1. Projections for Coverage and Exchange Participation Special Committee on Financial Institutions and Insurance Topeka, Kansas October 24, 2011 Suzanne Cleveland, J.D. Kansas Health Institute

2. Health Insurance in Kansas

3. Medicare

4. Other Public Coverage

5. Medicaid/CHIP

6. Employment-Based Coverage in Kansas Majority of coverage is through large employers ACA penalty applies only to large employers Small employer behavior hardest to predict

7. Direct-Purchase Insurance Small portion eligible for Medicaid Many fall within income eligibility range for federal credits/subsidies

8. Uninsured Large majority eligible for Medicaid or federal credits/subsidies Most estimates presume residual uninsurance rate of 4-6 percent

9. Potential Exchange Participation Uninsured 142,000 within income-eligible range for federal credits/subsidies 36,000 over income-eligible range Direct-Purchase Insurance 98,000 within income-eligible range for federal credits/subsidies 49,000 over income-eligible range Small Employers 253,000 from small private and public employers

10. Questions?

11. Information for policy makers. Health for Kansans. Kansas Health Institute