Health Insurance, Access, and Use: California - Tabulations from the 1999 National Survey of America's Families

Health Insurance,Access, and Use:CaliforniaTabulations from the 1999National Survey ofAmerica’s FamiliesSP-02Contact Persons:Jennifer M. Haley (jhaley@ui.urban.org)Matthew Fragale (mfragale@ui.urban.org)December 2001An Urban InstituteProgram to AssessChanging Social PoliciesState Profiles Assessing the New FederalismAssessing the New Federalism is a multiyear Urban Institute project designed toanalyze the devolution of responsibility for social programs from the federal governmentto the states. It focuses primarily on health care, income security, employment andtraining programs, and social services. Researchers monitor program changes andfiscal developments. Alan Weil is the project director. In collaboration with ChildTrends, the project studies changes in family well-being. The project provides timely,nonpartisan information to inform public debate and to help state and localdecisionmakers carry out their new responsibilities more effectively.Key components of the project include a household survey, studies of policies in 13states and a database with information on all 50 states and the District of Columbia.Publications and database are available free of charge on the Urban Institute's Website: http://newfederalism.urban.org/. This paper is one in a series of papers analyzinginformation from these and other sources.The project received funding form The Annie E. Casey Foundation, the W.K. KelloggFoundation, The Robert Wood Johnson Foundation, The Henry J. Kaiser FamilyFoundation, The Ford Foundation, The John D. and Catherine T. MacArthurFoundation, the Charles Stewart Mott Foundation, The David and Lucile PackardFoundation, The McKnight Foundation, The Commonwealth Fund, the StuartFoundation, the Weingart Foundation, The Fund for New Jersey, The Lynde and HarryBradley Foundation, the Joyce Foundation, and The Rockefeller Foundation.The nonpartisan Urban Institute publishes studies, reports, and books on timely topicsworthy of public consideration. The views expressed are those of the authors andshould not be attributed to the Urban Institute, its trustees, its funders, or other authorsin the series.Publisher: The Urban Institute, 2100 M Street, N.W., Washington, D.C. 20037Copyright © 2001.Permission is granted for reproduction of this document, with attribution to the UrbanInstitute. The following set of tabulations presents detailed descriptive information onhealth insurance coverage, access to care, and health care utilization inCalifornia and the nation. These tabulations are based on the 1999 NationalSurvey of America’s Families (NSAF) and are an update of similar tabulationsdeveloped using the 1997 NSAF (the 1997 data are available online athttp://newfederalism.urban.org/pdf/State_profile_CA.pdf)i. Although detailedcomparisons between 1997 and 1999 are not available in these tabulations,Table A presents an overview of changes in the distribution of health insurancecoverage for California and the nation as a whole.Table A. Health Insurance Coverage of Nonelderly Population by Age, California and theU.S., 1997-1999.CaliforniaU.S.1997199919971999All (0-64) Employer-Sponsored61.163.469.770.5* Medicaid/SCHIP/State12.511.1**8.88.5 Other7.36.86.15.9 Uninsured19.118.815.415.1Children (0-17) Employer-Sponsored56.660.1**66.766.6 Medicaid/SCHIP/State24.220.7**17.416.8 Other5.46.04.14.2 Uninsured13.813.211.812.3Adults (18-64) Employer-Sponsored63.164.971.172.2** Medicaid/SCHIP/State7.16.75.14.9 Other8.27.26.96.6 Uninsured21.621.317.016.3Source:Urban Institute tabulations of the National Survey of America’s Families (NSAF), 1997 and 1999.Notes:* Indicates change from 1997 to 1999 is statistically significant at the 0.10 confidence level.** Indicates change from 1997 to 1999 is statistically significant at the 0.05 confidence level.*** Indicates change from 1997 to 1999 is statistically significant at the 0.01 confidence level.The remaining tables presented in this State Profile focus only on 1999. Furtherdetails on changes by state and nationally between 1997 and 1999 are availablein other publications (Kenney, Dubay, and Haley 2000; Zuckerman, Haley, andHolahan 2000).Tables 1 through 10 present the distribution of insurance coverage (Employer-Sponsored, Medicaid/SCHIP/State, Other Coverage, and Uninsuredii) byselected subgroups, including age, family income, gender, race/ethnicity, familystructure, family work status, worker’s firm size, community type, and country oforigin. Table 11 presents characteristics of the uninsured, and Table 12summarizes estimates of uninsurance rates for each of the subgroups shown inTable 11. Tables 13 and 13a describe characteristics of enrollees in Medicaid,SCHIP, or other state insurance programs, overall and separately for poor and near-poor enrollees. Tables 14 through 17a present indicators of access to andutil