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KEY FINDINGS:
INTRODUCTION
November 2014
Despite progress,
Hispanic children
have higher
uninsurance rates
than their peers.
NATIONAL
The U.S. is making steady progress
on covering Hispanic children.
Nearly two-thirds
of uninsured
Hispanic children
were eligible for
Medicaid and
CHIP in 2012,
but were not
enrolled.
Millions
17.8
Total Number of
Hispanic Children
17.6
17.4
17.4
17.7
17.5
17.2
17.2
17.0
16.8
16.7
16.6
16.4
16.2
16.0
2009
Millions
2.7
Total Number of
Uninsured Hispanic Children
2.6
2.5
2.4
2.3
2.2
2.1
2.1
2.0
1.9
1.7
1.5
2009
2010
2011
2012 2013
Uninsured
Hispanic Children
15.8%
15.0%
14.1%
14.0%
12.8%
13.0%
12.1%
12.0%
11.5%
11.0%
10.0%
9.0%
8.6%
All Uninsured
Children
8.0%
8.0%
7.5%
7.2%
7.1%
2012
2013
7.0%
6.0%
2009
2010
2011
November 2014
Black
White
Asian/Native Hawaiian/
Pacific Islander
6.1%
6.9%
7.2%
9.1%
Other
American Indian/
Alaska Native
White, non-Hispanic*
15.9%
5.4%
11.5%
Hispanic*
* For simplicity, racial and ethnic data is displayed on one figure, but
data is taken from two separate groups. Hispanic refers to a persons
ethnicity and these individuals may be of any race. See the methodology
section for more information.
24%
76%
November 2014
39%
61%
Hispanic Children
STATES
The vast majority of uninsured
Hispanic children are concentrated
in 10 states.
State
Rate
As a Share of Total
Uninsured Hispanic
Children
Texas
585,498
17.0%
28.8%
California
454,740
9.6%
22.3%
Florida
167,917
14.4%
8.2%
Arizona
105,377
15.1%
5.2%
Georgia
64,489
19.2%
3.2%
1,378,021
National Total
2,035,787
67.7%
November 2014
19.2%
20.0%
17.0%
15.0%
14.4%
11.5%
10.0%
5.0%
9.6%
12.5%
15.1%
13.1%
9.8%
4.7%
0.0%
Percent of Uninsured
Hispanic Children
November 2014
November 2014
What role can existing public programs, like Medicaid and CHIP, play in
covering more children?
A significant portion of Hispanic children are already enrolled in Medicaid and CHIP, or
are eligible for public coverage but uninsured.
CHIP has played an important part in reducing
the number of all uninsured children but has
been particularly important for Hispanic children,
who are more likely to be covered by CHIP than
private coverage.8 In fact, a recent evaluation
of the Childrens Health Insurance Program
Reauthorization Act (CHIPRA) highlighted that
in 10 states examined, more than half of the
children enrolled in CHIP in 2012 were Hispanic.9
The same study found that between 1997
and 2012, uninsured rates fell for all children
regardless of race, ethnicity or income, while
enrollment in Medicaid and CHIP grew. Notably,
the decline among low-income children (below
200 percent of the Federal Poverty Level) was
November 2014
How might the Affordable Care Act support coverage gains for
Hispanic children?
Some Hispanic children live in families with income too high for Medicaid or CHIP, and
may be helped in 2014 by premium tax credits that make private coverage
more affordable.
Of all children who were ineligible for public
coverage in 2012, the vast majority were
not eligible for Medicaid and CHIP because
of their income level (79 percent). A much
smaller portion of all children (21 percent) were
ineligible because of their immigration status.13
Most Hispanic children (nearly 93 percent)
are United States citizens and are not barred
from health coverage programs based on
their immigration status alone.14 For the small
minority of non-citizen Hispanic children, at
least 26 states and D.C. cover lawfully present
immigrant children, regardless of date of entry.15
November 2014
CONCLUSION
November 2014
10
November 2014
METHODOLOGY
HISPANIC TERMINOLOGY
November 2014
11
ENDNOTES
1.
2.
3.
4.
5.
6.
7.
8.
9.
12
November 2014
Appendix Table 1. Number of Uninsured Hispanic Children Under 18, 2011 and 2013
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
November 2014
2011 Number
Uninsured
2013 Number
Uninsured
2,230,834
13,354
1,488
126,856
9,275
510,326
57,427
7,970
2,246
1,271
169,313
67,174
1,452
11,972
34,982
18,675
5,316
16,269
5,288
7,632
236
14,455
5,146
11,887
16,346
4,994
11,821
1,726
8,867
64,145
935
41,142
29,679
52,058
55,919
544
14,672
24,349
21,465
21,402
3,129
15,806
864
19,454
607,511
40,256
10
28,483
28,281
530
12,592
3,844
26
9
48
21
50
45
19
11
7
49
47
8
24
40
32
17
30
16
18
2
27
15
23
31
14
22
10
20
46
6
42
39
43
44
4
28
36
35
34
12
29
5
33
51
41
1
38
37
3
25
13
2,035,787
7,068
1,226
105,377
7,428
454,740
50,694
10,190
1,385
62
167,917
64,489
1,310
9,963
37,373
18,940
4,749
12,380
5,977
8,159
412
13,639
2,873
9,875
14,407
4,658
9,272
1,569
4,968
53,142
549
48,430
24,862
47,083
41,802
709
10,865
20,459
16,845
20,543
3,860
13,081
1,222
16,584
585,498
33,551
240
23,167
24,982
531
15,436
1,246
13
Appendix Table 2. Percent of Uninsured Hispanic Children Under 18, 2011 and 2013
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
14
2011 Percent
Uninsured
12.8
19.8
10.0
18.0
12.2
10.7
15.1
4.9
8.0
9.4
15.1
20.8
3.1
16.2
4.8
11.9
8.4
13.2
10.3
13.7
3.5
9.3
2.4
6.9
15.7
18.1
14.0
14.5
12.5
24.2
6.9
8.8
9.8
5.3
17.4
9.6
10.7
17.7
11.7
8.0
6.8
18.6
10.4
17.5
17.9
27.2
0.4
13.6
9.2
7.9
9.2
19.5
2013 Percent
Uninsured
48
22
44
29
25
36
6
12
19
36
49
3
39
5
28
14
31
23
33
4
18
2
9
38
45
34
35
30
50
9
15
21
7
40
20
25
42
27
12
8
46
24
41
43
51
1
32
16
11
16
47
11.5
10.0
7.5
15.1
9.0
9.6
13.1
6.0
4.8
0.4
14.4
19.2
2.6
13.0
5.1
11.6
7.2
9.7
10.6
13.1
6.2
8.0
1.3
5.6
13.4
17.1
10.8
13.1
6.8
20.0
3.9
9.8
8.3
4.7
12.5
12.3
7.7
14.0
9.1
7.3
8.2
14.7
11.8
13.9
17.0
22.2
8.3
10.3
7.8
6.1
10.8
7.0
November 2014
Appendix Table 3. Change in the Number of Uninsured Hispanic Children Under 18, 2011 and 2013
State
United States
California
Texas
Arizona
North Carolina
Nevada
Colorado
Utah
Alabama
Virginia
New York
New Mexico
Oregon
Nebraska
Oklahoma
Kansas
Ohio
Washington
Tennessee
South Carolina
Georgia
Wyoming
Missouri
Massachusetts
Michigan
Idaho
Minnesota
Arkansas
Florida
District of Columbia
Delaware
Pennsylvania
Maryland
Iowa
New Hampshire
Mississippi
Alaska
Montana
Hawaii
West Virginia
North Dakota
Maine
Vermont
Indiana
South Dakota
Louisiana
Kentucky
Rhode Island
Connecticut
Illinois
Wisconsin
New Jersey
2011 Number
Uninsured
2013 Number
Uninsured
2,230,834
510,326
607,511
126,856
55,919
64,145
57,427
40,256
13,354
28,483
52,058
29,679
21,465
8,867
24,349
16,269
14,672
28,281
19,454
15,806
67,174
3,844
11,821
5,146
11,887
11,972
16,346
9,275
169,313
1,271
2,246
21,402
14,455
5,316
935
4,994
1,488
1,726
1,452
530
544
236
10
18,675
864
7,632
5,288
3,129
7,970
34,982
12,592
41,142
2,035,787
454,740
585,498
105,377
41,802
53,142
50,694
33,551
7,068
23,167
47,083
24,862
16,845
4,968
20,459
12,380
10,865
24,982
16,584
13,081
64,489
1,246
9,272
2,873
9,875
9,963
14,407
7,428
167,917
62
1,385
20,543
13,639
4,749
549
4,658
1,226
1,569
1,310
531
709
412
240
18,940
1,222
8,159
5,977
3,860
10,190
37,373
15,436
48,430
2011-2013 Change
in Number of Uninsured
-195,047*
-55,586*
-22,013
-21,479*
-14,117*
-11,003*
-6,733
-6,705*
-6,286*
-5,316
-4,975
-4,817
-4,620
-3,899*
-3,890*
-3,889*
-3,807*
-3,299
-2,870
-2,725
-2,685
-2,598*
-2,549
-2,273*
-2,012
-2,009
-1,939
-1,847
-1,396
-1,209*
-861
-859
-816
-567
-386
-336
-262
-157
-142
1
165
176
230
265
358
527
689
731
2,220
2,391
2,844
7,288*
* Indicates that the number change is significant at the 90% confidence level
November 2014
15
Appendix Table 4. Change in the Percent of Uninsured Hispanic Children Under 18, 2011 and 2013
State
United States
Wyoming
Alabama
District of Columbia
Nebraska
Utah
North Carolina
Nevada
South Carolina
Oklahoma
Tennessee
Kansas
Virginia
Missouri
Delaware
Arkansas
Idaho
Ohio
New Hampshire
Arizona
Alaska
Oregon
Minnesota
Colorado
West Virginia
Georgia
New Mexico
Washington
Montana
Michigan
Maryland
Iowa
Massachusetts
California
Mississippi
Texas
Pennsylvania
Florida
New York
Louisiana
Hawaii
Indiana
Illinois
Kentucky
New Jersey
Connecticut
Rhode Island
South Dakota
Wisconsin
Maine
North Dakota
Vermont
2011 Percent
Uninsured
2013 Percent
Uninsured
12.8
19.5
19.8
9.4
12.5
27.2
17.4
24.2
18.6
17.7
17.5
13.2
13.6
14.0
8.0
12.2
16.2
10.7
6.9
18.0
10.0
11.7
15.7
15.1
7.9
20.8
9.8
9.2
14.5
6.9
9.3
8.4
2.4
10.7
18.1
17.9
8.0
15.1
5.3
13.7
3.1
11.9
4.8
10.3
8.8
4.9
6.8
10.4
9.2
3.5
9.6
0.4
11.5
7.0
10.0
0.4
6.8
22.2
12.5
20.0
14.7
14.0
13.9
9.7
10.3
10.8
4.8
9.0
13.0
7.7
3.9
15.1
7.5
9.1
13.4
13.1
6.1
19.2
8.3
7.8
13.1
5.6
8.0
7.2
1.3
9.6
17.1
17.0
7.3
14.4
4.7
13.1
2.6
11.6
5.1
10.6
9.8
6.0
8.2
11.8
10.8
6.2
12.3
8.3
2011-2013
Percentage Point Change
-1.3*
-12.5*
-9.8*
-9.0*
-5.7*
-5.0*
-4.9*
-4.2*
-3.9
-3.7*
-3.6
-3.5*
-3.3*
-3.3
-3.3
-3.2
-3.1
-3.1*
-3.0
-2.9*
-2.6
-2.6
-2.3
-2.0
-1.8
-1.6
-1.5
-1.4
-1.4
-1.3
-1.3
-1.2
-1.2*
-1.1*
-1.0
-0.9*
-0.8
-0.7
-0.6
-0.6
-0.6
-0.2
0.4
0.4
1.1
1.1
1.4
1.4
1.6
2.6
2.7
7.9
Ranking 2011-2013
Percentage Point Change
1
2
3
4
5
6
7
8
9
10
11
12
12
12
15
16
16
18
19
20
20
22
23
24
25
26
27
27
29
29
31
31
33
34
35
36
37
38
38
38
41
42
42
44
44
46
46
48
49
50
51
* Indicates that the percentage point change is significant at the 90% confidence level
16
November 2014
Appendix Table 5. Number and Percent of Uninsured Hispanic Children Under 18, 2011 and 2013
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
November 2014
2011 Number of
Hispanic Children
17,380,709
67,294
14,854
705,883
76,044
4,779,366
380,294
161,964
28,001
13,461
1,119,572
323,421
46,187
74,002
730,916
157,475
63,061
123,383
51,516
55,726
6,649
155,795
212,781
172,603
103,978
27,561
84,331
11,924
71,016
265,338
13,566
470,076
303,885
979,475
321,384
5,649
136,800
137,645
183,743
266,247
46,120
84,845
8,279
111,192
3,395,630
147,824
2,811
210,050
307,389
6,700
137,330
19,673
2011 Percent of
Hispanic Children
(compared to total
number of children
23.6
6.0
7.9
43.5
10.7
51.7
31.0
20.2
13.7
12.8
28.1
13.0
15.2
17.3
23.6
9.9
8.7
17.1
5.0
5.0
2.5
11.6
15.2
7.5
8.1
3.7
6.0
5.4
15.5
40.1
4.9
23.1
58.8
22.9
14.1
3.7
5.1
14.7
21.3
9.7
21.1
7.9
4.1
7.5
48.9
16.8
2.2
11.4
19.5
1.7
10.4
14.6
2013 Number of
Hispanic Children
17,693,070
70,509
16,453
698,981
82,773
4,753,124
386,423
170,131
29,090
15,717
1,166,603
335,782
50,698
76,359
727,139
162,743
65,803
127,573
56,179
62,235
6,658
170,561
227,392
176,244
107,254
27,172
86,196
11,975
73,399
265,850
14,259
493,370
299,266
999,710
335,265
5,751
141,923
146,331
184,511
282,961
47,316
88,969
10,334
119,254
3,446,316
151,050
2,907
225,658
321,703
8,760
142,736
17,704
2013 Percent of
Hispanic Children
(compared to total
number of children)
24.1
6.4
8.8
43.3
11.7
51.9
31.2
21.7
14.3
14.1
29.0
13.5
16.5
17.9
24.1
10.3
9.1
17.7
5.6
5.6
2.6
12.7
16.4
7.9
8.4
3.7
6.2
5.4
15.9
40.2
5.3
24.5
59.0
23.6
14.7
3.6
5.4
15.5
21.5
10.4
22.3
8.3
5.0
8.0
49.0
16.9
2.3
12.1
20.2
2.3
10.9
12.7
17
18
November 2014