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

2. Massachusetts 33 State Average Total-AIAN MA 36% under 138 14,25933% 42% 138-400 15,72336% 21% over 400 13,62131% 100% Total 43,604100% IHS-MA 41% under 138 -21% 44% 138-400 -43% 15% over 400 -36% 100% Total 692100% % of Total 2% Uninsured MA 45% under 138 1,59848% 43% 138-400 1,11034% 14% over 400 59318% 101% Total 3,301100% % of Total 8% Medicaid-MA 66% under 138 9,71766% 29% 138-400 4,07628% 4% over 400 9326% 100% Total 14,725100% % of Total 34% Medicare-MA 37% under 138 2,28040% 44% 138-400 2,19939% 18% over 400 1,20221% 99% Total 5,681100% % of Total 13% Private MA 14% under 138 3,68814% 49% 138-400 10,79940% 37% over 400 12,27846% 100% Total 26,765100% % of Total 61%

3. Medicaid (34%) Medicare (13%) Private (61%) IHS (2%) Uninsured (8%) Massachusetts: Uninsured, IHP access to services, & insurance coverage

5. Total Population

6. Access to IHS Unavailable

7. Uninsured

8. Medicaid

9. Medicare

10. Private Insurance