1. Laura Skopec, Jason Gates, and Genevieve M. Kenney
March 5, 2012
The Uninsured in Virginia: An Update for the Virginia Health Care Foundation
June 2017
Laura Skopec, Jason Gates, and Genevieve M. Kenney
The Urban Institute

2. Methods
All data are from the American Community Survey (ACS) and the Behavioral Risk Factor Surveillance System (BRFSS)
The family structures and corresponding income and employment estimates presented in the ACS analyses are based on tax units, or groups of individuals whose income would likely be counted together for the purposes of eligibility for Medicaid or the Marketplaces. Tax units are generally smaller than Census-reported families, and their income is generally lower than the Census estimates of family-based income. Therefore, the ACS estimates of the number of uninsured by income may not match those from other sources that are based on alternative family and income units.
ACS estimates reflect additional Urban Institute adjustments for potential misreporting of Medicaid/CHIP coverage developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

3. Main Takeaways
The uninsured rate for the nonelderly in VA fell 1.8 percentage points between 2014 and 2015, from percent to 10.7 percent.
There were about 747,000 nonelderly uninsured in VA in 2015.
The uninsured rate for children (aged 0 to 18) in VA was 4.7 percent in Approximately 93,000 children were uninsured.
72.1 percent of uninsured nonelderly Virginians (539,000) live in families with income at or below 200 percent of the Federal Poverty Level (FPL).
65.4 percent of uninsured children in Virginia (61,000) live in families with income at or below 200 percent of the Federal Poverty Level (FPL).
for the Virginia Health Care Foundation

4. Main Takeaways (continued)
Most uninsured Virginians are adults; a plurality are white and 77.5 percent are in working families.
Uninsured rates are higher in three regions of the state, two in the north and one in the south.
Uninsured adults in VA are much more likely than insured Virginians to have unmet needs and less likely to receive preventive services.
for the Virginia Health Care Foundation

5. 655,000 uninsured nonelderly adults
March 5, 2012
Almost 750,000 Virginians lack health insurance coverage, 87.6 percent of whom are adults
Nonelderly Uninsured
Total Nonelderly
747,000 uninsured nonelderly
655,000 uninsured nonelderly adults
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

6. March 5, 2012
Adults are 2.8 times more likely to be uninsured than children in Virginia
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

7. March 5, 2012
Uninsured rate for all nonelderly (0-64) in Virginia in 2015, by region
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation. For area definitions, see “Guide to Regions of Virginia”.
for the Virginia Health Care Foundation

8. March 5, 2012
Uninsured rate for nonelderly adults (19-64) in Virginia in 2015, by region
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation. For area definitions, see “Guide to Regions of Virginia”.
for the Virginia Health Care Foundation

9. Uninsured rate for children (0-18) in Virginia in 2015, by region
March 5, 2012
Uninsured rate for children (0-18) in Virginia in 2015, by region
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation. For area definitions, see “Guide to Regions of Virginia”.
for the Virginia Health Care Foundation

10. March 5, 2012
Uninsured rate for all nonelderly (0-64) with family incomes below 200 percent of the FPL in Virginia in 2015, by region
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation. For area definitions, see “Guide to Regions of Virginia”.
for the Virginia Health Care Foundation

11. March 5, 2012
Uninsured rate for children (0-18) with family incomes below 200 percent of the FPL in Virginia in 2015, by region
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation. For area definitions, see “Guide to Regions of Virginia”.
for the Virginia Health Care Foundation

12. March 5, 2012
Uninsurance among the nonelderly was lower in VA than the United States as a whole during , but the gap narrowed
Note: * indicates the 2015 uninsured rate is statistically different from 2014 at the .10 level. # indicates that 2015 uninsured rate is statistically different from 2009 at the .10 level.
Source: Urban Institute, June Based on the 2009, 2010, 2011, 2012, 2013, 2014 and 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

13. March 5, 2012
Uninsurance in Virginia decreased among both adults and children between 2009 and 2015
Note: * indicates the 20145uninsured rate is statistically different from 2014 at the .10 level. # indicates that 2015 uninsured rate is statistically different from 2009 at the .10 level.
Source: Urban Institute, June Based on the 2009, 2010, 2011, 2012, 2013, 2014, and 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

14. March 5, 2012
Almost forty percent of nonelderly uninsured Virginians live below the federal poverty level
Notes: Family poverty level estimates are based on tax unit Modified Adjusted Gross Income and use the 2015 Federal Poverty Levels (FPLs) defined by the US Department of Health and Human Services.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

15. March 5, 2012
Just over 70 percent of nonelderly Virginians who are uninsured live in families with income at or below 200 percent of the FPL
Notes: Family poverty level estimates are based on tax unit Modified Adjusted Gross Income and use the 2015 Federal Poverty Levels (FPLs) defined by the US Department of Health and Human Services.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

16. March 5, 2012
Virginians living below the federal poverty level (FPL) are nearly 9 times more likely to be uninsured compared to Virginians living at or above 401 percent of FPL
Notes: Family poverty level estimates are based on tax unit Modified Adjusted Gross Income and use the 2015 Federal Poverty Levels (FPLs) defined by the US Department of Health and Human Services.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

17. Share of Nonelderly Uninsured
March 5, 2012
Almost 80 percent (77.5%) of uninsured Virginians live in families with at least one full or part-time worker
Share of Nonelderly Uninsured
Notes: Family work status is based on the work status of adults in the tax unit. Estimates may not sum to 100% due to rounding.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

18. March 5, 2012
Full-time workers and their families make up 60.4 percent of the uninsured in Virginia and are distributed over all income levels
Notes: Family work status is based on the work status of adults in the tax unit. Family poverty level estimates are based on tax unit Modified Adjusted Gross Income and use the 2015 Federal Poverty Levels (FPLs) defined by the US Department of Health and Human Services. Estimates may not sum to 100% due to rounding.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

19. March 5, 2012
Just over 45 percent of the nonelderly uninsured in Virginia are white, non-Hispanic
Notes: Estimates may not sum to 100% due to rounding.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

20. March 5, 2012
Nearly 80 percent of the nonelderly uninsured in Virginia are U.S. Citizens
Notes: Estimates may not sum to 100% due to rounding.
Source: Urban Institute, June Based on the 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

21. Uninsurance continued to decline for young adults
March 5, 2012
Uninsurance continued to decline for young adults
(19-26) in Virginia
Checked ¾ by EH
Note: * indicates the 2015 uninsured rate is statistically different from 2014 at the .10 level. # indicates that 2015 uninsured rate is statistically different from 2009 at the .10 level.
Source: Urban Institute, June Based on the 2009, 2010, 2011, 2012, 2013, and 2015 American Community Survey (ACS) data from the Integrated Public Use Microdata Series (IPUMS). The estimates reflect Urban Institute adjustments for potential misreporting of coverage, based on a simulation model developed by Victoria Lynch under a grant from the Robert Wood Johnson Foundation.
for the Virginia Health Care Foundation

22. for the Virginia Health Care Foundation
March 5, 2012
Note: Adults are age Measures refer to access or utilization over the past 12 months except “lost any teeth”, which is over the respondent’s lifetime.
*/** Estimate is significantly different from estimate for Virginia at the 0.05/0.01 percent level
Source: Urban Institute, June Based on the 2015 Behavioral Risk Factor Surveillance System.
for the Virginia Health Care Foundation