Health Care Coverage and Medicaid/CHIP Eligibility for Child Support Eligible Children. Appendix Tables

07/30/2011

Appendix Table 1
Health Insurance coverage of Children (0-18)
  All Children CS Eligible Children
Frequency Percent Frequency Percent
   Medicaid/CHIP 25,927,612 33.0% 13,231,024 50.9%
   ESI within HH 39,932,092 50.8% 7,431,025 28.6%
   Coverage outside HH 1,882,507 2.4% 1,518,440 5.8%
   Other federal 1,039,919 1.3% 296,259 1.1%
   Direct purchase within HH 2,631,991 3.4% 577,615 2.2%
   Uninsured 7,263,082 9.2% 2,927,557 11.3%
Source: Urban Institute analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details provided in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Children who report multiple types of coverage are assigned one type according to the following hierarchy: Medicaid/CHIP, ESI within household, coverage from outside the household, other federal and direct purchase within household.  Private coverage includes ESI, coverage outside the household and direct purchase.  Estimates of the proportion of children that are CS eligible reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

Appendix Table 2
Health Insurance Coverage of Children (0-18),
without Medicaid/CHIP undercount adjustment
  All Children CS Eligible Children
Frequency Percent Frequency Percent
Without dual coverage estimate
   Medicaid/CHIP 23,397,762 29.7% 12,031,766 46.3%
   ESI within HH 40,833,927 51.9% 7,732,196 29.8%
   Coverage outside HH 1,951,329 2.5% 1,532,196 6.1%
   Other federal 1,202,251 1.5% 375,320 1.4%
   Direct purchase within HH 3,215,552 4.1% 941,523 3.6%
   Uninsured 8,076,381 10.3% 3,321,840 12.8%
With dual coverage estimate
   Medicaid/CHIP and private 3,954,117 5.0% 1,592,348 6.1%
   Medicaid/CHIP, no private 19,443,646 24.7% 10,439,418 40.2%
   ESI within HH 40,833,927 51.9% 7,739,196 29.8%
   Coverage outside HH 1,951,329 2.5% 1,579,275 6.1%
   Other federal 1,202,251 1.5% 375,320 1.4%
   Direct purchase within HH 3,215,552 4.1% 941,523 3.6%
   Uninsured 8,076,381 10.3% 3,321,840 12.8%
Source: Urban Institue analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details provided in text.  Estimates of uninsured children have NOT been adjusted for the underreporting of public coverage on the CPS.  Children who report multiple types of coverage are assigned one type according to the following hierarchy: Medicaid/CHIP, ESI within household, coverage from outside the household, other federal and direct purchase within household.  Private coverage includes ESI, coverage from outside the household and direct purchase.  Dual coverage estimates should be interpreted with caution as they likely overestimate the propotion of children with Medicaid/CHIP and private coverage at a point-in-time.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

Appendix Table 3
Distribution of children (0-18), by income and family type
  All Children CS Eligible Children
Frequency Percent Frequency Percent
HIU Income
   <100% FPL 19,306,620 24.5% 11,510,767 44.3%
   100-199% FPL 15,600,890 19.8% 6,168,639 23.7%
   200-299% FPL 12,784,332 16.3% 3,598,080 13.9%
   300-399% FPL 9,622,493 12.2% 1,925,844 7.4%
   >400% FPL 21,362,867 27.2% 2,778,590 10.7%
Familiy Type
   One parent 19,427,920 24.7% 16,275,359 62.6%
   Two parent 52,428,511 66.6% 5,576,976 21.5%
   Multigenerational 3,814,101 4.9% 2,595,053 10.0%
   Other 3,006,671 3.8% 1,534,532 5.9%
Source: Urban Institute analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Income relative to the federal poverty level (FPL) reflects the income of the health insurance unit (HIU) and 2008 U.S. Census Bureau poverty thresholds.  Family type reflects the Census definition of family.  Census family groupings differ from HIUs because they can include family members who are not part of the nuclear family unit (e.g. grandparents).  CS eligible children in two parent families are those living with one biological parent and one step-parent.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

 

Appendix Table 4
Uninsurance rate of children (0-18), by income and family type
  All Children CS Eligible Children
Frequency Percent Frequency Percent
Total 7,263,082 9.2% 2,927,557 11.3%
HIU Income
   <100% FPL 3,088,187 16.0% 1,614,977 14.0%
   100-199% FPL 2,068,365 13.3% 758,936 12.3%
   200-299% FPL 1,056,477 8.3% 316,488 8.8%
   300-399% FPL 437,811 4.6% 127,195 6.6%
   >400% FPL 612,241 2.9% 109,961 4.0%
Family Type
   One parent 1,937,045 10.0% 1,553,553 9.6%
   Two parent 3,843,373 7.3% 572,194 10.3%
   Multigenerational 727,486 19.1% 505,167 19.5%
   Other 755,177 25.1% 296,644 19.3%
Source: Urban Institute analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Income relative to the federal poverty level (FPL) reflects the income of the health insurance unit (HIU) and 2008 U.S. Census Bureau poverty thresholds.  Family type reflects the Census definition of family.  Census family groupings differ from HIUs because they can include family members who are not part of the nuclear family unit (e.g. grandparents).  CS eligible children in two parent families are those living with one biological parent and one step-parent.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

 

Appendix Table 5
Medicaid/CHIP eligibility of children (0-18), by income and family type
  All Children CS Eligible Children
Frequency Percent Frequency Percent
Total 39,758,691 50.5% 19,052,840 73.3%
HIU Income
   <100% FPL 18,674,208 96.7% 11,305,447 98.2%
   100-199% FPL 14,864,145 95.3% 6,009,307 97.4%
   100-199% FPL 14,864,145 95.3% 6,009,307 97.4%
   200-299% FPL 5,233,135 40.9% 1,517,766 42.2%
   300-399% FPL 882,604 9.2% 200,463 10.4%
   >400% FPL 104,599 0.5% 19,857 0.7%
Family Type
   One parent 14,935,596 76.9% 12,475,359 76.7%
   Two parent 18,739,705 35.7% 2,715,172 48.7%
   Multigenerational 3,196,240 83.8% 2,347,988 90.5%
   Other 2,887,150 96.0% 1,514,320 98.7%
Source: Urban Institute analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Income relative to the federal poverty level (FPL) reflects the income of the health insurance unit (HIU) and 2008 U.S. Census Bureau poverty thresholds.  Family type reflects the Census definition of family.  Census family groupings differ from HIUs because they can include family members who are not part of the nuclear family unit (e.g. grandparents).  CS eligible children in two parent families are those living with one biological parent and one step-parent.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

 

Appendix Table 6
Medicaid/CHIP eligibility of uninsured children (0-18), by income and family type
  All Children CS Eligible Children
Frequency Percent Frequency Percent
Total 4,941,398 68.0% 2,307,070 78.8%
HIU Income
   <100% FPL 2,726,367 88.3% 1,486,811 92.1%
   100-199% FPL 1,808,775 87.5% 692,394 91.2%
   200-299% FPL 363,691 34.4% 119,306 37.7%
   300-399% FPL 34,318 7.8% 8,560 6.7%
   >400% FPL 8,247 1.4% -- 0.0%
Family Type
   One parent 1,538,595 79.4% 1,209,271 77.8%
   Two parent 2,067,990 53.8% 343,423 60.0%
   Multigenerational 644,451 88.6% 472,953 93.6%
   Other 690,362 91.4% 281,424 94.9%
Source: Urban Institute analysis of the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Income relative to the federal poverty level (FPL) reflects the income of the health insurance unit (HIU) and 2008 U.S. Census Bureau poverty thresholds.  Family type reflects the Census definition of family.  Census family groupings differ from HIUs because they can include family members who are not part of the nuclear family unit (e.g. grandparents).  CS eligible children in two parent families are those living with one biological parent and one step-parent.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

 

Appendix Table 7
Child Support (CS) and Medicaid/CHIP eligibility of all uninsured children, (0-18)
  Frequency Percent
   CS and Medicaid eligible 2,307,070 31.8%
   CS eligible, NOT Medicaid eligible 620,487 8.5%
   NOT CS eligible, Medicaid eligible 2,634,327 36.3%
   NOT CS or Medicaid eligible 1,701,197 23.4%
Source: Urban Institute Health Policy Center Eligibility Simulation Model, based on data from the 2009 Annual Social and Economic (ASEC) Supplement to the Current Population Survey (CPS).
Note: CS eligible children are children 18 and under living with only one biological parent and children 14 and under living with no parents.  Additional details in text.  Estimates of uninsured children have been adjusted by the Urban Institute's Health Policy Center for the underreporting of public coverage on the CPS.  This adjustment has the impact of reducing the number of uninsured by approximately 1 million.  Estimates of the number of CS eligible children reflect an overreporting of CS eligible children on the ASEC of up to 14 percent.

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