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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).

5600 Fishers Lane 2221 University Ave SE, Suite 345


Rockville, MD 20857 Minneapolis, MN 55414
HRSA Contact Person Ph. 612-624-4802
Michelle Herzog Fax. 612-624-1493
Ph. 301-443-0650 Email. shadac@umn.edu
Email. mherzog@hrsa.gov www.shadac.org/shap

New York SHAP Grantee Organization:


New York State Department of Health
Project Director
Judith Arnold
Ph. 518-474-0180
Email. jaa01@health.state.ny.us

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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

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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%
86.7%
90%
77.7%
80% 70.2%
70%
60%
47.3%
50%
40% 34.9%
30% 22.3% 19.4%
20% 13.3%
10%
0%
Uninsured Insured Private Coverage Government
Coverage
Total < 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.

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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.

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Exhibit 2.1: Sub-State Uninsurance Estimates, Age 0-64, ACS 2008

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New York SHAP Grantee Chartbook

www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-64 (13.3%).
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.

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New York SHAP Grantee Chartbook

Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % 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
Multiple/other
368 15.3 1.07 84.7 1.07 63.6 1.47 23.8 1.24
non-Hispanic
Total 16,724 13.3 0.16 86.7 0.16 70.2 0.23 19.4 0.19
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
P o ve r t y L e ve l
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
Total 16,459 13.4 0.16 86.6 0.16 70.0 0.24 19.4 0.20
Se x
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
Total 16,724 13.3 0.16 86.7 0.16 70.2 0.23 19.4 0.19
Work Status
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
Full-time 7,822 14.8 0.22 85.2 0.22 79.8 0.24 7.0 0.13
Total 12,334 16.0 0.19 84.0 0.19 71.5 0.22 15.4 0.16

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008

June 15, 2010


New York SHAP Grantee Chartbook

www.shadac.org
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%).
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.

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New York SHAP Grantee Chartbook

Exhibit 2.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % 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
Multiple/other
128 22.7 2.27 77.3 2.27 32.3 2.37 49.2 2.64
non-Hispanic
Total 4,749 22.3 0.36 77.7 0.36 34.9 0.46 47.3 0.47
Age
0-18 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
P o ve r t y L e ve l
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 -- -- -- -- -- -- -- -- --
Total 4,749 22.3 0.36 77.7 0.36 34.9 0.46 47.3 0.47
Se x
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
Work Status
Not working 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

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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New York SHAP Grantee Chartbook

Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % SE
County
Albany 8.5 * 0.9 18.6 3.0
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
Broome (part), Tioga 7.9 * 1.4 11.8 * 2.3
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
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 * 1.0 16.4 * 2.5
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
Erie 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
L i vi n g s t o n , W y o m i n g 9.3 * 1.4 18.6 3.9
Madison, Onondaga (part) 13.0 2.0 27.6 5.4
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
Onondaga (part) 7.6 * 1.3 22.8 6.6
Onondaga (part) 11.4 1.6 33.4 * 5.0
Ontario 9.4 * 1.9 26.0 6.6
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

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New York SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Levels
<200% FPL
Age 0-64 by Federal Poverty Level (FPL), ACS 2008 % SE % 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 9.6 * 1.4 25.3 5.3
Schenectady 11.4 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.

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Exhibit 3.1: Sub-State Uninsurance Estimates, Age 0-18, ACS 2008

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New York SHAP Grantee Chartbook

www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 0-18 (6.3%).
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.

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New York SHAP Grantee Chartbook

Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 979 9.2 0.54 90.8 0.54 45.0 0.97 50.6 0.97
White Alone 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
Multiple/other
153 7.1 1.13 92.9 1.13 65.5 2.10 30.4 2.03
non-Hispanic
Total 4,709 6.3 0.20 93.7 0.20 66.6 0.42 30.0 0.41
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
P o ve r t y L e ve l
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 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
Se x
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
Work Status
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
Full-time 39 14.5 2.57 85.5 2.57 72.2 3.06 15.8 2.35
Total 319 11.9 0.78 88.1 0.78 70.9 1.07 19.5 0.92

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008

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New York SHAP Grantee Chartbook

www.shadac.org
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.
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.

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New York SHAP Grantee Chartbook

Exhibit 3.4: Demographic Profile by Source of Health Insurance Coverage,


Age 0-18, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % 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
Multiple/other
58 10.3 2.45 89.7 2.45 34.8 3.57 59.9 3.76
non-Hispanic
Total 1,728 9.3 0.41 90.7 0.41 34.4 0.73 61.2 0.75
Age
0-18 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
P o ve r t y L e ve l
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 -- -- -- -- -- -- -- -- --
4 0 0 % + FP L -- -- -- -- -- -- -- -- --
Total 1,728 9.3 0.41 90.7 0.41 34.4 0.73 61.2 0.75
Se x
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
Total 1,728 9.3 0.41 90.7 0.41 34.4 0.73 61.2 0.75
Work Status
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
Total 89 19.1 1.76 80.9 1.76 39.1 2.22 46.1 2.23

Definitions: % = Percent; SE = Standard Error


Note: Counts are presented in thousands.
Source: U.S. Census Bureau, 2008 American Community Survey.

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New York SHAP Grantee Chartbook

Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008

All Poverty
<200% FPL
Levels
% SE % 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
Columbia, Greene 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

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New York SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Levels
<200% FPL
Age 0-18 by Federal Poverty Level (FPL), ACS 2008 % SE % 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
Su f f o l k 6.2 0.8 11.7 2.6
Su l l i v a n , U l s t e r ( p a r t ) 11.7 3.2 18.7 6.8
Ulster (part) 9.2 2.7 14.8 8.5
Warren, Washington 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

Definitions: % = Percent; SE = Standard Error


* Statistically different from the state uninsurance estimate for population group (Age 0-18, 6.3%; Age 0-
18 <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


Exhibit 4.1: Sub-State Uninsurance Estimates, Age 19-64, ACS 2008

June 15, 2010


New York SHAP Grantee Chartbook

www.shadac.org
Source: U.S. Census Bureau, 2008 American Community Survey.
* Statistically different from the state uninsurance estimate for people age 19-64 (16.1%).
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.

15
New York SHAP Grantee Chartbook

Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % 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
Multiple/other
215 21.2 1.39 78.8 1.39 62.2 1.62 19.1 1.21
non-Hispanic
Total 12,015 16.1 0.19 83.9 0.19 71.6 0.22 15.3 0.16
Age
0-18 -- -- -- -- -- -- -- -- --
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
P o ve r t y L e ve l
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
4 0 0 % + FP L 5,556 7.1 0.18 92.9 0.18 90.6 0.21 4.5 0.12
Total 11,858 16.2 0.19 83.8 0.19 71.3 0.22 15.3 0.16
Se x
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
Total 12,015 16.1 0.19 83.9 0.19 71.6 0.22 15.3 0.16
Work Status
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
Total 12,015 16.1 0.19 83.9 0.19 71.6 0.22 15.3 0.16

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


Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008

June 15, 2010


New York SHAP Grantee Chartbook

www.shadac.org
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%).
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.

17
New York SHAP Grantee Chartbook

Exhibit 4.4: Demographic Profile by Source of Health Insurance Coverage,


Age 19-64, <200% FPL, ACS 2008

Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 850 39.5 0.94 60.5 0.94 23.9 0.77 40.1 0.89
White Alone 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
Multiple/other
70 32.9 2.84 67.1 2.84 30.1 2.40 40.4 2.81
non-Hispanic
Total 3,021 29.8 0.44 70.2 0.44 35.2 0.44 39.3 0.45
Age
0-18 -- -- -- -- -- -- -- -- --
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
P o ve r t y L e ve l
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 -- -- -- -- -- -- -- -- --
4 0 0 % + FP L -- -- -- -- -- -- -- -- --
Total 3,021 29.8 0.44 70.2 0.44 35.2 0.44 39.3 0.45
Se x
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
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
<200% FPL
Levels
% SE % 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
Onondaga (part) 9.3 * 1.6 26.6 6.9
Onondaga (part) 13.1 1.7 41.5 * 5.6
Ontario 9.8 * 2.0 28.5 7.4
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 10.7
Queens 24.0 * 0.6 38.5 * 1.4
Rensselaer 10.4 * 1.4 21.3 * 3.7

June 15, 2010 www.shadac.org 19


New York SHAP Grantee Chartbook

All Poverty
Continued: Sub-State Uninsurance Estimates, Levels
<200% FPL
Age 19-64 by Federal Poverty Level (FPL), ACS 2008 % SE % 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 elukanen@umn.edu.

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 sub-
populations, 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-and-
resources.

June 15, 2010 www.shadac.org 22


New York SHAP Grantee Chartbook

Appendix C. County Groupings in Sub-state Areas

Sub-State Area^ Counties

00100 St. Lawrence


Clinton
Essex
00200
Franklin
Hamilton
Warren
00300
Washington
Herkimer
00401
Oneida (part)
00402 Oneida (part)
Jefferson
00500
Lewis
00600 Oswego
00700 Onondaga (part)
Madison
00801
Onondaga (part)
00802 Onondaga (part)
00803 Onondaga (part)
Cayuga
00804
Onondaga (part)
00901
00902
01001
Monroe
01002
01004
01005
01003 Wayne
01100 Ontario
Livingston
01200
Wyoming
Genesee
01300
Orleans
01401
01402
Erie
01601
01602

June 15, 2010 www.shadac.org 23


New York SHAP Grantee Chartbook

Sub-State Area^ Counties

01603
01604 Erie (cont.)
01605
01501
Niagara
01502
Seneca
01700
Tompkins
Chenango
01800
Cortland
Delaware
01900 Otsego
Schoharie
Fulton
02000
Montgomery
02100 Schenectady
02201
Saratoga
02202
02300 Rensselaer
02401
Albany
02402
Columbia
02500
Greene
Broome (part)
02601
Tioga
02602 Broome (part)
Chemung
02700
Schuyler
Steuben
02800
Yates
Allegany
02900
Cattaraugus
03000 Chautauqua
Sullivan
03101
Ulster (part)
03102 Ulster (part)
03201
Dutchess
03202
03301
Orange
03302
June 15, 2010 www.shadac.org 24
New York SHAP Grantee Chartbook

Sub-State Area^ Counties

03303 Orange (cont.)


03400
03501
03502
Westchester
03503
03504
03505
03506 Putnam
03601
Rockland
03602
03701
03702
03703
03704
03705
Bronx
03706
03707
03708
03709
03710
03801
03802
03803
03804
03805
New York
03806
03807
03808
03809
03810
03901
03902 Richmond
03903
04001
04002
04003
Kings
04004
04005
04006
June 15, 2010 www.shadac.org 25
New York SHAP Grantee Chartbook

Sub-State Area^ Counties

04007
04008
04009
04010
04011
04012
Kings (cont.)
04013
04014
04015
04016
04017
04018
04101
04102
04103
04104
04105
04106
04107
Queens
04108
04109
04110
04111
04112
04113
04114
04201
04202
04203
04204
04205
04206
Nassau
04207
04208
04209
04210
04211
04212
04301 Suffolk
June 15, 2010 www.shadac.org 26
New York SHAP Grantee Chartbook

Sub-State Area^ Counties

04302
04303
04304
04305
04306
04307 Suffolk (cont.)
04308
04309
04310
04311
04312
^ 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


Appendix D. New York Map of Major Cities

June 15, 2010


New York SHAP Grantee Chartbook

www.shadac.org
Source: U.S. Census Bureau.

28
Appendix E. New York Map of County Boundaries

June 15, 2010


New York SHAP Grantee Chartbook

www.shadac.org
Source: U.S. Census Bureau.

29

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