1. Uninsured Population Hawai`i: Adults Age 19-64
Gerard Russo, Ph.D.
Sang-Hyop Lee, Ph.D.
Lawrence Nitz, Ph.D.
Thamana Lekprichakul, Ph.D.
Rui Wang, Ph.D. Candidate
University of Hawai`i at Mānoa
Kathleen Baker, Ph.D., Hawaii Department of Health
HRSA SPG VII Technical Workshop
13 October 2005
This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation.

2. Age Distribution of Hawai`i’s Uninsured Population: CPS 2003-2005, 3-year Average 123,595
1,607
22,580
99,408
13 October 2005
Preliminary results. Revised October Subject to further revision.

3. Hawaii Uninsured Adults Age 19-64:
CPS , 3-Year Moving Average
Survey Years
Persons/Rate
Standard Error
95% Confidence Interval
Total Adults
719,951
11,190
698,007
741,896
Uninsured Adults
87,779
5,287
77,410
98,147
Percent Uninsured
12.19%
0.70%
10.83%
13.56%
734,066
7,965
718,448
749,683
92,794
4,599
83,776
101,812
12.64%
0.59%
11.48%
13.80%
746,450
8,209
730,353
762,547
99,408
4,863
89,872
108,944
13.32%
0.61%
12.12%
14.51%
Source: The Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Weighted tabulations, University of Hawai`i at Mānoa.
13 October 2005
Preliminary results. Revised October Subject to further revision.

4. Hawaii Uninsured Adults Age 19-64: CPS 2001-2005
Survey Year
Persons
/Rate
Standard Error
95% Confidence Interval
2001
Total Adults
712,908
18,439
676,650
749,166
Uninsured Adults
86,149
11,194
64,138
108,160
Percent Uninsured
12.08%
1.53%
9.07%
15.10%
2002
728,444
13,691
701,576
755,313
82,646
7,807
67,325
97,967
11.35%
1.01%
9.36%
13.33%
2003
718,501
13,595
691,821
745,182
94,542
7,757
79,318
109,766
13.16%
1.02%
11.16%
15.16%
2004
755,251
13,991
727,794
782,708
101,195
8,323
84,861
117,528
13.40%
1.04%
11.36%
15.43%
2005
765,598
14,873
736,411
794,786
102,487
9,150
84,531
120,444
13.39%
1.10%
11.22%
15.55%
Source: The Current Population Survey (CPS), Annual Social and Economic (ASEC) Supplement, Weighted tabulations, University of Hawai`i at Mānoa.
13 October 2005
Preliminary results. Revised October Subject to further revision.

5. Uninsured Hawaii Adults Age 19-64: with 95% Confidence Intervals CPS Survey Years 2001-2005
13 October 2005
Preliminary results. Revised October Subject to further revision.

6. Percent Uninsured: Hawaii Adults Age 19-64 with 95% Confidence Intervals CPS Survey Years 2001-2005
13 October 2005
Preliminary results. Revised October Subject to further revision.

7. Uninsured Hawaii Adults Age 19-64: HHS 1997-2003
Year
Uninsured
Adults
Standard Error
95% Confidence Interval
Lower
Limit
Upper Limit
1997
35,693
2,292
31,199
40,187
1998
53,513
3,477
46,697
60,329
1999
53,168
3,156
46,980
59,356
2000
43,017
2,755
37,616
48,417
2001
49,385
2,768
43,958
54,812
2002
42,563
3,136
36,415
48,711
2003
52,041
3,436
45,305
58,776
Source: Hawaii Health Survey Weighted tabulations University of Hawaii.
13 October 2005
Preliminary results. Revised October Subject to further revision.

8. Percent Uninsured Hawaii Adults Age 19-64: HHS 1997-2003
Year
Percent
Uninsured 
Standard Error 
95% Confidence Interval
Lower
Limit
Upper
1997
5.20%
0.33%
4.59%
5.89%
1998
7.98%
0.51%
7.05%
9.03%
1999
7.91%
0.46%
8.86%
2000
6.34%
0.40%
5.60%
7.17%
2001
6.96%
0.38%
6.25%
7.75%
2002
5.94%
0.43%
5.15%
6.84%
2003
7.11%
8.07%
Source: Hawaii Health Survey Weighted tabulations University of Hawaii.
13 October 2005
Preliminary results. Revised October Subject to further revision.

9. 48 Contiguous States & DC Annual Family Income
2005 US HHS Poverty Guidelines:
Hawaii vs. 48 Contiguous States & DC
Family Size
Hawaii
Annual Family Income
48 Contiguous States & DC Annual Family Income 1
$11,010
$9,570 2
$14,760
$12,830 3
$18,510
$16,090 4
$22,260
$19,350 5
$26,010
$22,610 6
$29,760
$25,870 7
$33,510
$29,130 8
$37,260
$32,390
Note: For Hawaii family size more than 8 persons add $3,750 for each additional person. For Mainland family size more than 8 persons add $3,260 for each additional person.
Source: Federal Register, Vol.70, No.3.
13 October 2005
Preliminary results. Revised October Subject to further revision.

10. Hawai`i Uninsured Adults Age 19-64
by Income Eligibility Status for Calendar Years :
CPS, BRFSS & HHS (4-year averages).
Survey
Years
TANF
0-62.5%
FPL
CAP % % %
301%+
Total
CPS
15,515
11,235
22,609
18,132
23,879
91,370
BRFSS
12,377
9,453
19,804
13,178
14,186
68,998
HHS
5,098
5,035
14,412
8,260
13,947
46,751
NOTES: Adults with family income at or below 62.5% of the U.S. Dept. of Health & Human Services federal poverty guidelines for Hawaii (1993) will meet the Medicaid-QUEST income eligibility criterion and will not be subject to the QUEST enrollment cap. Adults with children in this income group are normally eligible for Temporary Aid to Needy Families (TANF). Adults with family income greater that 62.5% FPL (1993) but less than or equal to 100% FPL are typically income eligible for free medical assistance under Medicaid-QUEST but are subject to the QUEST enrollment cap. Beyond 100% FPL only pregnant women in families with income less than or equal to 185% FPL are eligible for free medical assistance under Medicaid-QUEST. For the BRFSS and HHS, missing income data has been imputed and the categorical income variables are converted through a simulation method to a continuous distribution before the Hawaii specific federal poverty guidelines are applied. Income data in the BRFSS and HHS is based on the household unit.
SOURCES: University of Hawaii weighted tabulations. Current Population Survey, Annual Social and Economic (ASEC) Supplement , Hawaii sample. Behavioral Risk Factor Surveillance System (BRFSS) Survey , Hawaii sample. Hawaii Health Survey
13 October 2005
Preliminary results. Revised October Subject to further revision.

11. Percent Uninsured of Hawai`i Adults Age 19-64
by Income Eligibility Status for Calendar Years :
CPS, BRFSS & HHS (4-year averages)
Survey
Years
TANF
0-62.5%
FPL
CAP % % %
301%+
Total
CPS
35.2%
24.1%
18.7%
13.7%
6.2%
12.5%
BRFSS
25.3%
15.2%
11.5%
8.3%
4.7%
9.3%
HHS
13.2%
11.7%
10.6%
3.9%
6.6%
SOURCES: University of Hawaii weighted tabulations. Current Population Survey, Annual Social and Economic (ASEC) Supplement , Hawaii sample. Behavioral Risk Factor Surveillance System (BRFSS) Survey , Hawaii sample. Hawaii Health Survey
13 October 2005
Preliminary results. Revised October Subject to further revision.

12. Uncovered Workers in Hawai`i—Part-Time, Full-Time and Self-Employed: Estimates from the Current Population Survey (CPS)
13 October 2005
Preliminary results. Revised October Subject to further revision.

13. Three Measures of Hours Worked: Current Population Survey
Usual hours worked per week at all jobs held last year.
Actual hours worked per week at all jobs held last week.
Usual hours worked per week at main job held last week.
13 October 2005
Preliminary results. Revised October Subject to further revision.

14. Distribution of Uninsured Adults Age 19-64 by Employment: Summary
Distribution of Uninsured Adults Age by Employment Status: CPS Hawaii Sample.
All Jobs Last Year
All Jobs Last Week
Main Job Last Week
Self-Employed
1-99 hours
12,300
12,341
Part-Time Employee
1-19 hours
4751
5528
4190
Full-Time Employee
20+ hours
50,120
37,730
36,265
Zero Hours, Variable Hours, Unemployed or Not in Labor Force
24,199
36,778
40,814
TOTAL
91,370
NOTE: Constructed on three questions of hours worked, employment and health insurance status from the Current Population Survey (CPS) Basic Monthly Survey and Annual Social and Economic (ASEC) Supplement For example: “How many hours do you usually work at your main job (held last week)?”
SOURCE: University of Hawaii Weighted Tabulations CPS Hawaii Sample, 4-year Average.
13 October 2005
Preliminary results. Revised October Subject to further revision.

15. 91,370 Uninsured Adults Age 19-64
Start with Usual Hours Worked per Week at Main Job Held Last Week: Accurate Recall & One Job
Exclude the Unemployed and Not-in-Labor Force
Exclude Self-Employed
Exclude Unpaid Workers
Exclude the Public Sector
PLEASE NOTE: The Uninsured Private Sector are Mostly Non-Union
13 October 2005
Preliminary results. Revised October Subject to further revision.

16. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Paid Private Sector Employees
NOTE: Probability density function computed from the CPS Hawaii sample.
13 October 2005
Preliminary results. Revised October Subject to further revision.

17. This research is funded in part by Hawaii State Department of Health.
Mahalo!
This research is funded in part by
U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant
Hawaii State Department of Health.
13 October 2005
Preliminary results. Revised October Subject to further revision.