1. REVIEW OF NEW DATA FROM THE 2008-2010 AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION FOR ALASKA NATIVES AND AMERICAN INDIANS 33 STATE ACA AIAN DATA PROJECT ACA/AIAN 33 Health Care Reform: Measuring its impact on uninsured 33 States with Large Indian Populations Alabama Health Care Reform: Measuring its impact on uninsured American Indians & Alaska Natives 33 States with Large Indian Populations Alabama August 31, 2012 Presentation of American Community Survey Estimates

2. Alabama Nat'l Average Total-AIAN AL 36% under 138 17,85331% 42% 138-400 26,98647% 21% over 400 12,15920% 100% Total 56,99799% IHS-AL 41% under 138 35119% 44% 138-400 1,19463% 15% over 400 34218% 100% Total 1,887100% % of Total 3% Uninsured AL 45% under 138 5,26445% 43% 138-400 5,03843% 14% over 400 1,50313% 101% Total 11,805100% % of Total 21% Medicaid-AL 66% under 138 7,40365% 29% 138-400 3,40030% 4% over 400 5775% 100% Total 11,379100% % of Total 20% Medicare-AL 37% under 138 3,10236% 44% 138-400 4,31949% 18% over 400 1,30615% 99% Total 8,727100% % of Total 15% Private AL 14% under 138 4,91315% 49% 138-400 18,31655% 37% over 400 10,25131% 100% Total 33,480100% % of Total 59%

3. Medicaid (20%) Medicare (15%) Private (59%) IHS (3 %) Uninsured (21%) Alabama: Uninsured, IHP access to services, & insurance coverage

5. Total Population

6. Access to IHS

7. Uninsured

8. Medicaid

9. Medicare

10. Private Insurance