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 North Carolina Health Care Reform: Measuring its impact on uninsured American Indians & Alaska Natives 33 States with Large Indian Populations North Carolina August 31, 2012 Presentation of American Community Survey Estimates

2. North Carolina 33State Average Total-AIAN-NC 36% under 138 71,95940% 42% 138-400 76,47342% 21% over 400 30,64417% 100% Total 179,07799% IHS-NC 41% under 138 4,16840% 44% 138-400 4,57944% 15% over 400 1,68116% 100% Total 10,428100% % of Total 6% Uninsured NC 45% under 138 21,80849% 43% 138-400 19,14343% 14% over 400 3,4928% 101% Total 44,443100% % of Total 25% Medicaid-NC 66% under 138 34,90669% 29% 138-400 14,20828% 4% over 400 1,3683% 100% Total 50,482100% % of Total 28% Medicare-NC 37% under 138 8,83143% 44% 138-400 8,77643% 18% over 400 2,69613% 99% Total 20,304100% % of Total 11% Private NC 14% under 138 13,34917% 49% 138-400 41,61852% 37% over 400 25,16931% 100% Total 80,137100% % of Total 45%

3. Medicaid (28%) Medicare (11%) Private (45%) IHS (6%) Uninsured (25%) North Carolina: Uninsured, IHP access to services, & insurance coverage

5. Total Population

6. Access to IHS

7. Uninsured

8. Medicaid

9. Medicare

10. Private Insurance