1. REVIEW OF NEW DATA FROM THE 2012 1-YEAR AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION AND 2008-2009-2010 3 YEAR ACS INSURANCE AND INCOME DATA FOR ALASKA NATIVES AND AMERICAN INDIANS 33 STATE 2012 ACA AIAN DATASET ED FOX AND PHILIP FOX, JANUARY 2014 Health Care Reform: Measuring its impact on uninsured 33 States with Tribes and IHS-funded Indian Health Programs Arizona Health Care Reform: Measuring its impact on uninsured American Indians & Alaska Natives 33 States with Tribes and IHS-funded Indian Health Programs Arizona American Community Survey Estimates Arizona

2. 2012 Population American Indian and Alaska Native Total American Indian and Alaska Native1 Access to IHS Total Yes No Total 344,541 171,801 172,740 Between 1 and 18 112,365 55,532 56,833 Between 19 and 25 48,053 24,604 23,449 Between 26 and 34 43,017 21,038 21,979 Between 35 and 54 80,759 39,390 41,369 Between 55 and 64 29,087 14,029 15,058 Between 65 and 99 24,757 13,795 10,962 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

3. American Indian and Alaska Native Uninsured 0-138% of FPL (Medicaid eligible) 0-138 Access to IHS Total Yes No Total 163,388 92,148 71,240 Between 1 and 18 62,696 35,064 27,632 Between 19 and 25 27,347 15,048 12,299 Between 26 and 34 17,839 9,768 8,071 Between 35 and 54 30,742 17,272 13,470 Between 55 and 64 10,208 6,118 4,090 Between 65 and 99 10,127 6,457 3,670

4. American Indian and Alaska Native Uninsured 139% & 300% FPL (no-cost sharing eligible) Between 139 and 300 Access to IHS Total Yes No Total 104,302 47,323 56,979 Between 1 and 18 34,174 14,435 19,739 Between 19 and 25 12,593 6,577 6,016 Between 26 and 34 14,612 5,762 8,850 Between 35 and 54 25,431 12,711 12,720 Between 55 and 64 8,373 3,501 4,872 Between 65 and 99 7,760 3,843 3,917

5. American Indian and Alaska Native Uninsured 300 to 400% of FPL Between 301-400 Access to IHS Total Yes No No health insurance coverage 29,677 14,049 15,628 Between 1 and 18 7,447 2,850 4,597 Between 19 and 25 2,595 1,272 1,323 Between 26 and 34 3,671 1,935 1,736 Between 35 and 54 9,918 4,766 5,152 Between 55 and 64 3,043 1,811 1,232 Between 65 and 99 2,870 1,299 1,571 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

6. Percentage Uninsured of Age Category Access to IHS TotalYesNo No health insurance coverage28%37%20% Between 1 and 1824%34%14% Between 19 and 2539%49%30% Between 26 and 3436%44%28% Between 35 and 5432%42%23% Between 55 and 6429%39%21% Between 65 and 993% 4% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

7. Percentage Uninsured of Age Category Under 139% 0-138Access to IHS TotalYesNo No health insurance coverage27%32%22% Between 1 and 1822%28%14% Between 19 and 2538%40%34% Between 26 and 3438%40%34% Between 35 and 5433%39%26% Between 55 and 6433%40%22% Between 65 and 993% 2% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

8. Percentage Uninsured of Age Category 139-300% Between 139 and 300Access to IHS TotalYesNo No health insurance coverage32%47%20% Between 1 and 1830%48%17% Between 19 and 2539%59%18% Between 26 and 3435%52%23% Between 35 and 5439%53%25% Between 55 and 6435%38%33% Between 65 and 993%2%5% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

9. Percentage Uninsured of Age Category between 300 and 400% FPL 300-400Between 300-400Access to IHS TotalYesNo No health insurance coverage21%36%8% Between 1 and 1817%31%9% Between 19 and 2535%61%10% Between 26 and 3428%52%1% Between 35 and 5416%26%6% Between 55 and 6441%58%16% Between 65 and 998%5%10%

10. 9 Slides with 2008-2009-2010 ACS 3 year estimates 2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014 Arizona Health Insurance Status Private (Employer-Sponsored and Individual-pay ) Indian Health Service Access Medicaid Medicare Uninsured

11. Arizona Nat'l Average Total-AIAN AZ 36% under 138 157,36047% 42% 138-400 134,05240% 21% over 400 43,30113% 100% Total 334,713100% IHS-AZ 41% under 138 89,44150% 44% 138-400 71,12540% 15% over 400 17,22610% 100% Total 177,792100% % of Total 53% Uninsured AZ 45% under 138 49,28849% 43% 138-400 43,17443% 14% over 400 8,1418% 101% Total 100,603100% % of Total 30% Medicaid-AZ 66% under 138 89,52371% 29% 138-400 32,20526% 4% over 400 3,8603% 100% Total 125,588100% % of Total 38% Medicare-AZ 37% under 138 12,99245% 44% 138-400 11,47940% 18% over 400 4,24715% 99% Total 28,718100% % of Total 9% Private AZ 14% under 138 18,29317% 49% 138-400 58,16354% 37% over 400 30,39028% 100% Total 106,84699% % of Total 32%

12. Medicaid (38%) Medicare (9%) Private (32%) IHS ( 53%) Uninsured (30%) Arizona: Uninsured, IHP access to services, & insurance coverage

14. Total Population

15. Access to IHS

16. Uninsured

17. Medicaid

18. Medicare

19. Private Insurance