Exhibit 1. 14.8 Million Uninsured Young Adults in 2009, Up by 1.1 Million in Past Year Millions uninsured, adults ages 19–29 Source: Analysis of the 2001–2010.

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Presentation transcript:

Exhibit Million Uninsured Young Adults in 2009, Up by 1.1 Million in Past Year Millions uninsured, adults ages 19–29 Source: Analysis of the 2001–2010 Current Population Surveys by N. Tilipman, B. Sampat, S. Glied, and B. Mahato of Columbia University for The Commonwealth Fund.

Exhibit 2. Four of 10 Young Adults Who Had Insurance Through Their Parents’ Employer While in High School Lost or Had to Switch Insurance After High School; Almost Half Went Without Insurance for Two Years or More Continued to get insurance through same source 56% Don’t know/ refused 2% * Among those who had a gap between losing and gaining new insurance, or who went without insurance after graduating from or leaving high school, or who did not have insurance when they graduated from or left high school. Note: Numbers may not sum to 100% because of rounding. Source: The Commonwealth Fund Survey of Young Adults (2009). Switched to a new source 15% Lost insurance 27% <1 month 3% 1 year to <2 years 23% 6 months to <1 year 15% What happened to health insurance when graduated from or left high school >1 month to <6 months 13% 2 years or more 46% Length of time without insurance* Don’t know/ refused 1%

Exhibit 3. Nineteenth Birthdays Are Critical Turning Points in Coverage for Young Adults Percent uninsured Children, age 18 and under Young adults, ages 19–29 Total 10% 32% <100% FPL %–199% FPL1442 >200% FPL717 Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund.

Exhibit 4. Three-Quarters of Young Adults Who Had Insurance Through Their Parents’ Employer While in College Lost or Had to Switch Insurance After College Continued to get insurance through same source 23% Don’t know/ refused 1% * Among those who had a gap between losing and gaining new insurance, or who went without insurance after graduating from or leaving college, or who did not have insurance when they graduated from or left college. Note: Numbers may not sum to 100% because of rounding. Source: The Commonwealth Fund Survey of Young Adults (2009). Switched to a new source 43% Lost insurance 32% <1 month 14% 1 year to <2 years 14% 6 months to <1 year 15% What happened to health insurance when graduated from or left college >1 month to <6 months 33% 2 years or more 23% Did not have insurance 2% Length of time without insurance* Don’t know/ refused 1%

Exhibit 5. Affordable Care Act: Provisions Benefitting Young Adults Young adults on parents’ plans to age 26 Prohibitions against lifetime benefit caps & rescissions Public reporting by insurers on share of premiums spent on nonmedical costs Coverage and no cost-sharing for preventive care private plans Pre-Existing Condition Insurance Plans Source: SR Collins and JL Nicholson, Rite of Passage: Young Adults and the Affordable Care Act of 2010, (New York: The Commonwealth Fund, May 2010). Insurers must spend at least 85% of premiums (large group) or 80% (small group/individual) on medical costs or provide rebates to enrollees Medicaid expanded to 133% of poverty Insurance market reforms including no rating on health State insurance exchanges Essential benefit standard Premium and cost-sharing credits for exchange plans Premium increases a criteria for carrier exchange participation Individual requirement to have insurance Employer shared responsibility payments

Exhibit 6. Distribution of 14.8 Million Uninsured Young Adults by Federal Poverty Level in 2009 Note: “FPL” refers to Federal Poverty Level. Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund; estimates of undocumented uninsured young adults by Jonathan Gruber and Ian Perry of MIT using the Gruber Microsimulation Model for The Commonwealth Fund. <133% FPL 7.2 million 49% 133% – 249% FPL 3.4 million 23% 250% – 399% FPL 1.5 million 10% >400% FPL 930,238 6% Undocumented 1.8 million 12% 14.8 million uninsured young adults ages 19–29

Federal poverty levelPercent Number uninsured Premium subsidy cap as share of income Cost-sharing cap as share of medical costs <133% FPL49%7,236,461Medicaid 133%–149% FPL5%694,8703.0%–4.0%6% 150%–199% FPL11%1,630,9674.0%–6.3%13% 200%–249% FPL7%1,081,2156.3%–8.05%27% 250%–299% FPL5%766, %–9.5%30% 300%–399% FPL5%725,7749.5%30% Subtotal (133%–399%FPL) 33%4,898,8303.0%–9.5%6%–30% >400% FPL6%930,238—— Undocumented12%1,781,663 Total100%14,847,191—— Exhibit 7. Distribution of 14.8 Million Uninsured Young Adults by Federal Poverty Level in 2009 and Provisions in Affordable Care Act Uninsured young adults ages 19–29 Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund; estimates of undocumented uninsured young adults by Jonathan Gruber and Ian Perry of MIT using the Gruber Microsimulation Model for The Commonwealth Fund.