1. REVIEW OF NEW DATA FROM THE 2012 1-YEAR AMERICAN COMMUNITY SURVEY ON RATES OF INSURANCE AND INCOME DISTRIBUTION AND 2008-2009-2010 3 YEAR DATA TYPE OF INSURANCE FOR ALASKA NATIVES AND AMERICAN INDIANS 33 STATE 2012 ACA AIAN DATASET ED FOX AND PHILIP FOX, 2014 Health Care Reform: Impact on uninsured 33 States with Indian Health Service Health Care Reform: Impact on uninsured American Indians & Alaska Natives in 33 States with Indian Health Service January 1, 2014 Presentation of American Community Survey Estimates Oregon

2. 2012 Population American Indian and Alaska Native Access to IHS Total Yes No Total 118,034 31,195 86,839 Between 1 and 18 38,520 10,593 27,927 Between 19 and 25 13,449 3,724 9,725 Between 26 and 34 14,269 4,455 9,814 Between 35 and 54 29,588 6,835 22,753 Between 55 and 64 11,064 2,384 8,680 Between 65 and 99 9,990 2,676 7,314 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

3. American Indian and Alaska Native under 139% of FPL 0-138 Access to IHS Total Yes No Total 43,940 10,078 33,862 Between 1 and 18 19,065 4,205 14,860 Between 19 and 25 4,214 879 3,335 Between 26 and 34 4,477 892 3,585 Between 35 and 54 11,056 2,641 8,415 Between 55 and 64 3,282 954 2,328 Between 65 and 99 1,471 394 1,077 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

4. American Indian and Alaska Native 139% to 300% of FPL Between 139 and 300 Access to IHS Total Yes No Total 38,433 14,150 24,283 Between 1 and 18 10,804 4,854 5,950 Between 19 and 25 6,023 2,439 3,584 Between 26 and 34 5,586 2,120 3,466 Between 35 and 54 7,683 2,833 4,850 Between 55 and 64 3,708 371 3,337 Between 65 and 99 4,156 1,256 2,900 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

5. American Indian and Alaska Native Total Uninsured 2012 Access to IHS Total Yes No No health insurance coverage 26,175 8,777 17,398 Between 1 and 18 4,449 2,398 2,051 Between 19 and 25 4,432 1,828 2,604 Between 26 and 34 5,345 1,496 3,849 Between 35 and 54 9,879 2,423 7,456 Between 55 and 64 2,039 601 1,438 Between 65 and 99 31 -

6. American Indian and Alaska Native Uninsured 0-138% of FPL (Medicaid eligible) 0-138 Access to IHS Total Yes No No health insurance coverage 13,053 4,027 9,026 Between 1 and 18 2,086 1,180 906 Between 19 and 25 1,864 462 1,402 Between 26 and 34 2,379 692 1,687 Between 35 and 54 5,796 1,452 4,344 Between 55 and 64 928 241 687 Between 65 and 99 - - -

7. American Indian and Alaska Native Uninsured 139% & 300% FPL (no-cost sharing eligible) Between 139 and 300 Access to IHS Total Yes No No health insurance coverage 8,861 3,580 5,281 Between 1 and 18 1,970 850 1,120 Between 19 and 25 1,882 1,229 653 Between 26 and 34 1,694 491 1,203 Between 35 and 54 2,395 781 1,614 Between 55 and 64 889 198 691 Between 65 and 99 31 -

8. American Indian and Alaska Native Uninsured 139 to 400% of FPL Between 139-400 Access to IHS Total Yes No No health insurance coverage 12,933 3,560 9,373 Between 1 and 18 3,207 968 2,239 Between 19 and 25 1,157 131 1,026 Between 26 and 34 2,426 1,065 1,361 Between 35 and 54 3,690 537 3,153 Between 55 and 64 822 327 495 Between 65 and 99 1,457 426 1,031 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

9. Percentage Uninsured of Age Category Access to IHS TotalYesNo No health insurance coverage22%31%18% Between 1 and 1814%26%8% Between 19 and 2537%56%30% Between 26 and 3429%22%31% Between 35 and 5427%38%24% Between 55 and 6420%39%11% Between 65 and 991% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

10. Percentage Uninsured of Age Category under 139% of FPL 0-138Access to IHS TotalYesNo No health insurance coverage27%34%23% Between 1 and 1814%19%11% Between 19 and 2551%54%49% Between 26 and 3441%32%46% Between 35 and 5434%48%27% Between 55 and 6421%44%12% Between 65 and 995%1%8% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

11. Percentage Uninsured of Age Category between 139 and 300% FPL Between 139 and 300Access to IHS YesNo No health insurance coverage24%29%22% Between 1 and 1813%20%9% Between 19 and 2542%59%32% Between 26 and 3422%16%25% Between 35 and 5435%30%37% Between 55 and 6430%48%10% Between 65 and 990% 2012 ACS Dataset Ed Fox & Philip Fox, January 31, 2014

12. Percentage Uninsured of Age Category between 300 and 400% FPL 300-400Between 300-400Access to IHS TotalYesNo No health insurance coverage23%40%16% Between 1 and 1823%48%6% Between 19 and 2546%92%33% Between 26 and 3420%0%30% Between 35 and 5425%54%14% Between 55 and 6423%24%23% Between 65 and 991%3%0%

13. 9 Slides with 2008-2009-2010 ACS 3 year estimates 2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

14. 33 State Average 2008-2009-2010 ACS 3 year Total-AIAN OR 36% under 138 45,64740% 42% 138-400 46,33540% 21% over 400 23,56720% 100% Total 115,548100% IHS-OR 41% under 138 9,51541% 44% 138-400 9,73242% 15% over 400 3,80016% 100% Total 23,048100% % of Total 20% Uninsured OR 45% under 138 16,53853% 43% 138-400 12,17139% 14% over 400 2,2957% 101% Total 31,004100% % of Total 27% Medicaid-OR 66% under 138 21,04671% 29% 138-400 7,42825% 4% over 400 1,1904% 100% Total 29,664100% % of Total 26% Medicare-OR 37% under 138 3,52034% 44% 138-400 4,74845% 18% over 400 2,20421% 99% Total 10,472100% % of Total 9% Private-OR 14% under 138 8,68816% 49% 138-400 26,68848% 37% over 400 19,97036% 100% Total 55,347100% % of Total 48% Oregon

15. Medicaid (26%) Medicare (9%) Private (48%) IHS ( 20%) Uninsured 27% Oregon: Uninsured, IHP access to services, & insurance coverage 2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

16. Oregon Uninsured, IHP access to services, & insurance coverage 2008-2010 ACS Ed Fox & Philip Fox, January 31, 2014

17. Total Oregon AIAN Population

18. Oregon AIAN Access to IHS

19. Oregon AIAN Uninsured

20. Oregon AIAN Enrolled in Medicaid

21. Oregon AIANs Enrolled in Medicare

22. Oregon AIANs with Private Insurance