This report examines recent trends in employer-sponsored insurance at the national and state level, and it expands and updates our previous analysis. The report uses state-level data from the Annual Social and Economic Supplement (ASEC) of the Current Population Survey (CPS) for the coverage component of the analysis and data from the Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) for the employer and cost components of the analysis.

This report examines state-level trends in employer-sponsored insurance (ESI) and the factors that influence ESI. Download the report.

Most nonelderly Americans who have health insurance coverage obtain it through an employer, whether through their own employer or through the employer of a family member to whom they are related as a dependent.  However, ESI coverage eroded substantially during the time period of this study (1999/2000 to 2010/2011).   This report examines national and state-level changes in ESI both overall and along several dimensions: by family income, policyholder vs. dependent status, employer/employment characteristics, and premium costs. This report also serves to establish a baseline to facilitate monitoring the impact of the Affordable Care Act (ACA) on key national and state-level ESI indicators.   

The report is accompanied by state-level summary tables of key ESI characteristics.  These can be downloaded as one file for all 50 states and the District of Columbia, or chosen individually from this drop-down list.

Select a state from the drop-down menu below to view state-specific ESI fact sheet two- pagers:

In its role as a technical assistance provider for the Robert Wood Johnson Foundation’s State Network initiative, SHADAC collaborated with Oregon Health and Science University (OHSU) and Manatt Health Solutions to produce an analysis of the fiscal effects of expanding Medicaid in Oregon under the ACA.  The analysis, prepared for the Oregon Health Authority, estimates the potential costs and benefits of the ACA Medicaid expansion to the State through SFY 2020.  Overall, the analysis projects that the expansion would provide coverage to more than 240,000 newly eligible Oregonians and encourage approximately 20,000 previously eligible Oregonians to enroll in coverage.  Ultimately, this will generate $11.3 billion in federal health care expenditures and a net savings of $79 million to the state general fund. 

The National Center for Health Statistics (NCHS) made a number of changes to the National Health Interview Survey questionnaire in response to new data requirements generated by the need to monitor the impacts of the Affordable Care Act on the health care system.  These changes were first implemented in the 2011 survey, were slightly modified in the 2012 survey, and are intended to be included in future year of the NHIS. SHADAC Issue Brief #34 describes these changes and how they will assist researchers and policymakers monitor and inform health reform.

SHADAC Issue Brief #33 provides state-level estimates of health insurance coverage by age and income from the 2011 American Community Survey (ACS).  

The maps and tables included in this brief provide state-level estimates for thenonelderly population (age 0 to 64), children (age 0 to 18), and nonelderly adults (age 19 to 64). Within each age group, we also present separate estimates for the low-income population (people with family incomes at or below 200 percent of federal poverty guidelines).

Standard errors of the estimates are provided in the Appendix.