1. Providing Insights that Contribute to Better Health Policy Trends in the Uninsured: Impact and Implications of the Current Economic Environment Len Nichols, Ph.D. Vice President Center for Studying Health System Change

2. Uninsurance and Unemployment Rates Note: Data on uninsurance rates for 1999 and 2000 are not directly comparable to prior years due to a change in the survey instrument. SOURCE: Uninsurance rates: Employee Benefits Research Institute analysis of the 1988-1999 March Supplements to the Current Population Survey (1987-1998 data years) and U.S. Census Bureau Current Population Reports, 2000 (1999-2000 data years); Unemployment rates: U.S. Department of Labor, Bureau of Labor Statistics.

3. Own vs. Dependent Coverage SOURCE: Employee Benefits Research Institute analysis of the 1988-2000 March Supplements to the Current Population Survey.

4. Who Is Likely to Be Uninsured?  Hispanics31%  Blacks17%  Whites10%  All Adults16%  All Children 9%  Poor 32%  Near Poor25%  2-4*poverty12%  Above 4*poverty 6%  South17%  West16%  NE11%  Midwest10% Source: 2000-2001 Community Tracking Household Survey

5. Who Lost Coverage in the Last Recession?  Whites  High Income (above 4*poverty)  All regions but the Northeast Source: analysis of Current Population Survey, 1992 vs. 1990

6. Some Facts About the 39 Million Uninsured Percent of Uninsured With Access To… PercentEmployment Medicaid/ Incomeof uninsured Sponsored SCHIP Poverty30%12%36% 1-2*poverty30%36%24% 2-4*poverty27%46% 9% 4*poverty +13%55% 1% Overall100%31%20% Source: analysis of 1999 CPS data, non-elderly population

7. Implications for State and Local Policymakers

8. Is There an End in Sight?