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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.
Even as the total population of Hispanic children
in the U.S. grows, the number of uninsured
Hispanic children is falling. Since the ACS started
reporting data on childrens health coverage in
2009, the percent of uninsured Hispanic children
has steadily declined. Between 2009 and 2013,
the number of uninsured Hispanic children has
dropped by more than half a million children
(590,000). At the same time, the number of
Hispanic children in the U.S. has grown by more
than a million (1,017,000). Figure 1 charts this
progress.
Although uninsurance rates are greater for
Hispanic children, they are declining more quickly
than the rate of all uninsured children. Between
2009 and 2013, the uninsured rate for all children
declined 1.5 percentage points (from 8.6 percent
to 7.1 percent) while the uninsured rate for
Hispanic children declined 4.3 percentage points
(15.8 percent to 11.5 percent) during the same
period. Figure 2 charts this decline.
More recently, the number of uninsured Hispanic
children has decreased by 8.7 percent. Between
2011 and 2013, the number of uninsured Hispanic
children declined by 200,000, from just over 2.2
million uninsured Hispanic children in 2011 to just
over 2.0 million in 2013.
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 Hispani 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
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%
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*
Hispanic*
15.9%
5.4%
11.5%
* 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.
Hispanic Children as
Percent of the Uninsured
Children, 2013
24%
76%
November 2014
39%
61%
Hispanic Children
STATES
The vast majority of uninsured
Hispanic children are concentrated
in 10 states.
2013 Number of
Uninsured Hispanic
Children
2013 Percent of
Uninsured Hispanic
Children
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%
Percent of Uninsured
Hispanic Children
9.8%
National Average of
Uninsured Hispanic
Children
4.7%
0.0%
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.
Hispanic children are more likely to be covered
by Medicaid and 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
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 the children who were ineligible for public
coverage in 2012, the vast majority were not
eligible from Medicaid and CHIP because
of their income level (79 percent). Hispanic
children that live in families with incomes too
high for Medicaid and CHIP may be eligible
for advanced premium tax credits to purchase
health insurance through the health insurance
marketplace. 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
November 2014
CONCLUSION
November 2014
Clarify that families can apply for health coverage without fear.
The vast majority of Hispanic children are citizens, but some live in families
where their parents are not. Communicating to parents that it is safe to apply for
health coverage for their children regardless of their own immigration status, and
supporting trusted sources in encouraging them to do so, is a must.
November 2014
METHODOLOGY
HISPANIC TERMINOLOGY
10
November 2014
ENDNOTES
1.
2.
3.
4.
5.
6.
7.
8.
9.
November 2014
11
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
12
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
November 2014
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
November 2014
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
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
13
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
14
November 2014
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
November 2014
15
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
16
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
November 2014
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