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National Academy for State Health Policy © 2008 1 Young and Uninsured: Closing the Gap for the Invincibles and the Ineligible AcademyHealth National Health.

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Presentation on theme: "National Academy for State Health Policy © 2008 1 Young and Uninsured: Closing the Gap for the Invincibles and the Ineligible AcademyHealth National Health."— Presentation transcript:

1 National Academy for State Health Policy © Young and Uninsured: Closing the Gap for the Invincibles and the Ineligible AcademyHealth National Health Policy Conference February 4, 2008 Alan Weil Executive Director National Academy for State Health Policy

2 National Academy for State Health Policy © Why I Dont Have Many Slides Eva Elise Weil, born Jan. 9, 2008

3 National Academy for State Health Policy © Ages 30-35, 12% Under 18, 20% Ages 36-49, 23% Ages 50-64, 15% Ages 24-29, 16% Ages 19-23, 14% Uninsured Non-Elderly Adults, % or 13.3 million of the uninsured are young adults Source: S. Collins et al. Rite of Passage? Why Young Adults Become Uninsured and How New Policies Can Help Commonwealth Fund Issue Brief, August (Analysis of March 2006 CPS.)

4 National Academy for State Health Policy © Uninsured Young Adults, 2005 <100% FPL, 41% 200% FPL, 28% % FPL, 31% Source: S. Collins et al. Rite of Passage? Why Young Adults Become Uninsured and How New Policies Can Help Commonwealth Fund Issue Brief, August (Analysis of March 2006 CPS.) More than 70% have incomes below twice the federal poverty level

5 National Academy for State Health Policy © State Public Coverage Options Medicaid mandatory categories do not generally fit the young adult population –State options to cover certain 19 and 20 year olds Ribicoff Medically Needy Chafee/Foster Care Leavers –Waivers Childless adults Family planning –Buy-ins and state-funded programs SCHIP only covers children up to age 19

6 National Academy for State Health Policy © States Taking up Medicaid Options for Certain Year Olds Implemented 3 options (3) Implemented 2 options (10) Implemented 1 option (18) Did not implement any option (19) Sources: NASHP analysis based on Harriette B. Fox, et al., The Public Health Insurance Cliff for Older Adolescents, Incenter Strategies, April 2007; and American Public Human Services Association, Medicaid Access for Youth Aging Out of Foster Care, 2007.

7 National Academy for State Health Policy © State Private Coverage Options Dependent Coverage Laws Underwriting and Rating Rules Limited benefit plans Individual Mandates/ College Student Mandates

8 National Academy for State Health Policy © State Dependent Coverage Laws Source: NASHP, State Efforts to Extend Dependent Coverage for Young Adults; NCSL, The Changing Definition of Dependent: Who is Insured and for How Long?; and S.R. Collins et al. Rite of Passage? Why Young Americans Become Uninsured and How New Policies Can Help (The Commonwealth Fund, 2007).

9 National Academy for State Health Policy © Do They View Themselves as Invincible? Source: S. Collins et al. Rite of Passage? Why Young Adults Become Uninsured and How New Policies Can Help Commonwealth Fund Issue Brief, August (2005 Commonwealth Fund Biennial health Insurance Survey.)


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