This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub- Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation. 1 Uninsured Population Hawai`i: Adults Age Gerard Russo, Ph.D. Sang-Hyop Lee, Ph.D. Lawrence Nitz, Ph.D. Thamana Lekprichakul, Ph.D. Rui Wang, Ph.D. Candidate Jaclyn Lindo, Ph.D. Student University of Hawai`i at Mānoa Kathleen Baker, Ph.D., Hawaii Department of Health HRSA SPG VIII Technical Workshop 30 January 2006

Preliminary results. Revised January Subject to further revision. 2 Age Distribution of Hawai`i’s Uninsured Population: CPS , 3-year Average 123,595 22,580 99,408 1,607

30 January 2006Preliminary results. Revised January Subject to further revision. 3 Source: The Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Weighted tabulations, University of Hawai`i at Mānoa %12.12%0.61%13.32%Percent Uninsured 109,04589,7704,91599,408Uninsured Adults 765,687727,2149,811746,450Total Adults %11.48%0.59%12.64%Percent Uninsured 101,90183,6874,64592,794Uninsured Adults 752,656715,4759,482734,066Total Adults %10.83%0.70%12.19%Percent Uninsured 98,23377,3255,33187,779Uninsured Adults 744,494695,40812,516719,951Total Adults % Confidence Interval Standard Error Persons/ Rate Survey Years Hawai`i Uninsured Adults Age 19-64: CPS , 3-Year Moving Average

30 January 2006Preliminary results. Revised January Subject to further revision. 4

30 January 2006Preliminary results. Revised January Subject to further revision. 5 Uninsured Hawaii Adults Age 19-64: with 95% Confidence Intervals CPS Survey Years

30 January 2006Preliminary results. Revised January Subject to further revision. 6 Percent Uninsured: Hawaii Adults Age with 95% Confidence Intervals CPS Survey Years

30 January 2006Preliminary results. Revised January Subject to further revision. 7

30 January 2006Preliminary results. Revised January Subject to further revision. Uninsured Adults Age 19-64: BRFSS Hawaii Uninsured Adults Age 19-64: Persons and Percent Uninsured, BRFSS Year Uninsure d Persons Std. Err. 95% Confidence Interval Percent Uninsure d Std. Err. 95% Confidence Interval Lower Limit Upper Limit Lower Limit Upper Limit ,1834,07252,20168, %0.55%7.22%9.36% ,4884,93953,80573, %0.65%7.27%9.81% ,3964,62969,32287, %0.59%9.24%11.57% ,9265,27663,58384, %0.67%8.43%11.06% ,8968,62666, , %1.07%8.71%12.92% Source: Behavior Risk Factor Surveillance Survey (BRFSS) 2000 – Weighted tabulations, University of Hawai`i at Mānoa. * Each year there are some people who refuse / don't know their own ages. They are excluded from this tabulation.

30 January 2006Preliminary results. Revised January Subject to further revision. 9 Note: For Hawaii family size more than 8 persons add $3,750 for each additional person. For Mainland family size more than 8 persons add $3,260 for each additional person. Source: Federal Register, Vol.70, No.3. $32,390$37,2608 $29,130$33,5107 $25,870$29,7606 $22,610$26,0105 $19,350$22,2604 $16,090$18,5103 $12,830$14,7602 $9,570$11, Contiguous States & DC Annual Family Income Hawaii Annual Family Income Family Size 2005 US HHS Poverty Guidelines: Hawaii vs. 48 Contiguous States & DC

30 January 2006Preliminary results. Revised January Subject to further revision ,97815,87516,41918,93111,1859,567BRFSS NOTES: Adults with family income at or below 62.5% of the U.S. Dept. of Health & Human Services federal poverty guidelines for Hawaii (1993) will meet the Medicaid- QUEST income eligibility criterion and will not be subject to the QUEST enrollment cap. Adults with children in this income group are normally eligible for Temporary Aid to Needy Families (TANF). Adults with family income greater that 62.5% FPL (1993) but less than or equal to 100% FPL are typically income eligible for free medical assistance under Medicaid-QUEST but are subject to the QUEST enrollment cap. Beyond 100% FPL only pregnant women in families with income less than or equal to 185% FPL are eligible for free medical assistance under Medicaid-QUEST. For the BRFSS and HHS, missing income data has been imputed and the categorical income variables are converted through a simulation method to a continuous distribution before the Hawaii specific federal poverty guidelines are applied. Income data in the BRFSS and HHS is based on the household unit. SOURCES: University of Hawaii weighted tabulations. Current Population Survey, Annual Social and Economic (ASEC) Supplement , Hawaii sample. Behavioral Risk Factor Surveillance System (BRFSS) Survey , Hawaii sample. Hawaii Health Survey ,36214,5868,78014,3968,1492,451HHS ,40428,48617,45921,64010,42015,399CPS Total 301%+ FPL % FPL % FPL CAP % FPL TANF % FPL Survey Years Hawai`i Uninsured Adults Age by Income Eligibility Status for Calendar Years : CPS, BRFSS & HHS (5-year averages).

30 January 2006Preliminary results. Revised January Subject to further revision %5.1%10.2%10.8%17.7%23.5%BRFSS SOURCES: University of Hawaii weighted tabulations. Current Population Survey, Annual Social and Economic (ASEC) Supplement , Hawaii sample. Behavioral Risk Factor Surveillance System (BRFSS) Survey , Hawaii sample. Hawaii Health Survey %3.9%6.4%10.4%12.7%15.6%HHS %7.1%13.1%19.2%24.0%35.7%CPS Total301%+ FPL % FPL % FPL CAP % FPL TANF % FPL Survey Years Percent Uninsured of Hawai`i Adults Age by Income Eligibility Status for Calendar Years : CPS, BRFSS & HHS (5-year averages)

30 January 2006Preliminary results. Revised January Subject to further revision. 12 Mahalo! This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health.