fact sheet UNINSURED ADULTS Mississippi County-Level Data UPDATE PUBLISHED NOVEMBER 2020 This fact sheet provides the number and percentage of adults ages 18 - 64 without health insurance at the county level in Mississippi. Under the Affordable Care Act, adults from households with incomes of 400 percent of the federal poverty level (FPL) or less qualify for federal support (subsidies) to buy health insurance through a Health Insurance Exchange. Adults with household incomes of 138 percent or less of FPL would qualify for Medicaid coverage if the state chose to expand. All data is from the 2018 Small Area Health Insurance Estimates (SAHIE) by the United States Census Bureau. UNINSURANCE RATE UNINSURANCE RATE ADULTS AT OR BELOW 138% FPL (2015) ADULTS AT OR BELOW 138% FPL (2018) POVERTY IN REAL TERMS YEARLY INCOME % *FEDERAL SINGLE FAMILY POVERTY LEVEL PERSON OF FOUR 138% $16,753 $ 34,638 400% $48,560 $ 100,400 MISSISSIPPI’S DROP IN 24.0% - 28.9% 29.0% - 33.9% 34.0% - 38.9% 39.0% - 44.9% NUMBER OF UNINSURED ADULTS SINCE 2013 UNINSURANCE RATE UNINSURANCE RATE ADULTS AT OR BELOW 400% FPL (2015) ADULTS AT OR BELOW 400% FPL (2018) 406,960 284,546 286,506 ( 30%) 224,871 148,064 ( 34%) 2013 2014 2015 2016 2017 2018 138% FPL 400% FPL 18.0% - 20.9% 21.0% - 23.9% 24.0% - 26.9% 27.0% - 29.9% 30.0% + Source: Small Area Health Insurance Estimates (SAHIE). (2015 & 2018). U.S. Census Bureau. 1 of 4 Center for Mississippi Health Policy � Fact Sheet: UNINSURED ADULTS—Mississippi County-Level Data � NOVEMBER 2020 Uninsured Adults At or Below 138% of the Federal Poverty Level by County Number (Rate%) % Change in Number (Rate%) % Change in Number (Rate%) % Change in of Uninsured Number of Uninsured Number of Uninsured Number COUNTY 2018 2015-2018 COUNTY 2018 2015-2018 COUNTY 2018 2015-2018 ADAMS 1,812(32.5%) -3.3% LAFAYETTE 2,829(32.8%) -5.2% TISHOMINGO 1,079(35.4%) -8.4% ALCORN 2,115(34.3%) -1.2% LAMAR 2,687(32.8%) -6.7% TUNICA 621(24.4%) -8.3% AMITE 616(34.7%) -23.5% LAUDERDALE 3,179(28.6%) -16.6% UNION 1,505(37.8%) -21.0% ATTALA 950(31.1%) -18.7% LAWRENCE 602(33.8%) -7.4% WALTHALL 939(35.0%) -9.3% BENTON 475(32.5%) -12.4% LEAKE 1,433(39.0%) -16.3% WARREN 2,178(29.6%) -7.2% BOLIVAR 2,166(30.8%) 3.4% LEE 3,769(33.4%) -9.1% WASHINGTON 2,814(28.6%) -23.6% CALHOUN 955(37.1%) -11.3% LEFLORE 1,749(26.2%) -27.7% WAYNE 1,184(36.0%) -12.8% CARROLL 441(35.5%) -24.7% LINCOLN 1,730(35.2%) -19.1% WEBSTER 532(32.3%) -5.2% CHICKASAW 1,030(36.2%) -18.8% LOWNDES 2,937(32.5%) -11.4% WILKINSON 544(33.0%) 19.3% CHOCTAW 392(30.2%) -8.8% MADISON 2,856(35.6%) -19.3% WINSTON 973(33.6%) -19.9% CLAIBORNE 544(28.6%) -6.0% MARION 1,498(35.8%) -14.1% YALOBUSHA 631(29.1%) -10.2% CLARKE 789(35.0%) -11.8% MARSHALL 1,576(30.6%) -21.4% YAZOO 1,369(28.1%) -7.1% CLAY 1,052(30.4%) -17.3% MONROE 1,735(35.3%) -15.1% TOTAL UNINSURED 148,064 COAHOMA 1,402(26.5%) -13.2% MONTGOMERY 494(30.6%) -18.5% CHANGE IN NUMBER OF UNINSURED COPIAH 1,616(33.6%) -5.0% NESHOBA 1,785(36.8%) -6.6% ADULTS FROM 2015 TO 2018 (138% FPL) COVINGTON 1,103(35.0%) -17.7% NEWTON 1,157(35.5%) -6.2% DESOTO 5,935(37.2%) 7.0% NOXUBEE 729(32.5%) -25.8% FORREST 4,557(31.8%) -7.5% OKTIBBEHA 3,470(29.2%) -8.2% FRANKLIN 389(35.1%) -2.5% PANOLA 1,928(31.6%) -10.9% GEORGE 1,099(37.5%) -5.5% PEARL RIVER 2,563 (34.7%) -16.9% GREENE 492(35.4%) -16.5% PERRY 734(35.9%) -10.8% GRENADA 1,062(30.0%) -11.2% PIKE 2,568(32.0%) 7.1% HANCOCK 2,355(35.9%) -17.8% PONTOTOC 1,699(37.3%) 0.1% HARRISON 11,059(36.4%) -7.6% PRENTISS 1,514(34.1%) -5.1% HINDS 10,556(27.9%) -12.2% QUITMAN 532(29.2%) -13.4% HOLMES 1,219(25.6%) -12.0% RANKIN 4,207(32.5%) -10.1% HUMPHREYS 596(27.9%) -17.7% SCOTT 2,286(43.8%) -9.8% ISSAQUENA 72(34.0%) -8.9% SHARKEY 300(32.2%) -8.5% ITAWAMBA 1,144(36.5%) -8.4% SIMPSON 1,668(35.5%) -8.6% JACKSON 6,333(37.9%) -8.9% SMITH 796(38.3%) -9.9% JASPER 854(33.6%) -15.0% STONE 858(36.1%) 4.0% JEFFERSON 531(31.4%) -1.7% SUNFLOWER 1,427(28.2%) -19.7% JEFFERSON DAVIS 895 (38.0%) 1.8% TALLAHATCHIE 693(29.1%) -21.3% -27.0% -16.0% 0.0% 16.0% JONES 3,762(35.9%) -7.7% TATE 1,481(37.8%) -2.2% DECREASE INCREASE KEMPER 604(36.9%) -14.0% TIPPAH 1,254(36.0%) -12.3% 2 of 4 Center for Mississippi Health Policy � Fact Sheet: UNINSURED ADULTS—Mississippi County-Level Data � NOVEMBER 2020 Uninsured Adults At or Below 400% of the Federal Poverty Level by County Number (Rate%) % Change in Number (Rate%) % Change in Number (Rate%) % Change in of Uninsured Number of Uninsured Number of Uninsured Number COUNTY 2018 2015-2018 COUNTY 2018 2015-2018 COUNTY 2018 2015-2018 ADAMS 3,204(24.4%) 0.66% LAFAYETTE 4,967(23.3%) 1.33% TISHOMINGO 2,066(24.4%) -5.40% ALCORN 3,886(24.6%) -1.22% LAMAR 5,287(22.3%) -5.28% TUNICA 925(18.6%) -10.28% AMITE 1,234(24.8%) -19.08% LAUDERDALE 6,227(21.2%) -14.21% UNION 3,039(24.7%) -13.42% ATTALA 1,774(22.4%) -14.59% LAWRENCE 1,174(22.7%) -3.61% WALTHALL 1,666(25.6%) -9.99% BENTON 882(22.3%) -5.26% LEAKE 2,720(28.2%) -13.21% WARREN 4,025(21.1%) -4.78% BOLIVAR 3,411(24.8%) 1.76% LEE 8,099(23.2%) -2.53% WASHINGTON 4,782(23.0%) -18.89% CALHOUN 1,791(26.6%) -5.74% LEFLORE 2,756(21.3%) -23.17% WAYNE 2,248(25.6%) -5.27% CARROLL 904(24.0%) -18.92% LINCOLN 3,394(24.7%) -10.66% WEBSTER 952(22.1%) -6.39% CHICKASAW 1,941(25.9%) -12.96% LOWNDES 5,647(23.1%) -6.40% WILKINSON 878(24.7%) 9.07% CHOCTAW 719(20.7%) -6.01% MADISON 6,490(21.3%) -11.89% WINSTON 1,867(24.6%) -11.77% CLAIBORNE 815(21.2%) -5.23% MARION 2,725(26.3%) -7.78% YALOBUSHA 1,128(20.3%) -6.47% CLARKE 1,551(23.7%) -6.45% MARSHALL 3,182(21.1%) -16.94% YAZOO 2,270(22.3%) -9.35% CLAY 1,907(22.2%) -11.55% MONROE 3,607(24.0%) -8.13% TOTAL UNINSURED 286,506 COAHOMA 2,256(21.4%) -15.44% MONTGOMERY 898(21.5%) -18.44% CHANGE IN NUMBER OF UNINSURED COPIAH 2,945(23.6%) -5.82% NESHOBA 3,415(27.3%) -6.49% ADULTS FROM 2015 TO 2018 (400% FPL) COVINGTON 2,043(24.0%) -11.25% NEWTON 2,270(25.4%) -2.03% DESOTO 14,585(22.7%) 15.17% NOXUBEE 1,297(25.1%) -14.95% FORREST 8,167(24.0%) -3.71% OKTIBBEHA 5,224(22.9%) -8.22% FRANKLIN 712(23.0%) -7.41% PANOLA 3,553(22.7%) -7.47% GEORGE 2,371(25.4%) 1.20% PEARL RIVER 5,303 (23.8%) -11.73% GREENE 1,043(23.2%) -8.83% PERRY 1,358(25.1%) -7.93% GRENADA 1,975(21.6%) -9.78% PIKE 4,338(24.7%) 0.88% HANCOCK 4,841(24.7%) -9.85% PONTOTOC 3,409(24.7%) -2.49% HARRISON 22,480(25.8%) -5.96% PRENTISS 2,703(24.1%) -4.45% HINDS 20,999(20.6%) -5.96% QUITMAN 835(23.2%) -11.73% HOLMES 1,785(21.2%) -11.55% RANKIN 10,226(19.9%) -6.03% HUMPHREYS 896(22.4%) -18.32% SCOTT 3,959(31.1%) -8.25% ISSAQUENA 123(24.6%) -11.51% SHARKEY 496(24.7%) -10.14% ITAWAMBA 2,418(24.8%) 1.68% SIMPSON 2,989(25.6%) -5.56% JACKSON 14,087(24.8%) -2.99% SMITH 1,655(25.7%) 0.30% JASPER 1,551(22.0%) -13.40% STONE 1,758(24.4%) 7.39% JEFFERSON 801(24.2%) -3.03% SUNFLOWER 2,344(22.4%) -16.02% JEFFERSON DAVIS 1,467 (28.1%) 3.60% TALLAHATCHIE 1,178(21.6%) -19.32% -22.5% -11.5% 0% 7.0 % 15.0% JONES 7,107(25.5%) -7.58% TATE 2,957(26.2%) -0.97% DECREASE INCREASE KEMPER 1,081(26.7%) -13.52% TIPPAH 2,468(24.5%) -6.20% 3 of 4 Center for Mississippi Health Policy � Fact Sheet: UNINSURED ADULTS—Mississippi County-Level Data � NOVEMBER 2020 Gains in Coverage Maintained, Some Signs of Local Reversals After key policies in the Affordable Care Act went into effect, uninsurance rates decreased steadily state-wide. Most Mississippi counties have maintained gains MISSISSIPPI’S ADULT UNINSURANCE RATE in health coverage for adults 18-64. However, a few counties have seen recent WAS HIGHER THAN THE NATIONAL RATE IN 2018 upticks in the number of adults with no health coverage even though many are % ADULTS UNINSURED eligible for subsidies to buy private insurance from the federal Health Insurance % *FEDERAL Marketplace. U.S. MS POVERTY LEVEL 138% 23.3% 33.0% Adults with incomes between 100% and 400% of the FPL qualify for federal subsidies. Adults with incomes at or below 138% FPL could enroll in Medicaid if 400% 18.2% 23.4% the state were to expand that program. State-level rates of uninsurance among Mississippi adults with incomes at or below 400% FPL dropped 30% since 2013, but increased slightly in the years 2016 to 2018 (sidebar page 1). Rates of adult uninsurance fell by 34% for lower income adults in households at or below 138% FPL. County-level declines have continued since 2013 for most counties. From 2015 to 2018, seven counties saw an increase in the number of uninsured adults at or below 138% FPL while eleven counties saw an increase in the number of uninsured adults at or below 400% FPL. All Mississippi counties report rates of adult uninsurance higher than the national average for both income groups (see sidebar). For more detail, see our interactive data table here. Plaza Building, Suite 700 120 N. Congress Street Jackson, MS 39201 Phone 601.709.2133 Fax 601.709.2134 www.mshealthpolicy.com @mshealthpolicy *The poverty guidelines are updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 USC 9002(2). 4 of 4 Center for Mississippi Health Policy � Fact Sheet: UNINSURED ADULTS—Mississippi County-Level Data � NOVEMBER 2020