February 9, 2016 12:00 AM
Report: Eight states show big drops in uninsured
As a whole, 9.1 percent in U.S. had no health insurance in first nine months of 2015
Down from 14.4 percent without health insurance in 2013
Kentucky saw 6.5 percent drop in uninsured, Arizona with 5.9 percent drop
By Richardo Alonso-ZAldivar
Associated Press
WASHINGTON - Eight states saw a significant drop last year in the number of residents
going without health insurance, according to a government report out Tuesday
that has implications for the presidential campaign.
All but Florida had accepted a Medicaid expansion that is one of two major
pathways to coverage under President Barack Obamafs health care law. The lawfs
other coverage route is subsidized private insurance, available in all 50
states.
GOP presidential candidates are vowing to repeal gObamacare,h while offering
hardly any detail on how theyfd replace it without millions losing coverage.
Politically, the eight states with statistically significant coverage gains
in the National Health Interview Survey are a mix of red, blue and purple. They
are Arizona, California, Colorado, Florida, Illinois, Kentucky, Michigan, and
New York. Five have GOP governors.
As a whole, the nation had an uninsured rate of 9.1 percent during the first
nine months of 2015, according to the survey, an ongoing research project by a
unit of the Centers for Disease Control and Prevention. The uninsured rate was
14.4 percent in 2013, before the lawfs big coverage expansion.
The federal report does not analyze the reasons for the coverage gains, but
independent experts say the trend is due to the Obama health care law, boosted
by economic recovery.
That poses a dilemma for Republican presidential candidates. Indeed, a recent
blueprint from a group of conservative policy experts for replacing the health
law said Republicans will need some kind of ggrandfathering exemptionh to avoid
disrupting the lives of people who have gained coverage through the Affordable
Care Act.
The new state numbers from the National Center for Health Statistics focus on
adults ages 18-64. Thatfs because virtually all seniors have coverage, and fewer
than 5 percent of children and teens are uninsured.
In addition to the eight states with statistically significant coverage
gains, the report named another 10 with notable reductions in the percentage of
uninsured residents. However, the changes in these states did not meet the
surveyfs test for statistical significance.
That second group included Georgia, Idaho, Indiana, Louisiana, Mississippi,
New Hampshire, New Mexico, North Carolina, Oklahoma, and Rhode Island. Seven of
those states have Republican governors.
Kentucky led the way among the states with statistically significant
reductions in the share of residents uninsured, with a drop of 6.5 percentage
points. The statefs new Republican governor, Matt Bevin, ran as a strong critic
of Obamafs law and is now grappling with how to scale back his statefs
involvement.
Another Republican-led state, Arizona, had the second-biggest reduction, a
drop of 5.9 percentage points. New York followed, with a reduction of 5.6
percentage points.
The health carefs law big coverage expansion got under way in 2014, and since
then the nationfs uninsured rate has fallen to a historically low level. With
the 2016 sign-up season recently concluded, the Obama administration is hoping
to see continued improvement this year.
The law offers subsidized private health insurance through online markets
like HealthCare.gov for people who donft have access to employer-based coverage.
Thatfs coupled with a Medicaid expansion aimed at low-income adults, now
accepted by 31 states. Virtually all Americans are required to have coverage or
risk paying fines to the IRS.
Even with Obamafs law, nearly 29 million people were still uninsured in the
nine months from Jan.-June of 2015. That includes an estimated 11 million
immigrants without legal permission to be in the country, who are not entitled
to coverage.