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Texas

SHAP Grantee Chartbook

Health Insurance Coverage Estimates


from the 2008 American Community Survey (ACS)

Prepared for:

State Health Access Program (SHAP)

Last Updated: July 21, 2010


Texas SHAP Grantee Chartbook

This chartbook was prepared for the U.S. Department of Health and Human Services Health
Resources and Services Administration’s State Health Access Program (SHAP) by the State
Health Access Data Assistance Center (SHADAC).

5600 Fishers Lane 2221 University Ave SE, Suite 345


Rockville, MD 20857 Minneapolis, MN 55414
HRSA Contact Person Ph. 612-624-4802
Michelle Herzog Fax. 612-624-1493
Ph. 301-443-0650 Email. shadac@umn.edu
Email. mherzog@hrsa.gov www.shadac.org/shap

Texas SHAP Grantee Organization:


Texas Health and Human Services Commission
Project Liaison
Maureen Milligan
Ph. 512-424-6925
Email. maureen.milligan@hhsc.state.tx.us

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Texas SHAP Grantee Chartbook

Table of Contents Page


Introduction .................................................................................................................................................. 1
Summary Statistics ........................................................................................................................................ 1
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008 .................. 1
Maps and Data Tables................................................................................................................................... 2
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008 ....................................................... 3
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008 .......... 4
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008 .................................... 5
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, <200% FPL, ACS
2008 .......................................................................................................................................................... 6
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008 ...... 7
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008 ..................................................... 10
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008 ........ 11
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 12
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, <200% FPL, ACS
................................................................................................................................................................ 13
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008 .... 14
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 17
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008 ...... 18
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 19
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, <200% FPL, ACS
................................................................................................................................................................ 20
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008 .. 21
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 24
Appendix B. Data Source............................................................................................................................ 25
Appendix C. County Groupings in Sub-state Areas .................................................................................... 26
Appendix D. Texas Map of Major Cities ..................................................................................................... 36
Appendix E. Texas Map of County Boundaries .......................................................................................... 37

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Texas SHAP Grantee Chartbook

Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for
State Health Access Program (SHAP) grantees. Estimates for key population groups within your state
are provided in summary map format, with detailed tables for reference. Data provided in this
chartbook are from the 2008 American Community Survey (ACS).

Your chartbook includes the following information for your state:

 Maps of uninsurance estimates for children and adults, as well as children and adults under
200% FPL
 Tables of health insurance coverage estimates for the above mentioned population groups, with
variance information
 County-level estimates of uninsurance
 Demographic profiles of state populations

Summary Statistics
Any source of health insurance coverage for Texas is shown in Exhibit 1. In 2008, 73.6% of the total
population age 0-64 had health insurance coverage. Three in five (60.4%) had private coverage, while
15.3% reported having government coverage. This is in contrast to individuals under 200% of the
Federal Poverty Level (FPL), of which only 56.8% had insurance, with 28.2% having private coverage, and
30.7% having government coverage.

Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008

80% 73.6%
70%
60.4%
60% 56.8%

50% 43.2%
40%
30.7%
26.4% 28.2%
30%
20% 15.3%

10%
0%
Uninsured Insured Private Coverage Government
Coverage
Total < 200% FPL

Source: U.S. Census Bureau, 2008 American Community Survey.


Note: Those who report multiple types of insurance coverage (i.e., private or public) are included
in each category; therefore, totals may add to more than 100 percent.

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Texas SHAP Grantee Chartbook

Maps and Data Tables


Detailed uninsurance estimates begin with Exhibit 2.1. Each subpopulation is shown as a map, followed
by a detailed table. The estimates in the tables provide percent and standard error (for calculation of
confidence intervals). Additional subgroup estimates are available upon request.

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Texas SHAP Grantee Chartbook

Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-64 (26.4%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

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Texas SHAP Grantee Chartbook

Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 8,196 39.9 0.34 60.1 0.34 40.2 0.37 21.5 0.27
White Alone 9,689 16.2 0.21 83.8 0.21 77.4 0.26 8.8 0.14
Black Alone 2,429 23.7 0.51 76.3 0.51 56.5 0.66 22.9 0.52
Asian Alone 772 21.9 0.97 78.1 0.97 72.8 1.09 6.0 0.46
Multiple/other
378 21.5 1.10 78.5 1.10 64.6 1.36 17.2 1.01
non-Hispanic
Total 21,464 26.4 0.19 73.6 0.19 60.4 0.23 15.3 0.14
Age
0-18 7,090 18.3 0.27 81.7 0.27 53.6 0.36 29.7 0.33
19-24 2,012 43.1 0.54 56.9 0.54 51.7 0.55 6.3 0.24
25-44 6,771 34.6 0.30 65.4 0.30 61.2 0.30 5.6 0.12
45-64 5,590 20.6 0.24 79.4 0.24 71.4 0.27 12.0 0.17
Total 21,464 26.4 0.19 73.6 0.19 60.4 0.23 15.3 0.14
P o ve r t y L e ve l
0-99% FPL 3,474 43.7 0.49 56.3 0.49 19.0 0.43 39.3 0.49
100-199% FPL 4,349 42.9 0.46 57.1 0.46 35.5 0.48 23.8 0.35
200-399% FPL 6,296 25.4 0.34 74.6 0.34 67.8 0.38 9.0 0.18
400%+ FPL 7,154 9.1 0.20 90.9 0.20 89.1 0.22 3.9 0.10
Total 21,274 26.5 0.19 73.5 0.19 60.4 0.23 15.3 0.14
Se x
Male 10,764 27.0 0.23 73.0 0.23 60.1 0.26 15.4 0.17
Female 10,700 25.7 0.21 74.3 0.21 60.8 0.26 15.2 0.17
Total 21,464 26.4 0.19 73.6 0.19 60.4 0.23 15.3 0.14
Work Status
Not working 2,876 37.5 0.40 62.5 0.40 43.4 0.40 24.2 0.33
Part-time 2,056 38.7 0.47 61.3 0.47 54.8 0.48 8.2 0.24
Full-time 9,811 26.5 0.23 73.5 0.23 71.5 0.23 3.7 0.08
Total 14,743 30.3 0.20 69.7 0.20 63.7 0.21 8.3 0.10

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Texas SHAP Grantee Chartbook

Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-64 under 200% FPL (43.2%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

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Texas SHAP Grantee Chartbook

Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 4,455 49.0 0.46 51.0 0.46 20.3 0.41 32.3 0.41
White Alone 1,971 35.6 0.59 64.4 0.59 43.2 0.68 24.0 0.50
Black Alone 1,075 34.2 0.85 65.8 0.85 30.8 0.90 38.0 0.89
Asian Alone 198 45.2 2.27 54.8 2.27 39.3 2.29 16.1 1.44
Multiple/other
125 33.7 2.11 66.3 2.11 33.9 2.35 36.2 2.29
non-Hispanic
Total 7,824 43.2 0.34 56.8 0.34 28.2 0.34 30.7 0.30
Age
0-18 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
19-24 910 55.2 0.82 44.8 0.82 36.6 0.82 9.4 0.44
25-44 2,294 61.6 0.50 38.4 0.50 29.5 0.46 10.1 0.28
45-64 1,353 45.7 0.58 54.3 0.58 31.8 0.54 26.3 0.49
Total 7,824 43.2 0.34 56.8 0.34 28.2 0.34 30.7 0.30
P o ve r t y L e ve l
0-99% FPL 3,474 43.7 0.49 56.3 0.49 19.0 0.43 39.3 0.49
100-199% FPL 4,349 42.9 0.46 57.1 0.46 35.5 0.48 23.8 0.35
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 7,824 43.2 0.34 56.8 0.34 28.2 0.34 30.7 0.30
Se x
Male 3,741 43.3 0.42 56.7 0.42 27.9 0.40 31.0 0.38
Female 4,083 43.2 0.38 56.8 0.38 28.4 0.39 30.4 0.35
Total 7,824 43.2 0.34 56.8 0.34 28.2 0.34 30.7 0.30
Work Status
Not working 1,542 51.3 0.57 48.7 0.57 21.8 0.47 30.5 0.51
Part-time 867 58.5 0.75 41.5 0.75 30.4 0.71 12.4 0.46
Full-time 2,291 56.9 0.49 43.1 0.49 38.2 0.48 5.9 0.21
Total 4,700 55.4 0.37 44.6 0.37 31.4 0.35 15.2 0.24

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Texas SHAP Grantee Chartbook

Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Anderson, Henderson 23.1 2.5 35.7 4.8
A n d r e w s , B r e w s t e r , C r a n e , C u l b e r s o n , G a in e s , H u d s p e t h , J e f f
D a v i s , L o v i n g , P e c o s , P r e s i d i o , R e e ve s , T e r r e l l, W a r d , W in k le r 33.0 * 3.3 47.5 5.4
Angelina, Nacogdoches 23.3 2.2 33.4 * 3.9
A r a n s a s , B e e , D u va l , J i m W e l l s , L i ve O a k , M c M u ll e n , R e f u g io 32.7 * 2.7 42.7 3.5
A r c h e r , B a y l o r , C l a y , C o t t l e , F o a r d , H a r d e m a n , J a c k , K n o x,
Montague, Wilbarger, Wise, Young 28.0 2.1 46.3 4.1
A r m s t r o n g , B r i s c o e , C a r s o n , C a s t r o , C h il d r e s s , C o l li n g s w o r t h ,
D a l l a m , D e a f S m i t h , D o n l e y , G r a y , H a l l, H a n s f o r d , H a r t le y ,
H e m p h i l l , H u t c h i n s o n , L i p s c o m b , M o o r e , O c h i lt r e e , O ld h a m ,
P a r m e r , R o b e r t s , S h e r m a n , Sw i s h e r , W h e e l e r 28.1 1.9 45.1 3.2
A t a s c o s a , D e W i t t , G o l i a d , G o n z a l e s , K a r n e s , W i ls o n 21.1 * 2.0 30.0 * 3.4
A u s t i n , B u r l e s o n , G r i m e s , L e o n , M a d is o n , R o b e r t s o n ,
Washington 17.1 * 1.9 31.9 * 4.3
B a i l e y , C o c h r a n , C r o s b y , D i c k e n s , F lo y d , G a r z a , H a l e , H o c k le y ,
King, Lamb, Lynn, Motley, Terry, Yoakum 27.5 2.4 36.5 3.7
B a n d e r a , F r i o , G i l l e s p i e , K e n d a l l , K e r r , M e d in a 22.7 2.3 32.6 * 3.9
B a s t r o p , C a l d w e l l , F a y e t t e , L e e , M i la m 22.0 * 2.2 33.8 * 3.9
Bell (part) 16.3 * 1.8 33.6 * 4.0
Bell (part) 15.9 * 1.9 22.2 * 3.3
Bell (part), Coryell 11.7 * 2.1 20.9 * 4.8
Bexar 23.9 * 0.7 36.4 * 1.2
B o r d e n , C o n c h o , C r o c k e t t , D a w s o n , G la s s c o c k , H o w a r d , I r i o n ,
K i m b l e , M a r t i n , M a s o n , M c C u l l o c h , M e n a r d , R e a g a n , R u n n e ls ,
S c h l e i c h e r , St e r l i n g , S u t t o n , U p t o n 24.9 2.5 37.7 4.2
B o s q u e , C a l l a h a n , C o m a n c h e , E a s t l a n d , E r a t h , H o o d , S o m e r ve l l 24.5 2.2 37.7 3.8
Bowie, Cass 27.8 2.9 39.6 4.6
Brazoria 22.6 * 1.7 43.3 3.8
Brazos 15.9 * 1.7 24.3 * 3.0
B r o o k s , J i m H o g g , K e n e d y , K l e b e r g (p a r t ), S t a r r , W i l la c y , Z a p a t a 39.4 * 2.8 48.0 3.7
Calhoun, Jackson, Victoria 24.9 2.5 41.4 4.0
Cameron 40.2 * 1.6 47.8 * 2.1
Camp, Marion, Rains, Upshur, Van Zandt, Wood 28.8 2.2 43.3 3.7
Chambers, Liberty, Montgomery (part) 25.6 1.9 50.3 4.1
Cherokee, Panola, Rusk 31.0 2.8 47.8 4.4
Coke, Tom Green 24.4 2.7 35.4 4.7
Collin 17.7 * 1.1 49.1 3.2
C o l o r a d o , L a va c a , M a t a g o r d a , W h a r t o n 23.4 2.3 35.1 4.4

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Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 0-64 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Comal, Guadalupe 20.0 * 1.8 41.2 4.3
Cooke, Grayson 27.2 1.9 46.2 3.7
Dallas 33.1 * 0.7 50.5 * 1.0
D e l t a , F r a n k l i n , H o p k i n s , L a m a r , M o r r i s , R e d R i ve r , T it u s 30.6 2.1 45.6 3.5
Denton 17.7 * 1.0 46.4 2.7
D i m m i t , E d w a r d s , K i n n e y , L a Sa l l e , M a ve r ic k , R e a l , U va l d e , V a l
V e r d e , Z a va l a 35.8 * 2.3 39.6 3.0
Ector 33.6 * 2.4 43.4 3.8
El Paso 34.4 * 1.1 44.8 1.5
E l P a s o ( p a r t ) , B l a n c o , B r o w n , B u r n e t , C o le m a n , H a m i lt o n ,
L a m p a s a s , L l a n o , M i l l s , Sa n Sa b a 26.2 2.4 44.6 4.2
Ellis 20.8 * 2.2 41.8 5.2
F a l l s , F r e e s t o n e , H i l l , L i m e s t o n e , N a va r r o 30.3 2.5 41.5 3.9
Fannin, Hunt 25.5 2.4 37.4 3.6
F i s h e r , H a s k e l l , J o n e s , K e n t , M i t c h e l l, N o la n , P a l o P i n t o , S c u r r y ,
Sh a c k e l f o r d , St e p h e n s , St o n e w a l l , T h r o c k m o r t o n 26.7 2.4 42.1 3.9
Fort Bend 19.9 * 1.3 45.7 3.1
G a l ve s t o n 19.6 * 1.5 40.0 3.6
Gregg, Harrison 24.2 1.9 35.6 * 3.5
Hardin, Orange 17.8 * 1.8 31.5 * 3.6
Harris 29.1 * 0.5 46.4 * 0.8
H a y s , T r a vi s ( p a r t ) 24.2 2.3 49.4 4.2
Hidalgo 41.3 * 1.1 48.0 * 1.4
H o u s t o n , P o l k , S a n J a c i n t o , T r i n i t y , W a lk e r 24.0 2.2 35.4 * 3.7
J a s p e r , N e w t o n , Sa b i n e , S a n A u g u s t i n e , Sh e l b y , T y l e r 32.4 * 3.0 42.0 4.4
Jefferson 23.0 * 1.7 40.0 3.3
Johnson 29.5 2.6 50.6 4.3
Kaufman, Rockwall 21.6 * 2.3 43.8 5.5
Kleberg (part), Nueces (part) 32.1 * 2.6 41.1 3.7
Lubbock 18.9 * 1.4 28.1 * 2.5
McLennan 22.1 * 1.8 35.9 * 3.0
Midland 23.4 2.3 34.4 * 3.8
Montgomery (part) 19.3 * 2.0 44.4 4.7
Montgomery (part), Waller 23.9 2.4 39.5 4.7
Nueces (part), San Patricio (part) 19.0 * 1.8 31.7 * 3.7
Nueces (part), San Patricio (part) 20.5 * 2.2 34.2 * 3.9
Parker, Tarrant (part) 21.1 * 2.4 42.6 5.7
Potter 28.2 2.3 36.1 * 3.4
Randall 16.4 * 2.1 26.8 * 4.3
Sm i t h 25.5 2.1 43.6 4.1

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Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 0-64 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Tarrant (part) 27.9 2.3 48.0 3.9
Tarrant (part) 42.0 * 2.8 47.6 3.4
Tarrant (part) 23.4 2.0 37.9 3.8
Tarrant (part) 23.0 1.8 44.8 3.6
Tarrant (part) 34.9 * 2.4 47.4 3.5
Tarrant (part) 20.9 * 1.9 44.2 4.5
Tarrant (part) 17.2 * 2.3 43.2 6.7
Tarrant (part) 19.3 * 2.1 47.6 5.8
Tarrant (part) 11.8 * 1.4 32.6 * 5.4
Tarrant (part) 23.4 2.5 47.2 4.9
Taylor 22.1 * 2.1 35.5 3.9
T r a vi s ( p a r t ) 39.2 * 2.4 55.3 * 3.5
T r a vi s ( p a r t ) 31.4 * 2.4 39.3 3.2
T r a vi s ( p a r t ) 19.3 * 1.9 41.3 4.2
T r a vi s ( p a r t ) 13.5 * 2.0 35.7 6.3
T r a vi s ( p a r t ) 15.7 * 1.8 34.5 5.1
Webb 38.4 * 1.9 46.2 2.3
Wichita 17.3 * 2.2 27.7 * 4.3
Williamson 16.3 * 1.4 38.0 4.4

Definitions: % = Percent; SE = Standard Error


Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 26.4%; Age 0-64 <200% FPL,
43.2%).
Source: U.S. Census Bureau, 2008 American Community Survey.

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Texas SHAP Grantee Chartbook

Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-18 (18.3%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

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Texas SHAP Grantee Chartbook

Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 3,233 26.0 0.47 74.0 0.47 33.7 0.50 42.2 0.54
White Alone 2,626 10.5 0.34 89.5 0.34 77.5 0.47 13.2 0.38
Black Alone 843 14.4 0.73 85.6 0.73 48.5 1.09 39.3 1.08
Asian Alone 224 18.2 1.54 81.8 1.54 69.9 1.82 12.4 1.23
Multiple/other
164 12.4 1.26 87.6 1.26 65.4 2.04 24.7 1.88
non-Hispanic
Total 7,090 18.3 0.27 81.7 0.27 53.6 0.36 29.7 0.33
Age
0-18 7,090 18.3 0.27 81.7 0.27 53.6 0.36 29.7 0.33
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 7,090 18.3 0.27 81.7 0.27 53.6 0.36 29.7 0.33
P o ve r t y L e ve l
0-99% FPL 1,570 24.6 0.70 75.4 0.70 13.6 0.55 63.9 0.79
100-199% FPL 1,697 27.3 0.66 72.7 0.66 32.5 0.71 42.6 0.72
200-399% FPL 2,033 16.5 0.47 83.5 0.47 71.0 0.58 13.8 0.43
400%+ FPL 1,690 5.7 0.31 94.3 0.31 91.0 0.39 40 0.26
Total 6,989 18.3 0.28 81.7 0.28 53.6 0.36 29.7 0.34
Se x
Male 3,633 18.1 0.33 81.9 0.33 53.5 0.42 300 0.40
Female 3,458 18.5 0.34 81.5 0.34 53.7 0.43 29.5 0.40
Total 7,090 18.3 0.27 81.7 0.27 53.6 0.36 29.7 0.33
Work Status
Not working 149 30.8 1.65 69.2 1.65 50.9 1.80 19.9 1.44
Part-time 156 23.8 1.43 76.2 1.43 67.1 1.54 9.9 0.92
Full-time 65 41.8 2.65 58.2 2.65 48.1 2.67 12.1 1.85
Total 370 29.8 1.02 70.2 1.02 57.2 1.10 14.4 0.78

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Texas SHAP Grantee Chartbook

Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 0-18 under 200% FPL (26.0%).
^ Data are suppressed for sub-state areas with fewer than 50 observations.
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

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Texas SHAP Grantee Chartbook

Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-18, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 2,057 29.0 0.63 71.0 0.63 16.5 0.52 56.6 0.69
White Alone 614 21.0 0.97 79.0 0.97 42.9 1.22 38.8 1.17
Black Alone 470 18.7 1.13 81.3 1.13 26.0 1.26 57.8 1.47
Asian Alone 65 37.8 3.69 62.2 3.69 28.2 3.26 34.8 3.40
Multiple/other
62 19.2 2.52 80.8 2.52 35.0 3.53 49.5 3.62
non-Hispanic
Total 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
Age
0-18 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
P o ve r t y L e ve l
0-99% FPL 1,570 24.6 0.70 75.4 0.70 13.6 0.55 63.9 0.79
100-199% FPL 1,697 27.3 0.66 72.7 0.66 32.5 0.71 42.6 0.72
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
Se x
Male 1,676 25.6 0.56 74.4 0.56 23.6 0.56 53.1 0.66
Female 1,591 26.4 0.58 73.6 0.58 23.2 0.56 52.6 0.66
Total 3,267 26.0 0.48 74.0 0.48 23.4 0.47 52.8 0.55
Work Status
Not working 73 46.0 2.60 54.0 2.60 21.8 2.26 33.2 2.39
Part-time 46 44.7 3.07 55.3 3.07 31.9 2.80 25.1 2.55
Full-time 25 61.8 4.34 38.2 4.34 24.2 3.69 14.7 3.40
Total 143 48.3 1.83 51.7 1.83 25.4 1.60 27.4 1.59

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 13


Texas SHAP Grantee Chartbook

Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Anderson, Henderson 10.3 * 2.6 13.3 * 4.3
A n d r e w s , B r e w s t e r , C r a n e , C u l b e r s o n , G a in e s , H u d s p e t h , J e f f
D a v i s , L o v i n g , P e c o s , P r e s i d i o , R e e ve s , T e r r e l l, W a r d , W in k le r 30.2 * 5.9 39.3 8.4
Angelina, Nacogdoches 20.8 3.9 26.0 6.5
A r a n s a s , B e e , D u va l , J i m W e l l s , L i ve O a k , M c M u ll e n , R e f u g io 19.6 3.7 19.8 4.7
A r c h e r , B a y l o r , C l a y , C o t t l e , F o a r d , H a r d e m a n , J a c k , K n o x,
Montague, Wilbarger, Wise, Young 21.7 3.4 30.7 6.6
A r m s t r o n g , B r i s c o e , C a r s o n , C a s t r o , C h il d r e s s , C o l li n g s w o r t h ,
D a l l a m , D e a f S m i t h , D o n l e y , G r a y , H a l l, H a n s f o r d , H a r t le y ,
H e m p h i l l , H u t c h i n s o n , L i p s c o m b , M o o r e , O c h i lt r e e , O ld h a m ,
P a r m e r , R o b e r t s , S h e r m a n , Sw i s h e r , W h e e l e r 24.7 * 3.1 35.9 5.0
A t a s c o s a , D e W i t t , G o l i a d , G o n z a l e s , K a r n e s , W i ls o n 11.4 * 2.3 10.7 * 2.9
A u s t i n , B u r l e s o n , G r i m e s , L e o n , M a d is o n , R o b e r t s o n ,
Washington 11.8 * 2.8 18.6 6.1
B a i l e y , C o c h r a n , C r o s b y , D i c k e n s , F lo y d , G a r z a , H a l e , H o c k le y ,
King, Lamb, Lynn, Motley, Terry, Yoakum 22.5 4.1 27.0 5.9
B a n d e r a , F r i o , G i l l e s p i e , K e n d a l l , K e r r , M e d in a 18.5 3.6 17.1 5.3
B a s t r o p , C a l d w e l l , F a y e t t e , L e e , M i la m 15.1 3.0 18.9 4.1
Bell (part) 8.2 * 2.2 18.6 5.2
Bell (part) 9.7 * 2.4 12.4 * 3.4
Bell (part), Coryell 7.6 * 2.1 11.5 * 3.7
Bexar 14.9 * 1.0 19.7 * 1.7
B o r d e n , C o n c h o , C r o c k e t t , D a w s o n , G la s s c o c k , H o w a r d , I r i o n ,
K i m b l e , M a r t i n , M a s o n , M c C u l l o c h , M e n a r d , R e a g a n , R u n n e ls ,
S c h l e i c h e r , St e r l i n g , S u t t o n , U p t o n 16.8 3.2 18.7 5.6
B o s q u e , C a l l a h a n , C o m a n c h e , E a s t l a n d , E r a t h , H o o d , S o m e r ve l l 17.3 3.8 25.4 6.2
Bowie, Cass 16.3 3.6 19.9 4.9
Brazoria 19.5 2.4 32.0 5.1
Brazos 12.2 * 2.8 21.8 6.1
B r o o k s , J i m H o g g , K e n e d y , K l e b e r g (p a r t ), S t a r r , W i l la c y , Z a p a t a 26.4 4.3 29.9 5.7
Calhoun, Jackson, Victoria 17.2 3.4 16.7 5.3
Cameron 26.1 * 2.2 26.0 2.8
Camp, Marion, Rains, Upshur, Van Zandt, Wood 17.1 2.9 24.9 4.7
Chambers, Liberty, Montgomery (part) 17.1 2.9 30.9 6.3
Cherokee, Panola, Rusk 27.3 * 4.5 38.1 7.5
Coke, Tom Green 14.7 3.6 20.3 5.9
Collin 13.6 * 1.5 38.6 * 4.9
C o l o r a d o , L a va c a , M a t a g o r d a , W h a r t o n 11.4 * 2.9 17.1 5.1

July 21, 2010 www.shadac.org 14


Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 0-18 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Comal, Guadalupe 13.7 2.9 20.6 6.7
Cooke, Grayson 18.4 3.1 24.5 5.7
Dallas 25.8 * 1.0 34.2 * 1.5
D e l t a , F r a n k l i n , H o p k i n s , L a m a r , M o r r i s , R e d R i ve r , T it u s 24.4 3.4 30.8 5.2
Denton 9.6 * 1.3 30.3 4.5
D i m m i t , E d w a r d s , K i n n e y , L a Sa l l e , M a ve r ic k , R e a l , U va l d e , V a l
V e r d e , Z a va l a 23.2 3.5 18.4 * 3.7
Ector 29.4 * 4.0 23.7 5.5
El Paso 20.3 1.5 23.4 2.1
E l P a s o ( p a r t ) , B l a n c o , B r o w n , B u r n e t , C o le m a n , H a m i lt o n ,
L a m p a s a s , L l a n o , M i l l s , Sa n Sa b a 19.8 3.3 29.1 5.6
Ellis 16.1 2.8 27.3 6.0
F a l l s , F r e e s t o n e , H i l l , L i m e s t o n e , N a va r r o 19.8 4.2 24.4 7.2
Fannin, Hunt 18.3 3.4 22.3 5.2
F i s h e r , H a s k e l l , J o n e s , K e n t , M i t c h e l l, N o la n , P a l o P i n t o , S c u r r y ,
Sh a c k e l f o r d , St e p h e n s , St o n e w a l l , T h r o c k m o r t o n 18.5 3.8 19.4 5.2
Fort Bend 15.0 1.7 32.9 4.5
G a l ve s t o n 14.3 2.4 24.7 6.0
Gregg, Harrison 14.7 2.8 16.4 * 4.7
Hardin, Orange 7.1 * 1.9 12.6 * 4.3
Harris 20.1 * 0.7 27.9 1.2
H a y s , T r a vi s ( p a r t ) 20.8 3.8 43.1 * 8.4
Hidalgo 23.0 * 1.5 22.5 1.8
H o u s t o n , P o l k , S a n J a c i n t o , T r i n i t y , W a lk e r 13.8 2.8 17.2 * 4.5
J a s p e r , N e w t o n , Sa b i n e , S a n A u g u s t i n e , Sh e l b y , T y l e r 19.3 3.6 23.3 5.3
Jefferson 17.6 2.7 29.7 4.7
Johnson 18.4 3.4 30.4 6.5
Kaufman, Rockwall 17.3 3.0 35.1 7.4
Kleberg (part), Nueces (part) 17.1 3.9 19.7 5.6
Lubbock 12.1 * 2.1 16.6 * 4.0
McLennan 14.4 2.4 19.6 3.9
Midland 16.3 3.1 17.6 5.5
Montgomery (part) 15.2 2.6 28.4 6.1
Montgomery (part), Waller 15.5 3.1 21.0 5.9
Nueces (part), San Patricio (part) 12.8 * 2.6 10.6 * 4.0
Nueces (part), San Patricio (part) 10.0 * 2.7 12.8 * 4.7
Parker, Tarrant (part) 13.3 3.1 12.6 * 5.2
Potter 16.1 3.2 17.5 4.4
Randall 10.2 * 2.8 13.0 * 5.3
Sm i t h 14.2 2.9 21.7 5.4

July 21, 2010 www.shadac.org 15


Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 0-18 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Tarrant (part) 19.9 3.7 30.3 6.6
Tarrant (part) 24.3 4.0 25.0 4.8
Tarrant (part) 19.5 3.2 27.2 5.9
Tarrant (part) 15.5 2.5 28.7 5.5
Tarrant (part) 19.8 3.5 24.7 5.1
Tarrant (part) 16.2 2.7 32.9 5.9
Tarrant (part) 11.6 3.9 29.8 11.5
Tarrant (part) 14.9 3.2 35.5 8.3
Tarrant (part) 7.0 * 1.7 13.7 * 5.3
Tarrant (part) 18.7 3.5 32.2 6.4
Taylor 11.7 * 2.7 15.2 * 5.2
T r a vi s ( p a r t ) 36.6 * 4.2 48.7 * 6.0
T r a vi s ( p a r t ) 19.1 4.0 21.1 4.8
T r a vi s ( p a r t ) 15.7 2.9 24.7 5.8
T r a vi s ( p a r t ) 10.0 * 3.3 -- --
T r a vi s ( p a r t ) 12.9 * 2.5 26.5 6.3
Webb 23.4 * 2.5 24.9 3.1
Wichita 9.2 * 2.8 12.4 * 5.0
Williamson 11.2 * 1.8 23.4 5.5

Definitions: % = Percent; SE = Standard Error


Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 18.3%; Age 0-18 <200% FPL,
26.0%).
-- Data are suppressed for sub-state areas with fewer than 50 observations.
Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 16


Texas SHAP Grantee Chartbook

Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 19-64 (30.4%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

July 21, 2010 www.shadac.org 17


Texas SHAP Grantee Chartbook

Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 4,962 48.9 0.38 51.1 0.38 44.5 0.38 8.1 0.17
White Alone 7,063 18.3 0.23 81.7 0.23 77.3 0.25 7.1 0.12
Black Alone 1,586 28.7 0.58 71.3 0.58 60.8 0.62 14.2 0.39
Asian Alone 548 23.4 0.96 76.6 0.96 74.0 0.99 3.4 0.31
Multiple/other
214 28.5 1.47 71.5 1.47 63.9 1.58 11.4 0.84
non-Hispanic
Total 14,373 30.4 0.20 69.6 0.20 63.8 0.21 8.2 0.10
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 2,012 43.1 0.54 56.9 0.54 51.7 0.55 6.3 0.24
25-44 6,771 34.6 0.30 65.4 0.30 61.2 0.3 5.6 0.12
45-64 5,590 20.6 0.24 79.4 0.24 71.4 0.27 12.0 0.17
Total 14,373 30.4 0.20 69.6 0.20 63.8 0.21 8.2 0.10
P o ve r t y L e ve l
0-99% FPL 1,905 59.4 0.55 40.6 0.55 23.5 0.49 19.1 0.41
100-199% FPL 2,652 52.8 0.49 47.2 0.49 37.4 0.47 11.7 0.28
200-399% FPL 4,263 29.6 0.37 70.4 0.37 66.2 0.38 6.7 0.16
400%+ FPL 5,465 10.2 0.21 89.8 0.21 88.5 0.22 3.9 0.10
Total 14,285 30.5 0.21 69.5 0.21 63.7 0.21 8.2 0.10
Se x
Male 7,131 31.6 0.26 68.4 0.26 63.4 0.27 8.0 0.13
Female 7,242 29.2 0.23 70.8 0.23 64.2 0.24 8.3 0.13
Total 14,373 30.4 0.20 69.6 0.20 63.8 0.21 8.2 0.10
Work Status
Not working 2,727 37.8 0.41 62.2 0.41 43.0 0.40 24.4 0.34
Part-time 1,901 39.9 0.49 60.1 0.49 53.8 0.49 8.1 0.25
Full-time 9,746 26.4 0.23 73.6 0.23 71.6 0.23 3.6 0.08
Total 14,373 30.4 0.20 69.6 0.20 63.8 0.21 8.2 0.10

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 18


Texas SHAP Grantee Chartbook

Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008

Source: U.S. Census Bureau, 2008 American Community Survey.


* Statistically different from the state uninsurance estimate for people age 19-64 under 200% FPL (55.6%).
Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.

July 21, 2010 www.shadac.org 19


Texas SHAP Grantee Chartbook

Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,


Age 19-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 2,398 66.1 0.49 33.9 0.49 23.5 0.44 11.6 0.30
White Alone 1,357 42.2 0.64 57.8 0.64 43.3 0.65 17.3 0.44
Black Alone 605 46.3 0.98 53.7 0.98 34.5 0.93 22.7 0.77
Asian Alone 133 48.8 2.28 51.2 2.28 44.7 2.28 7.0 0.97
Multiple/other
64 47.7 2.58 52.3 2.58 32.8 2.49 23.2 2.08
non-Hispanic
Total 4,557 55.6 0.37 44.4 0.37 31.6 0.35 14.8 0.24
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 910 55.2 0.82 44.8 0.82 36.6 0.82 9.4 0.44
25-44 2,294 61.6 0.50 38.4 0.50 29.5 0.46 10.1 0.28
45-64 1,353 45.7 0.58 54.3 0.58 31.8 0.54 26.3 0.49
Total 4,557 55.6 0.37 44.4 0.37 31.6 0.35 14.8 0.24
P o ve r t y L e ve l
0-99% FPL 1,905 59.4 0.55 40.6 0.55 23.5 0.49 19.1 0.41
100-199% FPL 2,652 52.8 0.49 47.2 0.49 37.4 0.47 11.7 0.28
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 4,557 55.6 0.37 44.4 0.37 31.6 0.35 14.8 0.24
Se x
Male 2,064 57.6 0.51 42.4 0.51 31.5 0.48 13.1 0.32
Female 2,493 53.9 0.43 46.1 0.43 31.7 0.40 16.2 0.31
Total 4,557 55.6 0.37 44.4 0.37 31.6 0.35 14.8 0.24
Work Status
Not working 1,470 51.5 0.58 48.5 0.58 21.9 0.48 30.3 0.52
Part-time 821 59.3 0.76 40.7 0.76 30.4 0.72 11.7 0.46
Full-time 2,266 56.9 0.49 43.1 0.49 38.4 0.48 5.8 0.21
Total 4,557 55.6 0.37 44.4 0.37 31.6 0.35 14.8 0.24

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 20


Texas SHAP Grantee Chartbook

Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Anderson, Henderson 29.0 2.9 47.1 5.9
A n d r e w s , B r e w s t e r , C r a n e , C u l b e r s o n , G a in e s , H u d s p e t h , J e f f
D a v i s , L o v i n g , P e c o s , P r e s i d i o , R e e ve s , T e r r e l l, W a r d , W in k le r 34.5 3.1 55.8 4.9
Angelina, Nacogdoches 24.5 * 2.3 38.5 * 4.0
A r a n s a s , B e e , D u va l , J i m W e l l s , L i ve O a k , M c M u ll e n , R e f u g io 39.0 * 3.2 58.0 5.0
A r c h e r , B a y l o r , C l a y , C o t t l e , F o a r d , H a r d e m a n , J a c k , K n o x,
Montague, Wilbarger, Wise, Young 30.7 2.4 56.1 4.0
A r m s t r o n g , B r i s c o e , C a r s o n , C a s t r o , C h il d r e s s , C o l li n g s w o r t h ,
D a l l a m , D e a f S m i t h , D o n l e y , G r a y , H a l l, H a n s f o r d , H a r t le y ,
H e m p h i l l , H u t c h i n s o n , L i p s c o m b , M o o r e , O c h i lt r e e , O ld h a m ,
P a r m e r , R o b e r t s , S h e r m a n , Sw i s h e r , W h e e l e r 30.0 1.9 52.8 3.4
A t a s c o s a , D e W i t t , G o l i a d , G o n z a l e s , K a r n e s , W i ls o n 25.6 2.5 45.0 * 4.6
A u s t i n , B u r l e s o n , G r i m e s , L e o n , M a d is o n , R o b e r t s o n ,
Washington 19.7 * 2.1 41.3 * 5.0
B a i l e y , C o c h r a n , C r o s b y , D i c k e n s , F lo y d , G a r z a , H a l e , H o c k le y ,
King, Lamb, Lynn, Motley, Terry, Yoakum 30.3 2.4 44.2 * 3.7
B a n d e r a , F r i o , G i l l e s p i e , K e n d a l l , K e r r , M e d in a 24.4 * 2.5 42.8 * 5.0
B a s t r o p , C a l d w e l l , F a y e t t e , L e e , M i la m 25.4 * 2.5 44.4 * 4.8
Bell (part) 20.5 * 2.3 46.7 5.0
Bell (part) 20.2 * 2.4 32.6 * 4.7
Bell (part), Coryell 15.0 * 2.8 32.1 * 7.1
Bexar 28.5 * 0.7 48.8 * 1.4
B o r d e n , C o n c h o , C r o c k e t t , D a w s o n , G la s s c o c k , H o w a r d , I r i o n ,
K i m b l e , M a r t i n , M a s o n , M c C u l l o c h , M e n a r d , R e a g a n , R u n n e ls ,
S c h l e i c h e r , St e r l i n g , S u t t o n , U p t o n 28.4 3.1 48.6 5.8
B o s q u e , C a l l a h a n , C o m a n c h e , E a s t l a n d , E r a t h , H o o d , S o m e r ve l l 27.9 2.2 45.0 * 4.1
Bowie, Cass 32.6 3.2 50.1 5.2
Brazoria 24.2 * 1.7 51.7 4.1
Brazos 17.3 * 1.9 25.1 * 3.2
B r o o k s , J i m H o g g , K e n e d y , K l e b e r g (p a r t ), S t a r r , W i l la c y , Z a p a t a 47.5 * 3.0 61.1 3.9
Calhoun, Jackson, Victoria 28.8 2.7 57.8 4.6
Cameron 49.9 * 1.8 66.8 * 2.2
Camp, Marion, Rains, Upshur, Van Zandt, Wood 34.2 2.5 55.2 4.0
Chambers, Liberty, Montgomery (part) 29.6 2.2 64.9 * 4.0
Cherokee, Panola, Rusk 32.8 2.8 54.2 4.2
Coke, Tom Green 29.1 3.1 45.6 5.3
Collin 19.6 * 1.1 55.2 3.1
C o l o r a d o , L a va c a , M a t a g o r d a , W h a r t o n 29.4 2.8 49.1 5.3

July 21, 2010 www.shadac.org 21


Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 19-64 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Comal, Guadalupe 22.8 * 2.0 53.1 4.6
Cooke, Grayson 31.1 2.1 59.5 3.9
Dallas 36.7 * 0.7 62.7 * 1.1
D e l t a , F r a n k l i n , H o p k i n s , L a m a r , M o r r i s , R e d R i ve r , T it u s 33.3 2.2 55.4 3.6
Denton 21.2 * 1.1 54.8 2.8
D i m m i t , E d w a r d s , K i n n e y , L a Sa l l e , M a ve r ic k , R e a l , U va l d e , V a l
V e r d e , Z a va l a 43.9 * 2.6 57.0 3.4
Ector 36.0 * 2.6 57.8 4.9
El Paso 42.9 * 1.2 62.4 * 1.5
E l P a s o ( p a r t ) , B l a n c o , B r o w n , B u r n e t , C o le m a n , H a m i lt o n ,
L a m p a s a s , L l a n o , M i l l s , Sa n Sa b a 28.9 2.4 52.7 4.5
Ellis 23.1 * 2.4 53.3 5.7
F a l l s , F r e e s t o n e , H i l l , L i m e s t o n e , N a va r r o 34.5 2.8 51.1 4.2
Fannin, Hunt 28.7 2.5 45.8 * 4.1
F i s h e r , H a s k e l l , J o n e s , K e n t , M i t c h e l l, N o la n , P a l o P i n t o , S c u r r y ,
Sh a c k e l f o r d , St e p h e n s , St o n e w a l l , T h r o c k m o r t o n 29.9 2.5 54.8 4.6
Fort Bend 22.1 * 1.4 54.1 3.4
G a l ve s t o n 21.9 * 1.6 50.2 3.9
Gregg, Harrison 28.4 2.2 48.8 4.3
Hardin, Orange 22.5 * 2.3 44.2 * 5.0
Harris 33.5 * 0.5 60.3 * 0.9
H a y s , T r a vi s ( p a r t ) 25.7 2.4 52.4 4.7
Hidalgo 54.3 * 1.3 71.2 * 1.5
H o u s t o n , P o l k , S a n J a c i n t o , T r i n i t y , W a lk e r 27.9 2.6 43.3 * 4.6
J a s p e r , N e w t o n , Sa b i n e , S a n A u g u s t i n e , Sh e l b y , T y l e r 39.1 * 3.5 56.2 5.1
Jefferson 25.4 * 1.9 48.3 * 3.5
Johnson 34.5 2.9 63.8 4.6
Kaufman, Rockwall 23.8 * 2.5 51.3 6.0
Kleberg (part), Nueces (part) 40.0 * 3.0 56.4 4.4
Lubbock 21.8 * 1.6 33.4 * 3.1
McLennan 25.7 * 2.2 46.2 * 3.5
Midland 26.8 2.7 47.1 5.3
Montgomery (part) 21.3 * 2.2 56.0 5.2
Montgomery (part), Waller 27.8 2.6 51.5 5.4
Nueces (part), San Patricio (part) 22.0 * 1.9 47.1 * 4.3
Nueces (part), San Patricio (part) 26.0 2.7 47.9 4.9
Parker, Tarrant (part) 24.4 * 2.8 58.4 6.7
Potter 35.1 2.7 51.8 4.3
Randall 18.9 * 2.5 34.7 * 6.2
Sm i t h 30.8 2.4 59.5 4.3

July 21, 2010 www.shadac.org 22


Texas SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Age 19-64 by Federal Levels
<200% FPL
Poverty Level (FPL), ACS 2008 % SE % SE
County
Tarrant (part) 31.6 2.5 59.7 4.1
Tarrant (part) 52.3 * 3.3 65.7 * 4.4
Tarrant (part) 25.3 * 2.1 45.0 * 4.1
Tarrant (part) 26.8 1.9 57.2 3.5
Tarrant (part) 41.4 * 2.9 62.8 4.4
Tarrant (part) 23.3 * 1.9 52.6 4.8
Tarrant (part) 19.3 * 2.2 49.9 5.7
Tarrant (part) 21.7 * 2.3 58.2 6.0
Tarrant (part) 14.3 * 1.6 48.0 6.1
Tarrant (part) 25.3 3.1 56.2 6.6
Taylor 27.4 2.6 48.9 4.7
T r a vi s ( p a r t ) 40.2 * 2.3 59.4 3.6
T r a vi s ( p a r t ) 36.0 * 2.5 50.0 3.4
T r a vi s ( p a r t ) 20.8 * 1.9 50.4 4.7
T r a vi s ( p a r t ) 14.5 * 1.9 35.2 * 5.5
T r a vi s ( p a r t ) 17.2 * 1.8 40.7 * 5.3
Webb 49.6 * 2.3 67.2 * 2.8
Wichita 21.4 * 2.5 38.7 * 5.5
Williamson 18.6 * 1.6 47.0 4.9

Definitions: % = Percent; SE = Standard Error


Note: Sub-state estimates are typically collections of counties and reflect the lowest level of geography available for a single
year of ACS data. In most metro areas sub-county estimates are available, but where possible the sub-county estimates are
aggregated to the county.
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 30.4%; Age 19-64 <200% FPL,
55.6%).
Source: U.S. Census Bureau, 2008 American Community Survey.

July 21, 2010 www.shadac.org 23


Texas SHAP Grantee Chartbook

Appendix A. Technical Assistance Available from SHADAC


SHADAC has a contract with Health Resources and Services Administration (HRSA) at Health and Human
Services (HHS) to provide technical assistance to states that have received State Health Access Program
(SHAP) grants. This includes support for data collection, analysis and evaluation related to their SHAP
project work. A summary of assistance is provided below. Questions and requests can be directed to
Elizabeth Lukanen at 612-626-1537 or elukanen@umn.edu.

Data Assistance
Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health
insurance coverage estimates, access to care, and understanding available data-specific technical
assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator;
issue briefs and technical briefs; and information on how to access microdata.
Web page: http://www.shadac.org/shap/technical-assistance/data

HRSA Benchmarks
SHADAC will also assist states in reporting HSRA benchmark data.
Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks

Evaluation
SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the
fidelity and success of SHAP-funded programs.
Web page: http://www.shadac.org/shap/technical-assistance/evaluations

Surveys
SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results
to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and
expertise among grantees, help policy makers understand the unique characteristics of state sub-
populations, and provide assistance in developing survey tools and methods.

Web page: http://www.shadac.org/shap/technical-assistance/surveys

State Reform Research and Strategies


SHADAC has provided evaluative information on health reform initiatives in states participating in the
State Health Access Reform Evaluation (SHARE) program. Many of these evaluations provide descriptive
information that may be useful for SHAP grantees.

Web page: http://www.shadac.org/shap/technical-assistance/ state-reform-research-and-strategies

July 21, 2010 www.shadac.org 24


Texas SHAP Grantee Chartbook

Appendix B. Data Source


Source: U.S. Census Bureau, 2008 American Community Survey (ACS). Calculations by SHADAC.
Estimates for the ACS exclude military but include non-institutionalized group quarters such as
college/university housing, group homes intended for adults, residential treatment facilities for adults,
workers’ group living quarters and Job Corps centers, and religious group quarters.

Population counts are presented in thousands.

Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated
from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE).

Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those
who report multiple types of insurance coverage (i.e., private or public) are included in each category;
therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is
considered employer-sponsored insurance, while VA coverage is considered government coverage.

ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of
the interview.
For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-and-
resources.

July 21, 2010 www.shadac.org 25


Texas SHAP Grantee Chartbook

Appendix C. County Groupings in Sub-state Areas

Sub-State Area^ Counties

Armstrong
Briscoe
Carson
Castro
Childress
Collingsworth
Dallam
Deaf Smith
Donley
Gray
Hall
Hansford
00100
Hartley
Hemphill
Hutchinson
Lipscomb
Moore
Ochiltree
Oldham
Parmer
Roberts
Sherman
Swisher
Wheeler
00200 Potter
00300 Randall
Bailey
Cochran
Crosby
Dickens
Floyd
00400 Garza
Hale
Hockley
King
Lamb
Lynn

July 21, 2010 www.shadac.org 26


Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

Motley
00400 (cont.) Terry
Yoakum
00501
Lubbock
00502
Archer
Baylor
Clay
Cottle
Foard
Hardeman
00600
Jack
Knox
Montague
Wilbarger
Wise
Young
00700 Wichita
Cooke
00800
Grayson
Fannin
00900
Hunt
Delta
Franklin
Hopkins
01000 Lamar
Morris
Red River
Titus
Bowie
01100
Cass
Camp
Marion
Rains
01200
Upshur
Van Zandt
Wood
Gregg
01300
Harrison
July 21, 2010 www.shadac.org 27
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

01400 Smith
Cherokee
01500 Panola
Rusk
Jasper
Newton
Sabine
01600
San Augustine
Shelby
Tyler
Angelina
01700
Nacogdoches
Anderson
01800
Henderson
Falls
Freestone
01900 Hill
Limestone
Navarro
Kaufman
02000
Rockwall
02101
02102
Collin
02103
02104
02201
Denton
02202
02301
02302
02303
02304
02305
02306
Dallas
02307
02308
02309
02310
02311
02312
July 21, 2010 www.shadac.org 28
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

02313
02314 Dallas (cont.)
02315
02400 Ellis
02501 Tarrant (part)
02502 Tarrant (part)
02503 Tarrant (part)
02504 Tarrant (part)
02505 Tarrant (part)
02506 Tarrant (part)
02507 Tarrant (part)
02508 Tarrant (part)
02509 Tarrant (part)
02510 Tarrant (part)
Parker
02511
Tarrant (part)
02600 Johnson
Bosque
Callahan
Comanche
02700 Eastland
Erath
Hood
Somervell
Fisher
Haskell
Jones
Kent
Mitchell
Nolan
02800
Palo Pinto
Scurry
Shackelford
Stephens
Stonewall
Throckmorton
02900 Taylor
Coke
03000
Tom Green
July 21, 2010 www.shadac.org 29
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

Borden
Concho
Crockett
Dawson
Glasscock
Howard
Irion
Kimble
Martin
03100
Mason
McCulloch
Menard
Reagan
Runnels
Schleicher
Sterling
Sutton
Upton
03200 Midland
03300 Ector
Andrews
Brewster
Crane
Culberson
Gaines
Hudspeth
Jeff Davis
03400
Loving
Pecos
Presidio
Reeves
Terrell
Ward
Winkler
03501
03502
03503 El Paso
03504
03505
July 21, 2010 www.shadac.org 30
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

El Paso (part)
Blanco
Brown
Burnet
Coleman
03600
Hamilton
Lampasas
Llano
Mills
San Saba
03701 Bell (part)
03702 Bell (part)
Bell (part)
03703
Coryell
03801
McLennan
03802
Austin
Burleson
Grimes
03900 Leon
Madison
Robertson
Washington
04000 Brazos
Houston
Polk
04100 San Jacinto
Trinity
Walker
Hardin
04200
Orange
04300
Jefferson
04400
04501 Montgomery (part)
Chambers
04502 Liberty
Montgomery (part)
Montgomery (part)
04503
Waller
July 21, 2010 www.shadac.org 31
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

04601
04602
04603
04604
04605
04606
04607
04608
04609
04610
04611
04612
04613 Harris
04614
04615
04616
04617
04618
04619
04620
04621
04622
04623
04624
04625
04701
Fort Bend
04702
04801
Brazoria
04802
04901
Galveston
04902
Colorado
Lavaca
05000
Matagorda
Wharton
Bastrop
Caldwell
05100
Fayette
Lee
July 21, 2010 www.shadac.org 32
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

05100 (cont.) Milam


05201
Williamson
05202
05301 Travis (part)
05302 Travis (part)
05303 Travis (part)
05304 Travis (part)
05401 Travis (part)
Hays
05402
Travis (part)
Comal
05500
Guadalupe
05601
05602
05603
05604
05605
05606 Bexar
05607
05608
05609
05610
05611
Atascosa
DeWitt
Goliad
05700
Gonzales
Karnes
Wilson
Bandera
Frio
Gillespie
05800
Kendall
Kerr
Medina
Dimmit
Edwards
05900
Kinney
La Salle
July 21, 2010 www.shadac.org 33
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

Maverick
Real
05900 (cont.) Uvalde
Val Verde
Zavala
06000 Webb
Aransas
Bee
Duval
06100 Jim Wells
Live Oak
McMullen
Refugio
Calhoun
06200 Jackson
Victoria
Kleberg (part)
06301
Nueces (part)
Nueces (part)
06302
San Patricio (part)
Nueces (part)
06400
San Patricio (part)
Brooks
Jim Hogg
Kenedy
Kleberg (part)
Starr
Willacy
Zapata
Collin
06500 Denton
Dallas
El Paso
McLennan
Jefferson
Harris
Fort Bend
Brazoria
Galveston
July 21, 2010 www.shadac.org 34
Texas SHAP Grantee Chartbook

Sub-State Area^ Counties

Lubbock
Williamson
06500 (cont.) Bexar
Hidalgo
Cameron
06600
06701
06702 Hidalgo
06703
06704
06800
Cameron
06900
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known
at PUMAs (Public Use Microdata Areas). For more information on these areas, contact
SHADAC.

July 21, 2010 www.shadac.org 35


Texas SHAP Grantee Chartbook

Appendix D. Texas Map of Major Cities

Source: U.S. Census Bureau.

July 21, 2010 www.shadac.org 36


Texas SHAP Grantee Chartbook

Appendix E. Texas Map of County Boundaries

Source: U.S. Census Bureau.

July 21, 2010 www.shadac.org 37

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