is 8.5 times that of people in the top income bracket. 

4.7 times as many of the poorest 20% in Indiana are uninsured compared to the richest 20%
Rank: 35 of 51

Uninsured by Income, 2014

StateUninsured Rate,
Top Quintile (%)
Uninsured Rate,
Bottom Quintile (%)
RatioRank
United States 5.0% 22.4% 4.5
Alabama 4.8% 26.5% 5.5 41
Alaska 10.7% 30.2% 2.8 7
Arizona 6.6% 24.1% 3.7 17
Arkansas 5.8% 19.8% 3.4 15
California 5.3% 21.1% 4.0 24
Colorado 4.8% 19.2% 4.0 22
Connecticut 3.8% 12.4% 3.3 13
Delaware 5.1% 13.9% 2.7 4
District of Columbia 2.4% 4.5% 1.9 2
Florida 8.8% 30.4% 3.4 16
Georgia 6.1% 30.4% 5.0 37
Hawaii 3.7% 11.2% 3.0 9
Idaho 8.1% 23.7% 2.9 8
Illinois 4.2% 18.6% 4.5 31
Indiana 5.4% 25.2% 4.7 35
Iowa 2.3% 13.6% 6.0 44
Kansas 3.8% 26.9% 7.0 49
Kentucky 3.8% 14.0% 3.7 18
Louisiana 6.5% 26.4% 4.1 26
Maine 4.5% 17.0% 3.8 19
Maryland 3.6% 15.4% 4.2 27
Massachusetts 1.5% 6.3% 4.3 28
Michigan 3.6% 17.0% 4.7 36
Minnesota 2.1% 14.8% 6.9 48
Mississippi 7.4% 25.2% 3.4 14
Missouri 3.7% 24.0% 6.5 47
Montana 5.3% 27.3% 5.2 38
Nebraska 2.9% 24.5% 8.5 51
Nevada 8.6% 27.0% 3.1 11
New Hampshire 3.4% 24.6% 7.2 50
New Jersey 4.1% 23.7% 5.7 42
New Mexico 8.1% 22.5% 2.8 6
New York 4.6% 13.7% 3.0 10
North Carolina 4.8% 25.5% 5.4 39
North Dakota 5.6% 18.2% 3.3 12
Ohio 3.7% 16.1% 4.4 29
Oklahoma 6.4% 29.0% 4.5 32
Oregon 4.2% 16.9% 4.0 25
Pennsylvania 4.1% 18.7% 4.6 33
Rhode Island 4.3% 12.0% 2.8 5
South Carolina 6.6% 26.4% 4.0 23
South Dakota 3.8% 23.2% 6.1 45
Tennessee 6.1% 23.3% 3.8 21
Texas 7.4% 33.2% 4.5 30
Utah 5.5% 25.7% 4.7 34
Vermont 2.9% 4.9% 1.7 1
Virginia 4.5% 25.6% 5.8 43
Washington 4.4% 16.9% 3.8 20
West Virginia 5.6% 13.1% 2.3 3
Wisconsin 2.7% 16.9% 6.2 46
Wyoming 5.1% 27.6% 5.5 40

Change in Uninsured by Income

Uninsured Rate by Income (Ratio)
State20102011201220132014
United States 9.98 4.53 4.43 3.81 4.47
Alabama 13.85 4.87 5.98 5.28 5.51
Alaska 7.06 2.50 2.60 2.60 2.82
Arizona 8.86 3.57 3.49 3.97 3.65
Arkansas 8.04 4.48 3.97 3.11 3.42
California 9.48 4.21 4.25 3.65 4.02
Colorado 14.26 6.40 5.71 4.32 3.97
Connecticut 13.77 6.87 4.54 3.52 3.29
Delaware 11.30 4.13 4.69 2.67 2.71
District of Columbia 3.90 6.13 3.11 2.05 1.86
Florida 7.04 3.66 3.36 2.74 3.44
Georgia 9.04 4.89 5.57 3.93 5.02
Hawaii 5.81 3.71 3.55 3.33 2.98
Idaho 8.62 4.13 4.16 2.55 2.91
Illinois 13.57 5.18 5.47 4.40 4.46
Indiana 11.68 4.61 4.86 3.91 4.66
Iowa 13.86 5.39 4.47 4.78 5.97
Kansas 13.69 7.18 4.84 5.13 7.01
Kentucky 13.17 5.03 4.62 3.82 3.67
Louisiana 7.01 3.05 3.71 3.29 4.07
Maine 5.35 4.79 4.04 2.66 3.76
Maryland 14.70 4.46 4.78 3.12 4.25
Massachusetts 11.36 4.27 4.80 3.85 4.32
Michigan 10.87 5.17 4.52 4.62 4.74
Minnesota 11.70 5.02 6.07 4.45 6.93
Mississippi 7.25 3.57 3.44 2.99 3.40
Missouri 13.01 5.16 4.85 4.96 6.52
Montana 6.02 3.70 3.73 2.67 5.16
Nebraska 14.64 5.20 10.13 6.00 8.47
Nevada 7.23 4.23 3.82 3.40 3.15
New Hampshire 8.59 6.59 4.43 5.09 7.22
New Jersey 12.66 5.49 5.24 5.17 5.74
New Mexico 5.18 2.88 3.24 2.89 2.77
New York 7.28 2.98 3.14 2.38 2.98
North Carolina 10.79 6.21 4.80 4.69 5.37
North Dakota 14.97 3.09 3.51 4.62 3.28
Ohio 13.78 6.07 5.34 3.97 4.38
Oklahoma 7.93 3.95 3.23 3.25 4.55
Oregon 7.18 3.99 4.79 3.21 4.05
Pennsylvania 12.02 4.50 4.56 3.63 4.59
Rhode Island 13.30 3.70 3.60 4.41 2.76
South Carolina 11.34 4.87 3.82 4.22 4.00
South Dakota 15.41 4.51 3.63 5.79 6.14
Tennessee 8.58 4.71 4.64 4.07 3.85
Texas 8.96 4.48 4.00 3.84 4.46
Utah 9.21 4.47 4.23 4.07 4.66
Vermont 5.49 2.40 3.18 1.82 1.68
Virginia 15.96 5.75 5.40 4.89 5.75
Washington 12.98 4.95 4.89 4.14 3.84
West Virginia 6.94 4.30 4.09 2.68 2.32
Wisconsin 13.03 4.85 5.52 4.26 6.15
Wyoming 6.48 3.67 2.12 3.15 5.45

Definition

Ratio of the uninsured rate of the non-elderly (under 65) population in the top household income quintile to the non-elderly population in the bottom household income quintile, 2014.

Calculated by dividing the higher value by the lower value (i.e., the uninsured rate of the population in the top household income quintile divided by the population in the bottom household income quintile). Income quintiles are calculated at the state level, and the income thresholds used to define quintiles can be found here.

A ratio of 1 indicates perfect equality; the higher the ratio, the greater the inequality. 

Source

2014 American Community Survey. Washington, DC: U.S. Department of Commerce, Census Bureau, 2015. Data calculated by CFED using Public Use Microdata Sample files.

Copyright © 2016 CFED — Corporation for Enterprise Development 1200 G Street, NW Suite 400 Washington, DC 20005 202.408.9788