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State Health Access Reform Evaluation
1. State Health Access Reform Evaluation Lynn A. Blewett, Ph.D. State Health Access Data Assistance Center AcademyHealth State Coverage Initiatives (SCI) State Coverage Institute Chicago, Illinois September 26, 2007 Funded by a grant from the Robert Wood Johnson Foundation
6. Continued Increase in Uninsured Source: U.S. Census Bureau, Current Population Surveys (March), 1989-2006 New verification question Millions of Uninsured, all ages 15.8% of Population
7. Drop in Employer-Sponsored Coverage (U.S.) Source: US. Census Bureau, Income, Poverty, and Health Insurance Coverage in the United States: 2006.
8. Increase in Uninsured Children, 2005-06 710,000 New Uninsured Children <200% FPL 200-399% FPL 400%+ FPL 220,000 340,000 150,000 31.3% 47.5% 21.2% Note: 200% to 399% of the federal poverty level (FPL) is roughly $40,000-$80,000 in annual income for a family of four in 2006. Source: KCMU/Urban Institute analysis of the March 2007 CPS .
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10. Increase in State Revenues Source: Quarterly Summary of State and Local Government Tax Revenue, U. S Census Bureau. Annual Change in 2nd Quarter State and Local Tax Revenue Drop in 2007?
12. States Are in Different Phases of Reform Process Illinois (kids) Maine Massachusetts PA (kids) Vermont WI (kids) California Oregon WI Colorado Minnesota Illinois (all ) New Jersey New Mexico PA (all) WI (all) Post –Implementation Legislation Passed/ Implementation Legislation Introduced In Discussion
41. Technical Assistance - State Health Access Reform Evaluation - State Health Access Data Assistance Center
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44. State Health Reform If States are the Laboratories….. Where are the lab reports?
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47. The SHADAC Vision Federal Data (e.g., CPS) Better Understanding of the Characteristics of the Uninsured State Data (e.g., State Surveys) Increase Coverage and Access THANK YOU!
48. Contact Information www.shadac.org www.statereformevaluation.org University of Minnesota School of Public Health Division of Health Policy and Management 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn A. Blewett, Ph.D. (blewe001@umn.edu)