State Profiles

Find analyses of healthcare at the state level that go beyond standard indicators of health insurance coverage.
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All-State Resources


State-Level Trends in Employer-Sponsored Health Insurance, 2019-2021

This narrative provides an overview of the 2021 MEPS-IC private-sector ESI estimates, covering changes in market composition, ESI access, and cost. Because changes in the labor market caused by COVID-19 likely had a large influence on measures of ESI access in 2020, the analysis of ESI access compares 2021 estimates against a pre-pandemic baseline of 2019. However, the pandemic likely had a smaller impact on long-running cost trends, so the analysis of ESI costs compares 2021 estimates against 2020.


Room to Grow: Inequities in Children's Health Insurance Coverage

In this issue brief and accompanying 50-state profiles, SHADAC researchers explore rates of uninsurance among children in the U.S. using 2016-2020 estimates from the U.S. Census Bureau’s American Community Survey (ACS). Aiming to quantify coverage disparities in the states, this analysis looks at rates of uninsurance by race and ethnicity, income as measured by poverty level, citizenship status, age, and metropolitan status. 


CPS ASEC: 2021 National Health Insurance Coverage Estimates

Drawing on data from the 2020 and 2021 Current Population Survey Annual Social and Economic Supplement (CPS ASEC), this blog and infographic highlight changes in coverage rates by demographic for nonelderly adults (age 19-64) and for children (age 0-18), who experienced a greater number of changes in insurance coverage both overall and across categories than their adult counterparts.


Key Findings from the 2021 ACS: Uninsurance, Public Coverage, and Private Coverage

Using the most recent 2021 health insurance coverage estimates from the American Community Survey (ACS), this blog post highlights national and state-level changes between 2019 and 2021 in the broadest categories of insurance (uninsurance, public coverage, and private coverage), and takes a deeper look at the changes in rates by two age groups, nonelderly adults (age 19-64) and children (age 0-18), across the states.