STATE LEVEL TRENDS IN CHILDREN’S HEALTH INSURANCE COVERAGE, 2016: 50-STATE COMPARISON TABLES JUNE 2018 STATE HEALTH ACCESS DATA ASSISTANCE CENTER 1 DATA AND METHODS THE AMERICAN COMMUNITY SURVEY In this report, we analyze data from the American Community Survey (ACS). The ACS is an annu- al survey conducted by the U.S. Census Bureau that includes questions on a wide range of top- ics, including demographics, income, employment, and health insurance (beginning in 2008). The ACS is a mixed-mode survey that includes responses from mail, telephone, and in-person interviews. Nationally, about 4.5 million people respond to the ACS each year. The ACS collects data in every county in the nation, and its large sample size allows for more precise state-level estimates than other 50-state surveys. The sample is restricted to the non-institutional popula- tion. The data analysis for this report was performed with the ACS public use microdata sample. Standard errors were produced using the ACS replicate weights described in the ACS variance estimation methodology.i INSURANCE COVERAGE The ACS collects data on all sources of health insurance coverage that a person has at the time of the survey. For this report, SHADAC analyzed the ACS data on health insurance by primary source of insurance coverage. If multiple sources of coverage were reported for a child, private insurance was considered primary over public sources of insurance such as Medicaid and CHIP. POVERTY To measure family poverty, income was totaled for all individuals in the health insurance unit. The health insurance unit is a narrower definition of family that more accurately reflects whose income is included when assessing public program eligibility for the individual.ii The income is divided by the federal poverty guidelines (FPG) produced by the U.S. Department of Health and Human Services to calculate the income as a percentage of FPG. In 2016, the federal poverty guideline for a family of four was $24,300. RACE/ETHNICITY For race/ethnicity, “White,” is defined in the report as white-alone, non-Hispanic. “Non-white” is all other races or two or more races, but excluding Hispanic. Hispanic is defined as any-Hispanic. EDUCATION Education is defined by the highest educational attainment among adults aged 25 and older in the household. DATA SUPPRESSION Estimates with relative standard errors (standard error/estimate) greater than 30 percent are not included in this report. 1 Variance Estimation-Chapter 12. ACS Design and Methodology. Found at http://www.census.gov/acs/www/Downloads/survey_methodology/acs_de- sign_methodology_ch12.pdf 2 SHADAC and Robert Wood Johnson Foundation. Defining Family for Studies of Health Insurance Coverage. March 2012. Available at: http://www.shadac. org/files/shadac/publications/SHADAC_Brief27.pdf STATE HEALTH ACCESS DATA ASSISTANCE CENTER 1 TABLE 1 TREND IN COVERAGE FOR CHILDREN   PRIVATE COVERAGE PUBLIC COVERAGE UNINSURED   2013 2016 Percent 2013 2016 Percent 2013 2016 Percent State Count Count Change Count Count Change Count Count Change Alabama 663,436 648,030 -2.3% 466,499 490,017 5.0% * 59,275 31,032 -47.6% * Alaska 122,963 115,976 -5.7% 49,454 60,474 22.3% 23,904 21,339 -10.7% Arizona 917,484 960,323 4.7% 568,923 632,455 11.2% * 217,270 133,948 -38.3% * Arkansas 351,628 361,077 2.7% 351,122 358,782 2.2% 48,569 30,797 -36.6% * California 5,311,328 5,324,453 0.2% 3,634,377 3,966,051 9.1% * 763,521 308,371 -59.6% * Colorado 849,850 846,485 -0.4% 348,806 424,570 21.7% * 118,119 59,050 -50.0% * Connecticut 558,632 537,520 -3.8% 245,597 243,386 -0.9% 35,680 20,617 -42.2% * Delaware 132,288 143,377 8.4% 74,044 65,086 -12.1% 11,552 8,283 -28.3% D.C. 68,468 70,715 3.3% 51,057 56,433 10.5% 3,312 4,298 29.8% Florida 2,155,643 2,360,326 9.5% * 1,617,753 1,738,980 7.5% * 499,891 287,528 -42.5% * Georgia 1,429,150 1,502,036 5.1% * 951,091 985,205 3.6% 263,992 178,655 -32.3% * Hawaii 222,284 228,978 3.0% 88,199 86,044 -2.4% 11,034 7,536 -31.7% Idaho 283,118 286,018 1.0% 127,037 148,660 17.0% 39,474 24,888 -37.0% * Illinois 1,879,630 1,925,860 2.5% * 1,166,194 1,079,158 -7.5% * 147,849 83,499 -43.5% * Indiana 1,029,374 1,052,552 2.3% 506,715 522,041 3.0% 146,883 94,691 -35.5% * Iowa 515,320 525,909 2.1% 215,506 224,073 4.0% 38,154 16,502 -56.7% * Kansas 507,296 516,085 1.7% 198,946 199,320 0.2% 53,465 36,752 -31.3% * Kentucky 618,919 611,179 -1.3% 383,566 430,825 12.3% * 68,518 34,620 -49.5% * Louisiana 597,071 584,695 -2.1% 503,913 555,102 10.2% * 71,749 42,405 -40.9% * Maine 166,664 181,742 9.0% 94,499 80,159 -15.2% 13,923 13,615 -2.2% Maryland 955,289 957,204 0.2% 399,790 418,266 4.6% 66,775 47,540 -28.8% * Massachusetts 1,061,755 1,026,744 -3.3% 406,545 440,905 8.5% * 23,826 14,781 -38.0% * Michigan 1,470,063 1,464,537 -0.4% 804,261 783,068 -2.6% 109,181 71,931 -34.1% * Minnesota 983,248 972,407 -1.1% 286,136 342,619 19.7% * 85,967 42,091 -51.0% * Mississippi 355,502 369,430 3.9% 366,584 365,737 -0.2% 60,371 36,371 -39.8% * Missouri 923,150 971,633 5.3% * 439,658 434,805 -1.1% 107,349 74,813 -30.3% * Montana 132,371 141,734 7.1% 81,043 88,589 9.3% 25,515 11,276 -55.8% * Nebraska 334,759 334,531 -0.1% 125,885 132,133 5.0% 29,282 27,758 -5.2% Nevada 429,501 431,477 0.5% 166,917 236,234 41.5% * 100,058 45,071 -55.0% * New Hampshire 206,681 202,177 -2.2% 73,799 69,575 -5.7% 11,263 8,935 -20.7% New Jersey 1,436,851 1,416,959 -1.4% 572,817 609,717 6.4% * 126,643 70,062 -44.7% * New Mexico 221,342 214,065 -3.3% 265,381 269,548 1.6% 50,883 28,897 -43.2% * New York 2,724,854 2,698,680 -1.0% 1,580,891 1,609,948 1.8% 192,236 114,529 -40.4% * North Carolina 1,316,977 1,375,325 4.4% * 950,046 957,747 0.8% 157,241 112,010 -28.8% * North Dakota 131,463 135,919 3.4% 25,631 29,791 16.2% 12,982 18,534 42.8% Ohio 1,784,077 1,746,964 -2.1% 866,005 914,898 5.6% * 148,034 98,048 -33.8% * Oklahoma 507,711 537,249 5.8% 383,581 408,588 6.5% 110,835 76,693 -30.8% * Oregon 550,917 563,509 2.3% 295,820 325,228 9.9% 60,402 29,950 -50.4% * Pennsylvania 1,901,382 1,807,345 -4.9% * 839,977 900,773 7.2% * 146,254 133,040 -9.0% Rhode Island 147,881 152,350 3.0% 66,073 66,819 1.1% 14,112 4,611 -67.3% * South Carolina 613,193 649,134 5.9% 451,135 470,887 4.4% 84,025 48,399 -42.4% * South Dakota 138,318 152,867 10.5% 62,402 61,549 -1.4% 15,511 10,350 -33.3% * Tennessee 890,009 928,221 4.3% 592,326 602,161 1.7% 94,987 58,650 -38.3% * Texas 3,704,981 4,019,258 8.5% * 2,739,735 2,919,298 6.6% * 976,653 750,975 -23.1% * Utah 700,344 758,855 8.4% * 156,268 160,039 2.4% 87,056 54,541 -37.3% * Vermont 73,879 73,126 -1.0% 55,408 53,240 -3.9% 4,275 1,337 -68.7% Virginia 1,406,161 1,414,531 0.6% 462,052 469,290 1.6% 117,930 102,221 -13.3% Washington 1,046,540 1,081,932 3.4% 520,481 589,518 13.3% * 110,652 43,225 -60.9% * West Virginia 227,707 212,658 -6.6% 159,410 178,301 11.9% * 19,008 7,174 -62.3% * Wisconsin 928,876 953,988 2.7% * 392,898 359,625 -8.5% 65,983 46,233 -29.9% * Wyoming 101,993 107,606 5.5% 33,607 30,475 -9.3% 9,444 11,443 21.2% United States 45,788,320 46,655,752 1.9% * 26,265,860 27,646,192 5.3% * 5,860,867 3,639,915 -37.9% * Notes: Significant difference in rates (shown on Table 2) between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 2 TABLE 2 TREND IN COVERAGE FOR CHILDREN   PRIVATE COVERAGE PUBLIC COVERAGE UNINSURED   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 55.80% 55.4% -0.4% 39.2% 41.9% 2.7% * 5.0% 2.6% -2.3% * Alaska 62.6% 58.6% -4.0% 25.2% 30.6% 5.4% 12.2% 10.8% -1.4% Arizona 53.9% 55.6% 1.8% 33.4% 36.6% 3.2% * 12.7% 7.8% -5.0% * Arkansas 46.8% 48.1% 1.3% 46.7% 47.8% 1.1% 6.5% 4.1% -2.4% * California 54.7% 55.5% 0.8% 37.4% 41.3% 3.9% * 7.9% 3.2% -4.6% * Colorado 64.5% 63.6% -0.9% 26.5% 31.9% 5.4% * 9.0% 4.4% -4.5% * Connecticut 66.5% 67.1% 0.6% 29.2% 30.4% 1.1% 4.3% 2.6% -1.7% * Delaware 60.7% 66.1% 5.4% 34.0% 30.0% -3.9% 5.3% 3.8% -1.5% D.C. 55.7% 53.8% -1.9% 41.6% 42.9% 1.4% 2.7% 3.3% ^ 0.6% Florida 50.4% 53.8% 3.4% * 37.9% 39.6% 1.8% * 11.7% 6.5% -5.2% * Georgia 54.0% 56.3% 2.3% * 36.0% 37.0% 1.0% 10.0% 6.7% -3.3% * Hawaii 69.1% 71.0% 1.9% 27.4% 26.7% -0.8% 3.4% 2.3% -1.1% Idaho 63.0% 62.2% -0.7% 28.2% 32.4% 4.1% 8.8% 5.4% -3.4% * Illinois 58.9% 62.4% 3.5% * 36.5% 34.9% -1.6% * 4.6% 2.7% -1.9% * Indiana 61.2% 63.1% 1.9% 30.1% 31.3% 1.2% 8.7% 5.7% -3.1% * Iowa 67.0% 68.6% 1.6% 28.0% 29.2% 1.2% 5.0% 2.2% -2.8% * Kansas 66.8% 68.6% 1.8% 26.2% 26.5% 0.3% 7.0% 4.9% -2.1% * Kentucky 57.8% 56.8% -1.0% 35.8% 40.0% 4.2% * 6.4% 3.2% -3.2% * Louisiana 50.9% 49.5% -1.5% 43.0% 47.0% 4.0% * 6.1% 3.6% -2.5% * Maine 60.6% 66.0% 5.4% 34.3% 29.1% -5.3% 5.1% 4.9% -0.1% Maryland 67.2% 67.3% 0.1% 28.1% 29.4% 1.3% 4.7% 3.3% -1.4% * Massachusetts 71.2% 69.3% -1.9% 27.3% 29.7% 2.5% * 1.6% 1.0% -0.6% * Michigan 61.7% 63.1% 1.5% 33.7% 33.8% 0.0% 4.6% 3.1% -1.5% * Minnesota 72.5% 71.6% -0.9% 21.1% 25.2% 4.1% * 6.3% 3.1% -3.2% * Mississippi 45.4% 47.9% 2.5% 46.8% 47.4% 0.6% 7.7% 4.7% -3.0% * Missouri 62.8% 65.6% 2.8% * 29.9% 29.4% -0.6% 7.3% 5.1% -2.2% * Montana 55.4% 58.7% 3.3% 33.9% 36.7% 2.8% 10.7% 4.7% -6.0% * Nebraska 68.3% 67.7% -0.7% 25.7% 26.7% 1.0% 6.0% 5.6% -0.4% Nevada 61.7% 60.5% -1.1% 24.0% 33.1% 9.2% * 14.4% 6.3% -8.1% * New Hampshire 70.8% 72.0% 1.2% 25.3% 24.8% -0.5% 3.9% 3.2% -0.7% New Jersey 67.3% 67.6% 0.3% 26.8% 29.1% 2.3% * 5.9% 3.3% -2.6% * New Mexico 41.2% 41.8% 0.6% 49.4% 52.6% 3.2% 9.5% 5.6% -3.8% * New York 60.6% 61.0% 0.4% 35.2% 36.4% 1.2% 4.3% 2.6% -1.7% * North Carolina 54.3% 56.3% 1.9% * 39.2% 39.2% 0.0% 6.5% 4.6% -1.9% * North Dakota 77.3% 73.8% -3.5% 15.1% 16.2% 1.1% 7.6% 10.1% 2.4% Ohio 63.8% 63.3% -0.5% 31.0% 33.1% 2.2% * 5.3% 3.6% -1.7% * Oklahoma 50.7% 52.5% 1.9% 38.3% 40.0% 1.7% 11.1% 7.5% -3.6% * Oregon 60.7% 61.3% 0.6% 32.6% 35.4% 2.8% 6.7% 3.3% -3.4% * Pennsylvania 65.9% 63.6% -2.2% * 29.1% 31.7% 2.6% * 5.1% 4.7% -0.4% Rhode Island 64.8% 68.1% 3.2% 29.0% 29.9% 0.9% 6.2% 2.1% -4.1% * South Carolina 53.4% 55.6% 2.2% 39.3% 40.3% 1.0% 7.3% 4.1% -3.2% * South Dakota 64.0% 68.0% 4.0% 28.9% 27.4% -1.5% 7.2% 4.6% -2.6% * Tennessee 56.4% 58.4% 2.0% 37.5% 37.9% 0.3% 6.0% 3.7% -2.3% * Texas 49.9% 52.3% 2.4% * 36.9% 38.0% 1.0% * 13.2% 9.8% -3.4% * Utah 74.2% 78.0% 3.7% * 16.6% 16.4% -0.1% 9.2% 5.6% -3.6% * Vermont 55.3% 57.3% 2.0% 41.5% 41.7% 0.2% 3.2%^ 1.0% ^ -2.2% Virginia 70.8% 71.2% 0.4% 23.3% 23.6% 0.4% 5.9% 5.2% -0.8% Washington 62.4% 63.1% 0.7% 31.0% 34.4% 3.4% * 6.6% 2.5% -4.1% * West Virginia 56.1% 53.4% -2.7% 39.3% 44.8% 5.5% * 4.7% 1.8% -2.9% * Wisconsin 66.9% 70.1% 3.2% * 28.3% 26.4% -1.9% 4.7% 3.4% -1.3% * Wyoming 70.3% 72.0% 1.6% 23.2% 20.4% -2.8% 6.5% 7.6% 1.1% United States 58.8% 59.9% 1.1% * 33.7% 35.5% 1.8% * 7.5% 4.7% -2.8% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 3 TABLE 3 TREND IN PERCENT OF CHILDREN COVERED BY PRIVATE HEALTH INSURANCE BY INCOME CATEGORY   0-138% FPG 139-400% FPG 401%+ FPG   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 20.3% 17.0% -3.3% * 74.3% 68.8% -5.4% * 95.1% 93.6% -1.5% Alaska 24.4% 20.3% -4.1% 70.2% 66.0% -4.2% 90.6% 94.5% 3.8% Arizona 19.7% 18.3% -1.4% 70.2% 71.8% 1.6% 94.3% 93.4% -0.9% Arkansas 14.6% 15.7% 1.1% 64.3% 61.5% -2.8% 91.2% 89.4% -1.8% California 19.5% 18.6% -0.9% 63.9% 60.1% -3.8% * 94.5% 94.3% -0.2% Colorado 23.3% 20.4% -2.9% 69.7% 64.0% -5.8% * 96.1% 94.3% -1.8% * Connecticut 17.3% 16.5% -0.8% 66.4% 61.6% -4.8% 94.9% 95.9% 1.0% Delaware 20.3% 22.2% 1.9% 68.3% 69.8% 1.5% 91.0% 94.3% 3.3% D.C. 19.9% 15.0% -4.9% 59.6% 51.1% -8.6% 94.1% 94.4% 0.3% Florida 18.3% 19.8% 1.5% 61.5% 63.0% 1.6% 91.0% 91.5% 0.5% Georgia 19.5% 19.9% 0.4% 68.4% 67.5% -0.9% 93.1% 93.8% 0.8% Hawaii 34.0% 39.0% 4.9% 83.4% 79.2% -4.2% 91.5% 95.2% 3.7% Idaho 31.5% 24.6% -6.9% * 74.5% 73.8% -0.7% 93.7% 91.4% -2.3% Illinois 15.8% 18.6% 2.8% * 68.1% 68.5% 0.3% 95.4% 95.8% 0.4% Indiana 23.2% 22.8% -0.4% 76.0% 74.3% -1.7% 95.9% 96.1% 0.2% Iowa 24.0% 24.4% 0.3% 76.0% 73.0% -3.1% 94.9% 95.4% 0.5% Kansas 27.7% 27.8% 0.0% 77.5% 75.8% -1.7% 96.9% 95.4% -1.4% Kentucky 18.4% 17.5% -0.8% 74.8% 71.9% -2.9% 93.9% 95.7% 1.8% Louisiana 17.0% 15.2% -1.9% 66.3% 63.9% -2.4% 89.3% 89.7% 0.4% Maine 22.0% 22.9% 0.9% 68.2% 75.0% 6.8% 95.3% 95.2% -0.1% Maryland 24.1% 23.3% -0.8% 68.5% 64.1% -4.4% * 95.1% 94.3% -0.8% Massachusetts 23.7% 19.5% -4.2% * 72.9% 64.0% -9.0% * 97.4% 95.5% -1.9% * Michigan 21.4% 20.5% -0.8% 76.2% 75.5% -0.7% 96.1% 96.6% 0.4% Minnesota 27.2% 26.9% -0.4% 78.5% 73.7% -4.8% * 97.0% 95.6% -1.4% * Mississippi 16.1% 15.1% -1.0% 65.2% 62.4% -2.9% 92.0% 92.4% 0.5% Missouri 23.3% 25.7% 2.5% 77.8% 77.1% -0.8% 95.9% 95.3% -0.7% Montana 23.7% 22.7% -1.0% 65.2% 66.1% 0.9% 84.5% 93.9% 9.4% * Nebraska 23.3% 24.3% 1.0% 82.2% 75.0% -7.3% * 96.6% 96.9% 0.3% Nevada 28.4% 24.6% -3.8% 77.7% 74.3% -3.4% 93.2% 94.9% 1.7% New Hampshire 25.8% 20.9% -4.9% 69.0% 65.1% -4.0% 96.1% 93.9% -2.2% New Jersey 23.9% 21.8% -2.1% 68.4% 65.5% -2.9% 95.6% 96.4% 0.7% New Mexico 11.0% 13.1% 2.1% 57.3% 55.2% -2.1% 84.5% 88.9% 4.4% New York 22.9% 22.2% -0.7% 69.4% 67.1% -2.3% * 94.7% 93.9% -0.8% North Carolina 17.0% 18.1% 1.0% 69.2% 66.9% -2.3% 95.0% 94.1% -0.9% North Dakota 32.8% 32.5% -0.3% 83.1% 76.0% -7.1% 95.2% 95.5% 0.3% Ohio 22.7% 20.8% -1.9% 79.3% 74.3% -5.0% * 96.7% 95.9% -0.8% Oklahoma 18.9% 18.4% -0.4% 63.4% 64.0% 0.5% 91.2% 89.5% -1.7% Oregon 22.5% 20.1% -2.3% 72.9% 67.8% -5.1% * 95.8% 96.2% 0.3% Pennsylvania 25.6% 22.8% -2.8% 75.7% 70.0% -5.7% * 95.3% 94.7% -0.6% Rhode Island 22.5% 28.0% 5.5% 74.4% 70.5% -4.0% 95.4% 97.5% 2.1% South Carolina 15.9% 19.1% 3.2% * 70.6% 66.5% -4.1% * 94.8% 94.2% -0.6% South Dakota 23.5% 25.8% 2.3% 77.6% 79.6% 1.9% 92.9% 96.9% 3.9% Tennessee 20.3% 22.6% 2.3% 75.7% 71.6% -4.1% * 94.5% 94.7% 0.2% Texas 14.9% 16.8% 1.9% * 62.0% 61.4% -0.6% 92.2% 92.2% 0.1% Utah 38.5% 42.5% 4.0% 84.7% 85.3% 0.6% 95.2% 96.9% 1.7% Vermont 14.6% 12.7% ^ -1.9% 58.1% 54.9% -3.2% 91.5% 90.5% -0.9% Virginia 28.1% 26.3% -1.8% 78.1% 76.4% -1.6% 96.2% 96.3% 0.1% Washington 25.7% 22.3% -3.4% 68.6% 62.5% -6.1% * 93.2% 95.0% 1.7% * West Virginia 20.4% 19.0% -1.4% 73.4% 66.1% -7.3% * 91.1% 94.3% 3.1% Wisconsin 23.4% 25.2% 1.7% 77.3% 77.8% 0.5% 97.0% 96.1% -0.9% Wyoming 31.1% 33.6% 2.6% 75.9% 78.0% 2.1% 93.0% 92.3% -0.7% United States 20.5% 20.3% -0.2% 70.1% 67.6% -2.5% * 94.5% 94.4% -0.1% Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 4 TABLE 4 TREND IN PERCENT OF CHILDREN COVERED BY PUBLIC HEALTH INSURANCE BY INCOME CATEGORY   0-138% FPG 139-400% FPG 401%+ FPG   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 73.0% 79.5% 6.5% * 20.9% 28.4% 7.5% * 3.3% 5.4% 2.2% * Alaska 61.9% 65.8% 3.9% 14.9% 21.4% 6.6% 4.7% ^ 2.1% ^ -2.6% Arizona 64.8% 71.3% 6.5% * 15.4% 20.4% 5.0% * 2.3% 3.7% 1.4% * Arkansas 78.5% 80.0% 1.5% 28.5% 33.8% 5.3% * 5.2% 8.2% 3.0% California 70.1% 77.0% 7.0% * 27.0% 36.4% 9.4% * 2.9% 4.3% 1.4% * Colorado 64.8% 73.2% 8.5% * 18.4% 30.4% 12.1% * 1.7% 4.2% 2.5% * Connecticut 77.7% 81.0% 3.3% 28.3% 34.6% 6.3% * 2.1% 2.6% 0.5% Delaware 73.6% 72.4% -1.2% 25.5% 25.9% 0.4% 5.5% ^ 4.2% ^ -1.3% D.C. 77.9% 78.8% 0.9% 37.3% 45.9% 8.5% 4.1% ^ 5.0% ^ 0.8% Florida 67.4% 72.3% 4.9% * 25.5% 29.7% 4.2% * 4.6% 5.2% 0.7% Georgia 66.4% 71.5% 5.1% * 22.2% 24.9% 2.7% * 3.5% 3.7% 0.2% Hawaii 59.3% 57.6% -1.7% 15.3% 19.5% 4.2% 5.9% 2.2% ^ -3.7% * Idaho 58.9% 69.3% 10.5% * 15.7% 20.8% 5.0% * 2.2% ^ 4.3% ^ 2.2% Illinois 77.6% 77.8% 0.2% 26.6% 28.6% 2.0% 3.1% 2.8% -0.3% Indiana 64.5% 70.0% 5.5% * 15.4% 18.8% 3.4% * 1.6% 2.5% 0.9% Iowa 67.0% 71.9% 4.8% 19.6% 25.0% 5.5% * 3.2% 3.3% 0.1% Kansas 60.8% 64.0% 3.2% 15.9% 19.7% 3.7% 1.2% ^ 2.4% ^ 1.1% Kentucky 73.0% 78.0% 5.0% * 18.6% 24.8% 6.2% * 3.9% 3.3% -0.6% Louisiana 74.9% 80.8% 5.9% * 28.8% 32.2% 3.4% 6.5% 8.1% 1.6% Maine 74.2% 72.2% -2.0% 25.0% 18.4% -6.7% 1.6% ^ 2.2% ^ 0.6% Maryland 69.7% 72.0% 2.3% 25.5% 31.5% 6.0% * 2.4% 4.1% 1.6% * Massachusetts 73.4% 79.4% 5.9% * 25.4% 34.6% 9.1% * 1.9% 3.9% 2.0% * Michigan 72.3% 75.1% 2.7% 18.8% 21.0% 2.2% 2.4% 2.4% 0.0% Minnesota 62.3% 68.1% 5.8% 13.6% 22.9% 9.3% * 1.5% 2.8% 1.3% * Mississippi 74.0% 79.7% 5.7% * 28.1% 32.4% 4.3% 4.5% 5.4% 0.9% Missouri 67.2% 66.2% -1.0% 14.0% 18.4% 4.4% * 2.0% 2.4% 0.4% Montana 65.1% 70.0% 4.8% 23.5% 30.0% 6.5% 6.5% ^ 3.1% ^ -3.4% Nebraska 67.5% 65.1% -2.5% 11.4% 19.3% 8.0% * 1.6% ^ 2.1% ^ 0.5% Nevada 50.9% 66.5% 15.5% * 9.4% 19.2% 9.7% * 1.8% ^ 3.3% 1.6% New Hampshire 66.5% 72.3% 5.9% 26.2% 31.0% 4.8% 3.0% ^ 4.7% 1.7% New Jersey 65.5% 72.6% 7.1% * 25.0% 30.1% 5.0% * 2.1% 2.4% 0.4% New Mexico 77.0% 81.2% 4.2% 35.3% 37.7% 2.5% 8.2% 8.8% 0.6% New York 71.2% 74.6% 3.4% * 25.9% 29.7% 3.8% * 3.5% 4.9% 1.4% * North Carolina 74.6% 76.3% 1.7% 23.6% 27.6% 4.1% * 3.2% 4.1% 1.0% North Dakota 55.2% 54.3% -0.9% 7.7% 9.7% 2.0% 1.3% ^ 1.3% ^ 0.0% Ohio 70.6% 74.6% 4.1% * 14.6% 21.4% 6.8% * 1.5% 2.6% 1.1% * Oklahoma 68.4% 73.9% 5.5% * 24.6% 26.8% 2.2% 3.4% 7.0% 3.6% * Oregon 70.5% 76.7% 6.2% * 18.5% 27.3% 8.8% * 1.5% 2.9% 1.3% Pennsylvania 67.4% 71.0% 3.6% * 18.8% 24.2% 5.4% * 2.2% 3.4% 1.2% * Rhode Island 68.6% 69.8% 1.2% 18.0% 27.1% 9.1% * 2.9% ^ 1.7% ^ -1.3% South Carolina 75.2% 76.9% 1.7% 21.1% 28.2% 7.1% * 3.1% 3.7% 0.6% South Dakota 65.4% 69.2% 3.8% 16.2% 14.0% -2.3% 3.3% ^ 2.6% ^ -0.7% Tennessee 71.8% 73.3% 1.5% 18.5% 24.0% 5.5% * 3.1% 4.0% 0.8% Texas 69.8% 71.4% 1.6% * 22.1% 27.0% 4.9% * 2.9% 4.0% 1.1% * Utah 43.6% 50.0% 6.4% 8.2% 8.3% 0.0% 1.4% ^ 1.5% 0.1% Vermont 79.7% 85.1% 5.4% 39.9% 44.4% 4.5% 5.6% ^ 8.6% ^ 3.0% Virginia 63.0% 65.6% 2.5% 14.5% 17.0% 2.5% * 1.8% 1.9% 0.2% Washington 65.7% 73.9% 8.2% * 23.8% 34.7% 10.9% * 3.6% 3.9% 0.3% West Virginia 75.4% 79.5% 4.1% 20.9% 30.9% 10.0% * 5.9% 5.5% -0.4% Wisconsin 69.2% 68.8% -0.4% 17.7% 18.9% 1.2% 1.4% 2.3% 0.9% Wyoming 59.8% 57.1% -2.7% 17.1% 13.0% -4.0% 3.9% ^ 3.6% ^ -0.3% United States 69.4% 73.5% 4.1% * 21.5% 26.9% 5.4% * 2.8% 3.8% 0.9% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 5 TABLE 5 TREND IN PERCENT OF CHILDREN UNINSURED BY INCOME CATEGORY   0-138% FPG 139-400% FPG 401%+ FPG   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 6.7% 3.5% -3.2% * 4.9% 2.7% -2.1% * 1.6% 0.9% ^ -0.7% Alaska 13.6% 13.8% 0.2% 14.9% 12.5% -2.4% 4.6% ^ 3.4% ^ -1.2% Arizona 15.5% 10.4% -5.2% * 14.5% 7.8% -6.7% * 3.4% 2.9% -0.5% Arkansas 6.9% 4.3% -2.6% * 7.2% 4.7% -2.5% * 3.6% 2.4% ^ -1.2% California 10.4% 4.4% -6.0% * 9.1% 3.5% -5.6% * 2.5% 1.4% -1.2% * Colorado 12.0% 6.4% -5.6% * 11.9% 5.6% -6.3% * 2.3% 1.5% -0.7% Connecticut 5.0% 2.5% -2.5% * 5.3% 3.8% -1.5% 3.0% 1.5% -1.4% * Delaware 6.1% 5.4% ^ -0.7% 6.2% 4.3% -1.9% 3.5% ^ 1.5% ^ -2.0% D.C. 2.2% ^ 6.3% ^ 4.1% 3.1% ^ 3.1% ^ 0.0% 1.8% ^ 0.6% ^ -1.2% Florida 14.3% 7.9% -6.4% * 13.0% 7.3% -5.7% * 4.4% 3.2% -1.1% * Georgia 14.1% 8.6% -5.5% * 9.4% 7.6% -1.8% * 3.4% 2.4% -1.0% Hawaii 6.7% 3.4% -3.3% 1.3% 1.3% 0.0% 2.6% ^ 2.6% ^ 0.0% Idaho 9.6% 6.1% -3.5% 9.7% 5.4% -4.4% * 4.1% ^ 4.3% ^ 0.1% Illinois 6.6% 3.6% -3.0% * 5.2% 2.9% -2.3% * 1.5% 1.4% -0.1% Indiana 12.3% 7.2% -5.1% * 8.6% 6.9% -1.8% 2.5% 1.4% -1.1% * Iowa 8.9% 3.7% -5.2% * 4.4% 2.0% -2.4% * 1.9% ^ 1.3% ^ -0.6% Kansas 11.5% 8.2% -3.3% 6.6% 4.5% -2.1% 1.9% 2.2% 0.3% Kentucky 8.7% 4.5% -4.2% * 6.6% 3.3% -3.3% * 2.2% 1.0% -1.2% * Louisiana 8.0% 4.0% -4.0% * 4.9% 3.9% -1.0% 4.2% 2.2% -2.1% * Maine 3.8% 4.9% ^ 1.1% 6.7% 6.7% -0.1% 3.0% ^ 2.6% ^ -0.4% Maryland 6.3% 4.8% -1.5% 6.0% 4.3% -1.7% 2.5% 1.6% -0.9% Massachusetts 2.9% 1.1% -1.7% * 1.6% 1.5% -0.2% 0.7% 0.6% -0.1% Michigan 6.3% 4.4% -1.9% * 5.0% 3.5% -1.5% * 1.5% 1.0% -0.4% Minnesota 10.5% 5.0% -5.4% * 7.9% 3.4% -4.4% * 1.4% 1.6% 0.2% Mississippi 9.9% 5.2% -4.7% * 6.7% 5.2% -1.4% 3.5% 2.1% -1.4% Missouri 9.6% 8.1% -1.5% 8.2% 4.6% -3.6% * 2.1% ^ 2.4% 0.3% Montana 11.2% 7.4% -3.8% 11.3% 3.9% -7.4% * 9.1% 3.0% ^ -6.0% * Nebraska 9.2% 10.7% 1.4% 6.4% 5.7% -0.7% 1.8% 1.0% ^ -0.8% Nevada 20.6% 8.9% -11.7% * 12.9% 6.6% -6.3% * 5.0% 1.8% -3.2% * New Hampshire 7.8% 6.8% ^ -1.0% 4.7% 3.9% -0.8% 0.9% ^ 1.4% ^ 0.4% New Jersey 10.6% 5.6% -5.0% * 6.5% 4.4% -2.1% * 2.3% 1.2% -1.1% * New Mexico 12.0% 5.7% -6.3% * 7.4% 7.1% -0.3% 7.3% ^ 2.3% ^ -5.0% * New York 5.9% 3.2% -2.6% * 4.7% 3.2% -1.5% * 1.9% 1.3% -0.6% * North Carolina 8.3% 5.6% -2.7% * 7.2% 5.5% -1.8% * 1.9% 1.8% -0.1% North Dakota 12.0% ^ 13.2% 1.2% 9.2% 14.3% 5.1% 3.5% ^ 3.2% ^ -0.2% Ohio 6.8% 4.6% -2.2% * 6.1% 4.2% -1.8% * 1.8% 1.5% -0.3% Oklahoma 12.8% 7.7% -5.1% * 12.0% 9.2% -2.7% * 5.4% 3.5% -2.0% Oregon 7.0% 3.2% -3.8% * 8.6% 4.9% -3.7% * 2.6% 1.0% -1.7% * Pennsylvania 7.0% 6.2% -0.8% 5.5% 5.8% 0.3% 2.5% 1.9% -0.7% Rhode Island 9.0% 2.2% ^ -6.8% * 7.6% 2.4% ^ -5.1% * 1.6% ^ 0.8% ^ -0.8% South Carolina 8.9% 4.0% -5.0% * 8.3% 5.3% -3.0% * 2.1% 2.1% 0.0% South Dakota 11.1% 5.0% -6.0% * 6.1% 6.5% 0.4% 3.7% ^ 0.5% ^ -3.3% * Tennessee 7.9% 4.1% -3.8% * 5.8% 4.4% -1.4% 2.4% 1.4% -1.0% * Texas 15.3% 11.8% -3.5% * 15.9% 11.6% -4.3% * 4.9% 3.8% -1.1% * Utah 17.9% 7.5% -10.4% * 7.1% 6.4% -0.6% 3.3% 1.5% -1.8% * Vermont 5.7% ^ 2.1% ^ -3.5% 2.0% ^ 0.7% ^ -1.3% 2.9% ^ 0.9% ^ -2.0% Virginia 8.9% 8.1% -0.8% 7.5% 6.6% -0.9% 2.0% 1.8% -0.2% Washington 8.6% 3.8% -4.8% * 7.5% 2.8% -4.7% * 3.2% 1.1% -2.1% * West Virginia 4.2% 1.4% -2.7% * 5.7% 3.0% -2.7% * 2.9% 0.2% ^ -2.7% * Wisconsin 7.3% 6.0% -1.3% 5.0% 3.2% -1.7% * 1.5% 1.5% 0.0% Wyoming 9.1% 9.3% 0.1% 7.0% 8.9% ^ 1.9% 3.1% ^ 4.1% ^ 1.1% United States 10.2% 6.2% -4.0% * 8.4% 5.5% -2.9% * 2.7% 1.8% -0.8% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 6 TABLE 6 TREND IN PERCENT OF CHILDREN WITH PRIVATE COVERAGE BY RACE/ETHNICITY   WHITE NON-WHITE HISPANIC   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 68.7% 69.1% 0.4% 38.6% 39.0% 0.4% 31.5% 25.7% -5.8% Alaska 75.4% 75.1% -0.3% 45.7% 40.3% -5.4% 66.9% 50.4% -16.5% Arizona 73.8% 75.3% 1.4% 50.5% 52.0% 1.5% 36.1% 39.2% 3.0% Arkansas 55.1% 57.2% 2.1% 35.1% 34.9% -0.2% 25.8% 27.0% 1.3% California 78.3% 77.9% -0.5% 66.2% 67.3% 1.1% 37.7% 39.2% 1.4% * Colorado 78.4% 76.8% -1.7% 67.7% 59.7% -8.0% * 38.0% 41.0% 3.0% Connecticut 80.5% 82.9% 2.3% 59.3% 57.1% -2.3% 34.5% 37.3% 2.8% Delaware 73.4% 78.1% 4.7% 51.8% 57.8% 6.1% 34.6% 45.7% 11.1% D.C. 95.5% 97.0% 1.6% 42.3% 38.5% -3.7% 56.1% 50.0% -6.0% Florida 65.1% 67.8% 2.7% * 42.1% 45.1% 3.0% * 35.9% 42.0% 6.2% * Georgia 69.1% 69.9% 0.8% 46.7% 49.9% 3.2% * 25.4% 32.4% 7.0% * Hawaii 84.2% 79.3% -4.9% 67.6% 70.3% 2.7% 63.1% 67.5% 4.3% Idaho 69.1% 69.7% 0.6% 56.5% 58.3% 1.7% 38.6% 32.6% -6.0% Illinois 75.7% 78.1% 2.4% * 44.9% 49.2% 4.3% * 35.7% 41.7% 6.0% * Indiana 68.5% 70.9% 2.4% * 41.2% 45.0% 3.8% 41.4% 40.6% -0.8% Iowa 73.5% 74.3% 0.9% 41.9% 46.0% 4.0% 40.5% 46.5% 6.1% Kansas 76.6% 76.9% 0.2% 49.6% 56.8% 7.2% 42.9% 47.6% 4.7% Kentucky 61.6% 61.0% -0.6% 45.4% 42.3% -3.1% 33.4% 37.7% 4.2% Louisiana 68.2% 65.2% -3.0% 31.6% 32.3% 0.7% 37.0% 38.1% 1.1% Maine 63.1% 68.9% 5.7% * 42.2% 46.8% 4.5% 18.8% ^ 38.5% 19.7% Maryland 82.5% 80.6% -1.9% 57.6% 62.4% 4.8% * 44.6% 41.8% -2.8% Massachusetts 82.0% 82.0% 0.0% 61.8% 60.4% -1.4% 37.7% 34.0% -3.7% Michigan 70.1% 72.1% 2.0% * 43.2% 45.6% 2.3% 45.4% 41.9% -3.5% Minnesota 82.3% 81.4% -0.8% 47.8% 49.2% 1.4% 45.1% 46.1% 1.0% Mississippi 62.6% 65.9% 3.3% 28.5% 30.0% 1.4% 29.9% 36.6% 6.7% Missouri 69.2% 70.6% 1.4% 44.3% 53.5% 9.2% * 45.8% 48.1% 2.2% Montana 63.2% 63.9% 0.6% 16.9% 35.7% 18.7% * 45.3% 54.3% 9.0% Nebraska 78.4% 77.3% -1.1% 50.8% 56.2% 5.3% 37.4% 36.9% -0.6% Nevada 75.0% 78.0% 3.0% 62.1% 59.3% -2.8% 48.6% 46.0% -2.7% New Hampshire 72.6% 73.8% 1.2% 63.9% 64.1% 0.2% 52.0% 56.5% 4.6% New Jersey 83.6% 81.3% -2.3% * 61.7% 66.6% 4.9% * 40.3% 43.9% 3.6% New Mexico 70.3% 66.0% -4.2% 28.2% 36.8% 8.6% * 31.9% 33.3% 1.4% New York 75.0% 74.4% -0.6% 51.2% 54.0% 2.9% * 41.0% 42.6% 1.6% North Carolina 69.7% 71.5% 1.9% 41.7% 44.6% 2.9% 25.0% 28.2% 3.3% North Dakota 85.0% 82.8% -2.2% 38.0% 40.1% 2.1% 67.9% 44.0% -24.0% Ohio 71.7% 71.4% -0.3% 42.0% 41.7% -0.3% 40.7% 44.4% 3.7% Oklahoma 62.5% 64.2% 1.7% 40.6% 42.6% 2.0% 27.9% 32.5% 4.6% Oregon 68.0% 68.7% 0.8% 64.1% 66.4% 2.3% 36.8% 36.4% -0.4% Pennsylvania 75.8% 71.8% -4.0% * 46.7% 51.2% 4.5% * 35.4% 37.7% 2.3% Rhode Island 79.3% 81.8% 2.4% 55.7% 60.9% 5.2% 30.0% 39.9% 9.9% South Carolina 67.4% 69.2% 1.8% 38.5% 41.4% 2.9% 26.0% 29.1% 3.1% South Dakota 75.3% 80.9% 5.5% 27.1% 33.5% 6.3% 38.1% 37.8% -0.3% Tennessee 65.1% 66.5% 1.4% 43.8% 46.1% 2.3% 25.0% 34.3% 9.3% * Texas 74.7% 74.9% 0.2% 53.3% 57.1% 3.8% * 31.9% 35.7% 3.8% * Utah 81.8% 83.7% 1.8% 65.4% 70.4% 4.9% 45.1% 57.3% 12.3% * Vermont 55.2% 56.9% 1.6% 59.6% 54.0% -5.7% 43.8% ^ 73.2% 29.4% Virginia 80.8% 80.6% -0.2% 59.7% 62.9% 3.1% 54.3% 53.0% -1.3% Washington 71.1% 72.5% 1.3% 62.9% 63.2% 0.2% 36.0% 37.4% 1.4% West Virginia 58.0% 55.7% -2.3% 41.3% 36.0% -5.3% 30.0% 36.1% 6.1% Wisconsin 76.9% 80.0% 3.1% * 42.3% 46.0% 3.7% 38.6% 43.8% 5.1% Wyoming 74.4% 76.4% 2.0% 54.7% 49.1% -5.6% 57.0% 62.3% 5.3% United States 73.0% 73.4% 0.4% * 49.9% 52.4% 2.5% * 36.5% 39.2% 2.7% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 7 TABLE 7 TREND IN PERCENT OF CHILDREN WITH PUBLIC COVERAGE BY RACE/ETHNICITY   WHITE NON-WHITE HISPANIC   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 27.2% 28.6% 1.4% 55.9% 58.8% 2.9% 58.5% 67.0% 8.6% Alaska 14.4% 17.3% 2.9% 37.6% 44.2% 6.6% 29.6% ^ 42.3% 12.7% Arizona 17.5% 20.5% 3.1% * 34.9% 40.4% 5.5% * 47.9% 49.8% 1.9% Arkansas 39.2% 39.0% -0.2% 58.8% 62.7% 3.9% 62.5% 63.6% 1.1% California 16.9% 20.0% 3.1% * 28.4% 30.4% 2.0% * 51.8% 56.7% 4.9% * Colorado 15.0% 20.0% 5.1% * 26.8% 37.5% 10.7% * 47.4% 51.6% 4.2% Connecticut 16.0% 15.1% -0.9% 35.4% 40.1% 4.6% 60.0% 59.1% -0.9% Delaware 20.8% 18.5% -2.3% 43.7% 38.4% -5.3% 60.3% 49.2% -11.1% D.C. 0.8% ^ 2.5% ^ 1.7% 55.2% 58.0% 2.8% 42.1% 43.3% 1.2% Florida 25.4% 26.9% 1.5% 46.5% 48.4% 2.0% 48.7% 49.5% 0.8% Georgia 23.5% 24.4% 0.9% 43.7% 44.5% 0.8% 54.7% 54.4% -0.3% Hawaii 13.5% 16.9% 3.4% 28.7% 27.5% -1.2% 33.6% 30.7% -2.9% Idaho 23.0% 26.3% 3.3% 31.3% 33.6% 2.3% 50.1% 57.1% 7.0% Illinois 20.9% 19.5% -1.4% 49.3% 47.9% -1.4% 58.1% 55.0% -3.1% Indiana 23.2% 23.0% -0.2% 50.4% 52.3% 1.9% 45.9% 51.3% 5.4% Iowa 22.1% 23.7% 1.6% 51.5% 53.6% 2.1% 51.7% 47.7% -4.0% Kansas 18.2% 18.9% 0.7% 38.9% 38.7% -0.1% 46.7% 44.7% -2.0% Kentucky 32.0% 36.1% 4.1% * 50.3% 55.5% 5.2% 53.6% 52.6% -1.0% Louisiana 26.8% 31.9% 5.1% * 62.3% 64.5% 2.1% 46.6% 50.3% 3.7% Maine 31.9% 26.3% -5.6% * 51.0% 47.4% -3.6% 77.0% 55.5% -21.5% Maryland 14.1% 16.9% 2.8% * 37.4% 34.7% -2.7% 46.8% 51.0% 4.2% Massachusetts 16.6% 17.1% 0.6% 36.3% 39.0% 2.7% 60.6% 64.1% 3.5% Michigan 25.8% 24.9% -0.9% 51.4% 51.8% 0.4% 48.5% 53.3% 4.7% Minnesota 13.1% 16.3% 3.2% * 43.0% 47.3% 4.4% 40.7% 44.8% 4.1% Mississippi 31.0% 29.6% -1.4% 63.1% 65.6% 2.5% 51.2% 53.6% 2.4% Missouri 24.2% 24.5% 0.3% 46.7% 41.8% -4.9% 43.2% 42.9% -0.3% Montana 29.2% 33.2% 4.1% 59.2% 53.2% -6.0% 35.6% 35.8% 0.1% Nebraska 16.0% 19.6% 3.6% 43.2% 32.9% -10.4% 54.8% 51.1% -3.7% Nevada 14.5% 18.0% 3.5% 26.1% 36.7% 10.6% * 31.8% 44.4% 12.5% * New Hampshire 23.4% 23.2% -0.2% 33.7% 29.5% -4.2% 43.3% 41.5% -1.8% New Jersey 12.7% 16.8% 4.0% * 32.6% 30.6% -2.0% 48.9% 49.7% 0.7% New Mexico 23.2% 29.2% 6.0% 56.9% 52.4% -4.6% 58.8% 62.0% 3.2% New York 21.2% 23.0% 1.9% * 44.6% 43.4% -1.2% 53.9% 54.7% 0.8% North Carolina 25.2% 25.1% -0.1% 52.3% 51.9% -0.4% 62.3% 60.5% -1.8% North Dakota 9.9% 10.1% 0.3% 40.7% 39.7% -1.1% 25.8% ^ 33.0% ^ 7.2% Ohio 22.9% 25.0% 2.1% * 53.2% 55.6% 2.4% 53.8% 49.6% -4.1% Oklahoma 30.1% 31.1% 1.0% 43.2% 45.8% 2.6% 57.7% 58.3% 0.6% Oregon 26.6% 28.8% 2.2% 30.3% 30.3% 0.0% 52.0% 58.0% 5.9% Pennsylvania 19.4% 23.1% 3.7% * 48.1% 46.3% -1.8% 58.1% 56.1% -2.0% Rhode Island 16.3% 16.2% -0.1% 36.1% 37.0% 0.9% 60.0% 57.9% -2.1% South Carolina 25.5% 26.6% 1.1% 55.9% 55.6% -0.3% 57.7% 62.4% 4.7% South Dakota 20.5% 15.9% -4.6% 56.8% 56.7% -0.1% 45.4% 59.9% 14.5% Tennessee 30.1% 30.6% 0.5% 50.3% 51.0% 0.7% 58.9% 54.0% -4.8% Texas 16.4% 18.9% 2.5% * 38.1% 36.6% -1.4% 50.3% 50.9% 0.5% Utah 11.7% 11.9% 0.3% 23.7% 24.9% 1.2% 34.5% 31.5% -3.0% Vermont 41.5% 42.1% 0.6% 37.6% 44.7% 7.1% 55.0% ^ 26.8% ^ -28.2% Virginia 14.7% 16.0% 1.3% 34.3% 32.3% -1.9% 33.2% 33.7% 0.5% Washington 23.1% 25.7% 2.5% * 30.6% 33.9% 3.3% 54.8% 58.8% 4.0% West Virginia 37.3% 42.7% 5.5% * 54.7% 59.8% 5.1% 65.0% 62.5% -2.5% Wisconsin 19.0% 16.9% -2.1% 53.7% 51.4% -2.3% 50.8% 49.8% -1.0% Wyoming 20.7% 17.9% -2.8% 28.7% 36.3% 7.6% 34.1% 23.7% -10.3% United States 21.4% 23.0% 1.6% * 43.1% 43.7% 0.5% 51.2% 53.2% 2.0% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 8 TABLE 8 TREND IN PERCENT OF CHILDREN UNINSURED BY RACE/ETHNICITY   WHITE NON-WHITE HISPANIC   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 4.1% 2.3% -1.8% * 5.5% 2.3% -3.2% * 10.0% 7.2% -2.7% Alaska 10.1% 7.6% -2.6% 16.7% 15.5% -1.1% 3.5% ^ 7.3% ^ 3.8% Arizona 8.7% 4.2% -4.5% * 14.6% 7.6% -7.0% * 15.9% 11.0% -4.9% * Arkansas 5.6% 3.8% -1.9% * 6.1% 2.4% -3.7% * 11.7% 9.4% -2.3% California 4.8% 2.2% -2.6% * 5.5% 2.3% -3.2% * 10.4% 4.1% -6.3% * Colorado 6.6% 3.2% -3.4% * 5.5% 2.8% -2.8% * 14.6% 7.4% -7.2% * Connecticut 3.5% 2.1% -1.4% * 5.2% 2.9% -2.4% 5.4% 3.6% -1.8% Delaware 5.8% 3.5% -2.4% 4.6% ^ 3.8% ^ -0.8% 5.1% ^ 5.1% ^ 0.0% D.C. 3.8% ^ 0.5% ^ -3.3% * 2.5% 3.4% ^ 0.9% 1.8% ^ 6.7% ^ 4.8% Florida 9.4% 5.2% -4.2% * 11.4% 6.5% -4.9% * 15.4% 8.5% -6.9% * Georgia 7.4% 5.6% -1.7% * 9.6% 5.7% -4.0% * 19.9% 13.2% -6.7% * Hawaii 2.3% ^ 3.8% ^ 1.5% 3.7% 2.2% -1.5% 3.3% ^ 1.8% ^ -1.4% Idaho 7.9% 4.0% -3.9% * 12.2% 8.1% ^ -4.0% 11.3% 10.3% -1.0% Illinois 3.4% 2.3% -1.1% * 5.8% 2.9% -2.9% * 6.2% 3.3% -2.9% * Indiana 8.3% 6.1% -2.2% * 8.4% 2.7% -5.7% * 12.7% 8.1% -4.6% * Iowa 4.4% 1.9% -2.5% * 6.6% ^ 0.5% ^ -6.1% * 7.9% 5.8% ^ -2.1% Kansas 5.2% 4.2% -1.0% 11.5% 4.5% -7.0% * 10.4% 7.6% -2.8% Kentucky 6.4% 2.9% -3.4% * 4.3% 2.2% ^ -2.1% 13.0% 9.7% -3.2% Louisiana 5.0% 2.9% -2.1% * 6.1% 3.2% -2.9% * 16.4% 11.6% -4.8% Maine 4.9% 4.8% -0.1% 6.8% ^ 5.8% ^ -1.0% 4.2% ^ 6.1% ^ 1.9% Maryland 3.4% 2.5% -0.8% 5.0% 2.9% -2.1% * 8.5% 7.2% -1.3% Massachusetts 1.5% 0.9% -0.6% * 2.0% 0.6% -1.4% * 1.7% 1.9% 0.2% Michigan 4.1% 3.1% -1.1% * 5.4% 2.6% -2.8% * 6.1% 4.8% -1.2% Minnesota 4.7% 2.3% -2.4% * 9.3% 3.4% -5.8% * 14.2% 9.1% -5.2% Mississippi 6.4% 4.6% -1.8% 8.3% 4.4% -3.9% * 18.9% 9.8% ^ -9.1% Missouri 6.5% 4.8% -1.7% * 8.9% 4.7% -4.3% * 10.9% 9.0% -1.9% Montana 7.6% 2.9% -4.7% * 23.9% 11.2% -12.7% * 19.0% ^ 9.9% ^ -9.1% Nebraska 5.6% 3.1% -2.5% * 6.0% 11.0% 5.0% 7.8% 12.0% 4.2% Nevada 10.5% 4.1% -6.5% * 11.7% 4.0% -7.8% * 19.5% 9.7% -9.8% * New Hampshire 4.0% 3.0% -1.0% 2.4% ^ 6.4% ^ 4.0% 4.7% ^ 2.0% ^ -2.7% New Jersey 3.6% 1.9% -1.7% * 5.7% 2.8% -2.9% * 10.8% 6.4% -4.3% * New Mexico 6.5% 4.7% -1.8% 14.8% 10.8% -4.0% 9.3% 4.7% -4.6% * New York 3.9% 2.6% -1.3% * 4.2% 2.5% -1.7% * 5.1% 2.7% -2.5% * North Carolina 5.1% 3.3% -1.8% * 6.0% 3.4% -2.5% * 12.7% 11.2% -1.5% North Dakota 5.1% 7.1% 2.0% 21.3% 20.3% -1.0% 6.2% ^ 23.0% ^ 16.8% Ohio 5.4% 3.6% -1.8% * 4.8% 2.7% -2.1% * 5.5% 6.0% 0.5% Oklahoma 7.3% 4.7% -2.6% * 16.2% 11.6% -4.6% * 14.5% 9.2% -5.2% * Oregon 5.4% 2.5% -2.9% * 5.6% 3.2% -2.3% 11.2% 5.6% -5.6% * Pennsylvania 4.8% 5.1% 0.3% 5.2% 2.5% -2.7% * 6.5% 6.2% -0.3% Rhode Island 4.4% 2.0% -2.4% * 8.2% 2.1% ^ -6.1% * 10.0% 2.2% ^ -7.8% * South Carolina 7.1% 4.2% -2.9% * 5.6% 3.0% -2.6% * 16.3% 8.5% -7.8% * South Dakota 4.2% 3.2% ^ -1.0% 16.1% 9.9% -6.2% 16.5% ^ 2.3% ^ -14.2% * Tennessee 4.8% 2.9% -1.9% * 5.9% 2.9% -3.0% * 16.2% 11.7% -4.5% Texas 8.9% 6.2% -2.7% * 8.6% 6.3% -2.3% * 17.7% 13.4% -4.3% * Utah 6.5% 4.4% -2.1% * 10.9% 4.8% ^ -6.1% * 20.5% 11.2% -9.3% * Vermont 3.3% ^ 1.1% ^ -2.2% 2.8% ^ 1.3% ^ -1.4% 1.2% ^ 0.0% ^ -1.2% Virginia 4.5% 3.4% -1.1% * 6.0% 4.8% -1.2% 12.4% 13.2% 0.8% Washington 5.8% 1.9% -3.9% * 6.5% 2.9% -3.6% * 9.2% 3.8% -5.4% * West Virginia 4.7% 1.6% -3.2% * 4.0% ^ 4.2% ^ 0.2% 5.0% ^ 1.4%^ ^ -3.6% Wisconsin 4.1% 3.1% -1.0% 4.0% 2.7% -1.4% 10.5% 6.4% -4.1% Wyoming 4.9% 5.7% 0.8% 16.6% ^ 14.5% ^ -2.1% 8.9% ^ 13.9% ^ 5.0% United States 5.6% 3.6% -2.0% * 7.0% 4.0% -3.1% * 12.3% 7.6% -4.6% * Notes: Significant difference between periods is indicated by * (95% confidence level). Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 9 TABLE 9 TREND IN PERCENT OF CHILDREN WITH PRIVATE COVERAGE BY HOUSEHOLD EDUCATION1   HIGH SCHOOL OR LESS SOME COLLEGE BACHELOR’S DEGREE OR HIGHER   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 28.7% 27.1% -1.6% 56.0% 53.0% -3.0% 89.1% 86.9% -2.3% Alaska 34.2% 29.0% -5.2% 62.8% 51.8% -10.9% 85.5% 93.4% 7.9% * Arizona 24.6% 24.1% -0.4% 58.1% 57.6% -0.5% 85.4% 86.0% 0.5% Arkansas 23.0% 26.2% 3.2% 48.2% 44.1% -4.2% 81.7% 80.4% -1.3% California 25.4% 25.1% -0.3% 57.6% 56.2% -1.4% 87.2% 86.7% -0.5% Colorado 28.2% 30.6% 2.3% 59.5% 57.3% -2.2% 89.6% 86.4% -3.2% * Connecticut 29.7% 28.8% -0.9% 55.2% 56.4% 1.3% 90.1% 89.0% -1.1% Delaware 29.0% 35.5% 6.5% 65.7% 68.0% 2.3% 88.0% 89.7% 1.8% D.C. 26.3% 17.3% -8.9% 42.4% 42.3% -0.1% 86.8% 88.7% 1.9% Florida 23.0% 25.8% 2.8% * 49.0% 51.8% 2.8% * 79.0% 80.7% 1.7% Georgia 25.4% 25.8% 0.5% 51.3% 54.1% 2.8% 85.2% 84.8% -0.5% Hawaii 46.9% 48.2% 1.4% 67.8% 69.3% 1.5% 85.7% 88.7% 3.0% Idaho 32.5% 31.3% -1.3% 62.4% 57.6% -4.8% 86.3% 84.7% -1.6% Illinois 25.9% 29.5% 3.5% * 56.0% 58.9% 2.9% 87.1% 88.2% 1.2% Indiana 35.2% 35.3% 0.0% 61.4% 64.0% 2.5% 88.4% 88.2% -0.1% Iowa 38.8% 39.4% 0.6% 63.0% 64.1% 1.1% 89.8% 89.7% -0.1% Kansas 41.0% 41.5% 0.5% 60.8% 63.2% 2.4% 90.9% 91.0% 0.1% Kentucky 32.9% 31.1% -1.8% 55.3% 51.7% -3.6% 88.2% 87.7% -0.5% Louisiana 26.8% 25.0% -1.9% 52.3% 48.4% -4.0% 86.7% 85.4% -1.3% Maine 29.7% 35.8% 6.1% 54.7% 60.9% 6.1% 86.3% 84.8% -1.6% Maryland 35.9% 33.7% -2.2% 61.7% 58.3% -3.5% 90.3% 89.9% -0.4% Massachusetts 35.5% 29.1% -6.4% * 63.2% 58.5% -4.6% * 92.0% 90.0% -2.0% * Michigan 32.6% 31.3% -1.3% 57.3% 60.0% 2.7% 89.0% 90.0% 1.0% Minnesota 39.5% 37.7% -1.8% 68.3% 65.3% -3.0% 91.8% 90.0% -1.7% Mississippi 22.6% 19.9% -2.6% 46.5% 48.0% 1.4% 80.0% 80.0% 0.0% Missouri 35.6% 39.0% 3.4% 60.7% 62.2% 1.5% 89.7% 89.6% -0.1% Montana 25.2% 31.5% 6.3% 53.1% 55.1% 2.0% 77.1% 77.5% 0.4% Nebraska 36.4% 34.3% -2.1% 61.4% 63.3% 1.9% 92.2% 91.9% -0.3% Nevada 43.1% 39.3% -3.8% 67.4% 64.8% -2.5% 87.8% 88.7% 0.9% New Hampshire 41.3% 38.9% -2.4% 64.4% 67.2% 2.8% 89.4% 86.8% -2.6% New Jersey 35.2% 35.5% 0.4% 63.9% 61.0% -2.9% 88.6% 88.6% 0.0% New Mexico 13.9% 16.2% 2.3% 44.5% 39.2% -5.3% 77.3% 80.5% 3.2% New York 31.1% 32.5% 1.4% 60.4% 57.9% -2.6% * 86.0% 85.1% -0.9% North Carolina 23.5% 23.3% -0.2% 50.0% 51.5% 1.5% 86.7% 87.0% 0.3% North Dakota 65.7% 45.6% -20.1% * 73.0% 68.2% -4.8% 92.4% 89.0% -3.5% Ohio 36.6% 34.0% -2.5% 60.9% 58.6% -2.3% 92.2% 91.5% -0.7% Oklahoma 26.6% 27.2% 0.6% 49.5% 50.4% 0.9% 83.8% 83.5% -0.3% Oregon 32.8% 30.4% -2.4% 61.1% 58.8% -2.3% 84.9% 85.9% 1.0% Pennsylvania 41.0% 36.7% -4.3% * 63.1% 57.8% -5.3% * 88.9% 87.9% -0.9% Rhode Island 39.5% 42.3% 2.8% 61.6% 59.6% -2.0% 88.4% 90.9% 2.5% South Carolina 23.5% 28.3% 4.9% * 53.8% 51.5% -2.3% 87.6% 84.0% -3.5% * South Dakota 40.3% 43.0% 2.7% 58.8% 61.7% 2.9% 83.9% 91.0% 7.2% * Tennessee 28.8% 30.2% 1.4% 57.6% 59.6% 2.1% 88.1% 87.6% -0.5% Texas 20.8% 23.5% 2.8% * 53.2% 53.5% 0.4% 85.3% 86.0% 0.7% Utah 45.5% 51.9% 6.4% 73.7% 75.8% 2.1% 89.1% 91.5% 2.4% Vermont 28.9% 29.9% 1.0% 40.7% 44.9% 4.2% 79.1% 77.5% -1.6% Virginia 39.3% 35.0% -4.3% * 65.2% 65.9% 0.6% 91.7% 91.8% 0.1% Washington 34.1% 29.4% -4.7% * 58.2% 59.8% 1.6% 87.5% 86.3% -1.2% West Virginia 37.7% 31.2% -6.5% 55.6% 53.1% -2.4% 85.7% 85.4% -0.3% Wisconsin 39.6% 41.9% 2.4% 64.3% 64.9% 0.6% 89.4% 91.6% 2.2% Wyoming 49.1% 59.1% 10.0% 67.3% 71.2% 3.9% 92.7% 85.3% -7.4% United States 29.2% 29.3% 0.2% 57.5% 57.1% -0.4% 87.4% 87.2% -0.2% Notes: Significant difference between periods is indicated by * (95% confidence level). 1 Highest educational attainment among adults aged 25 and older in the household. Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 10 TABLE 10 TREND IN PERCENT OF CHILDREN WITH PUBLIC COVERAGE BY HOUSEHOLD EDUCATION1   HIGH SCHOOL OR LESS SOME COLLEGE BACHELOR’S DEGREE OR HIGHER   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 64.7% 69.0% 4.3% 37.8% 44.7% 6.9% * 8.8% 11.7% 2.8% * Alaska 49.0% 51.5% 2.5% 25.4% 36.1% 10.7% 7.6% 3.3% ^ -4.3% * Arizona 57.6% 63.6% 6.0% * 29.5% 35.6% 6.1% * 7.2% 10.2% 3.0% * Arkansas 66.8% 68.3% 1.5% 47.1% 51.7% 4.6% 13.9% 18.2% 4.3% California 62.9% 70.0% 7.0% * 34.3% 40.8% 6.4% * 9.5% 11.8% 2.3% * Colorado 54.3% 60.1% 5.8% * 29.7% 38.8% 9.1% * 7.2% 11.6% 4.4% * Connecticut 64.6% 67.7% 3.1% 40.0% 40.5% 0.5% 6.7% 9.3% 2.6% * Delaware 62.3% 57.9% -4.5% 30.3% 28.8% -1.5% 8.7% ^ 8.2% -0.5% D.C. 73.1% 78.1% 5.0% 54.4% 51.7% -2.8% 10.6% 10.2% -0.3% Florida 59.5% 64.7% 5.2% * 39.2% 41.8% 2.6% * 14.4% 15.1% 0.7% Georgia 59.4% 63.7% 4.2% * 39.0% 39.0% 0.0% 9.6% 11.9% 2.3% * Hawaii 46.4% 49.2% 2.8% 28.9% 28.3% -0.6% 12.7% 9.4% -3.3% Idaho 53.6% 60.2% 6.6% 27.1% 36.4% 9.4% * 10.5% 11.7% 1.3% Illinois 66.1% 66.6% 0.5% 39.9% 38.9% -1.0% 10.4% 9.8% -0.6% Indiana 49.4% 52.7% 3.4% 31.8% 32.1% 0.4% 6.7% 9.4% 2.7% * Iowa 51.6% 54.1% 2.5% 32.3% 34.8% 2.5% 8.0% 9.4% 1.4% Kansas 47.7% 49.2% 1.5% 31.9% 32.1% 0.2% 5.6% 6.9% 1.4% Kentucky 55.4% 61.8% 6.3% * 39.4% 45.9% 6.5% * 9.3% 11.2% 1.9% Louisiana 64.7% 69.9% 5.2% * 41.9% 48.1% 6.2% * 10.3% 12.7% 2.3% Maine 63.1% 54.6% -8.5% 39.8% 34.2% -5.6% 11.0% 11.9% 0.9% Maryland 54.9% 59.6% 4.8% 34.3% 38.6% 4.3% 7.0% 8.3% 1.3% Massachusetts 61.5% 69.3% 7.8% * 35.3% 40.4% 5.1% * 7.2% 9.3% 2.1% * Michigan 59.6% 63.3% 3.7% 38.3% 37.0% -1.3% 8.5% 8.5% 0.0% Minnesota 47.5% 55.2% 7.7% * 24.9% 31.7% 6.7% * 5.1% 8.4% 3.3% * Mississippi 67.8% 73.1% 5.2% 45.5% 47.6% 2.1% 16.5% 18.2% 1.7% Missouri 51.4% 52.7% 1.2% 32.3% 32.2% -0.1% 7.0% 8.3% 1.3% Montana 58.2% 63.1% 4.8% 35.5% 40.8% 5.2% 16.2% 18.5% 2.3% Nebraska 55.0% 54.5% -0.5% 30.0% 31.0% 1.1% 6.1% 6.2% 0.1% Nevada 37.1% 50.3% 13.3% * 18.5% 29.7% 11.1% * 6.8% 9.4% 2.6% New Hampshire 53.3% 56.3% 3.0% 29.7% 28.3% -1.4% 8.9% 11.6% 2.7% New Jersey 53.9% 58.3% 4.4% * 30.8% 35.9% 5.0% * 8.2% 9.5% 1.4% New Mexico 72.5% 75.4% 3.0% 46.6% 55.3% 8.7% * 17.9% 17.0% -0.9% New York 62.1% 63.4% 1.3% 35.5% 39.9% 4.4% * 11.8% 13.2% 1.4% * North Carolina 66.4% 69.7% 3.3% * 43.9% 44.0% 0.1% 9.6% 10.3% 0.6% North Dakota 22.2% 38.5% 16.3% 18.1% 18.9% 0.8% 2.8% ^ 6.4% 3.6% Ohio 53.4% 59.1% 5.7% * 34.5% 38.1% 3.6% * 5.8% 7.1% 1.2% Oklahoma 58.4% 63.6% 5.2% * 38.1% 41.7% 3.6% 10.4% 11.5% 1.0% Oregon 57.4% 64.0% 6.7% * 32.6% 37.6% 5.1% * 10.9% 12.7% 1.7% Pennsylvania 48.9% 52.8% 3.8% * 33.1% 38.9% 5.8% * 8.8% 10.5% 1.7% * Rhode Island 50.4% 55.6% 5.2% 32.3% 38.8% 6.5% 8.7% 8.0% -0.7% South Carolina 65.4% 66.2% 0.8% 38.0% 44.4% 6.4% * 9.5% 12.8% 3.2% * South Dakota 48.7% 50.2% 1.5% 33.1% 32.3% -0.8% 11.3% 6.7% -4.6% Tennessee 62.3% 63.7% 1.4% 36.4% 37.3% 1.0% 8.9% 10.4% 1.6% Texas 59.2% 61.4% 2.2% * 34.4% 37.0% 2.7% * 9.1% 9.9% 0.8% Utah 34.0% 37.5% 3.5% 17.6% 17.4% -0.2% 6.2% 6.1% -0.1% Vermont 70.6% 69.0% -1.6% 55.8% 53.2% -2.6% 16.6% 21.9% 5.3% Virginia 50.0% 54.4% 4.4% * 27.8% 28.2% 0.4% 5.2% 6.0% 0.7% Washington 56.3% 65.7% 9.4% * 33.8% 38.2% 4.5% * 9.5% 12.3% 2.7% * West Virginia 55.2% 66.8% 11.6% * 39.8% 45.0% 5.2% 12.1% 13.0% 0.8% Wisconsin 50.7% 49.0% -1.7% 32.2% 32.7% 0.5% 8.6% 7.0% -1.6% Wyoming 44.9% 34.4% -10.5% 25.4% 17.4% -8.0% 3.1% ^ 10.9% 7.8% * United States 58.6% 62.7% 4.2% * 35.0% 38.4% 3.4% * 9.1% 10.6% 1.4% * Notes: Significant difference between periods is indicated by * (95% confidence level). 1 Highest educational attainment among adults aged 25 and older in the household. Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 11 TABLE 11 TREND IN PERCENT OF CHILDREN UNINSURED BY HOUSEHOLD EDUCATION1   HIGH SCHOOL OR LESS SOME COLLEGE BACHELOR’S DEGREE OR HIGHER   2013 2016 Percent Point 2013 2016 Percent Point 2013 2016 Percent Point State % % Change % % Change % % Change Alabama 6.5% 3.9% -2.6% * 6.2% 2.4% -3.8% * 2.1% 1.5% -0.6% Alaska 16.8% 19.5% 2.7% 11.9% 12.1% 0.2% 6.9% 3.3% -3.6% Arizona 17.9% 12.3% -5.6% * 12.4% 6.7% -5.7% * 7.4% 3.9% -3.5% * Arkansas 10.2% 5.5% -4.7% * 4.7% 4.2% -0.4% 4.3% 1.4% -2.9% * California 11.6% 4.9% -6.7% * 8.1% 3.0% -5.0% * 3.3% 1.5% -1.8% * Colorado 17.5% 9.3% -8.2% * 10.9% 3.9% -6.9% * 3.2% 2.0% -1.2% * Connecticut 5.7% 3.5% -2.2% 4.9% 3.1% -1.8% 3.2% 1.7% -1.5% * Delaware 8.7% 6.6% -2.0% 4.0% 3.2% ^ -0.8% 3.3% ^ 2.1% ^ -1.3% D.C. 0.6% ^ 4.6% ^ 3.9% 3.2% ^ 6.0% ^ 2.8% 2.6% ^ 1.0% ^ -1.6% Florida 17.5% 9.6% -7.9% * 11.8% 6.4% -5.4% * 6.6% 4.1% -2.4% * Georgia 15.2% 10.5% -4.7% * 9.7% 6.9% -2.8% * 5.2% 3.3% -1.8% * Hawaii 6.8% ^ 2.5% ^ -4.2% 3.3% ^ 2.4% -0.9% 1.6% 1.9% ^ 0.2% Idaho 13.9% 8.5% -5.4% * 10.6% 6.0% -4.6% * 3.3% 3.6% 0.3% Illinois 8.0% 3.9% -4.0% * 4.1% 2.2% -1.9% * 2.5% 1.9% -0.6% Indiana 15.4% 12.0% -3.4% * 6.8% 3.9% -2.9% * 4.9% 2.3% -2.6% * Iowa 9.5% 6.4% -3.1% 4.8% 1.2% -3.6% * 2.2% ^ 0.9% ^ -1.3% Kansas 11.3% 9.4% -1.9% 7.3% 4.7% -2.6% 3.6% 2.0% -1.5% Kentucky 11.7% 7.2% -4.5% * 5.3% 2.4% -2.9% * 2.4% 1.1% -1.4% * Louisiana 8.5% 5.1% -3.4% * 5.8% 3.6% -2.2% * 3.0% 2.0% -1.0% Maine 7.2% 9.6% 2.4% 5.5% 4.9% -0.6% 2.6% ^ 3.3% ^ 0.6% Maryland 9.2% 6.7% -2.5% 4.0% 3.1% -0.9% 2.7% 1.8% -0.9% * Massachusetts 3.0% 1.6% -1.4% * 1.6% 1.1% ^ -0.5% 0.8% 0.7% -0.1% Michigan 7.8% 5.3% -2.4% * 4.4% 3.0% -1.4% * 2.5% 1.5% -1.0% * Minnesota 13.0% 7.1% -5.9% * 6.7% 3.0% -3.7% * 3.1% 1.6% -1.6% * Mississippi 9.6% 7.0% -2.6% 8.0% 4.5% -3.5% * 3.5% 1.8% -1.7% * Missouri 13.0% 8.4% -4.6% * 7.1% 5.6% -1.5% 3.3% 2.1% -1.2% Montana 16.6% 5.5% ^ -11.1% * 11.4% 4.2% -7.2% * 6.6% 4.0% -2.6% Nebraska 8.6% 11.3% 2.7% 8.6% 5.6% -3.0% 1.7% 1.9% 0.2% Nevada 19.8% 10.3% -9.5% * 14.1% 5.5% -8.6% * 5.4% 1.9% -3.5% * New Hampshire 5.4% 4.8% ^ -0.6% 5.9% 4.5% ^ -1.4% 1.7% ^ 1.6% ^ -0.1% New Jersey 10.9% 6.1% -4.8% * 5.2% 3.1% -2.1% * 3.2% 1.8% -1.3% * New Mexico 13.6% 8.3% -5.3% * 8.8% 5.4% -3.4% 4.7% 2.5% ^ -2.2% New York 6.8% 4.1% -2.7% * 4.0% 2.2% -1.8% * 2.2% 1.6% -0.5% * North Carolina 10.2% 7.1% -3.1% * 6.1% 4.5% -1.6% * 3.7% 2.8% -0.9% North Dakota 12.1% ^ 15.9% ^ 3.8% 9.0% 12.9% 3.9% 4.8% ^ 4.6% ^ -0.2% Ohio 10.0% 6.9% -3.1% * 4.6% 3.3% -1.3% * 2.0% 1.5% -0.6% Oklahoma 15.0% 9.2% -5.8% * 12.4% 7.9% -4.5% * 5.8% 5.1% -0.7% Oregon 9.9% 5.6% -4.3% * 6.3% 3.6% -2.7% * 4.2% 1.4% -2.7% * Pennsylvania 10.0% 10.5% 0.5% 3.8% 3.3% -0.5% 2.3% 1.5% -0.8% * Rhode Island 10.1% 2.1% ^ -8.0% * 6.1% 1.6% ^ -4.5% * 2.9% ^ 1.1% ^ -1.9% South Carolina 11.1% 5.5% -5.7% * 8.1% 4.0% -4.1% * 2.9% 3.2% 0.3% South Dakota 11.0% 6.8% ^ -4.2% 8.2% 6.0% -2.1% 4.8% 2.3% ^ -2.5% Tennessee 8.8% 6.1% -2.7% * 6.0% 3.0% -3.0% * 3.0% 2.0% -1.1% Texas 20.0% 15.1% -4.9% * 12.5% 9.4% -3.1% * 5.6% 4.2% -1.4% * Utah 20.5% 10.6% -9.9% * 8.8% 6.9% -1.9% 4.7% 2.4% -2.3% * Vermont 0.6% ^ 1.2% ^ 0.6% 3.4% ^ 1.8% ^ -1.6% 4.3% ^ 0.6% ^ -3.7% * Virginia 10.7% 10.6% -0.1% 7.0% 5.9% -1.1% 3.1% 2.2% -0.8% Washington 9.6% 4.8% -4.7% * 8.1% 2.0% -6.1% * 2.9% 1.4% -1.5% * West Virginia 7.0% 2.0% -5.0% * 4.6% 1.8% -2.7% * 2.2% 1.7% ^ -0.5% Wisconsin 9.7% 9.0% -0.7% 3.5% 2.4% -1.1% 2.0% 1.4% -0.6% Wyoming 6.0% ^ 6.5% ^ 0.5% 7.3% 11.4% 4.1% 4.2% ^ 3.9% ^ -0.3% United States 12.3% 7.9% -4.3% * 7.5% 4.5% -3.0% * 3.5% 2.2% -1.3% * Notes: Significant difference between periods is indicated by * (95% confidence level). 1 Highest educational attainment among adults aged 25 and older in the household. Estimates reflect the primary source of coverage. Estimates with relative standard errors greater than 30% are indicated by ^. Source: 2013 & 2016 American Community Surveys as analyzed by SHADAC. STATE HEALTH ACCESS DATA ASSISTANCE CENTER 12