Percent of adults ages 19–64 Exhibit 1. More Than Half of Adults in Florida and Texas Were Uninsured or Underinsured in 2012 Uninsured during the year* 30% 31% 40% Notes: Totals may not equal sum of bars because of rounding. ^Underinsured defined as insured all year but experienced one of the following: out-of-pocket medical expenses equaled 10% or more of income; out-of-pocket medical expenses equaled 5% or more of income, if low-income (<200% of poverty); or deductibles equaled 5% or more of income. *Combines "Uninsured now" and "Insured now, time uninsured in past year“ Source: The Commonwealth Fund Biennial Health Insurance Surveys (2012).

*Includes: Had problems paying or unable to pay medical bills; contacted by collection agency for unpaid medical bills; had to change way of life to pay bills; medical bills being paid off over time. **Includes any of the following because of cost: Had a medical problem; did not visit doctor or clinic; did not fill a prescription; skipped recommended test, treatment, or follow-up; did not get needed specialist care. Source: The Commonwealth Fund Biennial Health Insurance Surveys (2012). Percent of adults Exhibit 2. Residents in the Four Largest States Are Struggling with Medical Bills and the Cost of Health Care

THE COMMONWEALTH FUND Exhibit 3. Status of State Participation in the Affordable Care Act’s Medicaid Expansion, as of April 2013 Source: Avalere State Reform Insights; Center of Budget and Policy Priorities; Politico.com; Commonwealth Fund analysis. TX FL NM GA AZ CA WY NV AK OK MS LA MT TN WA OR ID UT CO KS NE SD ND MN WI MI IA MO AR ILIN OH KY WV VA NC SC AL PA NY ME DC MD DE NJ CT RI MA NH VT HI Expanding (23 states plus D.C.) Not expanding (14) Unclear/undecided (8) Expanding, with variation (5 )