New York
SHAP Grantee Chartbook
Health Insurance Coverage Estimates
from the 2008 American Community Survey (ACS)
Prepared for:
State Health Access Program (SHAP)
Last Updated: June 15, 2010
New York 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).
2221 University Ave SE, Suite 345
Minneapolis, MN 55414
Ph. 612-624-4802
Fax. 612-624-1493
Email.
[email protected]
www.shadac.org/shap
5600 Fishers Lane
Rockville, MD 20857
HRSA Contact Person
Michelle Herzog
Ph. 301-443-0650
Email.
[email protected]
New York SHAP Grantee Organization:
New York State Department of Health
Project Director
Judith Arnold
Ph. 518-474-0180
Email.
[email protected]
June 15, 2010
www.shadac.org
i
New York 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 ....................................................... 9
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18,
ACS 2008 ................................................................................................................................................ 10
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008 .................................. 11
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage, Age 0-18,
<200% FPL, ACS ...................................................................................................................................... 12
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level
(FPL), ACS 2008 ...................................................................................................................................... 13
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008 ................................................... 15
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64,
ACS 2008 ................................................................................................................................................ 16
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008 ................................ 17
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage, Age 19-64,
<200% FPL, ACS ...................................................................................................................................... 18
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level
(FPL), ACS 2008 ...................................................................................................................................... 19
Appendix A. Technical Assistance Available from SHADAC ....................................................................... 21
Appendix B. Data Source............................................................................................................................ 22
Appendix C. County Groupings in Sub-state Areas .................................................................................... 23
Appendix D. New York Map of Major Cities............................................................................................... 28
Appendix E. New York Map of County Boundaries .................................................................................... 29
June 15, 2010
www.shadac.org
ii
New York 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 New York is shown in Exhibit 1. In 2008, 86.7% of the total
population age 0-64 had health insurance coverage. Over two thirds (70.2%) had private coverage,
while 19.4% reported having government coverage. This is in contrast to individuals under 200% of the
Federal Poverty Level (FPL), of which only 77.7% had insurance, with 34.9% having private coverage, and
47.3% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
86.7%
77.7%
70.2%
47.3%
34.9%
22.3%
19.4%
13.3%
Uninsured
Insured
Total
Private Coverage
Government
Coverage
< 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.
June 15, 2010
www.shadac.org
1
New York 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.
June 15, 2010
www.shadac.org
2
June 15, 2010
www.shadac.org
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. In some of
these cases the aggregations do not exactly match county boundaries; this typically occurs in metro
areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 (13.3%).
Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008
New York SHAP Grantee Chartbook
3
New York SHAP Grantee Chartbook
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Population
(000)
%
SE
%
SE
Private
Coverage
%
SE
Uninsured
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
2,959
24.2
0.53
75.8
0.53
46.7
0.64
32.3
0.56
White Alone
9,681
8.8
0.16
91.2
0.16
81.6
0.24
12.3
0.20
Black Alone
2,506
15.5
0.42
84.5
0.42
58.7
0.64
29.2
0.60
Asian Alone
1,210
17.4
0.67
82.6
0.67
61.4
0.93
23.5
0.81
368
15.3
1.07
84.7
1.07
63.6
1.47
23.8
1.24
16,724
13.3
0.16
86.7
0.16
70.2
0.23
19.4
0.19
Multiple/other
non-Hispanic
Total
Age
0-18
4,709
6.3
0.20
93.7
0.20
66.6
0.42
30.0
0.41
19-24
1,677
24.6
0.51
75.4
0.51
61.1
0.57
16.4
0.42
25-44
5,241
19.2
0.29
80.8
0.29
68.8
0.33
13.8
0.22
45-64
5,097
10.1
0.20
89.9
0.20
77.8
0.26
16.4
0.21
Total
16,724
13.3
0.16
86.7
0.16
70.2
0.23
19.4
0.19
0-99% FPL
2,282
20.8
0.51
79.2
0.51
24.8
0.60
59.2
0.67
100-199% FPL
2,467
23.8
0.51
76.2
0.51
44.2
0.67
36.3
0.61
200-399% FPL
4,635
15.4
0.32
84.6
0.32
73.5
0.42
13.8
0.30
4 0 0 % + FP L
7,075
6.1
0.16
93.9
0.16
91.4
0.20
4.4
0.12
16,459
13.4
0.16
86.6
0.16
70.0
0.24
19.4
0.20
Male
8,248
15.5
0.21
84.5
0.21
69.2
0.27
18.3
0.22
Female
8,476
11.2
0.17
88.8
0.17
71.1
0.26
20.5
0.24
16,724
13.3
0.16
86.7
0.16
70.2
0.23
19.4
0.19
Not working
2,520
17.5
0.36
82.5
0.36
50.1
0.45
39.4
0.44
Part-time
1,992
18.6
0.38
81.4
0.38
66.3
0.45
17.9
0.36
7,822
14.8
0.22
85.2
0.22
79.8
0.24
7.0
0.13
12,334
16.0
0.19
84.0
0.19
71.5
0.22
15.4
0.16
P o ve r t y L e ve l
Total
Se x
Total
Work Status
Full-time
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
4
June 15, 2010
www.shadac.org
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. In
some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 under 200%
FPL (22.3%).
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
New York SHAP Grantee Chartbook
5
New York SHAP Grantee Chartbook
Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-64, <200% FPL, ACS 2008
Population
(000)
%
SE
%
SE
Private
Coverage
%
SE
Uninsured
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
1,411
27.6
0.74
72.4
0.74
25.0
0.81
52.1
0.87
White Alone
1,859
19.2
0.51
80.8
0.51
45.5
0.73
39.8
0.72
Black Alone
977
19.5
0.75
80.5
0.75
31.0
1.01
54.1
1.07
Asian Alone
374
25.1
1.35
74.9
1.35
30.8
1.59
48.1
1.68
128
22.7
2.27
77.3
2.27
32.3
2.37
49.2
2.64
4,749
22.3
0.36
77.7
0.36
34.9
0.46
47.3
0.47
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
19-24
574
32.7
0.97
67.3
0.97
38.2
1.08
32.1
0.95
25-44
1389
34.1
0.65
65.9
0.65
32.4
0.60
36.7
0.62
45-64
1059
22.5
0.58
77.5
0.58
37.2
0.64
46.6
0.66
Total
4,749
22.3
0.36
77.7
0.36
34.9
0.46
47.3
0.47
0-99% FPL
2,282
20.8
0.51
79.2
0.51
24.8
0.60
59.2
0.67
100-199% FPL
2,467
23.8
0.51
76.2
0.51
44.2
0.67
36.3
0.61
200-399% FPL
--
--
--
--
--
--
--
--
--
4 0 0 % + FP L
--
--
--
--
--
--
--
--
--
4,749
22.3
0.36
77.7
0.36
34.9
0.46
47.3
0.47
Male
2,231
25.8
0.49
74.2
0.49
33.4
0.55
45.2
0.57
Female
2,519
19.3
0.39
80.7
0.39
36.2
0.53
49.2
0.54
Total
4,749
22.3
0.36
77.7
0.36
34.9
0.46
47.3
0.47
1,249
22.6
0.57
77.4
0.57
26.8
0.59
56.5
0.67
Part-time
660
29.2
0.79
70.8
0.79
38.3
0.85
36.5
0.83
Full-time
1,202
36.8
0.68
63.2
0.68
42.4
0.66
23.5
0.55
Total
3,111
29.5
0.44
70.5
0.44
35.3
0.44
39.5
0.45
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
Total
Se x
Work Status
Not working
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
6
New York SHAP Grantee Chartbook
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
0.9
18.6
3.0
County
Albany
8.5 *
Allegany, Cattaraugus
11.5
1.3
21.1
2.8
Bronx
19.4 *
0.7
21.5
1.0
Broome (part)
12.9
1.5
22.3
2.9
1.4
11.8 *
2.3
Broome (part), Tioga
7.9 *
Cayuga, Onondaga (part)
12.0
1.5
20.4
3.7
Chautauqua
12.4
1.4
16.6 *
2.7
Chemung, Schuyler
14.4
2.6
26.7
6.8
Chenango, Cortland
12.9
1.7
17.5
3.4
1.0
16.4 *
2.5
C l i n t o n , E s s e x , F r a n k l i n , H a m i lt o n
9.7 *
Columbia, Greene
15.9
2.3
34.9 *
6.0
D e l a w a r e , O t s e g o , Sc h o h a r i e
13.0
1.5
21.9
3.6
Dutchess
11.3
1.2
32.4 *
3.8
8.3 *
0.5
16.0 *
1.4
Fulton, Montgomery
10.1 *
1.4
16.1 *
2.8
Genesee, Orleans
11.7
1.6
21.2
3.7
Herkimer, Oneida (part)
12.2
1.4
22.9
3.4
Jefferson, Lewis
10.5 *
1.2
17.6
2.8
Kings
15.1 *
0.5
18.8 *
0.8
9.3 *
1.4
18.6
3.9
2.0
27.6
5.4
Erie
L i vi n g s t o n , W y o m i n g
Madison, Onondaga (part)
13.0
Monroe
7.0 *
0.5
14.5 *
1.3
Nassau
9.9 *
0.6
30.3 *
2.6
New York
12.7
0.6
22.3
1.4
Niagara
12.9
1.4
21.3
3.3
Oneida (part)
13.3
1.8
20.4
3.8
Onondaga (part)
15.9
1.9
19.9
2.9
1.3
22.8
6.6
1.6
33.4 *
5.0
1.9
26.0
6.6
Onondaga (part)
7.6 *
Onondaga (part)
11.4
Ontario
9.4 *
Orange
11.9
1.2
23.0
3.0
Oswego
10.6 *
1.3
18.2
2.6
Putnam
11.1
2.7
29.1
13.9
Queens
19.5 *
0.5
28.0 *
1.1
Rensselaer
10.0 *
1.5
18.4
3.6
June 15, 2010
www.shadac.org
7
New York SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates,
Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
County
Richmond
10.5 *
1.0
24.4
3.1
Rockland
11.4
1.3
18.0
3.6
Sa r a t o g a
1.4
25.3
5.3
Schenectady
11.4
9.6 *
1.5
24.4
4.6
Se n e c a , T o m p k i n s
10.3 *
1.3
18.6
3.4
St . L a w r e n c e
15.6
1.9
28.0
4.5
St e u b e n , Y a t e s
14.6
1.7
24.7
3.9
Su f f o l k
11.5 *
0.6
25.2
2.2
Su l l i v a n , U l s t e r ( p a r t )
17.7 *
2.2
26.8
4.7
Ulster (part)
13.7
1.7
24.0
4.3
Warren, Washington
17.3
2.4
33.3 *
5.3
Wayne
10.3
1.7
21.0
4.6
Westchester
13.3
0.8
31.5 *
2.3
Definitions: % = Percent; SE = Standard Error
* Statistically different from the state uninsurance estimate for population group (Age 0-64, 13.3%; Age
0-64 <200% FPL, 22.3%).
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. In some of these cases the
aggregations do not exactly match county boundaries; this typically occurs in metro areas and affects a
very small geographic area.
June 15, 2010
www.shadac.org
8
June 15, 2010
www.shadac.org
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. In
some of these cases the aggregations do not exactly match county boundaries; this typically
occurs in metro areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 (6.3%).
Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008
New York SHAP Grantee Chartbook
9
New York SHAP Grantee Chartbook
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
979
9.2
0.54
90.8
0.54
45.0
0.97
50.6
0.97
2,492
4.4
0.22
95.6
0.22
80.3
0.50
17.1
0.48
Black Alone
785
7.6
0.52
92.4
0.52
53.7
1.11
42.2
1.10
Asian Alone
300
8.4
0.92
91.6
0.92
57.6
1.60
37.3
1.60
153
7.1
1.13
92.9
1.13
65.5
2.10
30.4
2.03
4,709
6.3
0.20
93.7
0.20
66.6
0.42
30.0
0.41
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
4,709
6.3
0.20
93.7
0.20
66.6
0.42
30.0
0.41
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
4,709
6.3
0.20
93.7
0.20
66.6
0.42
30.0
0.41
866
9.1
0.59
90.9
0.59
21.5
0.90
74.6
0.97
100-199% FPL
862
9.6
0.57
90.4
0.57
47.3
1.06
47.8
1.06
200-399% FPL
1,354
6.1
0.35
93.9
0.35
77.2
0.68
19.0
0.64
4 0 0 % + FP L
1,519
2.7
0.24
97.3
0.24
94.2
0.34
4.1
0.26
Total
4,601
6.2
0.20
93.8
0.20
66.7
0.42
29.9
0.41
Male
2,401
6.3
0.25
93.7
0.25
66.3
0.50
30.2
0.49
Female
2,308
6.2
0.25
93.8
0.25
66.9
0.50
29.8
0.49
Total
4,709
6.3
0.20
93.7
0.20
66.6
0.42
30.0
0.41
Not working
137
12.4
1.26
87.6
1.26
62.0
1.81
28.5
1.66
Part-time
144
10.8
1.04
89.2
1.04
79.0
1.35
11.8
1.06
39
14.5
2.57
85.5
2.57
72.2
3.06
15.8
2.35
319
11.9
0.78
88.1
0.78
70.9
1.07
19.5
0.92
P o ve r t y L e ve l
0-99% FPL
Se x
Work Status
Full-time
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
10
June 15, 2010
www.shadac.org
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. In some of these cases the aggregations do not exactly match county
boundaries; this typically occurs in metro areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 under
200% FPL (9.3%).
^ Data are suppressed for sub-state areas with fewer than 50 observations.
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
New York SHAP Grantee Chartbook
11
New York SHAP Grantee Chartbook
Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,
Age 0-18, <200% FPL, ACS 2008
Population
(000)
SE
%
SE
Private
Coverage
%
SE
Uninsured
%
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
561
9.6
0.74
90.4
0.74
26.6
1.21
70.2
1.22
White Alone
599
8.8
0.67
91.2
0.67
44.7
1.28
50.3
1.30
Black Alone
392
9.0
0.84
91.0
0.84
31.7
1.56
63.6
1.60
A s i a n A lo n e
118
11.2
1.68
88.8
1.68
27.5
2.37
66.7
2.56
58
10.3
2.45
89.7
2.45
34.8
3.57
59.9
3.76
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
19-24
--
--
--
--
--
--
--
--
--
25-44
--
--
--
--
--
--
--
--
--
45-64
--
--
--
--
--
--
--
--
--
Total
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
0-99% FPL
866
9.1
0.59
90.9
0.59
21.5
0.90
74.6
0.97
100-199% FPL
862
9.6
0.57
90.4
0.57
47.3
1.06
47.8
1.06
200-399% FPL
--
--
--
--
--
--
--
--
--
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
4 0 0 % + FP L
--
--
--
--
--
--
--
--
--
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
Male
881
9.5
0.52
90.5
0.52
33.2
0.86
62.1
0.89
Female
847
9.2
0.49
90.8
0.49
35.6
0.88
60.3
0.89
1,728
9.3
0.41
90.7
0.41
34.4
0.73
61.2
0.75
Not working
52
17.3
2.23
82.7
2.23
35.1
2.87
51.6
2.98
Part-time
29
21.0
3.06
79.0
3.06
45.5
3.82
36.9
3.58
Full-time
9
23.6
6.47
76.4
6.47
41.5
7.56
43.3
7.25
89
19.1
1.76
80.9
1.76
39.1
2.22
46.1
2.23
Total
Se x
Total
Work Status
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
12
New York SHAP Grantee Chartbook
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
County
Albany
5.1
1.4
15.1
4.7
Allegany, Cattaraugus
8.7
1.9
14.8
3.7
Bronx
8.0 *
0.7
8.6
0.9
Broome (part)
6.3
1.8
9.1
3.3
Broome (part), Tioga
1.9 *
0.8
2.5 *
1.4
Cayuga, Onondaga (part)
5.8
2.0
10.4
4.9
Chautauqua
8.1
2.1
11.5
3.6
Chemung, Schuyler
11.9
5.5
22.7
11.5
Chenango, Cortland
7.1
2.0
9.6
4.0
C l i n t o n , E s s e x , F r a n k l i n , H a m i lt o n
4.9
1.2
5.9
2.2
14.9 *
4.1
27.8
9.7
D e l a w a r e , O t s e g o , Sc h o h a r i e
9.5
2.9
13.3
5.1
Dutchess
7.5
2.0
18.6
6.6
Erie
3.3 *
0.6
6.6
1.4
Fulton, Montgomery
5.1
1.9
6.2
3.5
Genesee, Orleans
7.0
2.1
7.4
3.2
Herkimer, Oneida (part)
8.5
2.0
13.3
4.5
Jefferson, Lewis
4.7
1.2
8.1
2.6
Kings
5.2 *
0.4
5.2 *
0.6
L i vi n g s t o n , W y o m i n g
5.9
2.5
10.2
6.2
Madison, Onondaga (part)
9.7
3.0
19.9
7.9
Monroe
3.9 *
0.6
5.9 *
1.3
Nassau
5.2
0.8
17.2 *
3.7
New York
6.3
1.0
8.5
1.9
Niagara
6.3
2.1
11.4
4.7
Oneida (part)
7.1
3.1
9.4
5.6
Onondaga (part)
8.1
2.6
10.7
4.4
Onondaga (part)
3.7
1.6
--
--
Onondaga (part)
7.1
2.2
17.8
7.1
Ontario
8.2
3.1
20.8
9.0
Orange
4.2
1.2
7.3
2.6
Oswego
5.3
1.9
6.4
2.8
Putnam
8.9
4.9
--
--
Queens
6.9
0.6
7.9
1.1
Rensselaer
8.8
2.8
11.8
6.9
Columbia, Greene
June 15, 2010
www.shadac.org
13
New York SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates,
Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
County
Richmond
4.7
1.1
8.4
3.0
Rockland
7.4
1.6
9.0
3.5
Sa r a t o g a
3.5 *
1.1
6.2
2.6
Schenectady
8.0
2.2
19.9
5.8
Se n e c a , T o m p k i n s
5.4
1.8
14.2
5.6
St . L a w r e n c e
14.1
4.2
25.6
8.5
St e u b e n , Y a t e s
12.8 *
3.3
22.7 *
6.7
6.2
0.8
11.7
2.6
11.7
3.2
18.7
6.8
Su f f o l k
Su l l i v a n , U l s t e r ( p a r t )
Ulster (part)
9.2
2.7
14.8
8.5
11.1
2.9
14.1
5.0
Wayne
6.5
2.1
13.5
5.0
Westchester
6.6
1.0
15.1 *
2.9
Warren, Washington
Definitions: % = Percent; SE = Standard Error
* Statistically different from the state uninsurance estimate for population group (Age 0-18, 6.3%; Age 018 <200% FPL, 9.3%).
-- 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. In some of these cases the
aggregations do not exactly match county boundaries; this typically occurs in metro areas and affects a
very small geographic area.
June 15, 2010
www.shadac.org
14
June 15, 2010
www.shadac.org
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. In some of
these cases the aggregations do not exactly match county boundaries; this typically occurs in metro
areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 (16.1%).
Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008
New York SHAP Grantee Chartbook
15
New York SHAP Grantee Chartbook
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Population
(000)
%
SE
%
SE
Private
Coverage
%
SE
Uninsured
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
1,980
31.7
0.65
68.3
0.65
47.5
0.65
23.2
0.50
White Alone
7,189
10.4
0.18
89.6
0.18
82.1
0.22
10.6
0.16
Black Alone
1,721
19.1
0.49
80.9
0.49
61.0
0.60
23.3
0.52
Asian Alone
910
20.4
0.75
79.6
0.75
62.6
0.89
19.0
0.71
215
21.2
1.39
78.8
1.39
62.2
1.62
19.1
1.21
12,015
16.1
0.19
83.9
0.19
71.6
0.22
15.3
0.16
--
--
--
--
--
--
--
--
--
19-24
1,677
24.6
0.51
75.4
0.51
61.1
0.57
16.4
0.42
25-44
5,241
19.2
0.29
80.8
0.29
68.8
0.33
13.8
0.22
45-64
5,097
10.1
0.20
89.9
0.20
77.8
0.26
16.4
0.21
Total
12,015
16.1
0.19
83.9
0.19
71.6
0.22
15.3
0.16
0-99% FPL
1,416
27.9
0.62
72.1
0.62
26.9
0.61
49.8
0.67
100-199% FPL
1,605
31.4
0.62
68.6
0.62
42.5
0.63
30.0
0.57
200-399% FPL
3,281
19.3
0.38
80.7
0.38
72.0
0.42
11.6
0.27
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
4 0 0 % + FP L
5,556
7.1
0.18
92.9
0.18
90.6
0.21
4.5
0.12
11,858
16.2
0.19
83.8
0.19
71.3
0.22
15.3
0.16
Male
5,847
19.3
0.26
80.7
0.26
70.4
0.29
13.4
0.19
Female
6,167
13.0
0.20
87.0
0.20
72.6
0.25
17.0
0.21
12,015
16.1
0.19
83.9
0.19
71.6
0.22
15.3
0.16
Not working
2,383
17.8
0.37
82.2
0.37
49.4
0.45
40.0
0.44
Part-time
1,849
19.3
0.40
80.7
0.40
65.3
0.47
18.4
0.38
Full-time
7,784
14.8
0.22
85.2
0.22
79.8
0.24
6.9
0.13
12,015
16.1
0.19
83.9
0.19
71.6
0.22
15.3
0.16
Total
Se x
Total
Work Status
Total
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
16
June 15, 2010
www.shadac.org
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. In some of these cases the aggregations do not exactly match county boundaries;
this typically occurs in metro areas and affects a very small geographic area.
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 under
200% FPL (29.8%).
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
New York SHAP Grantee Chartbook
17
New York SHAP Grantee Chartbook
Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,
Age 19-64, <200% FPL, ACS 2008
Population
(000)
%
SE
%
SE
Private
Coverage
%
SE
Uninsured
Insured
Government
Coverage
%
SE
Race and Ethnicity
Hispanic
850
39.5
0.94
60.5
0.94
23.9
0.77
40.1
0.89
1,261
24.1
0.58
75.9
0.58
45.8
0.68
34.8
0.62
Black Alone
585
26.6
0.92
73.4
0.92
30.5
0.94
47.8
1.05
Asian Alone
256
31.5
1.56
68.5
1.56
32.2
1.61
39.5
1.63
70
32.9
2.84
67.1
2.84
30.1
2.40
40.4
2.81
3,021
29.8
0.44
70.2
0.44
35.2
0.44
39.3
0.45
--
--
--
--
--
--
--
--
--
19-24
574
32.7
0.97
67.3
0.97
38.2
1.08
32.1
0.95
25-44
1389
34.1
0.65
65.9
0.65
32.4
0.60
36.7
0.62
45-64
1059
22.5
0.58
77.5
0.58
37.2
0.64
46.6
0.66
Total
3,021
29.8
0.44
70.2
0.44
35.2
0.44
39.3
0.45
0-99% FPL
1,416
27.9
0.62
72.1
0.62
26.9
0.61
49.8
0.67
100-199% FPL
1,605
31.4
0.62
68.6
0.62
42.5
0.63
30.0
0.57
200-399% FPL
--
--
--
--
--
--
--
--
--
White Alone
Multiple/other
non-Hispanic
Total
Age
0-18
P o ve r t y L e ve l
4 0 0 % + FP L
--
--
--
--
--
--
--
--
--
3,021
29.8
0.44
70.2
0.44
35.2
0.44
39.3
0.45
Male
1,350
36.4
0.64
63.6
0.64
33.5
0.60
34.1
0.60
Female
1,672
24.4
0.48
75.6
0.48
36.5
0.52
43.5
0.54
Total
3,021
29.8
0.44
70.2
0.44
35.2
0.44
39.3
0.45
Total
Se x
Work Status
Not working
1,197
22.8
0.58
77.2
0.58
26.4
0.59
56.7
0.68
Part-time
632
29.5
0.81
70.5
0.81
38.0
0.86
36.5
0.84
Full-time
1,193
36.9
0.68
63.1
0.68
42.4
0.66
23.4
0.55
Total
3,021
29.8
0.44
70.2
0.44
35.2
0.44
39.3
0.45
Definitions: % = Percent; SE = Standard Error
Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.
June 15, 2010
www.shadac.org
18
New York SHAP Grantee Chartbook
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
County
Albany
9.8 *
1.0
20.1 *
3.1
Allegany, Cattaraugus
12.6 *
1.4
24.6
3.3
Bronx
25.0 *
0.9
30.8
1.3
Broome (part)
15.2
1.8
29.0
3.9
Broome (part), Tioga
10.5 *
1.8
17.7 *
3.1
Cayuga, Onondaga (part)
14.3
1.7
26.7
3.9
Chautauqua
14.0
1.5
18.9 *
3.0
Chemung, Schuyler
15.4
2.1
29.4
5.6
Chenango, Cortland
15.1
2.0
21.1 *
3.7
C l i n t o n , E s s e x , F r a n k l i n , H a m i lt o n
11.4 *
1.2
21.2 *
3.1
Columbia, Greene
16.2
2.3
38.1
6.1
D e l a w a r e , O t s e g o , Sc h o h a r i e
14.2
1.5
25.6
3.8
Dutchess
12.8 *
1.3
39.6 *
4.1
Erie
10.2 *
0.6
21.3 *
1.7
Fulton, Montgomery
12.0 *
1.7
23.1
3.7
Genesee, Orleans
13.5
1.7
28.1
4.3
Herkimer, Oneida (part)
13.5
1.5
28.4
3.7
Jefferson, Lewis
13.2
1.5
23.7
3.6
Kings
19.4 *
0.6
27.8
1.0
L i vi n g s t o n , W y o m i n g
10.6 *
1.4
22.4
4.2
Madison, Onondaga (part)
14.4
2.1
31.8
5.4
Monroe
8.2 *
0.6
19.6 *
1.6
Nassau
11.8 *
0.7
38.2 *
2.7
New York
14.4 *
0.6
27.3
1.5
Niagara
15.3
1.7
26.8
3.7
Oneida (part)
15.8
1.8
27.2
4.0
Onondaga (part)
18.7
2.1
24.1
3.2
1.6
26.6
6.9
1.7
41.5 *
5.6
2.0
28.5
7.4
Onondaga (part)
9.3 *
Onondaga (part)
13.1
Ontario
9.8 *
Orange
15.5
1.5
34.6
3.9
Oswego
12.4 *
1.6
22.5 *
3.3
Putnam
11.9
2.4
24.7
Queens
24.0 *
0.6
38.5 *
1.4
Rensselaer
10.4 *
1.4
21.3 *
3.7
June 15, 2010
www.shadac.org
10.7
19
New York SHAP Grantee Chartbook
Continued: Sub-State Uninsurance Estimates,
Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
Levels
%
SE
<200% FPL
%
SE
County
Richmond
12.9 *
1.2
34.2
3.8
Rockland
13.3
1.5
26.2
4.6
Sa r a t o g a
11.7 *
1.8
33.9
6.8
Schenectady
12.7 *
1.6
27.5
5.1
Se n e c a , T o m p k i n s
11.9 *
1.5
20.0 *
3.6
St . L a w r e n c e
16.2
1.8
29.3
4.5
St e u b e n , Y a t e s
15.3
1.5
25.9
3.5
Su f f o l k
13.7 *
0.7
33.1
2.7
Su l l i v a n , U l s t e r ( p a r t )
20.0
2.4
30.6
4.8
Ulster (part)
15.3
1.8
28.0
4.5
Warren, Washington
19.4
2.7
42.1 *
6.2
Wayne
11.8 *
1.8
25.9
5.2
Westchester
16.2
0.9
41.3 *
2.7
Definitions: % = Percent; SE = Standard Error
* Statistically different from the state uninsurance estimate for population group (Age 19-64, 16.1%;
Age 19-64 <200% FPL, 29.8%).
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. In some of these cases the
aggregations do not exactly match county boundaries; this typically occurs in metro areas and affects a
very small geographic area.
June 15, 2010
www.shadac.org
20
New York 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
[email protected].
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 subpopulations, 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
June 15, 2010
www.shadac.org
21
New York 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-andresources.
June 15, 2010
www.shadac.org
22
New York SHAP Grantee Chartbook
Appendix C. County Groupings in Sub-state Areas
Sub-State Area^
00100
00200
00300
00401
00402
00500
00600
00700
00801
00802
00803
00804
00901
00902
01001
01002
01004
01005
01003
01100
01200
01300
01401
01402
01601
01602
June 15, 2010
Counties
St. Lawrence
Clinton
Essex
Franklin
Hamilton
Warren
Washington
Herkimer
Oneida (part)
Oneida (part)
Jefferson
Lewis
Oswego
Onondaga (part)
Madison
Onondaga (part)
Onondaga (part)
Onondaga (part)
Cayuga
Onondaga (part)
Monroe
Wayne
Ontario
Livingston
Wyoming
Genesee
Orleans
Erie
www.shadac.org
23
New York SHAP Grantee Chartbook
Sub-State Area^
01603
01604
01605
01501
01502
01700
01800
01900
02000
02100
02201
02202
02300
02401
02402
02500
02601
02602
02700
02800
02900
03000
03101
03102
03201
03202
03301
03302
June 15, 2010
Counties
Erie (cont.)
Niagara
Seneca
Tompkins
Chenango
Cortland
Delaware
Otsego
Schoharie
Fulton
Montgomery
Schenectady
Saratoga
Rensselaer
Albany
Columbia
Greene
Broome (part)
Tioga
Broome (part)
Chemung
Schuyler
Steuben
Yates
Allegany
Cattaraugus
Chautauqua
Sullivan
Ulster (part)
Ulster (part)
Dutchess
Orange
www.shadac.org
24
New York SHAP Grantee Chartbook
Sub-State Area^
03303
03400
03501
03502
03503
03504
03505
03506
03601
03602
03701
03702
03703
03704
03705
03706
03707
03708
03709
03710
03801
03802
03803
03804
03805
03806
03807
03808
03809
03810
03901
03902
03903
04001
04002
04003
04004
04005
04006
June 15, 2010
Counties
Orange (cont.)
Westchester
Putnam
Rockland
Bronx
New York
Richmond
Kings
www.shadac.org
25
New York SHAP Grantee Chartbook
Sub-State Area^
04007
04008
04009
04010
04011
04012
04013
04014
04015
04016
04017
04018
04101
04102
04103
04104
04105
04106
04107
04108
04109
04110
04111
04112
04113
04114
04201
04202
04203
04204
04205
04206
04207
04208
04209
04210
04211
04212
04301
June 15, 2010
Counties
Kings (cont.)
Queens
Nassau
Suffolk
www.shadac.org
26
New York SHAP Grantee Chartbook
Sub-State Area^
04302
04303
04304
04305
04306
04307
04308
04309
04310
04311
04312
Counties
Suffolk (cont.)
^ 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.
June 15, 2010
www.shadac.org
27
June 15, 2010
Source: U.S. Census Bureau.
Appendix D. New York Map of Major Cities
New York SHAP Grantee Chartbook
www.shadac.org
28
June 15, 2010
Source: U.S. Census Bureau.
Appendix E. New York Map of County Boundaries
New York SHAP Grantee Chartbook
www.shadac.org
29