state p 2005 - aarp · reported exercising with the intention to maintain or lose weight. a new...

STATE PROFILESREFORMING THE HEALTH CARE SYSTEM

13 TH EDITION

2005

by Lynda FlowersLeigh GrossPatricia Kuo

Shelly-Ann Sinclair

© 2005, AARP, Reprinting with permission only.

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PageINTRODUCTION ............................................................................................................................................ivHOW TO USE STATE PROFILES 2005 ............................................................................................................vHIGHLIGHTS .................................................................................................................................................viHEALTH POLICY MAPS..................................................................................................................................1

Guaranteed Issue in Individual MarketCoverage Requirements for Mental Health BenefitsState Enrollment of Elderly and/or Disabled in Medicaid Managed Care PlansMedicaid Medically Needy Program for Aged and DisabledAsset Verification for Medicare Savings ProgramsEstate Recovery for Medicare Savings ProgramsState Pharmaceutical Assistance ProgramsState Medicaid Cost Containment MeasuresState Policies to Control Medicaid Drug CostsState Patient Safety CentersMandatory Reporting Requirement for Medical Errors or Adverse Events in HospitalsPolicies to Enhance Pain ManagementState Minority Health Office or Designated ContactLimits on Non-Economic Damages for Medical MalpracticeHealth Plan Liability Laws to Protect ConsumersHEDIS Reporting for Commercial PlansExternal Grievance Review for Health Plan Coverage Decisions

STATE HEALTH PROFILES...........................................................................................................................11DemographicsExpenditures and FinancingHealth StatusUtilization and Quality of ServicesResources AvailableMedicareMedicaidHealth Coverage and the UninsuredKey Trends

STATE DATA AND RANKINGS....................................................................................................................221DATA DOCUMENTATION ...........................................................................................................................263AARP MEMBERSHIP MAP..........................................................................................................................286AARP STATE OFFICES...............................................................................................................................287

Table of Contents

AcknowledgmentsWe would like to thank the many individuals and organizations that shared data for the development of StateProfiles 2005. We also thank our colleagues within AARP—Joyce Dubow, David Gross, Susan Raetzman, LeeRucker, Gerry Smolka, and Jackson Williams—for invaluable assistance with the substantive content of thisreport. We extend a very special thank you to Carlos Figueiredo for data expertise and to Strat Maloma forinvaluable assistance with cover design. Susan Raetzman deserves a special thank you for her support andguidance. Finally, Theresa Varner deserves continued recognition for her support in producing the many edi-tions of State Profiles.

The information compiled in this publication is presented for purposes of information, discussion, and debateand does not necessarily represent formal policies of AARP.

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State Profiles: Reforming the Health Care System 2005 is a compilation of major health system characteristicsfor each state, the District of Columbia, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands.Published since 1990 by the AARP Public Policy Institute, the State Profiles series was developed to help guidepolicy discussions among public and private sector leaders in health care throughout the United States. Itoffers a snapshot of each state’s health care landscape by providing comparable state-level and national datafor nearly 100 indicators that are otherwise difficult to obtain from a single source. This 13th edition of StateProfiles presents the most up-to-date data available at the time of production.

The section on Health Policy Maps has been significantly revised to demonstrate the variation that exists amongstates on health care issues of greatest interest today. For example, this year’s edition includes two maps thatconcern state efforts to control Medicaid costs: one that concerns benefit and eligibility cuts, and another thatconcerns efforts to control drug costs using preferred drug lists and bulk purchasing. Other new topic areasin the Maps section include estate recovery for Medicare Savings Programs, patient safety centers, painmanagement policies, and minority health offices or designated contacts.

The State Health Profiles section has also been revised to reflect current health care priorities. For example,the Expenditures and Financing category includes data on Medicaid expenditures that differentiate betweenspending as a percentage of total state budgets and spending as a percentage of state-only budgets. In theHealth Status category, an indicator has been added to reflect the percentage of adults age 50 and older whoreported exercising with the intention to maintain or lose weight. A new indicator on Medicare hospice utiliza-tion has been added to the Utilization and Quality of Services category. In the Resources Available category,an indicator on the number of practicing pharmacists appears for the first time. In the Medicare category, anew indicator highlights the number of Medicare prescription drug plans that are available in each state. Insome cases, indicators have been broken down into new age subsets to help highlight the changes that takeplace after age 50.

This year’s edition continues to provide a category in each state’s profile on Key Trends, first introduced in the2001 edition. The purpose of this category is to show changes over time in both population and environmentalcharacteristics that affect a state. It also shows state and population characteristics that, at least in part, canbe impacted by policies and priorities within a state. Data for these 12 indicators are shown at two points intime, usually 10 years apart.

The State Profiles series has a longstanding history; caution must be used, therefore, when making compar-isons with information contained in previous editions because of changes that may have been made in thesource or definition of a particular indicator.

For additional copies of State Profiles 2005, please call the AARP Public Policy Institute at 202-434-3890.

This publication, as well as state-specific versions, can also be accessed via the Internet at http://www.aarp.org/ppi.

Introduction

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How to Use State Profiles 2005

State Profiles consists of four sections—Health Policy Maps, State Health Profiles, State Data and Rankings,and Data Documentation. Listed below are tips to help navigate this year’s edition.

To find data on a particular state, consult the State Health Profiles section, which is organized alphabeticallyby state. It provides state- and national-level data on nearly 100 indicators in nine topic categories. Thecategories are Demographics, Expenditures and Financing, Health Status, Utilization and Quality of Services,Resources Available, Medicare, Medicaid, Health Coverage and the Uninsured, and Key Trends.

To determine how the picture has changed over time within a state, use the Key Trends category of theState Health Profiles section. Data for two points in time are presented, along with the cumulative percentchange.

To find data on a particular health indicator, go to the State Data and Rankings section. It organizes thestate data from the State Health Profiles section by indicator. For each health measure, readers can quicklyview the variation among states, as well as in comparison to the nation as a whole. Each indicator is presentedunder an abbreviated title.

To compare how states are performing on particular measures, use the State Data and Rankings section,which also ranks the state data from highest to lowest. Readers can see where a particular state falls relativeto others, and they can compare how states rank across several health measures. It is important to recognizethat ranking highest does not necessarily imply “doing the best” (e.g., the highest death rate from a particulardisease). Users should also be aware that some indicators are not well-suited to being ranked.

For information on state policies and programs related to key health policy issues, visit the sectionentitled Health Policy Maps. It showcases a regional perspective on health policy initiatives and the diversityof approaches that states are taking to address health care issues.

To determine the original data source, refer to the Data Documentation section in the back of the book.Readers should use this section regularly. It identifies the sources of data, provides a detailed explanation ofeach indicator, and describes any caveats or limitations that apply to the data. It also provides additional detailfor states that have an asterisk (*) noted in the State Health Profiles section.

For locations of AARP state offices, turn to pages 287-288. The addresses, telephone numbers, and fax numbers are provided for each state office. You will also find a map illustrating AARP membership acrossthe country.

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Highlights

HEALTH POLICY MAPS• As of March 2005, 25 states had parity between coverage of mental illness or substance abuse and

coverage of other physical disorders and diseases. Twenty-one states had either minimum mandatedbenefit laws (10) or mandated offering laws (11).

• Twenty-seven states had one of two types of state pharmaceutical assistance programs as of July 2005.Subsidy programs, where the state pays all or part of the cost of the drug, were operational in fewer thanhalf (18) of the states, and 9 states had operational discount programs, in which the state negotiates areduced or discounted retail price for eligible participants. Four states offered both subsidy and discountprograms.

• In an effort to help contain Medicaid costs, 12 states adopted either benefit cuts or eligibility cuts in FY2005.An additional 6 states adopted both types of cuts.

• With rising drug prices, many states initiated efforts to control Medicaid drug costs. Twenty-two statesoperated a preferred drug list as of August 2005, and an additional 11 states operated a preferred drug listand participated in a pharmaceutical bulk purchasing program.

• In the U.S. in 2003, 46 states had at least one policy to enhance pain management. Of the states that hadpolicies, 19 had three or more policies that contained provisions to enhance pain management.

• As of July 2005, 28 states placed a limit on non-economic damages for medical malpractice awards.Twenty-one states imposed limits specific to non-economic damages. Six states capped the amount of totaldamages, which indirectly limits non-economic and other categories of damages. One state limited bothnon-economic and the total amount of damages.

DEMOGRAPHICS• The number of persons age 50-64 in the U.S. was projected to grow 44.8 percent between 1995 and 2005.

Nevada was expected to experience the greatest increase in the age 50-64 population, growing 93.3 percentduring the 10-year period. Twenty-two other states were projected to experience a 50 percent or greatergrowth in their age 50-64 population. California had the largest number of persons age 50-64 in 1995 andwas projected to have the largest number in 2005 (3.66 million and 5.67 million, respectively). Wyoming hadthe smallest number (65,537) in 1995, while the District of Columbia was projected to have the smallestnumber (87,763) in 2005.

• The share of the population that was of a minority race or ethnicity in the U.S. increased 24.2 percentbetween 1995 and 2005. Over the 10-year period, Maine (261.5%), Nebraska (178.0%), Iowa (146.5%),Minnesota (117.6%), and South Dakota (117.2%) experienced the largest increases in the proportion of thepopulation that was minority or ethnic. The District of Columbia (-6.9%) was the only area that experienceda decrease in the percentage of minority or ethnic persons in its population.

• In 2004, the portion of persons age 65 and older with family income at or below 100 percent of the federalpoverty level (FPL) averaged 9.8 percent in the U.S. The southeastern states of Mississippi and Arkansashad the highest percentages at 21.3 and 15.0 percent, respectively. The states with the lowest percentageswere Utah (3.6%) and Vermont (5.7%). Across all states, an additional 28.1 percent of persons age 65 andolder had family income between 101% and 200% of the FPL.

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• In the U.S., the percentage of persons under age 65 with family income at or below poverty decreased by11.9 percent between 1994 and 2004. The majority of states (33) and the District of Columbia experienceda decrease in the percentage of persons under age 65 with family income at or below poverty. Minnesotaexperienced the largest decline in this rate during the period (-42.4%).

EXPENDITURES AND FINANCING• On average, states spent 21.4 percent of their total state budget on Medicaid (including long-term care) in

FY2003. Total state budgets consist of state general funds, other state funds, and federal funds. Tennessee(33.9%), Missouri (32.6%), and Pennsylvania (28.8%) spent the highest proportions of their total budgets onMedicaid, while Wyoming (7.9%), Hawaii (9.7%), and West Virginia (11.1%) spent the lowest proportions.

• States spent an average of 12.6 percent of their state-only budget on Medicaid in FY2003. Ohio (23.0%),Connecticut (20.2%), and Tennessee (19.7%) led the way with the highest shares. Conversely, Medicaidexpenditures accounted for the smallest share of state-only budgets in West Virginia (3.3%) and Wyoming(3.7%).

• The average price of a prescription in the U.S. in 2003 was $52.97. Eighteen states and the District ofColumbia were above the national average, with Alaska ($66.89), the District of Columbia ($66.81), andMaryland ($64.96) being the highest. The average price of a prescription was lowest in New Mexico ($44.71).

• Among active U.S. workers in 2003, the average employee health insurance premium contribution was 17.4percent of the total premium. Employees in Nebraska contributed the largest percentage (25.0%), whileemployees in Hawaii contributed the smallest share (8.3%).

HEALTH STATUS• In the U.S. in 2003, 45.0 percent of adults age 50+ reported ever being told that they had high blood

pressure. Percentages well above the national rate were reported in Mississippi (55.4%), West Virginia(52.8%), and Alabama (52.7%). At the other end of the range, percentages in Alaska (37.1%), Montana(37.1%), and New Mexico (37.2%) were substantially below the national figure.

• In the U.S. in 2004, the share of adults age 50+ who reported having ever been told by a doctor that theyhad diabetes was 13.4 percent. The District of Columbia had the highest percentage (19.8%), followed byWest Virginia (19.7%) and Mississippi (18.0%). Alaska and Colorado were tied for the lowest share ofresidents reporting a diabetes diagnosis at 9.2 percent.

• In 2004, 19.7 percent of U.S. adults age 50-64 reported smoking cigarettes in the past year. Kentucky(27.6%) and Oklahoma (25.2%) had the highest percentages of near-elderly smokers, while Utah (8.5%) andCalifornia (13.4%) had the lowest percentages of these smokers. In comparison, fewer U.S. adults age 65+reported smoking cigarettes in the past year (9.2%), with the highest percentage of elderly smokers inNebraska (14.5%) and the lowest percentage of elderly smokers in Texas (4.8%).

• In 2003, 66.5 percent of U.S. adults age 50-64 and 54.7 percent of U.S. adults age 65+ reported that theyexercise with the intention of maintaining or losing weight. Minnesota had the largest percentage of adultsage 50-64 who reported exercise with the intention of maintaining/losing weight (75.1%), while Alabamahad the smallest percentage (54.9%). Among adults age 65+, Hawaii had the largest percentage whoreported exercising with the intention of maintaining/losing weight (67.4%), while Kentucky had the smallestpercentage (40.2%).

Highlights

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• In 2004, more than 9 percent (9.3%) of U.S. adults age 65+ reported having a self-care limitation. Residentsof Mississippi (14.3%), Louisiana (12.0%), Arkansas (11.9%), West Virginia (11.8%), and Alaska (11.7%) hadthe highest percentages of elderly persons self-reporting a self-care limitation. South Dakota (5.8%) andWisconsin (6.1%) reported the smallest share of adults age 65+ with a self-care limitation.

UTILIZATION AND QUALITY OF SERVICES• In 2004, 67.3 percent of all U.S. women age 50+ reported receiving a mammogram in the previous 12

months. Delaware had the highest percentage with 76.1 percent of the state’s women age 50 and olderreporting receiving a mammogram, while Idaho had the lowest percentage at 57.5 percent.

• In 2004, about half (48.6%) of U.S. adults age 50+ reported ever receiving a screening colonoscopy orsigmoidoscopy and also indicated having had one within the past ten years. Minnesota had the highestpercentage (62.8%), while Louisiana had the lowest percentage (40.8%).

• In 2004, nearly two-thirds (64.6%) of all U.S. adults age 65+ reported ever receiving a pneumococcalvaccination. Montana had the highest percentage (71.6%), while the District of Columbia had the lowestpercentage (51.4%). In the same year, just over one-half (52.3%) of all U.S. adults age 65+ reportedreceiving an influenza vaccination during the past 12 months. South Dakota had the highest percentage(63.9 %), while Nevada had the lowest percentage (44.5%).

• In 2003, 2.1 percent of all aged and disabled Medicare beneficiaries in traditional fee-for-service Medicareused Medicare hospice services. Arizona had the largest percentage with 4.2 percent, twice the nationalshare, while Alaska had the lowest percentage with 0.2 percent.

• Between 1993 and 2003, U.S. utilization of outpatient emergency rooms (as measured by visits per 1,000persons) increased by 4.9 percent (from 383 to 402). Maryland had the highest rate of increase (21.9%) inemergency room visits per 1,000 persons over the 10-year period (from 311 in 1993 to 379 in 2003).Nevertheless, close to half (22) of the states (including the District of Columbia) experienced a decrease inthe rate of emergency room use. While the emergency room visit rate decreased notably in the District ofColumbia during this period (-19.3%), it had the highest number of emergency room visits per 1,000 personsin both 1993 (805) and 2003 (649).

RESOURCES AVAILABLE• Nationally, there were 23 geriatricians per 100,000 persons age 65+ in 2005. The District of Columbia had

the highest rate (45), while Mississippi (9) and Idaho (8) had the lowest. Other states with high numbers ofgeriatricians per 100,000 persons age 65+ tended to be in the mid-Atlantic and northeast: Maryland (40),New York (40), Connecticut (39), Pennsylvania (37), and Massachusetts (37).

• The number of practicing pharmacists per 100,000 population in 2004 varied widely among the states, froma high of 115 in Nebraska to a low of 59 in Alaska, while the U.S. figure was 73.

• Only 14.4 percent of all hospital-based, full-time-equivalent registered nurses practiced in nonmetropolitanareas in 2003. Wyoming had the largest portion of these registered nurses working in nonmetropolitanareas (66.2%), followed by New Hampshire (57.1%) and Vermont (49.0%). The states with the smallestpercentage of hospital-based registered nurses working in nonmetropolitan areas were California (2.6%),Florida (4.0%), and Rhode Island (4.1%).

Highlights

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• The share of the U.S. population underserved by a primary care physician grew by 14.7 percent between1995 and 2005. Arizona had the largest increase, proportionately, while Vermont had the greatest decrease(from 6.8% to 3.6%). The top five states with the largest proportional increase in the population underservedby a primary care physician were Arizona (5.9% to 13.5%), Florida (6.8% to 15.7%), Maryland (3.2% to6.5%), Missouri (11.8% to 23.7%), and Delaware (4.1% to 8.0%).

MEDICARE • The share of Medicare beneficiaries as a percent of state population equaled or exceeded the U.S. average

(14%) in 34 states in 2004. West Virginia had the highest percentage of its population accounted for byMedicare beneficiaries (19.6%), while Alaska had the lowest (7.7%). Other states with percentages abovethe national figure included Maine (17.9%), Pennsylvania (17.4%), Florida (17.1%), and Arkansas (16.9%).

• The share of disabled Medicare beneficiaries in the U.S. was 15.4 percent in 2004. Mississippi (23.9%) andKentucky (23.7%) had the highest portion of Medicare beneficiaries who were eligible on the basis ofdisability, while Hawaii (10.4%) and North Dakota (11.1%) had the lowest.

• In 2003, the percentage of Medicare beneficiaries of all ages with full or partial Medicaid was 19 percent.Medicare beneficiaries with partial Medicaid are not eligible for full Medicaid benefits but may receiveassistance with some or all of their Medicare premiums and cost sharing. Across the states, the percentageof all beneficiaries with full or partial Medicaid coverage ranged from a high of 36 percent in Maine to a lowof 7 percent in Idaho.

• One-third (34.0%) of Medicare beneficiaries age 65+ had employer-sponsored supplemental healthinsurance in 2004, and about one-quarter (25.7%) had privately purchased individual supplementalinsurance in 2004. The District of Columbia and Delaware were well above the national rate, with more thanhalf (52.5% and 51.1%, respectively) of the age 65+ population having employer-sponsored healthinsurance. In three states, North Dakota (48.6%), Iowa (47.5%), and Nebraska (47.5%), almost half of thebeneficiaries had individually purchased health insurance to supplement Medicare’s coverage.

• Nationally, in 2006 there will be a total of 1,443 stand-alone Medicare prescription drug plans. The numberof plans varies by state, ranging from a high of 52 in Pennsylvania and West Virginia to a low of 27 in Alaska.

MEDICAID • In 2004, 43.2 percent of all U.S. adults under age 65 living in poverty received Medicaid. Maine (64.8%),

the District of Columbia (59.0%), and Massachusetts (54.8%) had the highest percentages. States with thelowest percentages were New Hampshire (25.1%), Colorado (25.4%), and Nevada (25.7%).

• Between 1992 and 2001, total Medicaid enrollment increased by 31.6 percent in the U.S. Delawareexperienced the largest increase (92.9%), with enrollment growing from 69,000 in 1992 to 133,000 in 2001.North Dakota (-0.9%) and West Virginia (-6.2%) were the only two states where Medicaid enrollmentdecreased over the nine-year period.

Highlights

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HEALTH COVERAGE AND THE UNINSURED• The share of uninsured persons under age 65 in the U.S. was 17.8 percent in 2004. Texas had the largest

percentage (27.6%), while Minnesota had the smallest percentage (9.9%). Other states with highpercentages of persons under age 65 without health insurance, relative to other states, included New Mexico(23.8%), Florida (23.6%), Oklahoma (23.1%), and Montana (22.3%).

• In 2004 in the U.S., 62.3 percent of persons under age 65 had employer-sponsored health insurance. NewHampshire had the highest percentage (76.1%), and New Mexico had the lowest percentage (51.6%).

• The share of the minority/ethnic population that was uninsured and under age 65 reached 25 percent orgreater in 21 states in 2004, with a U.S. rate of 26.5 percent. Montana had the highest percentage ofminority/ethnic persons under age 65 without health insurance coverage (43.5%), while Hawaii had thelowest (24.2%). Texas (36.4%) and Florida (31.6%), both states with large numbers of minority/ethnicpersons, were among the five states with the highest percentages of uninsured minority/ethnic personsunder age 65.

• The percentage of children below 200% of poverty who were uninsured varied widely among the states in2004, from a high of 32.9 percent in Colorado to a low of 8.8 percent in Alabama. The U.S. figure was 18.5percent.

• In the U.S. in 2004, 15.8 percent of full-time workers and their dependents were uninsured. New Mexico(24.1%), Texas (23.6%), and Oklahoma (22.2%) had the highest percentages of full-time workers withdependents who were uninsured. Hawaii (5.9%) and Minnesota (7.6%) had the lowest percentages.

Highlights

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HealthPolicy Maps

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Health Policy MapsGuaranteed Issue in Individual Market, as of December 2004

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Coverage Requirements for Mental Health Benefits, as of March 2005

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Health Policy Maps

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Health Policy MapsAsset Verification for Medicare Savings Programs, as of Fall 2002

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Estate Recovery for Medicare Savings Programs, as of August 2004

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Health Policy MapsState Pharmaceutical Assistance Programs, as of July 2005

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State Medicaid Cost Containment Measures, FY2005

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Health Policy MapsState Policies to Control Medicaid Drug Costs, as of August 2005

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State Patient Safety Centers, as of July 2004

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Health Policy MapsMandatory Reporting Requirement for Medical Errors or Adverse Events in Hospitals,

as of July 2005

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Policies to Enhance Pain Management, as of March 2003

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Health Policy MapsState Minority Health Office or Designated Contact, as of June 2005

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Limits on Non-Economic Damages for Medical Malpractice, as of July 2005

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Health Policy MapsHealth Plan Liability Laws to Protect Consumers, as of December 2004

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HEDIS Reporting for Commercial Plans, as of August 2005

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Health Policy MapsExternal Grievance Review for Health Plan Coverage Decisions, as of December 2004

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Yes No

11

StateHealth Profiles

12

Alabama

Demographics

ExpendituresandFinancing

State U.S.Rural population (% of total), 2004 ..................................................................29.2 16.9Per capita personal income (average), 2004 ..............................................$27,630 $33,041Family income (median), 2004...................................................................$48,500 $53,774Distribution of persons under age 50 by family income (%), 2004:

Poverty or below.....................................................................................19.0 14.4101%-200% of poverty ..........................................................................18.6 18.3

Distribution of persons age 50-64 by family income (%), 2004:Poverty or below.....................................................................................10.9 8.9101%-200% of poverty ..........................................................................14.8 12.3

Distribution of persons age 65+ by family income (%), 2004:Poverty or below.....................................................................................14.2 9.8101%-200% of poverty ..........................................................................34.6 28.1

State U.S.Federal matching funds (%), FY2006:

Medicaid...............................................................................................69.51SCHIP ...................................................................................................78.66

Total Medicaid payments for all enrollees, FY2002 ........................................$3.2b $213.5bMedicaid payments (% of total), FY2002:

Elderly ....................................................................................................21.8 24.3Disabled .................................................................................................33.2 43.3

Total Medicaid expenditures as a percent of total state budget, FY2003..........22.3 21.4State Medicaid expenditures as a percent of state-only budget, FY2003 ...........9.9 12.6Medicaid long-term care expenditures (%), FY2004.........................................29.5 31.6Medicare fee-for-service payment per beneficiary

(average), 2003 .......................................................................................$6,478 $6,122Publicly funded state health care expenditures

(% of total state budget), FY2003.................................................................31.3 31.5Public health and community health services expenditures

(% of state health spending), FY2003 ............................................................8.2 7.8Price of retail prescription drug (average), 2003 ..........................................$55.42 $52.97Average employee health insurance premium

contribution (%), 2003 .................................................................................20.2 17.4

0-19 yrs 20-49 yrs 50-64 yrs 65-84 yrs 85+ Total

State 27.3% 41.4% 18.0% 11.6% 1.7% 4,527,166U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141

Distribution of Population by Age (projected), 2005

13

HealthStatus

ResourcesAvailable

State U.S.Adults age 50+ in poor or fair general health (%), 2004 ..................................32.5 21.7High blood pressure prevalence among adults age 50+ (%), 2003 ..................52.7 45.0Adults age 50+ whose mental health was not good for

>1 week in month (%), 2004.......................................................................14.6 11.0Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004............56.3 46.8Adults age 50+ with diabetes (%), 2004..........................................................15.4 13.4Adults age 50+ who smoke cigarettes (%), 2004:

50-64 yrs................................................................................................23.2 19.765+ yrs ..................................................................................................12.2 9.2

Adults age 50+ reporting exercise with the intention to maintain/lose weight (%), 2003:

50-64 yrs................................................................................................54.9 66.565+ yrs ..................................................................................................41.6 54.7

Adults age 65+ with self-care limitation (%), 2004..........................................10.7 9.3Deaths due to 5 major chronic diseases (%), 2001..........................................65.2 66.5

State U.S.Physician generalists (per 100,000 population), 2003.........................................29 31Physician specialists (per 100,000 population), 2003........................................176 220Geriatricians (per 100,000 population age 65+), 2005........................................14 23Number of practicing pharmacists (per 100,000 population), 2004.....................98 73Hospital-based registered nurses in nonmetropolitan areas

(% of total), 2003.........................................................................................15.3 14.4Hospital beds (per 100,000 population), 2003 ..................................................335 258Community health centers (#), 2005 .................................................................163 6,760Medicare-certified home health agencies

(per 100,000 beneficiaries), 2005...................................................................19 19

UtilizationandQualityof Services

State U.S.Women age 50+ receiving mammogram (%), 2004.........................................69.4 67.3Adults age 50+ receiving colonoscopy or sigmoidoscopy (%), 2004 ................46.5 48.6Adult immunization (%), 2004:

Pneumococcal pneumonia (age 65+)......................................................60.1 64.6Influenza (age 50+) ................................................................................52.3 52.3

Number of retail prescriptions filled per person (average), 2003 ......................13.3 10.7Hospital admissions (per 1,000 population), 2003..........................................159.2 119.4Medicare home health users (% of beneficiaries), 2004.....................................8.0 8.0Medicare home health visits per person served (average), 2004.........................33 30Medicare SNF users (% of beneficiaries), 2004..................................................4.3 4.7Medicare hospice users (% of beneficiaries), 2003.............................................2.8 2.1

Alabama/2

14

Alabama/3

Medicare

Medicaid

State U.S.Medicare beneficiaries, 2004:

Number (in 1,000s)..................................................................................733 41,385Percent of population..............................................................................16.3 14.0

Disabled Medicare beneficiaries under age 65 (%), 2004 ................................21.9 15.4Medicare beneficiaries with full or partial Medicaid (%), 2003 .........................23.0 19.0Private supplemental coverage among Medicare beneficiaries age 65+

(%), 2004:Employer sponsored ...............................................................................32.7 34.0Individually purchased ............................................................................28.4 25.7

Providers who accept Medicare fee as full payment (% of providers), 2005 .................................................................................96.7 93.3

Enrollment of Medicare beneficiaries in MA plans (%), 2005 .............................8.4 13.4Number of stand-alone Medicare prescription drug plans, 2006.........................41 1,443

State U.S.Persons under age 65 in poverty with Medicaid

(% < age 65 in poverty), 2004 .....................................................................49.4 43.2Maximum annual income for Medicaid eligibility (% of poverty level):

Low-income working adults with dependents, as of July 2004..................19Supplemental Security Income, 2003......................................................73.8

Medicaid enrollment in managed care plans (%), as of December 2004..........61.3 61.3

Child Adult Elderly Disabled Total

State 49.0% 16.1% 14.3% 20.6% 780,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700

Medicaid Enrollment by Category of Enrollee, 2001

HealthCoverageand theUninsured

State U.S.Uninsured persons (%), 2004:

White ......................................................................................................13.8 13.1Minority/ethnic........................................................................................18.3 26.5

Uninsured children below 200% of poverty (%), 2004 .......................................8.8 18.5Uninsured non-elderly adults with family income below the

national median (%), 2004...........................................................................27.0 30.5Uninsured adults age 50-64 (%), 2004 ..............................................................9.9 13.5Uninsured full-time workers with dependents (%), 2004..................................13.9 15.8High-risk insurance pool participation (average per month),

reported as of 2005 ...................................................................................3,500 181,794

Uninsured Employer Other Private Medicaid Other Public

State 15.2% 62.6% 4.8% 13.2% 4.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%

Persons Under Age 65 With and Without Health Insurance, 2004

15

Key Trends*

State U.S.Population age 50-64 (#) 2005 812,993 50,359,150

1995 603,114 34,773,584% change 34.8 44.8

Population age 65+ (#) 2005 602,411 36,695,9041995 556,781 33,619,311

% change 8.2 9.2

Minority/ethnic population (%) 2005 29.8 32.91995 26.8 26.5

% change 11.2 24.2

Persons under age 65 with family income 2004 17.4 13.3at or below poverty (%) 1994 16.7 15.1

% change 4.2 -11.9

Infant deaths (per 1,000 live births) 2003 8.7 5.51993 9.9 8.4

% change -12.1 -34.6

Overweight and/or obese adults age 50+ (%) 2004 67.6 65.81994 55.9 56.7

% change 20.9 16.0

Adults age 50+ who didn’t visit a doctor due to cost (%) 2004 11.7 8.11994 12.5 7.5

% change -6.3 8.0

Population underserved by primary care physicians (%) 2005 25.8 11.51995 17.8 10.0

% change 45.3 14.7

Total Medicaid enrollment (in 1,000s) 2001 781 47,0611992 546 35,754

% change 42.9 31.6

Medicaid spending on prescription drugs (%) 2004 16.3 14.21997 10.3 8.1

% change 58.5 75.1

Emergency room visits (per 1,000 population) 2003 485 4021993 486 383

% change -0.3 4.9

Nursing home residents age 65+ (% of age 65+) 2004 4.7 4.11994 3.9 4.9

% change 20.8 -15.6

*Percent change figures are cumulative for entire time period.

Alabama/4

16

Alaska

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below.......................................................................................5.9 8.9101%-200% of poverty ............................................................................7.1 12.3

Distribution of persons age 65+ by family income (%), 2004:Poverty or below ........................................................................................(-) 9.8101%-200% of poverty ..............................................................................(-) 28.1


Medicaid...............................................................................................50.16SCHIP ...................................................................................................65.11







contribution (%), 2003 .................................................................................10.8 17.4


State 31.2% 44.9% 17.2% 6.1% 0.6% 661,110U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


17

HealthStatus

ResourcesAvailable


>1 week in month (%), 2004.......................................................................10.8 11.0Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004............50.8 46.8Adults age 50+ with diabetes (%), 2004............................................................9.2 13.4Adults age 50+ who smoke cigarettes (%), 2004:

50-64 yrs................................................................................................19.7 19.765+ yrs ..................................................................................................12.4 9.2


50-64 yrs................................................................................................74.3 66.565+ yrs ..................................................................................................58.3 54.7



(% of total), 2003.........................................................................................36.7 14.4Hospital beds (per 100,000 population), 2003 ..................................................196 258Community health centers (#), 2005 ...................................................................25 6,760Medicare-certified home health agencies





Number of retail prescriptions filled per person (average), 2003 ........................6.3 10.7Hospital admissions (per 1,000 population), 2003............................................70.8 119.4Medicare home health users (% of beneficiaries), 2004.....................................3.5 8.0Medicare home health visits per person served (average), 2004.........................19 30Medicare SNF users (% of beneficiaries), 2004..................................................1.1 4.7Medicare hospice users (% of beneficiaries), 2003.............................................0.2 2.1

Alaska/2

18

Alaska/3

Medicare

Medicaid


Number (in 1,000s)....................................................................................50 41,385Percent of population................................................................................7.7 14.0


(%), 2004:Employer sponsored ...............................................................................35.0 34.0Individually purchased................................................................................(-) 25.7


Enrollment of Medicare beneficiaries in MA plans (%), 2005 ..............................<1 13.4Number of stand-alone Medicare prescription drug plans, 2006.........................27 1,443




Medicaid enrollment in managed care plans (%), as of December 2004............0.0 61.3


State 62.9% 20.9% 6.2% 10.0% 100,300U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700





Uninsured children below 200% of poverty (%), 2004 .....................................20.4 18.5Uninsured non-elderly adults with family income below the

national median (%), 2004...........................................................................32.3 30.5Uninsured adults age 50-64 (%), 2004 ............................................................12.3 13.5Uninsured full-time workers with dependents (%), 2004..................................15.9 15.8High-risk insurance pool participation (average per month),

reported as of 2005 ......................................................................................482 181,794


State 18.0% 58.9% 5.7% 11.2% 6.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


19

Key Trends*

State U.S.Population age 50-64 (#) 2005 50,359,150

1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2

Minority/ethnic population (%) 2005 32.91995 26.5

% change 24.2

Persons under age 65 with family income 2004 13.3at or below poverty (%) 1994 15.1

% change -11.9

Infant deaths (per 1,000 live births) 2003 5.51993 8.4

% change -34.6

Overweight and/or obese adults age 50+ (%) 2004 65.81994 56.7

% change 16.0

Adults age 50+ who didn’t visit a doctor due to cost (%) 2004 8.11994 7.5

% change 8.0

Population underserved by primary care physicians (%) 2005 11.51995 10.0

% change 14.7

Total Medicaid enrollment (in 1,000s) 2001 47,0611992 35,754

% change 31.6

Medicaid spending on prescription drugs (%) 2004 14.21997 8.1

% change 75.1

Emergency room visits (per 1,000 population) 2003 4021993 383

% change 4.9

Nursing home residents age 65+ (% of age 65+) 2004 4.11994 4.9

% change -15.6


113,77970,527

61.3

43,99929,847

47.4

33.021.553.5

9.610.3-6.8

6.17.5

-18.3

69.063.09.5

10.49.3

11.3

14.015.3-8.4

10072

39.3

13.07.3

76.8

331480

-31.1

1.62.7

-39.6

Alaska/4

20

Arizona

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below.......................................................................................9.0 8.9101%-200% of poverty ..........................................................................14.5 12.3

Distribution of persons age 65+ by family income (%), 2004:Poverty or below.......................................................................................9.6 9.8101%-200% of poverty ..........................................................................21.5 28.1


Medicaid...............................................................................................66.98SCHIP ...................................................................................................76.89



Total Medicaid expenditures as a percent of total state budget, FY2003..........20.7 21.4State Medicaid expenditures as a percent of state-only budget, FY2003 ...........8.7 12.6Medicaid long-term care expenditures (%), FY2004...........................................0.6 31.6Medicare fee-for-service payment per beneficiary




contribution (%), 2003 .................................................................................17.5 17.4


State 29.0% 41.3% 16.7% 11.5% 1.6% 5,868,004U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


21

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................17.5 19.765+ yrs ....................................................................................................7.9 9.2


50-64 yrs................................................................................................66.5 66.565+ yrs ..................................................................................................63.1 54.7

Adults age 65+ with self-care limitation (%), 2004............................................7.5 9.3Deaths due to 5 major chronic diseases (%), 2001..........................................62.8 66.5


(% of total), 2003...........................................................................................7.5 14.4Hospital beds (per 100,000 population), 2003 ..................................................190 258Community health centers (#), 2005 ...................................................................57 6,760Medicare-certified home health agencies





Number of retail prescriptions filled per person (average), 2003 ........................8.8 10.7Hospital admissions (per 1,000 population), 2003..........................................107.7 119.4Medicare home health users (% of beneficiaries), 2004.....................................5.1 8.0Medicare home health visits per person served (average), 2004.........................20 30Medicare SNF users (% of beneficiaries), 2004..................................................3.4 4.7Medicare hospice users (% of beneficiaries), 2003.............................................4.2 2.1

Arizona/2

22

Arizona/3

Medicare

Medicaid






Enrollment of Medicare beneficiaries in MA plans (%), 2005 ...........................26.7 13.4Number of stand-alone Medicare prescription drug plans, 2006.........................43 1,443



Low-income working adults with dependents, as of July 2004................200Supplemental Security Income, 2003......................................................73.8



State 54.2% 28.4% 6.1% 11.3% 808,300U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005..........................................................................No program 181,794


State 19.7% 55.0% 8.8% 14.3% 2.3%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


23

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


978,918549,340

78.2

765,061576,934

32.6

39.927.744.0

15.217.1

-11.1

6.67.0

-6.3

60.850.620.2

7.56.6

14.1

13.55.9

130.3

808551

46.7

N/AN/AN/A

319360

-11.2

1.72.4

-31.3

Arizona/4

24

Arkansas

Demographics







Medicaid...............................................................................................73.77SCHIP ...................................................................................................81.64







contribution (%), 2003 .................................................................................20.6 17.4


State 27.6% 40.8% 17.9% 11.9% 1.9% 2,777,007U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


25

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................24.3 19.765+ yrs ....................................................................................................9.4 9.2


50-64 yrs................................................................................................60.4 66.565+ yrs ..................................................................................................49.8 54.7









Arkansas/2

26

Arkansas/3

Medicare

Medicaid












State 49.6% 21.9% 11.7% 16.7% 550,700U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700





Uninsured children below 200% of poverty (%), 2004 .........................................(-) 18.5Uninsured non-elderly adults with family income below the


reported as of 2005 ...................................................................................3,051 181,794


State 19.1% 54.7% 8.4% 14.4% 3.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


27

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


496,536354,939

39.9

382,276361,890

5.6

22.018.022.2

15.515.12.6

8.19.5

-14.5

66.158.014.0

10.210.3-0.9

10.114.3

-29.2

551360

53.0

14.89.8

51.3

4694484.7

4.67.3

-36.8

Arkansas/4

28

California

Demographics


State U.S.Rural population (% of total), 2004 ....................................................................2.3 16.9Per capita personal income (average), 2004 ..............................................$35,172 $33,041Family income (median), 2004...................................................................$54,839 $53,774Distribution of persons under age 50 by family income (%), 2004:





Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00

Total Medicaid payments for all enrollees, FY2002 ......................................$23.6b $213.5bMedicaid payments (% of total), FY2002:


Total Medicaid expenditures as a percent of total state budget, FY2003..........18.5 21.4State Medicaid expenditures as a percent of state-only budget, FY2003 .........11.6 12.6Medicaid long-term care expenditures (%), FY2004.........................................24.0 31.6Medicare fee-for-service payment per beneficiary



(% of state health spending), FY2003 ..........................................................10.7 7.8Price of retail prescription drug (average), 2003 ..........................................$51.94 $52.97Average employee health insurance premium

contribution (%), 2003 .................................................................................14.4 17.4


State 29.2% 44.2% 15.7% 9.3% 1.5% 36,038,859U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


29

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................13.4 19.765+ yrs ....................................................................................................6.3 9.2


50-64 yrs................................................................................................67.7 66.565+ yrs ..................................................................................................65.1 54.7



(% of total), 2003...........................................................................................2.6 14.4Hospital beds (per 100,000 population), 2003 ..................................................192 258Community health centers (#), 2005 .................................................................593 6,760Medicare-certified home health agencies






California/2

30

California/3

Medicare

Medicaid


Number (in 1,000s)...............................................................................4,142 41,385Percent of population..............................................................................11.6 14.0







Low-income working adults with dependents, as of July 2004................107Supplemental Security Income, 2003....................................................100.2



State 39.2% 42.2% 9.2% 9.4% 8,528,300U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................8,738 181,794


State 20.8% 54.8% 8.6% 14.3% 1.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


31

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


5,670,1933,666,758

54.6

3,900,1933,458,312

12.8

55.647.616.8

14.219.0

-25.3

5.66.7

-16.0

61.351.618.8

7.98.3

-4.4

10.09.0

11.5

8,5286,06040.7

17.29.2

86.9

262298

-12.2

2.73.2

-13.7

California/4

32

Colorado

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................15.9 17.4


State 27.9% 45.3% 16.9% 8.6% 1.3% 4,617,962U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


33

HealthStatus

ResourcesAvailable


>1 week in month (%), 2004.........................................................................9.9 11.0Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004............41.3 46.8Adults age 50+ with diabetes (%), 2004............................................................9.2 13.4Adults age 50+ who smoke cigarettes (%), 2004:

50-64 yrs................................................................................................15.3 19.765+ yrs ....................................................................................................9.7 9.2


50-64 yrs................................................................................................74.2 66.565+ yrs ..................................................................................................61.7 54.7









Colorado/2

34

Colorado/3

Medicare

Medicaid












State 53.3% 19.3% 11.6% 15.7% 410,700U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................4,783 181,794


State 18.5% 64.1% 8.8% 5.7% 2.9%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


35

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


782,709501,135

56.2

455,641377,328

20.8

28.617.068.2

10.29.48.5

6.37.5

-15.6

59.844.833.5

9.05.4

66.9

10.27.7

32.6

411330

24.5

10.06.3

58.3

309357

-13.5

4.15.2

-21.8

Colorado/4

36

Connecticut

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................21.5 17.4


State 26.5% 42.1% 17.7% 11.4% 2.3% 3,503,185U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


37

HealthStatus

ResourcesAvailable


>1 week in month (%), 2004.........................................................................9.2 11.0Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004............38.2 46.8Adults age 50+ with diabetes (%), 2004..........................................................11.1 13.4Adults age 50+ who smoke cigarettes (%), 2004:

50-64 yrs................................................................................................16.9 19.765+ yrs ....................................................................................................6.7 9.2


50-64 yrs................................................................................................70.8 66.565+ yrs ..................................................................................................53.1 54.7








Number of retail prescriptions filled per person (average), 2003 ......................11.7 10.7Hospital admissions (per 1,000 population), 2003..........................................108.7 119.4Medicare home health users (% of beneficiaries), 2004...................................10.0 8.0Medicare home health visits per person served (average), 2004.........................33 30Medicare SNF users (% of beneficiaries), 2004..................................................7.3 4.7Medicare hospice users (% of beneficiaries), 2003.............................................1.4 2.1

Connecticut/2

38

Connecticut/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004................107Supplemental Security Income, 2003......................................................99.8*



State 54.7% 18.9% 13.5% 12.9% 444,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................2,380 181,794


State 13.4% 70.5% 5.3% 9.7% 1.1%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


39

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


621,459449,195

38.3

479,443466,923

2.7

22.615.248.7

10.511.2-6.2

5.17.1

-28.0

61.052.815.5

5.96.5

-9.2

6.37.1

-12.1

444332

33.8

11.25.7

97.7

401405-0.9

6.16.2

-2.1

Connecticut/4

40

Delaware

Demographics







Medicaid...............................................................................................50.09SCHIP ...................................................................................................65.06







contribution (%), 2003 .................................................................................18.4 17.4


State 26.5% 42.4% 17.9% 11.6% 1.6% 836,687U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


41

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.2 19.765+ yrs ..................................................................................................10.2 9.2


50-64 yrs................................................................................................65.4 66.565+ yrs ..................................................................................................50.3 54.7



(% of total), 2003.........................................................................................16.2 14.4Hospital beds (per 100,000 population), 2003 ..................................................210 258Community health centers (#), 2005 .....................................................................5 6,760Medicare-certified home health agencies






Delaware/2

42

Delaware/3

Medicare

Medicaid












State 46.1% 34.0% 7.6% 12.2% 133,100U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 16.5% 67.6% 4.5% 8.6% 1.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


43

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


149,98696,156

56.0

110,30791,325

20.8

30.421.342.7

9.58.4

13.1

11.58.3

38.0

66.056.117.6

6.36.6

-4.4

8.04.1

96.7

13369

92.9

15.48.6

80.3

366378-3.2

3.64.6

-21.4

Delaware/4

44

District of Columbia

Demographics







Medicaid...............................................................................................70.00SCHIP ...................................................................................................79.00



Total Medicaid expenditures as a percent of total state budget, FY2003 ...........N/A 21.4State Medicaid expenditures as a percent of state-only budget, FY2003...........N/A 12.6Medicaid long-term care expenditures (%), FY2004.........................................24.9 31.6Medicare fee-for-service payment per beneficiary


(% of total state budget), FY2003 ..................................................................N/A 31.5Public health and community health services expenditures

(% of state health spending), FY2003............................................................N/A 7.8Price of retail prescription drug (average), 2003 ..........................................$66.81 $52.97Average employee health insurance premium

contribution (%), 2003 .................................................................................19.0 17.4


State 24.1% 48.4% 15.9% 9.9% 1.7% 551,136U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


45

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.6 19.765+ yrs ....................................................................................................8.1 9.2


50-64 yrs................................................................................................70.3 66.565+ yrs ..................................................................................................55.1 54.7



(% of total), 2003 ..........................................................................................N/A 14.4Hospital beds (per 100,000 population), 2003 ..................................................597 258Community health centers (#), 2005 ...................................................................11 6,760Medicare-certified home health agencies






District of Columbia/2

46


Medicare

Medicaid


Number (in 1,000s)....................................................................................74 41,385Percent of population..............................................................................13.5 14.0










State 50.0% 22.8% 9.2% 18.0% 152,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 14.9% 59.2% 6.7% 18.0% 1.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


47

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


87,76374,055

18.5

63,76776,034

-16.1

70.375.5-6.9

17.422.1

-21.3

23.818.528.6

61.755.710.8

9.610.4-7.5

24.825.4-2.4

153126

21.1

8.74.5

94.3

649805

-19.3

4.44.0

10.3


48

Florida

Demographics







Medicaid...............................................................................................58.89SCHIP ...................................................................................................71.22







contribution (%), 2003 .................................................................................20.9 17.4


State 24.6% 39.7% 18.5% 14.8% 2.4% 17,509,827U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


49

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.3 19.765+ yrs ....................................................................................................7.5 9.2


50-64 yrs................................................................................................65.7 66.565+ yrs ..................................................................................................58.7 54.7









Florida/2

50

Florida/3

Medicare

Medicaid












State 50.0% 20.4% 13.0% 16.5% 2,462,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................476 181,794


State 23.6% 56.8% 6.7% 9.5% 3.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


51

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


3,231,1871,984,592

62.8

3,017,3572,627,737

14.8

37.033.610.1

12.716.0

-20.6

7.68.7

-12.9

64.053.020.8

9.310.1-7.6

15.76.8

129.5

2,4621,80336.6

19.311.863.6

3943881.7

2.62.8

-8.9

Florida/4

52

Georgia

Demographics







Medicaid...............................................................................................60.60SCHIP ...................................................................................................72.42







contribution (%), 2003 .................................................................................19.3 17.4


State 29.3% 45.1% 16.0% 8.4% 1.2% 8,925,796U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


53

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.0 19.765+ yrs ..................................................................................................11.2 9.2


50-64 yrs................................................................................................58.6 66.565+ yrs ..................................................................................................46.4 54.7









Georgia/2

54

Georgia/3

Medicare

Medicaid












State 55.4% 19.1% 10.2% 15.3% 1,328,400U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 19.1% 60.8% 5.9% 11.8% 2.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


55

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,425,515914,332

55.9

856,108720,526

18.8

40.737.68.2

13.614.3-4.9

8.510.1

-15.6

63.953.619.2

12.313.4-8.1

15.113.89.8

1,328968

37.2

12.99.6

35.1

413513

-19.5

4.64.9

-4.8

Georgia/4

56

Hawaii

Demographics



Poverty or below.......................................................................................9.5 14.4101%-200% of poverty ..........................................................................15.7 18.3




Medicaid...............................................................................................58.81SCHIP ...................................................................................................71.17



Total Medicaid expenditures as a percent of total state budget, FY2003............9.7 21.4State Medicaid expenditures as a percent of state-only budget, FY2003 ...........4.8 12.6Medicaid long-term care expenditures (%), FY2004.........................................32.6 31.6Medicare fee-for-service payment per beneficiary




contribution (%), 2003 ...................................................................................8.3 17.4


State 26.9% 41.4% 18.4% 11.6% 1.7% 1,276,552U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


57

HealthStatus

ResourcesAvailable

State U.S.Adults age 50+ in poor or fair general health (%), 2004....................................N/A 21.7High blood pressure prevalence among adults age 50+ (%), 2003 ..................45.3 45.0Adults age 50+ whose mental health was not good for

>1 week in month (%), 2004 ........................................................................N/A 11.0Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004 .............N/A 46.8Adults age 50+ with diabetes (%), 2004 ...........................................................N/A 13.4Adults age 50+ who smoke cigarettes (%), 2004:

50-64 yrs .................................................................................................N/A 19.765+ yrs ....................................................................................................N/A 9.2


50-64 yrs................................................................................................74.7 66.565+ yrs ..................................................................................................67.4 54.7




(per 100,000 beneficiaries), 2005.....................................................................8 19


State U.S.Women age 50+ receiving mammogram (%), 2004 ..........................................N/A 67.3Adults age 50+ receiving colonoscopy or sigmoidoscopy (%), 2004..................N/A 48.6Adult immunization (%), 2004:

Pneumococcal pneumonia (age 65+) .......................................................N/A 64.6Influenza (age 50+) ..................................................................................N/A 52.3


Hawaii/2

58

Hawaii/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004................100Supplemental Security Income, 2003 ....................................................64.7*



State 46.4% 32.1% 10.6% 10.9% 190,000U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700




White ........................................................................................................9.3 13.1Minority/ethnic........................................................................................11.6 26.5


national median (%), 2004...........................................................................18.3 30.5Uninsured adults age 50-64 (%), 2004 ..............................................................9.6 13.5Uninsured full-time workers with dependents (%), 2004....................................5.9 15.8High-risk insurance pool participation (average per month),



State 11.2% 71.2% 4.0% 7.7% 5.9%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


59

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


234,415154,459

51.8

170,075149,496

13.8

81.469.117.8

8.89.4

-6.4

7.76.7

14.5

N/A39.6N/A

N/A2.5N/A

4.42.5

76.3

190111

71.2

12.84.9

162.2

2632495.8

2.12.10.6

Hawaii/4

60

Idaho

Demographics







Medicaid...............................................................................................69.91SCHIP ...................................................................................................78.94







contribution (%), 2003 .................................................................................16.2 17.4


State 29.8% 42.2% 16.8% 9.7% 1.6% 1,407,060U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


61

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.1 19.765+ yrs ....................................................................................................9.4 9.2


50-64 yrs................................................................................................69.8 66.565+ yrs ..................................................................................................57.4 54.7


State U.S.Physician generalists (per 100,000 population), 2003.........................................40 31Physician specialists (per 100,000 population), 2003........................................127 220Geriatricians (per 100,000 population age 65+), 2005..........................................8 23Number of practicing pharmacists (per 100,000 population), 2004.....................79 73Hospital-based registered nurses in nonmetropolitan areas







Idaho/2

62

Idaho/3

Medicare

Medicaid



Disabled Medicare beneficiaries under age 65 (%), 2004 ................................14.6 15.4Medicare beneficiaries with full or partial Medicaid (%), 2003 ...........................7.0 19.0Private supplemental coverage among Medicare beneficiaries age 65+









State 63.8% 15.0% 6.9% 14.3% 172,400U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................1,364 181,794


State 16.8% 60.8% 11.1% 9.9% 1.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


63

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


236,130152,547

54.8

158,646133,533

18.8

15.18.9

69.7

10.212.4

-17.7

5.77.5

-24.2

65.254.220.3

9.97.1

39.2

18.115.814.4

172100

72.4

15.810.649.2

345350-1.5

3.74.1

-8.1

Idaho/4

64

Illinois

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................16.9 17.4


State 28.2% 43.5% 16.3% 10.2% 1.8% 12,699,336U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


65

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.6 19.765+ yrs ..................................................................................................10.8 9.2


50-64 yrs................................................................................................67.7 66.565+ yrs ..................................................................................................53.5 54.7









Illinois/2

66

Illinois/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004................140Supplemental Security Income, 2003.......................................................N/A*



State 57.5% 20.5% 8.4% 13.6% 1,798,800U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 .................................................................................16,374 181,794


State 15.8% 67.4% 6.8% 8.4% 1.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


67

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


2,072,0621,574,560

31.6

1,520,7831,497,080

1.6

31.925.823.6

13.013.1-0.8

7.110.3

-31.2

65.756.017.3

7.98.6

-8.5

13.28.0

64.9

1,7991,637

9.9

17.38.2

110.2

3853539.2

5.16.2

-18.1

Illinois/4

68

Indiana

Demographics







Medicaid...............................................................................................62.98SCHIP ...................................................................................................74.09







contribution (%), 2003 .................................................................................21.0 17.4


State 28.3% 42.5% 16.9% 10.6% 1.7% 6,249,617U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


69

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.2 19.765+ yrs ....................................................................................................8.7 9.2


50-64 yrs................................................................................................64.1 66.565+ yrs ..................................................................................................52.0 54.7









Indiana/2

70

Indiana/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004..................29Supplemental Security Income, 2003 ......................................................73.8*



State 60.1% 16.6% 9.5% 13.7% 825,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................9,252 181,794


State 15.9% 66.4% 5.6% 10.2% 1.9%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


71

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,057,744792,760

33.4

766,210735,648

4.2

14.910.147.5

12.514.3

-12.6

7.69.3

-18.8

67.560.711.2

7.87.9

-0.3

8.78.52.0

826535

54.3

13.711.322.0

4053913.6

6.17.0

-13.8

Indiana/4

72

Iowa

Demographics







Medicaid...............................................................................................63.61SCHIP ...................................................................................................74.53







contribution (%), 2003 .................................................................................20.8 17.4


State 27.0% 41.0% 17.4% 12.1% 2.5% 2,973,700U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


73

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.1 19.765+ yrs ....................................................................................................9.4 9.2


50-64 yrs................................................................................................68.9 66.565+ yrs ..................................................................................................54.2 54.7









Iowa/2

74

Iowa/3

Medicare

Medicaid












State 50.4% 19.8% 12.6% 17.2% 331,100U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................N/A 181,794


State 10.9% 69.2% 10.7% 8.3% 0.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


75

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


516,341394,088

31.0

435,794434,429

0.3

10.64.3

146.5

11.510.59.5

4.96.9

-28.6

67.862.58.5

4.74.9

-3.4

9.48.78.9

3313058.6

16.610.361.3

3653368.5

7.17.5

-4.6

Iowa/4

76

Kansas

Demographics







Medicaid...............................................................................................60.41SCHIP ...................................................................................................72.29







contribution (%), 2003 .................................................................................23.1 17.4


State 28.5% 41.9% 16.6% 10.9% 2.1% 2,751,509U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


77

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.0 19.765+ yrs ..................................................................................................12.5 9.2


50-64 yrs................................................................................................65.7 66.565+ yrs ..................................................................................................52.2 54.7









Kansas/2

78

Kansas/3

Medicare

Medicaid












State 56.3% 15.5% 11.3% 16.9% 281,100U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................1,706 181,794


State 12.5% 67.9% 8.7% 8.4% 2.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


79

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


457,329333,536

37.1

358,069355,153

0.8

16.415.55.8

12.015.4

-22.1

5.58.2

-32.7

65.848.635.4

7.56.1

21.9

15.38.4

83.3

281246

14.3

14.110.041.0

3523277.7

6.39.0

-30.0

Kansas/4

80

Kentucky

Demographics







Medicaid...............................................................................................69.26SCHIP ...................................................................................................78.48







contribution (%), 2003 .................................................................................20.0 17.4


State 26.9% 42.8% 17.9% 10.9% 1.6% 4,163,360U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


81

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................27.6 19.765+ yrs ....................................................................................................9.8 9.2


50-64 yrs................................................................................................59.0 66.565+ yrs ..................................................................................................40.2 54.7









Kentucky/2

82

Kentucky/3

Medicare

Medicaid












State 50.2% 13.3% 12.2% 24.3% 761,900U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................3,060 181,794


State 16.3% 61.0% 6.4% 12.9% 3.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


83

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


745,902545,671

36.7

519,544488,038

6.5

10.87.4

45.9

18.220.0-9.0

5.68.8

-35.9

68.161.011.6

13.312.29.6

13.513.31.0

762637

19.6

18.612.549.0

5204964.8

4.44.40.2

Kentucky/4

84

Louisiana

Demographics







Medicaid...............................................................................................69.79SCHIP ...................................................................................................78.85







contribution (%), 2003 .................................................................................19.1 17.4


State 29.2% 42.1% 16.8% 10.4% 1.5% 4,534,310U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


85

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................22.2 19.765+ yrs ....................................................................................................6.9 9.2


50-64 yrs................................................................................................61.8 66.565+ yrs ..................................................................................................45.2 54.7


State U.S.Physician generalists (per 100,000 population), 2003.........................................30 31Physician specialists (per 100,000 population), 2003........................................222 220Geriatricians (per 100,000 population age 65+), 2005........................................18 23Number of practicing pharmacists (per 100,000 population), 2004...................104 73Hospital-based registered nurses in nonmetropolitan areas







Louisiana/2

86

Louisiana/3

Medicare

Medicaid












State 57.5% 11.6% 11.4% 19.6% 886,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................1,257 181,794


State 19.6% 56.5% 6.5% 14.7% 2.7%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


87

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


764,006569,696

34.1

539,017494,915

8.9

37.632.715.0

17.126.3

-35.0

9.79.8

-0.8

68.359.415.0

14.011.323.8

21.121.2-0.3

887735

20.6

18.610.971.3

56448316.8

5.17.7

-33.4

Louisiana/4

88

Maine

Demographics







Medicaid...............................................................................................62.90SCHIP ...................................................................................................74.03







contribution (%), 2003 .................................................................................18.1 17.4


State 23.9% 41.5% 20.0% 12.5% 2.1% 1,318,557U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


89

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.3 19.765+ yrs ..................................................................................................10.0 9.2


50-64 yrs................................................................................................73.0 66.565+ yrs ..................................................................................................55.5 54.7









Maine/2

90

Maine/3

Medicare

Medicaid












State 34.1% 18.4% 22.5% 25.0% 277,900U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700




White ......................................................................................................11.5 13.1Minority/ethnic ...........................................................................................(-) 26.5





State 11.7% 62.7% 5.8% 17.4% 2.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


91

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


263,384169,334

55.5

192,544172,773

11.4

4.71.3

261.5

12.29.6

27.1

5.06.6

-24.6

65.453.023.4

7.06.3

11.2

7.38.0

-7.8

278189

47.0

13.89.2

49.9

55448514.3

3.85.4

-29.2

Maine/4

92

Maryland

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................23.1 17.4


State 27.5% 43.7% 17.3% 10.0% 1.5% 5,600,563U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


93

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.2 19.765+ yrs ....................................................................................................7.9 9.2


50-64 yrs................................................................................................67.5 66.565+ yrs ..................................................................................................60.3 54.7









Maryland/2

94

Maryland/3

Medicare

Medicaid












State 57.2% 18.7% 9.4% 14.7% 704,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................5,260 181,794


State 16.4% 68.3% 6.1% 6.9% 2.3%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


95

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


971,444665,349

46.0

642,389570,288

12.6

40.535.215.1

9.810.7-8.4

7.09.4

-25.1

65.656.316.5

7.86.7

15.6

6.53.2

101.3

705534

31.9

10.46.6

57.7

37931121.9

4.04.1

-4.0

Maryland/4

96

Massachusetts

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................20.4 17.4


State 26.2% 43.3% 17.4% 11.1% 2.1% 6,518,868U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


97

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.2 19.765+ yrs ....................................................................................................8.5 9.2


50-64 yrs................................................................................................71.9 66.565+ yrs ..................................................................................................53.0 54.7









Massachusetts/2

98

Massachusetts/3

Medicare

Medicaid












State 40.3% 28.7% 12.4% 18.6% 1,125,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 13.2% 68.0% 6.2% 11.3% 1.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


99

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,133,680787,250

44.0

858,061857,555

0.1

19.611.373.5

9.49.7

-3.1

5.05.6

-11.4

62.155.112.7

4.84.64.4

5.18.7

-41.8

1,126765

47.1

11.47.3

56.3

460482-4.6

6.36.8

-6.7

Massachusetts/4

100

Michigan

Demographics







Medicaid...............................................................................................56.59SCHIP ...................................................................................................69.61







contribution (%), 2003 .................................................................................14.7 17.4


State 27.8% 42.6% 17.4% 10.5% 1.7% 10,207,421U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


101

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.1 19.765+ yrs ....................................................................................................7.1 9.2


50-64 yrs................................................................................................64.1 66.565+ yrs ..................................................................................................55.3 54.7









Michigan/2

102

Michigan/3

Medicare

Medicaid












State 54.9% 17.9% 9.1% 18.1% 1,430,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 13.2% 68.3% 6.9% 10.1% 1.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


103

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,771,6061,285,651

37.8

1,245,6441,202,925

3.6

22.018.717.6

14.214.8-4.1

8.69.3

-7.2

66.559.611.6

8.17.1

14.0

11.011.4-3.4

1,4301,361

5.1

10.66.7

58.4

4023708.9

3.43.9

-13.9

Michigan/4

104

Minnesota

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................16.4 17.4


State 27.6% 43.8% 16.7% 10.0% 1.9% 5,174,743U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


105

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.0 19.765+ yrs ..................................................................................................10.4 9.2


50-64 yrs................................................................................................75.1 66.565+ yrs ..................................................................................................64.3 54.7









Minnesota/2

106

Minnesota/3

Medicare

Medicaid












State 49.0% 24.1% 13.7% 13.2% 658,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 .................................................................................34,434 181,794


State 9.9% 73.0% 9.7% 6.7% 0.7%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


107

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


866,715585,588

48.0

616,805575,571

7.2

14.86.8

117.6

6.811.8

-42.4

4.97.3

-33.2

67.860.711.7

6.65.4

22.7

7.65.1

48.8

659501

31.4

7.35.7

27.6

31226417.8

6.29.6

-35.9

Minnesota/4

108

Mississippi

Demographics







Medicaid...............................................................................................76.00SCHIP ...................................................................................................83.20







contribution (%), 2003 .................................................................................15.2 17.4


State 29.3% 41.7% 16.8% 10.5% 1.6% 2,915,696U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


109

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................22.7 19.765+ yrs ....................................................................................................9.7 9.2


50-64 yrs................................................................................................57.0 66.565+ yrs ..................................................................................................44.1 54.7


State U.S.Physician generalists (per 100,000 population), 2003.........................................29 31Physician specialists (per 100,000 population), 2003........................................147 220Geriatricians (per 100,000 population age 65+), 2005..........................................9 23Number of practicing pharmacists (per 100,000 population), 2004.....................79 73Hospital-based registered nurses in nonmetropolitan areas







Mississippi/2

110

Mississippi/3

Medicare

Medicaid












State 54.7% 11.0% 13.8% 20.5% 681,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................4,258 181,794


State 19.4% 56.2% 5.7% 16.0% 2.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


111

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


490,839353,035

39.0

354,283333,023

6.4

42.138.39.9

18.419.7-6.6

9.511.9

-20.1

68.158.316.8

14.014.3-2.2

29.327.56.4

681537

26.9

19.512.259.2

56049712.7

4.64.7

-3.4

Mississippi/4

112

Missouri

Demographics







Medicaid...............................................................................................61.93SCHIP ...................................................................................................73.35







contribution (%), 2003 .................................................................................17.3 17.4


State 27.4% 41.8% 17.4% 11.4% 1.9% 5,765,166U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


113

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.7 19.765+ yrs ....................................................................................................9.7 9.2


50-64 yrs................................................................................................62.7 66.565+ yrs ..................................................................................................46.7 54.7









Missouri/2

114

Missouri/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004..................82Supplemental Security Income, 2003......................................................73.8*



State 54.5% 22.6% 9.6% 13.3% 1,032,300U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................2,954 181,794


State 14.4% 64.5% 6.8% 12.5% 1.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


115

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,001,095731,849

36.8

769,969743,741

3.5

17.712.442.7

12.916.3

-20.9

9.38.59.9

66.059.411.1

9.47.2

31.1

23.711.8

100.5

1,032647

59.6

18.310.475.9

46741711.9

5.25.3

-0.8

Missouri/4

116

Montana

Demographics







Medicaid...............................................................................................70.54SCHIP ...................................................................................................79.38







contribution (%), 2003 .................................................................................13.5 17.4


State 25.9% 40.3% 19.9% 11.8% 2.0% 933,005U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


117

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.2 19.765+ yrs ....................................................................................................7.8 9.2


50-64 yrs................................................................................................73.9 66.565+ yrs ..................................................................................................56.2 54.7









Montana/2

118

Montana/3

Medicare

Medicaid












State 53.9% 18.9% 10.7% 16.5% 101,900U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................3,570 181,794


State 22.3% 54.4% 10.2% 11.0% 2.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


119

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


185,945125,430

48.2

129,243114,752

12.6

9.75.8

67.2

15.411.830.5

6.47.9

-19.1

63.254.416.2

9.16.3

43.7

20.412.760.1

10292

10.8

14.89.9

48.4

329345-4.5

4.35.4

-19.7

Montana/4

120

Nebraska

Demographics







Medicaid...............................................................................................59.68SCHIP ...................................................................................................71.78







contribution (%), 2003 .................................................................................25.0 17.4


State 28.4% 41.4% 16.8% 11.2% 2.2% 1,744,370U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


121

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................21.0 19.765+ yrs ..................................................................................................14.5 9.2


50-64 yrs................................................................................................68.8 66.565+ yrs ..................................................................................................54.3 54.7









Nebraska/2

122

Nebraska/3

Medicare

Medicaid












State 59.9% 19.2% 9.4% 11.5% 249,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................6,087 181,794


State 13.0% 66.5% 9.9% 8.8% 1.7%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


123

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


293,350213,626

37.3

233,233229,085

1.8

16.45.9

178.0

9.58.79.2

6.18.8

-30.3

67.360.611.1

6.25.4

15.9

5.78.9

-35.5

249163

52.9

16.011.341.6

30926416.7

6.19.9

-38.5

Nebraska/4

124

Nevada

Demographics







Medicaid...............................................................................................54.76SCHIP ...................................................................................................68.33







contribution (%), 2003 .................................................................................13.3 17.4


State 27.8% 43.0% 17.9% 10.3% 1.0% 2,352,086U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


125

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.6 19.765+ yrs ....................................................................................................9.4 9.2


50-64 yrs................................................................................................58.4 66.565+ yrs ..................................................................................................51.2 54.7









Nevada/2

126

Nevada/3

Medicare

Medicaid




(%), 2004:Employer sponsored ...............................................................................31.0 34.0Individually purchased................................................................................(-) 25.7








State 50.3% 21.1% 11.4% 17.3% 167,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 20.8% 66.3% 5.5% 5.1% 2.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


127

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


421,417218,033

93.3

266,255174,466

52.6

37.627.337.7

11.511.8-2.5

5.86.6

-12.2

62.753.916.3

9.610.5-8.3

14.111.918.6

16799

68.9

12.35.4

128.1

279322

-13.4

1.52.0

-23.9

Nevada/4

128

New Hampshire

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................21.1 17.4


State 26.0% 43.2% 18.8% 10.3% 1.7% 1,314,821U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


129

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................17.2 19.765+ yrs ....................................................................................................9.3 9.2


50-64 yrs................................................................................................69.1 66.565+ yrs ..................................................................................................56.4 54.7








Number of retail prescriptions filled per person (average), 2003 ......................10.4 10.7Hospital admissions (per 1,000 population), 2003............................................92.8 119.4Medicare home health users (% of beneficiaries), 2004.....................................7.8 8.0Medicare home health visits per person served (average), 2004.........................30 30Medicare SNF users (% of beneficiaries), 2004..................................................4.3 4.7Medicare hospice users (% of beneficiaries), 2003.............................................1.1 2.1

New Hampshire/2

130

New Hampshire/3

Medicare

Medicaid












State 61.3% 14.5% 11.9% 12.4% 108,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................272 181,794


State 13.2% 76.1% 4.9% 4.0% 1.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


131

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


246,900141,135

74.9

158,010137,738

14.7

5.12.5

104.0

5.17.6

-32.9

2.94.8

-39.2

63.457.610.1

6.86.63.3

5.95.72.5

10979

37.3

11.16.4

73.7

43338612.2

4.74.8

-0.9

New Hampshire/4

132

New Jersey

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................16.0 17.4


State 26.5% 43.2% 17.2% 11.2% 1.9% 8,745,279U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


133

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................16.1 19.765+ yrs ..................................................................................................10.2 9.2


50-64 yrs................................................................................................66.4 66.565+ yrs ..................................................................................................52.4 54.7



(% of total), 2003 ..........................................................................................N/A 14.4Hospital beds (per 100,000 population), 2003 ..................................................261 258Community health centers (#), 2005 ...................................................................49 6,760Medicare-certified home health agencies






New Jersey/2

134

New Jersey/3

Medicare

Medicaid












State 49.4% 20.5% 15.6% 14.5% 923,100U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 17.1% 71.4% 3.5% 6.6% 1.3%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


135

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,506,8151,113,767

35.3

1,145,3151,092,381

4.8

35.427.329.7

7.99.5

-16.8

5.18.0

-36.1

65.461.36.7

8.611.4

-25.0

2.84.9

-41.6

923790

16.8

12.67.0

79.9

3413332.2

4.34.6

-7.1

New Jersey/4

136

New Mexico

Demographics







Medicaid...............................................................................................71.15SCHIP ...................................................................................................79.81







contribution (%), 2003 .................................................................................17.6 17.4


State 28.7% 40.5% 18.2% 11.0% 1.6% 1,902,057U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


137

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.9 19.765+ yrs ..................................................................................................10.9 9.2


50-64 yrs................................................................................................71.8 66.565+ yrs ..................................................................................................59.3 54.7









New Mexico/2

138

New Mexico/3

Medicare

Medicaid












State 64.2% 18.6% 7.1% 10.2% 423,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................1,292 181,794


State 23.8% 51.6% 5.8% 15.2% 3.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


139

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


346,353218,509

58.5

239,558185,645

29.0

56.249.912.6

17.122.2

-23.0

5.39.3

-42.8

58.948.820.7

10.38.1

27.1

27.620.037.9

424241

75.7

4.76.7

-30.1

361373-3.2

2.73.1

-12.7

New Mexico/4

140

New York

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................17.4 17.4


State 26.7% 43.2% 17.1% 11.1% 1.9% 19,258,082U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


141

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.2 19.765+ yrs ..................................................................................................10.2 9.2


50-64 yrs................................................................................................66.4 66.565+ yrs ..................................................................................................54.0 54.7









New York/2

142

New York/3

Medicare

Medicaid












State 46.6% 23.2% 13.3% 16.9% 3,548,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 16.1% 62.7% 5.2% 14.8% 1.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


143

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


3,287,8792,517,412

30.6

2,508,6932,418,864

3.7

38.131.521.0

15.317.9

-14.5

6.28.3

-25.5

63.257.410.1

7.910.7

-26.3

10.012.2

-17.9

3,5492,92821.2

11.65.1

126.5

3953813.6

4.64.52.3

New York/4

144

North Carolina

Demographics







Medicaid...............................................................................................63.49SCHIP ...................................................................................................74.44







contribution (%), 2003 .................................................................................15.8 17.4


State 27.6% 43.2% 17.2% 10.5% 1.5% 8,702,410U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


145

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................22.6 19.765+ yrs ....................................................................................................7.6 9.2


50-64 yrs................................................................................................59.2 66.565+ yrs ..................................................................................................47.9 54.7









North Carolina/2

146

North Carolina/3

Medicare

Medicaid












State 50.1% 20.2% 13.0% 16.6% 1,375,800U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 17.5% 61.2% 7.0% 9.8% 4.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


147

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,500,106990,406

51.5

1,037,474905,575

14.6

33.524.337.9

14.714.14.3

8.210.3

-20.4

66.459.711.2

13.111.019.4

7.88.7

-10.1

1,376882

56.0

19.09.0

110.6

416431-3.4

4.03.86.7

North Carolina/4

148

North Dakota

Demographics







Medicaid...............................................................................................65.85SCHIP ...................................................................................................76.10







contribution (%), 2003 .................................................................................19.0 17.4


State 26.9% 40.8% 17.6% 12.1% 2.6% 635,468U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


149

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.1 19.765+ yrs ....................................................................................................8.8 9.2


50-64 yrs................................................................................................69.7 66.565+ yrs ..................................................................................................54.9 54.7









North Dakota/2

150

North Dakota/3

Medicare

Medicaid












State 48.2% 21.4% 15.7% 14.7% 65,400U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................1,800 181,794


State 13.0% 64.4% 12.9% 6.6% 3.1%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


151

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


111,56083,132

34.2

93,63593,633

0.0

10.55.5

90.9

9.910.4-4.8

7.57.16.0

70.457.123.3

5.76.7

-16.2

20.818.611.8

6566

-0.9

12.17.7

56.6

4153984.1

7.38.4

-13.4

North Dakota/4

152

Ohio

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below.......................................................................................8.0 8.9101%-200% of poverty .............................................................................11 12.3



Medicaid...............................................................................................59.88SCHIP ...................................................................................................71.92







contribution (%), 2003 .................................................................................16.9 17.4


State 27.3% 41.9% 17.6% 11.4% 1.8% 11,477,557U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


153

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.9 19.765+ yrs ..................................................................................................10.8 9.2


50-64 yrs................................................................................................64.5 66.565+ yrs ..................................................................................................51.4 54.7









Ohio/2

154

Ohio/3

Medicare

Medicaid












State 54.3% 21.0% 8.9% 15.8% 1,660,400U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700






national median (%), 2004...........................................................................23.6 30.5Uninsured adults age 50-64 (%), 2004 ............................................................10.5 13.5Uninsured full-time workers with dependents (%), 2004....................................9.9 15.8High-risk insurance pool participation (average per month),



State 13.0% 70.2% 5.4% 9.8% 1.7%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


155

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


2,016,1091,529,337

31.8

1,521,6031,496,464

1.7

17.113.427.6

12.314.4

-14.6

8.98.80.9

68.061.211.1

7.78.3

-6.6

7.27.8

-7.9

1,6601,619

2.6

16.08.7

85.0

47643210.2

5.96.0

-3.0

Ohio/4

156

Oklahoma

Demographics







Medicaid...............................................................................................67.91SCHIP ...................................................................................................77.54







contribution (%), 2003 .................................................................................19.0 17.4


State 28.2% 41.2% 17.4% 11.4% 1.8% 3,521,379U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


157

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................25.2 19.765+ yrs ....................................................................................................9.1 9.2


50-64 yrs................................................................................................57.8 66.565+ yrs ..................................................................................................46.8 54.7









Oklahoma/2

158

Oklahoma/3

Medicare

Medicaid









Low-income working adults with dependents, as of July 2004..................45Supplemental Security Income, 2003 .....................................................80.6*



State 64.7% 13.8% 9.5% 11.9% 677,700U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................2,841 181,794


State 23.1% 56.8% 5.6% 9.9% 4.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


159

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


612,315462,297

32.5

464,645444,306

4.6

26.916.365.0

10.717.3

-38.2

7.59.2

-18.0

70.055.625.9

10.99.2

18.2

15.610.843.4

678414

63.7

16.29.8

65.3

40335414.1

4.37.0

-38.1

Oklahoma/4

160

Oregon

Demographics







Medicaid...............................................................................................61.57SCHIP ...................................................................................................73.10







contribution (%), 2003 .................................................................................13.0 17.4


State 26.1% 42.7% 18.7% 10.5% 1.9% 3,596,083U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


161

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.5 19.765+ yrs ....................................................................................................8.0 9.2


50-64 yrs................................................................................................68.1 66.565+ yrs ..................................................................................................55.0 54.7









Oregon/2

162

Oregon/3

Medicare

Medicaid












State 41.9% 39.8% 7.6% 10.7% 594,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................9,638 181,794


State 18.9% 62.2% 9.0% 8.8% 1.0%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


163

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


672,795428,460

57.0

448,765426,224

5.3

18.211.065.5

12.912.80.8

6.36.7

-5.9

64.256.314.0

10.17.1

41.9

6.910.3

-33.5

595335

77.5

9.54.6

104.0

312353

-11.7

1.73.3

-47.9

Oregon/4

164

Pennsylvania

Demographics







Medicaid...............................................................................................55.05SCHIP ...................................................................................................68.54







contribution (%), 2003 .................................................................................15.4 17.4


State 25.6% 41.0% 18.2% 12.9% 2.3% 12,426,603U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


165

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................21.0 19.765+ yrs ....................................................................................................8.9 9.2


50-64 yrs................................................................................................66.1 66.565+ yrs ..................................................................................................55.2 54.7









Pennsylvania/2

166

Pennsylvania/3

Medicare

Medicaid












State 48.6% 16.7% 12.6% 22.1% 1,647,500U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 14.0% 68.9% 6.9% 8.7% 1.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


167

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


2,256,6471,690,649

33.5

1,896,5101,912,079

-0.8

16.912.337.4

12.213.2-7.6

8.08.7

-7.8

68.860.114.5

6.25.6

11.1

6.36.30.3

1,6481,543

6.8

6.86.71.8

4254191.4

4.64.9

-7.1

Pennsylvania/4

168

Rhode Island

Demographics







Medicaid...............................................................................................54.45SCHIP ...................................................................................................68.12







contribution (%), 2003 .................................................................................22.0 17.4


State 26.5% 42.4% 17.2% 11.6% 2.3% 1,086,575U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


169

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.3 19.765+ yrs ....................................................................................................8.6 9.2


50-64 yrs................................................................................................66.2 66.565+ yrs ..................................................................................................53.8 54.7









Rhode Island/2

170

Rhode Island/3

Medicare

Medicaid












State 46.2% 25.1% 11.9% 16.8% 193,800U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 12.9% 66.4% 5.9% 13.0% 1.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


171

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


186,629124,031

50.5

150,891155,475

-2.9

18.710.578.1

12.110.218.6

7.48.5

-12.6

61.5N/AN/A

5.6N/AN/A

8.711.2

-22.9

194124*

56.3

10.15.7

76.9

441484-9.0

6.56.32.1

Rhode Island/4

172

South Carolina

Demographics







Medicaid...............................................................................................69.32SCHIP ...................................................................................................78.52







contribution (%), 2003 .................................................................................19.8 17.4


State 27.3% 41.9% 18.3% 11.0% 1.5% 4,239,310U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


173

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................21.9 19.765+ yrs ....................................................................................................8.6 9.2


50-64 yrs................................................................................................66.3 66.565+ yrs ..................................................................................................55.8 54.7









South Carolina/2

174

South Carolina/3

Medicare

Medicaid












State 51.9% 25.3% 9.1% 13.7% 871,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................2,132 181,794


State 16.9% 61.1% 5.9% 12.7% 3.4%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


175

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


776,654506,031

53.5

529,410443,647

19.3

33.930.810.1

15.114.07.9

7.79.4

-18.4

64.459.97.5

11.59.0

28.6

15.020.1

-25.3

872475

83.5

17.18.4

104.3

4454108.5

3.03.7

-18.9

South Carolina/4

176

South Dakota

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below.......................................................................................7.9 8.9101%-200% of poverty .............................................................................10 12.3



Medicaid...............................................................................................65.07SCHIP ...................................................................................................75.55







contribution (%), 2003 .................................................................................22.9 17.4


State 28.3% 40.6% 16.9% 11.8% 2.4% 771,803U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


177

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.0 19.765+ yrs ..................................................................................................13.2 9.2


50-64 yrs................................................................................................67.3 66.565+ yrs ..................................................................................................58.8 54.7









South Dakota/2

178

South Dakota/3

Medicare

Medicaid












State 59.8% 15.7% 11.1% 13.4% 106,200U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................490 181,794


State 13.8% 60.3% 12.7% 10.2% 3.1%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


179

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


130,61693,068

40.3

109,363105,520

3.6

13.96.4

117.2

14.115.3-7.8

7.410.5

-29.2

67.256.518.9

6.26.3

-2.1

24.618.533.3

10675

41.6

14.38.2

73.4

286345

-17.1

6.59.0

-27.4

South Dakota/4

180

Tennessee

Demographics







Medicaid...............................................................................................63.99SCHIP ...................................................................................................74.79







contribution (%), 2003 .................................................................................21.1 17.4


State 27.0% 42.5% 18.0% 11.0% 1.6% 5,965,317U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


181

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.2 19.765+ yrs ..................................................................................................10.3 9.2


50-64 yrs................................................................................................61.3 66.565+ yrs ..................................................................................................51.6 54.7









Tennessee/2

182

Tennessee/3

Medicare

Medicaid










Medicaid enrollment in managed care plans (%), as of December 2004........100.0 61.3


State 43.3% 29.4% 9.6% 17.7% 1,603,300U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................N/A 181,794


State 16.3% 58.4% 7.7% 13.7% 3.9%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


183

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,070,993749,745

42.8

747,646661,899

13.0

22.522.21.4

16.913.921.6

10.69.97.4

66.954.822.1

10.79.3

14.7

11.610.69.4

1,603885

81.2

31.3N/AN/A

499517-3.5

4.36.4

-33.0

Tennessee/4

184

Texas

Demographics







Medicaid...............................................................................................60.66SCHIP ...................................................................................................72.46







contribution (%), 2003 .................................................................................16.1 17.4


State 30.7% 44.1% 15.3% 8.7% 1.2% 22,775,044U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


185

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................19.7 19.765+ yrs ....................................................................................................4.8 9.2


50-64 yrs................................................................................................62.9 66.565+ yrs ..................................................................................................54.8 54.7








Number of retail prescriptions filled per person (average), 2003 ........................9.7 10.7Hospital admissions (per 1,000 population), 2003..........................................115.6 119.4Medicare home health users (% of beneficiaries), 2004...................................10.6 8.0Medicare home health visits per person served (average), 2004.........................45 30Medicare SNF users (% of beneficiaries), 2004..................................................4.1 4.7Medicare hospice users (% of beneficiaries), 2003.............................................2.3 2.1

Texas/2

186

Texas/3

Medicare

Medicaid












State 57.1% 16.8% 12.9% 13.2% 2,729,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 .................................................................................25,850 181,794


State 27.6% 54.7% 5.5% 10.0% 2.3%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


187

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


3,476,6972,320,670

49.8

2,268,6041,904,755

19.1

52.846.613.3

17.119.8

-13.6

6.77.6

-12.0

66.558.513.7

12.910.324.4

12.711.312.1

2,7302,30918.2

14.17.9

78.4

3803498.9

4.15.1

-20.6

Texas/4

188

Utah

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below ........................................................................................(-) 8.9101%-200% of poverty ..............................................................................(-) 12.3



Medicaid...............................................................................................70.76SCHIP ...................................................................................................79.53







contribution (%), 2003 .................................................................................19.0 17.4


State 35.6% 42.9% 12.9% 7.4% 1.1% 2,417,998U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


189

HealthStatus

ResourcesAvailable



50-64 yrs..................................................................................................8.5 19.765+ yrs ....................................................................................................7.9 9.2


50-64 yrs................................................................................................73.7 66.565+ yrs ..................................................................................................58.0 54.7









Utah/2

190

Utah/3

Medicare

Medicaid


Number (in 1,000s)..................................................................................226 41,385Percent of population................................................................................9.5 14.0

Disabled Medicare beneficiaries under age 65 (%), 2004 ................................12.8 15.4Medicare beneficiaries with full or partial Medicaid (%), 2003 ...........................9.0 19.0Private supplemental coverage among Medicare beneficiaries age 65+









State 58.6% 23.6% 5.9% 12.0% 214,700U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ...................................................................................2,875 181,794


State 15.2% 66.3% 10.4% 7.3% 0.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


191

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


312,807204,643

52.9

206,975174,048

18.9

13.78.0

71.3

10.58.4

25.0

5.66.0

-6.3

66.958.314.8

8.08.5

-5.9

12.88.0

59.5

215175

22.7

15.28.1

88.5

315344-8.4

3.03.0

-1.1

Utah/4

192

Vermont

Demographics







Medicaid...............................................................................................58.49SCHIP ...................................................................................................70.94







contribution (%), 2003 .................................................................................18.2 17.4


State 25.3% 41.7% 20.0% 11.2% 1.9% 630,979U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


193

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................17.7 19.765+ yrs ....................................................................................................8.4 9.2


50-64 yrs................................................................................................72.8 66.565+ yrs ..................................................................................................60.4 54.7








Number of retail prescriptions filled per person (average), 2003 ......................10.2 10.7Hospital admissions (per 1,000 population), 2003............................................84.2 119.4Medicare home health users (% of beneficiaries), 2004...................................10.5 8.0Medicare home health visits per person served (average), 2004.........................35 30Medicare SNF users (% of beneficiaries), 2004..................................................3.7 4.7Medicare hospice users (% of beneficiaries), 2003.............................................1.1 2.1

Vermont/2

194

Vermont/3

Medicare

Medicaid












State 44.2% 30.6% 13.8% 11.3% 152,100U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 12.9% 62.8% 6.7% 14.9% 2.7%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


195

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


126,38177,156

63.8

82,24270,708

16.3

4.42.6

69.2

8.47.87.7

4.94.9

-0.9

60.254.310.9

5.84.9

18.3

3.66.8

-47.3

15286

76.9

20.011.967.8

41134021.0

3.85.4

-29.5

Vermont/4

196

Virginia

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................19.1 17.4


State 27.2% 43.8% 17.6% 10.0% 1.4% 7,552,581U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


197

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................16.5 19.765+ yrs ....................................................................................................8.7 9.2


50-64 yrs................................................................................................65.3 66.565+ yrs ..................................................................................................50.8 54.7









Virginia/2

198

Virginia/3

Medicare

Medicaid












State 53.4% 13.2% 14.4% 19.1% 700,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700









State 16.0% 68.2% 6.1% 6.1% 3.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


199

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,327,955884,567

50.1

867,044736,702

17.7

32.125.127.9

9.310.2-8.8

7.38.5

-14.6

54.260.1-9.8

7.75.6

38.1

7.67.34.2

701608

15.2

14.811.133.6

374391-4.5

3.44.6

-25.2

Virginia/4

200

Washington

Demographics







Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00







contribution (%), 2003 .................................................................................10.9 17.4


State 26.9% 43.8% 17.9% 9.6% 1.7% 6,204,632U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


201

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................16.8 19.765+ yrs ..................................................................................................10.0 9.2


50-64 yrs................................................................................................73.1 66.565+ yrs ..................................................................................................57.7 54.7









Washington/2

202

Washington/3

Medicare

Medicaid












State 57.3% 21.8% 7.6% 13.3% 1,005,400U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700





Uninsured children below 200% of poverty (%), 2004 .......................................9.8 18.5Uninsured non-elderly adults with family income below the


reported as of 2005 ...................................................................................2,732 181,794


State 14.6% 63.9% 7.2% 10.7% 3.6%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


203

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


1,110,506699,941

58.7

702,517631,614

11.2

21.610.6

103.8

11.912.2-2.5

5.36.9

-22.9

63.856.812.3

8.15.2

56.6

11.39.5

18.8

1,005671

49.8

12.16.4

89.2

333398

-16.2

2.84.4

-35.2

Washington/4

204

West Virginia

Demographics







Medicaid...............................................................................................72.99SCHIP ...................................................................................................81.09







contribution (%), 2003 .................................................................................14.1 17.4


State 24.0% 40.6% 20.1% 13.4% 2.0% 1,818,887U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


205

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................23.9 19.765+ yrs ....................................................................................................7.8 9.2


50-64 yrs................................................................................................59.2 66.565+ yrs ..................................................................................................42.5 54.7









West Virginia/2

206

West Virginia/3

Medicare

Medicaid












State 49.7% 16.8% 9.5% 24.0% 351,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................N/A 181,794


State 19.3% 59.6% 4.5% 12.4% 4.2%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


207

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


364,856278,666

30.9

279,656277,674

0.7

4.73.2

46.9

14.919.6

-24.0

7.49.3

-20.3

70.558.420.7

11.712.4-5.5

13.816.5

-16.5

352375-6.2

19.311.468.5

6225885.8

3.53.7

-6.6

West Virginia/4

208

Wisconsin

Demographics







Medicaid...............................................................................................57.65SCHIP ...................................................................................................70.36







contribution (%), 2003 .................................................................................22.1 17.4


State 26.9% 42.8% 17.3% 11.0% 2.0% 5,554,343U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


209

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................20.7 19.765+ yrs ....................................................................................................9.7 9.2


50-64 yrs................................................................................................72.9 66.565+ yrs ..................................................................................................55.9 54.7









Wisconsin/2

210

Wisconsin/3

Medicare

Medicaid












State 47.2% 23.8% 11.7% 17.4% 673,600U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 .................................................................................18,228 181,794


State 11.9% 68.6% 7.8% 9.8% 1.8%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


211

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


963,058677,820

42.1

720,807685,132

5.2

14.910.147.5

13.29.5

38.9

6.48.0

-20.2

68.057.917.4

5.73.8

50.1

10.411.5

-10.0

6746169.4

15.28.0

89.2

3343223.8

4.98.3

-41.0

Wisconsin/4

212

Wyoming

Demographics




Distribution of persons age 50-64 by family income (%), 2004:Poverty or below ........................................................................................(-) 8.9101%-200% of poverty ..............................................................................(-) 12.3



Medicaid...............................................................................................54.23SCHIP ...................................................................................................67.96



Total Medicaid expenditures as a percent of total state budget, FY2003............7.9 21.4State Medicaid expenditures as a percent of state-only budget, FY2003 ...........3.7 12.6Medicaid long-term care expenditures (%), FY2004.........................................44.3 31.6Medicare fee-for-service payment per beneficiary




contribution (%), 2003 .................................................................................15.5 17.4


State 26.3% 41.5% 19.7% 10.9% 1.6% 507,268U.S. 27.8% 42.8% 17.0% 10.7% 1.8% 299,527,141


213

HealthStatus

ResourcesAvailable



50-64 yrs................................................................................................18.8 19.765+ yrs ....................................................................................................9.7 9.2


50-64 yrs................................................................................................71.4 66.565+ yrs ..................................................................................................53.9 54.7









Wyoming/2

214

Wyoming/3

Medicare

Medicaid












State 58.5% 18.3% 8.6% 14.5% 57,900U.S. 49.7% 24.5% 10.9% 14.9% 47,060,700







reported as of 2005 ......................................................................................658 181,794


State 15.9% 63.0% 9.9% 7.6% 3.5%U.S. 17.8% 62.3% 6.8% 10.8% 2.2%


215

Key Trends*


1995 34,773,584% change 44.8

Population age 65+ (#) 2005 36,695,9041995 33,619,311

% change 9.2


% change 24.2


% change -11.9


% change -34.6


% change 16.0


% change 8.0


% change 14.7


% change 31.6


% change 75.1


% change 4.9


% change -15.6


100,07765,537

52.7

63,41453,120

19.4

10.97.6

43.4

10.79.3

15.1

3.48.1

-57.7

63.256.511.9

9.17.9

16.1

22.814.162.4

5849

18.2

14.28.0

78.4

4354086.7

4.06.6

-39.3

Wyoming/4

216

Puerto Rico

Demographics


HealthStatus

Territory U.S.Adults age 50+ in poor or fair general health (%), 2004 ..................................54.9 21.7High blood pressure prevalence among adults age 50+ (%), 2003 ..................49.3 45.0Adults age 50+ whose mental health was not good for


50-64 yrs................................................................................................10.6 19.765+ yrs ....................................................................................................5.2 9.2


50-64 yrs................................................................................................53.1 66.565+ yrs ..................................................................................................56.3 54.7

Territory U.S.Federal matching funds (%), FY2006:

Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00

Medicare fee-for-service payment per beneficiary (average), 2003..............$3,256 $6,122


State 29.4% 41.5% 16.6% 9.4% 3.1% 3,911,299U.S. 27.8% 42.8% 17.0% 8.7% 3.6% 299,527,141



Territory U.S.Women age 50+ receiving mammogram (%), 2004.........................................61.2 67.2Adults age 50+ receiving colonoscopy or sigmoidoscopy (%), 2004 ................29.5 48.9Adult immunization (%), 2004:


Medicare home health users (% of beneficiaries), 2004.....................................5.2 8.0Medicare home health visits per person served (average), 2004.........................28 30Medicare SNF users (% of beneficiaries), 2004..................................................0.3 4.7Medicare hospice users (% of beneficiaries), 2003.............................................1.0 2.1

217

ResourcesAvailable

Territory U.S.Physician generalists (per 100,000 population), 2003.........................................53 31Physician specialists (per 100,000 population), 2003........................................164 220Number of practicing pharmacists (per 100,000 population), 2004.....................47 73Community health centers (#), 2005 .....................................................................6 6,760Medicare-certified home health agencies (per 100,000 beneficiaries), 2005 ........8 19

MedicareTerritory U.S.

Medicare beneficiaries, 2004:Number (in 1,000s)..................................................................................588 41,385Percent of population..............................................................................15.1 14.0

Disabled Medicare beneficiaries under age 65 (%), 2004 ................................25.7 15.4Enrollment of Medicare beneficiaries in MA plans (%), 2005 ...........................19.8 13.4Number of stand-alone Medicare prescription drug plans, 2006.........................10 1,443

MedicaidTerritory U.S.


Puerto Rico/2

218

Virgin Islands

Demographics


HealthStatus

Territory U.S.Adults age 50+ in poor or fair general health (%), 2004 ..................................23.9 21.7High blood pressure prevalence among adults age 50+ (%), 2003 ..................44.6 45.0Adults age 50+ whose mental health was not good for


50-64 yrs................................................................................................10.2 19.765+ yrs ....................................................................................................4.8 9.2


50-64 yrs................................................................................................65.2 66.565+ yrs ..................................................................................................54.6 54.7

Territory U.S.Federal matching funds (%), FY2006:

Medicaid...............................................................................................50.00SCHIP ...................................................................................................65.00

Medicare fee-for-service payment per beneficiary (average), 2003..............$3,078 $6,122


State 30.9% 38.6% 19.8% 8.7% 2.0% 108,708U.S. 27.8% 42.8% 17.0% 8.7% 3.6% 299,527,141



Territory U.S.Women age 50+ receiving mammogram (%), 2004.........................................58.9 67.2Adults age 50+ receiving colonoscopy or sigmoidoscopy (%), 2004 ................31.8 48.9Adult immunization (%), 2004:


Medicare home health users (% of beneficiaries), 2004.....................................2.0 8.0Medicare home health visits per person served (average), 2004.........................25 30Medicare SNF users (% of beneficiaries), 2004..................................................0.7 4.7Medicare hospice users (% of beneficiaries), 2003.............................................0.4 2.1

219

ResourcesAvailable

Territory U.S.Physician generalists (per 100,000 population), 2003.........................................20 31Physician specialists (per 100,000 population), 2003........................................120 220Number of practicing pharmacists (per 100,000 population), 2004.....................37 73Community health centers (#), 2005 .....................................................................2 6,760Medicare-certified home health agencies (per 100,000 beneficiaries), 2005 ......16 19

MedicareTerritory U.S.

Medicare beneficiaries, 2004:Number (in 1,000s)....................................................................................12 41,385Percent of population..............................................................................11.3 14.0

Disabled Medicare beneficiaries under age 65 (%), 2004 ................................13.4 15.4Enrollment of Medicare beneficiaries in MA plans (%), 2005 ..............................<1 13.4Number of stand-alone Medicare prescription drug plans, 2006...........................4 1,443

MedicaidTerritory U.S.


Virgin Islands/2

State Dataand Rankings

221

222

DemographicsState Data and Rankings

Note: State with the highest data value within each ranking is indicated by “1.” Due to rounding, states that appear to have equal values may be ranked differently.See Data Documentation section for complete explanation of column headings and data, which may have been abbreviated in this section.

Population age 0-19 (% of total), 2005



AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

27.331.229.027.629.227.926.526.524.124.629.326.929.828.228.327.028.526.929.223.927.526.227.827.629.327.425.928.427.826.026.528.726.727.626.927.328.226.125.626.527.328.327.030.735.625.327.226.924.026.926.3

2629

217

17393849486

314

16133011358

51234218225

24451219444010362034271543463725142931

472832503341

41.444.941.340.844.245.342.142.448.439.745.141.442.243.542.541.041.942.842.141.543.743.342.643.841.741.840.341.443.043.243.240.543.243.240.841.941.242.741.042.441.940.642.544.142.941.743.843.840.642.841.5

384

414652

28261

513

4027112443322029361012229

343350391715134916144530422144253147236

183587

481937

18.017.216.717.915.716.917.717.915.918.516.018.416.816.316.917.416.617.916.820.017.317.417.416.716.817.419.916.817.918.817.218.217.117.217.617.617.418.718.217.218.316.918.015.312.920.017.617.920.117.319.7

133344194936201548

847

942463727451739

3292428434026

44116

632113531232225

712341038145051

22118

130

5

223




Population age 85+ (% of total), 2005

Total population (projected), 2005


11.66.1

11.511.99.38.6

11.411.69.9

14.88.4

11.69.7

10.210.612.110.910.910.412.510.011.110.510.010.511.411.811.210.310.311.211.011.110.512.111.411.410.512.911.611.011.811.08.77.4

11.210.09.6

13.411.010.9

1151147

46481712431

49104439316

3028364

4223344133158

203837192422355

1618323

13259

2747502140452

2629

1.70.61.61.91.51.32.31.61.72.41.21.71.61.81.72.52.11.61.52.11.52.11.71.91.61.92.02.21.01.71.91.61.91.52.61.81.81.92.32.31.52.41.61.21.11.91.41.72.02.01.6

2651352043467

34293

482736242529

394011411028153318128

5031193817441

22231665

424

374749214530141332

4,527,166661,110

5,868,0042,777,007

36,038,8594,617,9623,503,185

836,687551,136

17,509,8278,925,7961,276,5521,407,060

12,699,3366,249,6172,973,7002,751,5094,163,3604,534,3101,318,5575,600,5636,518,868

10,207,4215,174,7432,915,6965,765,166

933,0051,744,3702,352,0861,314,8218,745,2791,902,057

19,258,0828,702,410

635,46811,477,5573,521,3793,596,083

12,426,6031,086,5754,239,310

771,8035,965,317

22,775,0442,417,998

630,9797,552,5816,204,6321,818,8875,554,343

507,268

24471732

122294550

49

4239

51430332623401913

8213118443835411036

31148

72827

643254616

234491215372051

224



Rural population (% of total), 2004

Per capita personal income(average), 2004

Family income (median), 2004


29.234.311.041.82.3

14.18.7

20.70.06.3

19.628.836.113.322.545.537.343.425.041.85.20.4

18.627.656.627.065.143.410.437.70.0

35.48.1

31.054.119.536.823.016.00.0

24.756.727.313.211.467.114.612.545.127.769.5

2018411247364330494531211637297

14102611464833235

2539

4213491744196

3215283449274

2438402

35398

221

$27,630$34,085$28,609$25,724$35,172$36,109$45,506$35,559$52,101$31,460$30,074$32,606$26,839$34,725$30,070$30,970$31,003$27,151$27,219$29,973$39,629$42,102$32,052$36,173$24,379$30,516$27,666$32,276$33,783$36,676$41,636$26,154$38,333$29,303$29,247$31,135$27,819$30,584$33,257$34,180$27,153$30,617$29,806$30,697$26,946$31,737$36,175$35,017$25,681$32,063$34,199

4217394912102

111

253320471434282745433553

239

513241211874

486

373826403119164430362946248

13502215

$48,500$67,408$48,346$42,020$54,839$62,585$70,560$59,000$48,020$50,000$50,000$65,043$52,928$57,040$52,500$56,040$54,624$43,004$40,800$52,572$68,569$69,946$52,301$69,000$42,560$53,404$43,600$56,517$52,600$69,000$72,000$46,900$54,402$50,000$51,112$55,000$45,971$52,659$54,725$61,317$48,226$50,016$44,500$48,360$56,231$59,888$63,481$58,880$42,000$55,621$56,730

387

40492210

213423535

82715311924475130

63

324

4826461729

41

432535332144282311413445391812

914502016

225



Distribution of persons under age50 by family income (%):Poverty or below, 2004

Distribution of persons under age50 by family income (%):

101%-200% of poverty, 2004

Distribution of persons age 50-64 by family income (%): Poverty or below, 2004


19.010.416.516.915.111.011.010.519.413.714.89.5

11.514.114.012.413.019.417.812.810.210.115.57.6

20.113.916.810.012.35.78.1

18.816.315.511.513.512.014.213.313.216.515.618.418.611.59.09.8

12.516.314.112.0

442119

183939412

251947362123322928

30434416501

2410453351495

1316362634202728111576

36484631132134

18.618.721.223.421.216.510.615.818.919.321.015.724.015.218.018.218.518.822.814.614.013.016.612.222.116.527.421.720.712.212.522.916.819.120.816.324.622.316.216.120.417.717.421.819.715.014.117.221.415.917.7

2423124

12345140211914413

42272625226

44464733498

341

101649485

3220153627

37381728309

18434531113928

10.95.99.09.99.76.88.55.69.68.77.96.05.37.86.38.58.3

13.914.510.28.56.59.03.7

11.39.1

10.87.58.33.07.1

10.411.111.74.28.04.98.37.87.59.37.9

11.39.9(-)

6.27.29.3

10.78.7(-)

743191214382344152130424532402326

21

1123391948

418

83426493710

63

4729462632341630

412(-)413616

921(-)

226



Distribution of persons age 50-64by family income (%):

101%-200% of poverty, 2004

Distribution of persons age 65+by family income (%):Poverty or below, 2004

Distribution of persons age 65+by family income (%):

101%-200% of poverty, 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

14.87.1

14.518.614.48.38.1

12.613.513.714.68.6

13.811.811.86.4

12.515.715.313.110.311.412.97.1

16.810.912.510.610.77.28.9

13.510.312.59.211

15.68.8

13.48.4

12.910

12.113.9

(-)8.2

12.110.917.58.8(-)

74791

1043452014138

41122626492146

17342818473

30213332463814342137295

39164218362411(-)4424302

39(-)

14.2(-)

9.615.07.39.17.66.8

12.87.98.58.68.38.66.67.48.2

14.813.99.8

11.78.78.99.5

21.38.39.1

10.78.19.19.6

13.314.314.49.27.4

11.55.98.08.1

14.211.310.312.43.65.7

11.18.6

10.87.57.7

6(-)202

4524414610393229332947433538

19122827221

332417362420954

2343134838366

14181150491529164240

34.6(-)

21.529.127.122.925.219.028.029.730.019.931.428.928.929.622.031.930.935.023.727.625.022.934.532.933.129.423.124.926.826.725.535.827.528.932.227.430.930.227.327.533.528.922.629.821.825.438.426.428.9

4(-)4820324338502617154911212118461012

341273943

587

194240333436

22821

93012143128

62145164737

13521

227

Expenditures and FinancingState Data and Rankings


Federal matching funds (%):Medicaid, FY2006

Federal matching funds (%):SCHIP, FY2006

Total Medicaid payments forall enrollees, FY2002


69.5150.1666.9873.7750.0050.0050.0050.0970.0058.8960.6058.8169.9150.0062.9863.6160.4169.2669.7962.9050.0050.0056.5950.0076.0061.9370.5459.6854.7650.0050.0071.1550.0063.4965.8559.8867.9161.5755.0554.4569.3265.0763.9960.6670.7658.4950.0050.0072.9957.6554.23

78.6665.1176.8981.6465.0065.0065.0065.0679.0071.2272.4271.1778.9465.0074.0974.5372.2978.4878.8574.0365.0065.0069.6165.0083.2073.3579.3871.7868.3365.0065.0079.8165.0074.4476.1071.9277.5473.1068.5468.1278.5275.5574.7972.4679.5370.9465.0065.0081.0970.3667.96

$3.2b$0.7b$2.9b$2.0b

$23.6b$2.2b$3.2b$0.7b$1.0b$9.8b$4.8b$0.7b$0.8b$9.1b$3.7b$1.9b$1.5b$3.5b$3.2b$1.7b$3.7b$6.4b$5.9b$4.4b$2.5b$4.1b$0.5b$1.3b$0.7b$0.7b$5.5b$1.8b

$31.5b$6.0b$0.4b$9.2b$2.2b$2.1b$8.5b$1.3b$3.4b$0.5b$4.7b

$11.1b$1.2b$0.6b$3.0b$4.4b$1.6b$3.6b$0.3b

24 45 26 31

2 29 22 46 40

4 12 44 41

6 17 32 36 20 23 34 18

8 10 14 27 16 48 37 43 42 11 33

1 9

50 5

28 30

7 38 21 49 13

3 39 47 25 15 35 19 51

228



Medicaid payments (% oftotal): Elderly, FY2002

Medicaid payments (% oftotal): Disabled, FY2002

Total Medicaid expenditures as apercent of total state budget,

FY2003AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

21.814.816.325.520.626.639.923.216.815.220.323.523.315.428.732.228.720.824.618.623.027.921.028.024.828.025.828.619.732.727.714.027.327.839.832.326.822.134.826.918.324.614.526.510.623.928.415.622.727.623.9

35 48 44 23 38 20 1

31 43 47 39 29 30 46 8 6 7

37 26 41 32 13 36 11 24 12 22 9

40 4

15 50 17 14 2 5

19 34 3

18 42 25 49 21 51 28 10 45 33 16 27

33.236.538.845.045.240.438.837.842.552.738.432.048.345.341.741.746.848.946.749.744.949.630.444.146.440.037.437.241.738.749.538.948.143.239.144.737.232.641.347.333.141.841.035.834.938.446.024.545.250.445.3

46 43 34 18 17 30 35 39 23 1

38 49 7

15 25 26 10 6

11 3

19 4

50 21 12 31 40 41 27 36 5

33 8

22 32 20 42 48 28 9

47 24 29 44 45 37 13 51 16 2

14

22.312.120.719.518.517.825.311.5N/A

22.317.69.7

19.625.420.518.116.020.826.228.217.720.820.020.825.832.615.618.920.226.420.617.828.423.419.023.118.418.728.826.322.014.933.923.014.525.813.522.211.112.67.9

229



State Medicaid expenditures as apercent of state-only budget,

FY2003

Medicaid long-term careexpenditures (%), FY2004

Medicare fee-for-service payment per beneficiary

(average), 2003AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

9.95.38.77.3

11.611.320.27.0N/A

13.010.34.8

10.117.011.19.78.59.1

10.413.211.212.411.413.08.8

18.36.19.8

14.118.913.06.3

15.111.59.1

23.08.19.6

19.116.19.79.1

19.712.65.9

13.98.3

13.83.36.03.7

29.531.80.6

29.924.034.350.933.224.927.223.532.631.430.934.441.940.124.225.728.631.632.929.145.523.126.742.542.323.138.736.228.138.930.157.840.435.831.242.131.623.338.021.226.021.631.031.929.535.341.844.3

3424513244192

20423845222730188

114341362521353

473956

4813153712311

1016287

2646145040492923331794

$6,478$5,896$5,960$5,948$7,441$6,072$7,244$6,622$7,613$7,552$6,141$4,475$5,169$6,711$6,023$5,118$6,056$6,322$7,929$5,437$7,491$7,754$7,064$5,581$6,577$6,148$4,975$5,646$6,694$5,727$8,117$5,012$8,030$5,890$5,072$6,579$6,546$5,485$7,097$6,776$6,128$5,014$6,339$7,117$5,448$5,472$5,629$5,511$6,288$5,397$5,332

20323031

827

916

56

2551451429462822

342

74

1237182450351534

149

2334717193911132648211041403638234344

230



Publicly funded state health careexpenditures (% of total state

budget), FY2003

Public health and communityhealth services expenditures (%

of state health spending), FY2003

Price of retail prescriptiondrug (average), 2003


31.318.928.124.423.925.025.623.0N/A

31.738.426.226.035.328.420.327.427.437.435.229.929.729.030.236.444.125.831.628.733.835.221.550.036.830.428.426.625.539.934.233.127.039.842.920.331.720.130.914.416.916.9

8.29.23.42.9

10.74.8

10.09.8N/A8.39.2

13.55.19.7

12.04.05.44.63.67.47.78.75.56.28.25.7

11.58.47.42.8

14.34.76.56.95.95.85.87.59.55.3

10.63.55.17.06.53.39.34.13.65.8

22.6

$55.42$66.89$49.73$44.76$51.94$51.51$54.12$58.96$66.81$54.33$51.35$52.31$53.97$48.11$48.93$48.54$50.02$48.57$51.81$59.40$64.96$51.84$55.84$54.62$50.64$48.58$49.85$49.08$51.56$53.10$62.20$44.71$63.34$53.18$52.18$51.29$49.98$49.55$54.52$49.39$50.83$47.53$48.75$51.80$51.64$53.28$53.26$54.90$51.84$49.16$51.23

91

3850222914

72

13302015484347354625

63

238

11344537422819

551

4182131363912403349442627161710234132

231



Average employee healthinsurance premium contribution

(%), 2003AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

20.210.817.520.614.415.921.518.419.020.919.38.3

16.216.921.020.823.120.019.118.123.120.414.716.415.217.313.525.013.321.116.017.617.415.819.016.919.013.015.422.019.822.921.116.119.018.219.110.914.122.115.5

1550291344387

2521111851353210122

1619272

1443344231461

478

3728303921322148416

1748

3621261949455

40

Adults age 50+ in poor or fairgeneral health (%), 2004

High blood pressure prevalenceamong adults age 50+ (%), 2003

32.518.320.630.123.818.417.219.518.123.329.3N/A

20.622.925.319.520.134.631.520.820.119.121.516.838.325.920.120.121.818.722.126.725.629.620.122.530.020.424.524.127.820.731.528.920.318.820.719.334.719.119.4

447297

19464938482010(-)292116383335

26334225501

14333324452313159

33228

31171812275

11324427412

4240

52.737.140.449.342.938.242.448.549.347.750.645.342.943.948.444.842.450.850.444.446.043.347.942.855.445.737.142.942.341.745.537.245.550.342.644.648.042.945.351.550.344.850.846.941.241.642.442.452.845.141.6

3504711324838131117

7233230142638

58

2919311636

12050324243214921

93728153223

49

265

1846443838

22544

232

Health StatusState Data and Rankings


Adults age 50+ whose mentalhealth was not good for >1 week

in month (%), 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

14.610.811.211.513.89.99.29.2

10.711.611.9N/A

10.39.6

11.37.48.6

15.210.510.511.710.511.78.6

13.511.910.08.6

12.210.411.612.610.811.88.1

11.112.311.310.011.413.47.9

12.711.911.29.49.8

10.415.49.09.3

32623194

374242281711(-)34392150452

2929152915455

1135451032178

261448259

2135206

497

11234038321

4441

Adults age 65+ with 6+ teeth lostto decay or gum disease (%),

2004

Adults age 50+ with diabetes(%), 2004

56.350.836.753.836.341.338.247.843.944.252.5N/A

44.449.050.948.446.458.852.749.943.541.743.038.358.349.442.643.747.145.844.242.946.855.049.447.355.643.052.843.149.754.253.639.332.647.843.439.169.646.046.8

414488

49434721333212(-)30191320272

1115354238463

17413424293140256

17235

3810371679

44502136451

2825

15.49.2

12.813.415.19.2

11.112.919.814.516.2N/A

12.512.814.812.012.514.216.412.713.811.114.910.218.013.811.112.612.913.413.012.515.016.811.714.715.312.014.513.616.612.615.816.211.110.114.812.419.711.711.6

1049292412494327

118

7(-)342915383420

63121431447

32143322724263413

4401711381823

532

97

43481537

24042

Adults 65+ who smokecigarettes (%), 2004

Adults 50-64 reporting exercisewith the intention to

maintain/lose weight (%), 200312.212.47.99.46.39.76.7

10.28.17.5

11.2N/A9.4

10.88.79.4

12.59.86.9

10.07.98.57.1

10.49.79.77.8

14.59.49.3

10.210.910.27.68.8

10.89.18.08.98.68.6

13.210.34.87.98.48.7

10.07.89.79.7

54

39234918481237456

(-)238

31233

174715393546101818421

2327127

1244308

28382933332

115039363115421818

54.974.366.560.467.774.270.865.470.365.758.674.769.867.764.168.965.759.061.873.067.571.964.175.157.062.773.968.858.469.166.471.866.459.269.764.557.868.166.166.266.367.361.362.973.772.865.373.159.272.971.4

513

264322

41434153247

216223719324641

8241137

15040

52048182712274417364921313029254239

61035

744

913

233



Adults 50-64 who smokecigarettes (%), 2004


23.219.717.524.313.415.316.923.220.620.319.0N/A

19.118.623.218.119.027.622.219.319.219.220.118.022.720.720.221.023.617.216.119.919.222.618.123.925.218.521.020.321.920.023.219.78.5

17.716.516.823.920.718.8

726423

4948447

192033(-)32367

38331

132829292340111722156

43472529123842

37152014247

26504146454

1735

234



Adults 65+ reporting exercisewith the intention to

maintain/lose weight (%), 2003AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

41.658.363.149.865.161.753.150.355.158.746.467.457.453.552.054.252.240.245.255.560.353.055.364.344.146.756.254.351.256.452.459.354.047.954.951.446.855.055.253.855.858.851.654.858.060.450.857.742.555.953.9

50114

4225

32412210461

14313627355147197

33203

484516263915348

2843243844232130189

3725126

4013491729

Adults age 65+ with self-carelimitation (%), 2004

Deaths due to five majorchronic diseases (%), 2001

10.711.77.5

11.99.66.28.09.79.47.7

11.18.48.88.88.48.37.9

11.412.08.59.88.69.06.3

14.38.56.27.28.07.89.0

10.69.9

11.36.28.9

10.110.38.58.0

10.55.8

10.711.57.58.39.59.8

11.86.17.5

105

423

2047361922419

32262632343972

29172823461

29474536402312168

4725151429361351106

423421174

5042

65.256.462.867.568.259.366.866.562.468.062.366.264.267.267.468.865.668.065.067.165.964.668.462.567.067.764.365.665.069.067.459.970.464.867.868.368.164.567.668.563.967.066.465.856.266.565.366.968.566.863.5

34504415

849232546104728411816

3311035192938

6452013403135

21648

13712

79

3914

44220273051253322

42343

Women age 50+ receivingmammogram (%), 2004

Adults age 50+ receivingcolonoscopy or sigmoidoscopy

(%), 2004

Adult immunization (age 65+):Pneumococcal pneumonia

(%), 200469.460.665.458.765.965.471.976.169.071.167.9N/A

57.567.262.270.072.667.870.270.970.974.468.773.159.960.567.071.361.571.069.261.565.569.566.072.262.166.162.473.064.371.569.959.357.967.371.463.766.069.162.0

19443448323471

221124(-)502739165

251513132

233

46452810421220423318306

4029384

368

174749269

37302141

46.545.147.342.650.245.559.457.858.752.849.0N/A

42.944.244.848.045.443.440.855.259.057.956.262.841.449.047.241.342.057.652.946.552.651.548.848.341.149.849.158.951.846.847.943.850.454.955.752.642.055.043.1

333730442135275

1524(-)43393828364150113691

47243148458

1433161926274922234

1832294020131016451242

60.157.268.662.063.670.167.866.351.464.359.4N/A

60.158.362.168.262.557.767.465.664.065.360.067.964.567.171.665.766.766.864.364.663.064.370.361.070.069.463.970.064.066.263.561.465.865.661.665.864.770.370.7

4349

93934

51217502846(-)4347381037481322312445112714

121161528263628

342

68

336

311835411922401925

32

235

Utilization and Quality of ServicesState Data and Rankings



236




Adult Immunization (age50+): Influenza (%), 2004

Number of retail prescriptiondrugs filled per person

(average), 2003

Hospital admissions (per1,000 population), 2003

52.347.249.055.849.759.755.352.346.648.847.6N/A

47.448.749.559.254.649.651.555.349.254.251.060.652.153.556.160.344.553.249.754.452.051.157.454.860.452.749.857.650.963.953.052.058.252.154.451.655.256.156.7

26484313385

1426494446(-)4745416

184033144221352

2822114

5023381930349

173

25378

361

24307

281932161110

13.36.38.8

14.47.78.2

11.711.29.2

11.511.08.08.4

11.312.813.211.815.513.110.710.213.010.610.013.412.38.9

10.88.2

10.410.19.3

10.213.39.3

11.210.88.8

11.111.113.210.616.59.78.9

10.29.98.5

15.211.29.8

651434

50471518401623494617128

142

1026301127345

13412447293338306

3818244321218

271

37413035453

1836

159.270.8

107.7144.196.998.5

108.7116.4240.6135.3107.287.698.3

124.2114.1120.7121.6143.8155.2114.6115.6120.7117.3119.9145.3145.2112.9120.094.592.8

128.888.6

131.0118.4135.9128.1129.795.6

147.5115.1123.1135.1135.2115.690.984.2

102.284.0

161.3107.7105.5

35136

842403427

11137484118322220

94

3129212624

67

332344451647142510171543

5301913122846493950

23538

Medicare home health users(% of beneficiaries), 2004

Medicare home health visits perperson served (average), 2004

Medicare SNF users (% of beneficiaries), 2004

8.03.55.16.47.57.3

10.07.76.0

10.87.02.66.48.15.64.85.47.7

11.98.27.2

11.49.14.59.18.14.65.27.17.87.86.07.87.75.57.39.77.09.4

10.16.44.19.0

10.68.4

10.57.65.65.94.54.8

1750433425277

21353

31513315394541221

14282

11481016464229181936202340268

3096

3249124

135

2438374744

331920353127332324332919252427242431542520332521382323222830252633241925501924232319384545352518232425

946447

14199

36299

17462229192929141

22449

22435

363642181622219

2946222

46293636465337

2251362922

4.31.13.43.64.34.47.34.24.35.33.22.14.55.75.64.54.04.43.94.75.86.93.96.13.25.04.44.92.54.36.12.84.64.24.86.53.43.85.66.53.53.85.14.14.53.74.24.24.15.03.6

285144422722

1312511475021

89

1935233717

72

365

461424154926

648183016

3453810

44339123320402932341341

237




238




Medicare hospice users (% of beneficiaries), 2003

2.80.24.21.52.43.31.41.60.93.22.21.41.61.91.82.01.71.62.00.91.51.82.01.72.32.41.41.73.11.11.62.51.21.71.32.53.23.52.32.11.50.91.52.33.01.11.42.01.41.60.9

851 1

35 12 3

42 31 48 5

16 39 29 22 23 18 27 32 21 49 36 24 19 26 15 11 40 25 6

46 30 9

44 28 43 10 4 2

14 17 34 47 37 13 7

45 38 20 41 33 50

Physician generalists (per100,000 population), 2003

Physician specialists (per100,000 population), 2003

295927453139182836292634403040404133304725202854292446522337194121356031313632233950322930533648374350

362

42113218514023374326163315171327349

4449413

3845105

4620501448251

3031222947197

2839354

248

21126

176157174154214209328210673207187264127223169139170182222214357384198209147205175180154219273186339210169211136212250312186160210173173296222208181199143

354437461623

521

12529

95111414940321315

32

2822472636344514

830

4204218501710

63143193938

71224332748

Geriatricians (per 100,000population age 65+), 2005

1423151621213914451516388

27171622151832403721329

2013181030312140203020101837341514161612222224182517

4317413822214

451

42365

511432371839301027

239

50274629491311243

251226483168

4044343547192016281533

Number of practicingpharmacists (per 100,000

population), 2004

Hospital-based registered nursesin nonmetropolitan areas

(% of total), 2003985961896174686271747276798589888687

1046866768178798489

11573738372697186878386876079

1039471777370809676

100

551498

48334547393237302618101115132

4446312227241991

3634203843411612211714502537

40283542236

294

15.336.77.5

32.42.6

11.36.0

16.2N/A4.0

23.420.947.111.417.639.640.339.713.347.87.28.7

13.521.248.618.648.637.68.0

57.1N/A

33.35.1

25.039.411.527.719.510.34.1

18.939.715.88.0

15.449.016.713.346.622.466.2

3215431749384529(-)482023

7372712

91134

644403322

526

41441

2(-)1646191336182439472510304231

32835

821

1

239

Resources AvailableState Data and Rankings



240

Resources AvailableState Data and Rankings



Hospital beds (per 100,000population), 2003

335196190350192197201210597293233214218256291300327326394261197240242242403318263327184207261197305252421278310181314223251357316253184206215172378233253

845477

464241381

183237352419179

114

22443130293

1221104839234316272

2015501434286

1325494036515

3326

Community health centers(#), 2005

Medicare-certified home healthagencies (per 100,000beneficiaries), 2005

1632557

123593123275

112741652873

35891

161198160104933853

24710528236572

118303449

101131171759965

12217932

17693

1355183432

1171941517725

144837201

204751506

1346344

31158

16262940387

2553

35234541392719123328362210431129182

4143249

173248

19341038162616132919108

27202137341636137

1219311317272620194

267

14252337111413113716562313178

171539

249

463

3215303711234547122120

58

317

3849422510392713162226511450361719

443354044

633

1184129482834

2

241

MedicareState Data and Rankings


Medicare beneficiaries: (in 1,000s), 2004

Medicare beneficiaries:Percent of population, 2004

Disabled Medicare beneficiaries under age 65 (%),

2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

73350

754460

4,14250652512374

2,980995178184

1,677889486397660628231685969

1,465687446896145259287187

1,226257

2,7791,234

1041,740

529524

2,120173624123891

2,45022694

96679535181470

205119311

292746492

1142417

16303323243822128

21321444363540103739

476

26285

432545154

39481318341750

16.37.7

13.116.911.611.215.014.913.517.111.414.213.313.314.516.714.916.214.217.912.315.214.713.415.516.015.915.012.014.414.113.514.614.616.515.415.414.617.416.415.116.315.211.09.5

15.313.113.019.614.914.0

1051425

46482124374

47323940306

2511332

44192638141213224531343629287

15162738

209

1849501741431

2335

21.918.614.420.813.314.212.715.214.312.919.710.414.613.515.512.213.023.719.419.313.015.516.412.623.917.014.312.314.216.212.416.114.919.211.114.415.913.713.216.220.412.020.114.412.816.316.414.622.713.113.4

41227

5373244233042

8512635214841

29

1040221545

1133147331846192411502820343817

649

72943161425

33936

242



Medicare beneficiaries with fullor partial Medicaid (%), 2003

Private supplemental coverageamong beneficiaries age 65+ (%):

Employer sponsored, 2004

Private supplemental coverageamong beneficiaries age 65+ (%):

Individually purchased, 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

23.019.010.027.024.015.017.013.026.015.019.013.07.0

13.015.014.012.024.024.036.014.023.016.018.034.018.011.015.011.011.015.016.023.023.016.013.019.015.015.020.020.015.033.021.09.0

32.016.015.016.016.013.0

10174957

2922406

2917405140293845771

381023202

20462946462923101023401729291515293

14504

2329232340

32.735.032.618.530.334.139.451.152.529.034.145.233.142.336.430.024.633.626.824.640.437.550.431.114.728.930.423.431.034.237.235.841.827.424.741.735.428.535.624.631.918.527.628.540.231.238.230.244.735.729.0

2620274933221121

36224

256

1535452443459

133

3051383248312114167

42448

1939184528494139102912345

1736

28.4(-)

22.632.518.627.923.812.712.425.417.112.926.229.527.947.546.324.522.133.819.029.421.143.324.533.439.747.5

(-)23.624.624.218.130.648.625.129.538.032.829.824.045.825.719.324.325.022.133.314.440.237.0

21(-)37154322354849264547241822

24

303811422040

63012

82

(-)3629334416

12718

9141734

525413228381346

710

243



Providers who accept Medicarefee as full payment

(% of providers), 2005

Enrollment of Medicare beneficiaries in MA plans (%),

2005

Number of stand-alone Medicareprescription drug plans, 2006


96.789.191.796.387.491.393.896.592.493.592.095.285.994.495.895.296.294.193.391.395.391.297.679.991.294.892.595.696.188.691.394.982.393.097.896.495.593.996.798.494.392.592.891.097.791.994.696.396.396.090.6

546389

4839287

35293619492415191226303918424

514222331613473921503128

172751

253332443

372399

1445

8.4<1

26.7<1

31.426.55.5<16.9

19.32.2

32.410.45.22.55.03.72.8

11.7<14.2

16.21.6

16.0<1

12.3<14.5

28.3<17.9

16.118.95.61.1

12.88.0

32.024.633.01.0<19.08.14.6<12.1

15.36.28.11.5

20(-)6

(-)47

28(-)259

372

18293630343517(-)33113913(-)16(-)325

(-)24121027411523381

42(-)192231(-)3814262140

412743404743444747434229444242414042394147444041384141414441444346384143424552444541414744444145524541

244

MedicaidState Data and Rankings


Medicaid enrollees (% of total): Child, 2001

Medicaid enrollees (% of total): Adult, 2001

Medicaid enrollees (% of total): Elderly, 2001


49.062.954.249.639.253.354.746.150.050.055.446.463.857.560.150.456.350.257.534.157.240.354.949.054.754.553.959.950.361.349.464.246.650.148.254.364.741.948.646.251.959.843.357.158.644.253.457.349.747.258.5

374

233550261945323217433

116

2816301151144918371921247

295

362

423140221

483944278

47159

462513344110

16.120.928.421.942.219.318.934.022.820.419.132.115.020.516.619.815.513.311.618.418.728.717.924.111.022.618.919.221.114.520.518.623.220.221.421.013.839.816.725.125.315.729.416.823.630.613.221.816.823.818.3

42228

171

28313

1525304

4523412744485035337

3711511631292046233414261921472

40109

436

38135

4918381236

14.36.26.1

11.79.2

11.613.57.69.2

13.010.210.66.98.49.5

12.611.312.211.422.59.4

12.49.1

13.713.89.6

10.79.4

11.411.915.67.1

13.313.015.78.99.57.6

12.611.99.1

11.19.6

12.95.9

13.814.47.69.5

11.78.6

54950203722

9443711292848433214251723

1351639

86

3027352318

3471011

241324414183926301351

64

44322042

245



Medicaid enrollees (% of total): Disabled, 2001

Total Medicaid enrollment forall categories, 2001

Persons under age 65 in povertywith Medicaid (% < age 65 in

poverty), 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

20.610.011.316.79.4

15.712.912.218.016.515.310.914.313.613.717.216.924.319.625.014.718.618.113.220.513.316.511.517.312.414.510.216.916.614.715.811.910.722.116.813.713.417.713.212.011.319.113.324.017.414.5

550451951243941112125473033311516271

269

10376

352144144028491620262343484

183134123742458

353

1328

780,500100,300808,300550,700

8,528,300410,700444,200133,100152,600

2,462,2001,328,400

190,000172,400

1,798,800825,500331,100281,100761,900886,500277,900704,600

1,125,6001,430,200

658,500681,200

1,032,300101,900249,200167,200108,500923,100423,500

3,548,6001,375,800

65,4001,660,400

677,700594,600

1,647,500193,800871,600106,200

1,603,3002,729,600

214,700152,100700,600

1,005,400351,600673,60057,900

204919291

323045434

1140415

18343521163622129

2724134837424615312

10506

25287

39174783

38442314332651

49.435.353.644.545.625.454.439.059.035.942.238.842.038.553.043.440.442.340.064.828.754.847.434.550.952.033.035.325.725.134.646.554.437.838.651.437.741.242.651.449.249.549.934.336.052.129.041.145.339.834.7

1540

6211950

432

23925332635

722292430

148

3174412

9464049514318

4363410372723101614134538

84728203142

246



Maximum income for Medicaid(% of poverty): Working adults

with dependents, as of July 2004

Maximum income for Medicaid(% of poverty): Supplemental

Security Income, 2003

Medicaid enrollment in managed care plans (%), as of

December 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

1981

20020

10739

1071172006258

10031

1402982387020

15740

13359

2753582655687604169

1505769

10045

10066

1929761

1003353

192368638

19260

73.897.873.873.8

100.278.7

99.8*73.873.873.873.8

64.7*80.7N/A*

73.8*73.873.873.873.875.173.891.075.6

84.6*73.8

73.8*73.875.278.6

77.4*77.973.885.473.8

73.8*73.8*80.6*74.077.481.473.875.873.873.873.880.7

73.8*76.373.885.073.8

61.30.0

88.460.050.597.175.477.164.267.593.879.780.89.6

63.690.156.992.978.761.067.962.193.764.114.544.267.173.250.00.0

69.664.261.869.561.731.268.180.175.469.58.4

97.6100.043.389.264.964.887.544.445.40.0

3549

93739

316152924

413114731

738

614362332

5304643251840491928332134452212172048

21

448

262710424149

247

Health Coverage and the UninsuredState Data and Rankings


Persons under age 65 without health insurance

(%), 2004

Persons under age 65 withemployer-sponsored health

insurance (%), 2004

Persons under age 65 with other private health insurance

(%), 2004 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

15.218.019.719.120.818.513.416.514.923.619.111.216.815.815.910.912.516.319.611.716.413.213.29.9

19.414.422.313.020.813.217.123.816.117.513.013.023.118.914.012.916.913.816.327.615.212.916.014.619.311.915.9

30168

126

153721323

12492029275046239

482238385110345

416

38182

251741414

1435441936231

30442633114727

62.658.955.054.754.864.170.567.659.256.860.871.260.867.466.469.267.961.056.562.768.368.068.373.056.264.554.466.566.376.171.451.662.761.264.470.256.862.268.966.461.160.358.454.766.362.868.263.959.668.663.0

3040464847245

153942354

3516187

143444281013102

452250172013

512832236

42318

183337414820271225389

26

4.85.78.88.48.68.85.34.56.76.75.94.0

11.16.85.6

10.78.76.46.55.86.16.26.99.75.76.8

10.29.95.54.93.55.85.27.0

12.95.45.69.06.95.95.9

12.77.75.5

10.46.76.17.24.57.89.9

473711151411444824243250

32239

413282735302920

93722

67

414651354519

1433910203232

21741

52430184816

7

248



Persons under age 65 withMedicaid (%), 2004

Persons under age 65 with otherpublic health insurance

(%), 2004

Uninsured persons (%): White, 2004


13.211.214.314.414.35.79.78.6

18.09.5

11.87.79.98.4

10.28.38.4

12.914.717.46.9

11.310.16.7

16.012.511.08.85.14.06.6

15.214.89.86.69.89.98.88.7

13.012.710.213.710.07.3

14.96.1

10.712.49.87.6

1220989

4932371

33184127382340381472

441925453

16213450514646

2946292734361315231126435

4822172942

4.26.22.33.41.52.91.11.21.23.42.55.91.41.61.90.82.53.42.72.52.31.41.50.72.61.82.21.72.21.81.33.61.24.53.11.74.61.01.61.83.43.13.92.30.82.73.63.64.21.83.5

51

2512391847444412222

413730492212192225413951213128352831438

444

16353

48373112167

254919885

3111

13.815.913.217.612.213.411.413.910.418.215.29.3

14.211.414.89.1

10.815.515.311.510.711.611.88.3

14.112.119.710.216.112.79.5

14.612.413.49.5

11.120.716.012.511.115.611.111.916.812.212.711.813.219.210.014.6

209

235

2921371944

413491737145042111236433533511831

245

725471528214739

18

2739103932

629253323

34615

249



Uninsured persons (%):Minority/ethnic, 2004

Uninsured children below200% of poverty (%), 2004

Uninsured non-elderly adultswith family income below the

national median (%), 2004AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

18.322.128.023.726.930.219.622.116.831.624.211.630.624.322.224.820.622.526.2

(-)24.119.317.718.126.024.143.526.027.921.630.030.321.625.239.221.329.130.620.620.219.328.529.936.432.5

(-)24.319.2

(-)21.225.0

44311428169

4032475

25487

233022382917(-)2641464518271

191533108

34202

35126

373942131134

(-)2443(-)3621

8.820.422.4

(-)19.132.9

(-)22.4

(-)22.618.5

(-)13.021.014.513.913.514.113.910.721.0

(-)11.818.018.413.922.912.027.020.124.217.413.618.520.614.322.515.019.211.413.210.716.930.416.3

(-)16.59.8

15.310.4

(-)

44138

(-)161

(-)8

(-)6

17(-)361027303429304010(-)382019305

373

144

21331712287

2615393540222

24(-)23432542(-)

27.032.330.633.635.132.824.823.922.637.931.718.330.327.327.420.324.927.133.918.132.024.424.319.929.625.133.427.933.227.135.036.726.730.620.323.634.532.823.422.629.123.724.742.924.919.430.927.929.621.928.0

301317

84

11353943

21550192726463328

751143738482032

9241028

53

31174641

6114243224036

133491624204523

250



Uninsured adults age 50-64(%), 2004

Uninsured full-time workerswith dependents (%), 2004

High-risk insurance pool partici-pation (average per month),

reported as of 2005AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

9.912.316.118.316.015.412.014.912.118.213.99.6

15.611.911.38.2

10.813.420.911.413.19.9

11.19.0

12.411.213.512.813.69.8

10.915.413.413.79.6

10.518.611.410.29.9

13.110.010.019.310.015.212.711.414.98.3

13.2

43266479

2812275

14478

29335137181

3021433549253417231646369

181547383

3039432140402

40112430125020

13.915.917.419.319.716.111.912.513.922.017.85.9

16.011.913.99.3

10.312.419.710.414.112.811.27.6

17.913.820.911.117.412.614.424.114.115.311.49.9

22.216.411.710.315.412.116.023.611.912.514.813.216.59.1

15.5

26181186

153733264

10511637264845356

44243142509

295

431132231

242141473

1440452036162

37332230134919

3,500482

No program3,0518,7384,7832,380

No programNo program

476No programNo program

1,36416,3749,252

N/A1,7063,0601,257

No program5,260


34,4344,2582,9543,5706,087

No program272

No program1,292


1,800No program

2,8419,638


2,132490N/A

25,8502,875


2,732N/A

18,228658

251

Key TrendsState Data and Rankings

Note: State with the highest data value within each ranking is indicated by “1.” Due to rounding, states that appear to have equal values may be ranked differently. See Data Documentation section for complete explanation of column headings and data, which may have been abbreviated in this section.

Projected population age 50-64 (#), 2005

Population age 50-64 (#),1995

1995 to 2005 percent changein population age 50-64


812,993113,779978,918496,536

5,670,193782,709621,459149,98687,763

3,231,1871,425,515

234,415236,130

2,072,0621,057,744

516,341457,329745,902764,006263,384971,444

1,133,6801,771,606

866,715490,839

1,001,095185,945293,350421,417246,900

1,506,815346,353

3,287,8791,500,106

111,5602,016,109

612,315672,795

2,256,647186,629776,654130,616

1,070,9933,476,697

312,807126,381

1,327,9551,110,506

364,856963,058100,077

224818311

232845514

1142416

16303326253919138

213217443834409

363

10497

29275

432446152

37471214352050

603,11470,527

549,340354,939

3,666,758501,135449,19596,15674,055

1,984,592914,332154,459152,547

1,574,560792,760394,088333,536545,671569,696169,334665,349787,250

1,285,651585,588353,035731,849125,430213,626218,033141,135

1,113,767218,509

2,517,412990,40683,132

1,529,337462,297428,460

1,690,649124,031506,03193,068

749,7452,320,670

204,64377,156

884,567699,941278,666677,82065,537

205023311

262845494

1140416

13303324223919148

213216433736429

352

10477

27295

442546153

38481217341851

34.861.378.239.954.656.238.356.018.562.855.951.854.831.633.431.037.136.734.155.546.044.037.848.039.036.848.237.393.374.935.358.530.651.534.231.832.557.033.550.553.540.342.849.852.963.850.158.730.942.152.7

4062

311510331151

5121914474448363842132627342532372435

13

398

5020414645

943211630282317

422

7492918

252



Projected population age 65+ (#), 2005

Population age 65+ (#), 1995

1995 to 2005 percent changein population age 65+


602,41143,999

765,061382,276

3,900,193455,641479,443110,30763,767

3,017,357856,108170,075158,646

1,520,783766,210435,794358,069519,544539,017192,544642,389858,061

1,245,644616,805354,283769,969129,243233,233266,255158,010

1,145,315239,558

2,508,6931,037,474

93,6351,521,603

464,645448,765

1,896,510150,891529,410109,363747,646

2,268,604206,97582,242

867,044702,517279,656720,80763,414

225116311

282645492

1340417

15303225233920128

213314443735429

363

10476

27295

432446174

38481119341850

556,78129,847

576,934361,890

3,458,312377,328466,92391,32576,034

2,627,737720,526149,496133,533

1,497,080735,648434,429355,153488,038494,915172,773570,288857,555

1,202,925575,571333,023743,741114,752229,085174,466137,738

1,092,381185,645

2,418,864905,57593,633

1,496,464444,306426,224

1,912,079155,475443,647105,520661,899

1,904,755174,04870,708

736,702631,614277,674685,13253,120

225119311

302547482

1541436

14283224233921118

203312443537429

363

10467

26294

402745175

38491318341650

8.247.432.65.6

12.820.82.7

20.8-16.114.818.813.818.81.64.20.30.86.58.9

11.412.60.13.67.26.43.5

12.61.8

52.614.74.8

29.03.7

14.60.01.74.65.3

-0.8-2.919.33.6

13.019.118.916.317.711.20.75.2

19.4

2623

3020

640

55115111812433546442825232147382729392241

11633

43617484234314950

83719

9101413244532

7

253



Minority/ethnic population(%), 2005

Minority/ethnic population(%), 1995

1995 to 2005 percent change inminority/ethnic population


29.833.039.922.055.628.622.630.470.337.040.781.415.131.914.910.616.410.837.64.7

40.519.622.014.842.117.79.7

16.437.65.1

35.456.238.133.510.517.126.918.216.918.733.913.922.552.813.74.4

32.121.64.7

14.910.9

21179

264

2224202

1371

37193845354411498

2926406

3247351148143

10164633233134301541255

42511828493843

26.821.527.718.047.617.015.221.375.533.637.669.18.9

25.810.14.3

15.57.4

32.71.3

35.211.318.76.8

38.312.45.85.9

27.32.5

27.349.931.524.35.5

13.416.311.012.310.530.86.4

22.246.68.02.6

25.110.63.2

10.17.6

162113244

2528221972

38173647274110518

3223426

3045441450143

11194629263331351243205

39491834483640

11.253.544.022.216.868.248.742.7-6.910.18.2

17.869.723.647.5

146.55.8

45.915.0

261.515.173.517.6

117.69.9

42.767.2

178.037.7

104.029.712.621.037.990.927.665.065.537.478.110.1

117.21.4

13.371.369.227.9

103.846.947.543.4

441824353914192751454837123420

3492341

1401038

4472615

229

631433628

833171630

946

55042111332

7222025

254



Persons under age 65 with familyincome at or below poverty (%),

2004

Persons under age 65 with familyincome at or below poverty (%),

1994

1994 to 2004 percent change inpersons under age 65 with family

income at or below povertyAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

17.49.6

15.215.514.210.210.59.5

17.412.713.68.8

10.213.012.511.512.018.217.112.29.89.4

14.26.8

18.412.915.49.5

11.55.17.9

17.115.314.79.9

12.310.712.912.212.115.114.116.917.110.58.49.3

11.914.913.210.7

342129

163836433

241947382125323025

27414516501

2210433251495

1115402634222729131885

36484631142034

16.710.317.115.119.09.4

11.28.4

22.116.014.39.4

12.413.114.310.515.420.026.39.6

10.79.7

14.811.819.716.311.88.7

11.87.69.5

22.217.914.110.414.417.312.813.210.214.015.313.919.88.47.8

10.212.219.69.59.3

123711178

4433483

142044282620351541

41344018306

13304730514229

223619102725382316245

485038297

4246

4.2-6.8

-11.12.6

-25.38.5

-6.213.1

-21.3-20.6-4.9-6.4

-17.7-0.8

-12.69.5

-22.1-9.0

-35.027.1-8.4-3.1-4.1

-42.4-6.6

-20.930.59.2

-2.5-32.9-16.8-23.0-14.5

4.3-4.8

-14.6-38.2

0.8-7.618.67.9

-7.821.6

-13.625.07.7

-8.8-2.5

-24.038.915.1

15283416471125

843412426401835

9443349

3312122512742

2102048394537142338501729

61230

536

413321946

17

255



Infant deaths (per 1,000 live births), 2003

Infant deaths (per 1,000 live births), 1993

1993 to 2003 percent changein infant deaths


8.76.16.68.15.66.35.1

11.523.87.68.57.75.77.17.64.95.55.69.75.07.05.08.64.99.59.36.46.15.82.95.15.36.28.27.58.97.56.38.07.47.77.4

10.66.75.64.97.35.37.46.43.4

834271238304321

1610143624174740374

4525469

4856

2833355144423211197

1831132115203

2639492341222950

9.97.57.09.56.77.57.18.3

18.58.7

10.16.77.5

10.39.36.98.28.89.86.69.45.69.37.3

11.98.57.98.86.64.88.09.38.3

10.37.18.89.26.78.78.59.4

10.59.97.66.04.98.56.99.38.08.1

7344010433438261

216

43344

134128189

46114913372

23321846513013264

3818174321231137

3348502341133029

-12.1-18.3-6.3

-14.5-16.0-15.6-28.038.028.6

-12.9-15.614.5

-24.2-31.2-18.8-28.6-32.7-35.9-0.8

-24.6-25.1-11.4-7.2

-33.2-20.1

9.9-19.1-30.3-12.2-39.2-36.1-42.8-25.5-20.4

6.00.9

-18.0-5.9-7.8

-12.6-18.4-29.2

7.4-12.0-6.3-0.9

-14.6-22.9-20.3-20.2-57.7

17271221252440

12

2023

3364429414547

8373815134631

43043184948503934

67

261014192842

51611

92235333251

256



Overweight and/or obeseadults (%), 2004

Overweight and/or obeseadults (%), 1994

1994 to 2004 percent change in overweight and/or

obese adultsAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

67.669.060.866.161.359.861.066.061.764.063.9N/A

65.265.767.567.865.868.168.365.465.662.166.567.868.166.063.267.362.763.465.458.963.266.470.468.070.064.268.861.564.467.266.966.566.960.254.263.870.568.063.2

134

462244484523423334(-)302614112576

28274119117

233715403628493721293

325

43311617191747503519

37

55.963.050.658.051.644.852.856.155.753.053.639.654.256.060.762.548.661.059.453.056.355.159.660.758.359.454.460.653.957.661.348.857.459.757.161.255.656.360.1N/A

59.956.554.858.558.354.360.156.858.457.956.5

321

46204549443033424150393162

485

14422935137

1815378

40223

472312244

34289

(-)1126361618381025172126

20.99.5

20.214.018.833.515.517.610.820.819.2N/A

20.317.311.28.5

35.411.615.023.416.512.711.611.716.811.116.211.116.310.16.7

20.710.111.223.311.125.914.014.5N/A7.5

18.922.113.714.810.9-9.812.320.717.411.9

744112714

2221541

712(-)10173645

13323

41929343218372139204347

94235

538

32625(-)4613

62824404830

81631

257



Adults age 50+ who didn't visit adoctor due to cost (%), 2004

Adults age 50+ who didn't visit adoctor due to cost (%), 1994

1994 to 2004 percent change inadults age 50+ who didn't visit

a doctor due to costAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

11.710.47.5

10.27.99.05.96.39.69.3

12.3N/A9.97.97.84.77.5

13.314.07.07.84.88.16.6

14.09.49.16.29.66.88.6

10.37.9

13.15.77.7

10.910.16.25.6

11.56.2

10.712.98.05.87.78.1

11.75.79.1

71235142823444017206

(-)163031503631

37324926392

19224118382413294

4733101542489

43115

274534258

4621

12.59.36.6

10.38.35.46.56.6

10.410.113.42.57.18.67.94.96.1

12.211.36.36.74.67.15.4

14.37.26.35.4

10.56.6

11.48.1

10.711.06.78.39.27.15.6N/A9.06.39.3

10.38.54.95.65.2

12.43.87.9

31633132143353411142

50271924473957

37314829421

26364410326

2398

3022172840(-)18381512204641454

4925

-6.311.314.1-0.9-4.466.9-9.2-4.4-7.5-7.6-8.1N/A

39.2-8.5-0.3-3.421.99.6

23.811.215.64.4

14.022.7-2.231.143.715.9-8.33.3

-25.027.1

-26.319.4

-16.2-6.618.241.911.1N/A

28.6-2.114.724.4-5.918.338.156.6-5.550.116.1

3924223136

14635414243(-)6

453034142712252028231333

84

19442948104915474017

526(-)9

3221113816

72

373

18

258



Population underserved by primary care physicians (%),

2005

Population underserved by primary care physicians (%),

1995

1995 to 2005 percent change inpopulation underserved by

primary care physiciansAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

25.814.013.510.110.010.26.38.0

24.815.715.14.4

18.113.28.79.4

15.313.521.17.36.55.1

11.07.6

29.323.720.45.7

14.15.92.8

27.610.07.8

20.87.2

15.66.96.38.7

15.024.611.612.712.83.67.6

11.313.810.422.8

3182030322945364

1215491122343314218

404348273916

10471746512

31379

4113424435165

25242350382619287

17.815.35.9

14.39.07.77.14.1

25.46.8

13.82.5

15.88.08.58.78.4

13.321.28.03.28.7

11.45.1

27.511.812.78.9

11.95.74.9

20.012.28.7

18.67.8

10.810.36.3

11.220.118.510.611.38.06.87.39.5

16.511.514.1

8114512283941492

4214511036333134153

37503021471

1916291846485

17326

382426442347

2522354340279

2013

45.3-8.4

130.3-29.211.532.6

-12.196.7-2.4

129.59.8

76.314.464.92.08.9

83.31.0

-0.3-7.8

101.3-41.8-3.448.86.4

100.560.1

-35.518.62.5

-41.637.9

-17.9-10.111.8-7.943.4

-33.50.3

-22.9-25.333.39.4

12.159.5

-47.34.2

18.8-16.5-10.062.4

1338

146231741

534

224

720

83026

6313336

350351227

4104819294915434022371447324445162521115128184239

9

259



Total Medicaid enrollment (in 1,000s), 2001

Total Medicaid enrollment (in 1,000s), 1992

1992 to 2001 percent change intotal Medicaid enrollment


781100808551

8,528411444133153

2,4621,328

190172

1,799826331281762887278705

1,1261,430

659681

1,032102249167109923424

3,5491,376

651,660

678595

1,648194872106

1,6032,730

215152701

1,00535267458

204919291

323045434

1140415

18343521163622129

2724134837424615312

10506

25287

39174783

38442314332651

54672

551360

6,06033033269

1261,803

968111100

1,637535305246637735189534765

1,36150153764792

1639979

790241

2,92888266

1,619414335

1,543124*47575

8852,309

17586

60867137561649

214820291

3231493949

41425

23333417143624138

2522164438434612352

11506

27307

402647103

37451915281851

42.939.346.753.040.724.533.892.921.136.637.271.272.49.9

54.38.6

14.319.620.647.031.947.15.1

31.426.959.610.852.968.937.316.875.721.256.0-0.92.6

63.777.56.8

56.383.541.681.218.222.776.915.249.8-6.29.4

18.2

21242015233228

1352726

87

441446423736192918483031114316

92540

63413504910

44712

222

33833

54117514539

260



Medicaid spending onprescription drugs (%), 2004

Medicaid spending onprescription drugs (%), 1997

1997 to 2004 percent change inMedicaid spending on

prescription drugsAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

16.313.0N/A

14.817.210.011.215.48.7

19.312.912.815.817.313.716.614.118.618.613.810.411.410.67.3

19.518.314.816.012.311.112.64.7

11.619.012.116.016.29.56.8

10.117.114.331.314.115.220.014.812.119.315.214.2

1431(-)2211454019474

3233181030132778

294339424839

241735413450386

37161546494412251

28202

23365

2126

10.37.3N/A9.89.26.35.78.64.5

11.89.64.9

10.68.2

11.310.310.012.510.99.26.67.36.75.7

12.210.49.9

11.35.46.47.06.75.19.07.78.79.84.66.75.78.48.2N/A7.98.1

11.911.16.4

11.48.08.0

1332(-)1720414423494

184710257

121419

19383335422

11156

4540343746213122164836432426(-)302738

395

2829

58.576.8N/A

51.386.958.397.780.394.363.635.1

162.249.2

110.222.061.341.049.071.349.957.756.358.427.659.275.948.441.6

128.173.779.9

-30.1126.5110.656.685.065.3

104.01.8

76.9104.373.4N/A

78.488.567.833.689.268.589.278.4

3120(-)371333

815

92844

139

54729434024383436324630214142

2221649

34

351427

74819

623(-)1712264510251118

261



Emergency room visits (per 1,000 population), 2003

Emergency room visits (per 1,000 population), 1993

1993 to 2003 percent change inemergency room visits


485331319469262309401366649394413263345385405365352520564554379460402312560467329309279433341361395416415476403312425441445286499380315411374333622334435

7123113483220281

254

5136352342446

108

471130495

17395046264329271521143334169

18383

37404124222

4519

486480360448298357405378805388513249350353391336327496483485311482370264497417345264322386333373381431398432354353419484410345517349344340391398588322408

8404210514625321

2720503628223335635

301224454

114147491637342618199

2344171413487

29432131392

3815

-0.3-31.1-11.2

4.7-12.2-13.5-0.9-3.2

-19.31.7

-19.55.8

-1.59.23.68.57.74.8

16.814.321.9-4.68.9

17.812.711.9-4.516.7

-13.412.22.2

-3.23.6

-3.44.1

10.214.1

-11.71.4

-9.08.5

-17.1-3.58.9

-8.421.0-4.5

-16.25.83.86.7

305142224446313349285019321226151721

461

3913

38

1037

545

9273425352311

74329411648361440

23847202418

262



Nursing home residents age65+ (% of age 65+), 2004

Nursing home residents age65+ (% of age 65+), 1994

1994 to 2004 percent change innursing home residents age 65+


4.71.61.74.62.74.16.13.64.42.64.62.13.75.16.17.16.34.45.13.84.06.33.46.24.65.24.36.11.54.74.32.74.64.07.35.94.31.74.66.53.06.54.34.13.03.83.42.83.54.94.0

1750491944298

37234618473614926

241334335

407

221226105116284520311

112548214

423

273041353943381532

3.92.72.47.33.25.26.24.64.02.84.92.14.16.27.07.59.04.47.75.44.16.83.99.64.75.35.49.92.04.84.63.14.53.88.46.07.03.34.96.33.79.06.45.13.05.44.64.43.78.36.6

3948499

442316293747265036171084

337

193512382

2822211

5127304532405

1811432515423

142446203134416

13

20.8-39.6-31.3-36.8-13.7-21.8-2.1

-21.410.3-8.9-4.80.6

-8.1-18.1-13.8-4.6

-30.00.2

-33.4-29.2-4.0-6.7

-13.9-35.9-3.4-0.8

-19.7-38.5-23.9-0.9-7.1

-12.72.36.7

-13.4-3.0

-38.1-47.9-7.12.1

-18.9-27.4-33.0-20.6-1.1

-29.5-25.2-35.2-6.6

-41.0-39.3

149404525331132

22216

62128261539

742371418274413

8304734

91923

43

2412465120

52936413110383543175048

DataDocumentation

263

264

HEALTH POLICY MAPS Guaranteed issue in individual market, as of December 2004 — AARP Public Policy Institute analysis usingGeorgetown University Health Policy Institute, “Consumer Guides for Getting and Keeping Health Insurance, 2004Edition.” Retrieved from the World Wide Web: http://www.healthinsuranceinfo.net, June 2005. EXPLANATION: Refersto whether, as of December 2004, insurance carriers were required to accept applicants for individual health policiesregardless of claims history or health status. “Guaranteed issue” refers to states where this requirement applied to allcarriers, all state residents, and all individual insurance products. “Some guaranteed issue” refers to states where onlysome carriers were required to accept applicants for coverage, only some state residents may be eligible, or onlyspecific individual insurance products are available. “No guaranteed issue” refers to states that allowed insurers in theindividual market to turn down applicants based on their health history. All states are required to provide a coveragealternative for individuals not protected under the Health Insurance Portability and Accountability Act of 1996. Even ifinsurers in the individual market do not have to sell coverage to all applicants, many states require insurers to offerconversion policies (that is, a group policy that may be converted into an individual policy upon leaving a job) or havehigh-risk pools, in order to make alternative access to health coverage available to these individuals.

Coverage requirements for mental health benefits, as of March 2005 — AARP Public Policy Institute analysis usingdata from the National Conference of State Legislatures, “State Laws Mandating or Regulating Mental Health Benefits,”March 2005. [Used with permission.] EXPLANATION: Refers to whether, as of March 2005, the state had enactedlegislation regarding coverage of care for mental illness and/or substance abuse. “Parity” refers to state laws thatprohibit insurers or health care service plans from discriminating between coverage offered for mental illness, seriousmental illness, or substance abuse, and coverage offered for other physical disorders and diseases. “Minimummandated benefit” refers to state laws that require some level of coverage for mental illness and/or substance abuse,but allow discrepancies in the level of benefits provided between mental illness and physical illness, e.g., different visitlimits, copayments, deductibles, or annual and lifetime limits. “Mandated offering” refers to state laws that do notrequire (or mandate) the provision of mental health and/or substance abuse benefits, but require either (1) an option ofcoverage for mental illness and/or substance abuse be provided, or (2) that, if benefits for mental illness and/orsubstance abuse are offered, they are equal to benefits for other physical disorders and diseases. “No law” refers tostates that have not enacted laws regarding coverage of care for mental illness and/or substance abuse. The followingstates—CA, CO, HI, IN, ME, MD, MA, MS, MT, NH, OH, SC, TX, VA, WA, and WV—had enacted multiple laws orprovisions that do not fall into the same category; therefore, these states were characterized according to the followinghierarchy: parity, minimum mandated benefit, and mandated offering. Laws may have applied only to certain types ofillnesses (e.g., serious mental illness), certain types of insurance policies (e.g., state employee plans, groups of aparticular size), or specific coverage features (e.g., copayments and deductibles). State laws generally did not apply tofederally funded public programs such as Medicaid, Medicare, and programs operated by the Department of VeteransAffairs. “Self-funded” health insurance plans, often sponsored by large employers, are usually exempt from stateregulation because of the federal ERISA law.

State enrollment of elderly and/or disabled in Medicaid managed care plans, as of December 2002 — NationalAcademy for State Health Policy (NASHP), “Medicaid Managed Care: Looking Forward, Looking Back,” NASHP, June 2005.[Used with permission.] EXPLANATION: Refers to states where, as of December 2002, enrollment in a managed care entitywas mandatory for Medicaid beneficiaries age 65 and older and/or persons under age 65 with disabilities who qualifiedfor Supplemental Security Income (SSI). As categorized by this source, the three types of managed care entities weremanaged care organizations (MCOs), prepaid health plans (PHPs), and primary care case management (PCCM) programs.Four states, AR, IA, LA, and MA, had mandatory managed care enrollment for nonelderly disabled persons, but not theaged. Only one state, MN, had mandatory managed care enrollment for the aged but not the disabled.

Medicaid medically needy program for aged and disabled, as of January 2004 — Social Security Administration,“State Assistance Programs for SSI Recipients, January 2004,” April 2005. EXPLANATION: Refers to states that, as of

Health Policy Maps

Note: Unless specified otherwise, U.S. figures include the District of Columbia and do not include the Commonwealth of Puerto Rico and the U.S. territories.

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January 2004, reported having a Medicaid medically needy program for aged, blind, and disabled populations. Undera medically needy program, medical expenses are deducted from an individual’s countable income when determiningwhether the state’s Medicaid medically needy income eligibility criteria are met. Individuals must also meet assetstandards specific to the state’s medically needy program. States offering a medically needy program must coverpregnant women and children, but coverage of aged, blind, and disabled persons is optional.

Asset verification for Medicare Savings Programs, as of Fall 2002 — Georgetown University Health Policy Institute,“Simplifying Medicaid Enrollment for the Elderly and Individuals with Disabilities” [forthcoming AARP Public PolicyInstitute publication]. EXPLANATION: Refers to whether the state Medicaid agency required applicants to providedocumentation to verify assets for eligibility for the Medicare Savings Programs (i.e., Qualified Medicare Beneficiaries[QMBs], Specified Low-Income Medicare Beneficiaries [SLMBs], and Qualifying Individuals [QIs]). The MedicareSavings Programs, also known as Medicare buy-in, help low-income Medicare beneficiaries pay for Medicarepremiums and, in some cases, their Medicare cost-sharing. Data were derived from a fall 2002 survey of stateMedicaid directors. Data for NM were unavailable (indicated by “N/A”).

Estate recovery for Medicare Savings Programs, as of August 2004 — American Bar Association Commission onLaw and Aging, “Medicaid Estate Recovery: A 2004 Survey of State Programs and Practices,” AARP Public PolicyInstitute, June 2005. EXPLANATION: Refers to whether a state had elected the option to recover from the estates oflow-income Medicare beneficiaries who had only received assistance from Medicaid in the payment of their Medicarepremiums, copayments, and/or deductibles (i.e., beneficiaries who were QMBs, SLMBs, and QIs), as of August 2004.Some states indicated that they recovered only in certain circumstances. “N/A” refers to states that did not have estaterecovery programs at the time the survey was conducted (CO, GA, MI, MO, and TX), and states that did not know theanswer to, or did not respond to, the question (AK, NM, WI, and WY).

State pharmaceutical assistance programs, as of July 2005 — AARP Public Policy Institute analysis using data fromthe National Conference of State Legislatures (NCSL), “State Pharmaceutical Assistance Programs,” NCSL, August2005. Retrieved from the World Wide Web: http://www.ncsl.org. [Used with permission.] EXPLANATION: Refers towhether, as of August 2005, a state had an operational pharmacy assistance subsidy program, an operational statepharmacy assistance discount program, both types of programs, or neither. “Subsidy program” refers to those stateprograms that pay for all or part of the cost of prescription drugs. Subsidy programs in FL, IN, MD, SC, VT, and WIoperated entirely, or in part, under approved section 1115 waivers. Subsidy programs in AR, AZ, DC, HI, KY, LA, MT,NM, OR, TN, and WA were enacted but were not yet operational. The program in IN was approved in 2002, butremained unimplemented as of spring 2005. The program in TX, which only served residents with end stage renaldisease, was discontinued in 2005. “Discount program” refers to programs that place limitations on the prices that canbe charged to all or certain residents for their prescriptions, but do not directly pay for prescription drugs. Discountprograms in AR, CT, MA, MD, MT, OK, SC, and SD were enacted but were not yet operational. “Both” refers to statesthat had at least one operational subsidy program and one operational discount program. State pharmacy assistanceprograms may limit eligibility to targeted populations.

State Medicaid cost containment measures, FY2005 — Health Management Associates and Kaiser Commission onMedicaid and the Uninsured (KCMU), “The Continuing Medicaid Budget Challenge: State Medicaid Spending Growth andCost Containment in Fiscal Years 2004 and 2005: Results from a 50-State Survey,” KCMU, October 2004. EXPLANATION:Refers to whether, in fiscal year (FY) 2005, a state adopted benefit cuts, eligibility cuts, both types of cuts, or neither, inan effort to contain Medicaid costs. Other cost containment measures that states could have undertaken but are notpresented here include decreases in provider payments; the imposition of measures to control prescription drug costs; theimposition of new, or increases in existing, copayments for services; managed care expansions; the establishment ofdisease management and/or case management programs; implementation of measures to prevent and/or reduce fraudand abuse; and the imposition of cost controls on institutional and community-based long-term care.

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State policies to control Medicaid drug costs, as of August 2005 — Health Policy Tracking Service (HPTS), HPTSRx State Policies database, “Medicaid Pharmaceutical Cost Control,” Thomson West, August 2005. Retrieved from theWorld Wide Web: http://www.netscan.com. [Used with permission.] EXPLANATION: Refers to whether, as of August2005, a state operated a preferred drug list, operated a preferred drug list and participated in a pharmaceutical bulkpurchasing program, or did neither, in an effort to contain Medicaid drug costs. Pharmaceutical bulk purchasingprograms can be either intrastate or multistate. Other prescription drug cost containment measures that states couldhave undertaken but are not presented here include establishing a prescription drug prior authorization program,placing limits on the number of prescriptions that can be filled by a beneficiary, utilizing the services of a pharmacybenefit management company, and establishing focused disease management programs.

State patient safety centers, as of July 2004 — National Academy for State Health Policy (NASHP), “State PatientSafety Centers: A New Approach to Promote Patient Safety,” NASHP, October 2004. Retrieved from the World WideWeb: http://www.nashp.org. [Used with permission.] EXPLANATION: Refers to whether, as of July 2004, a state hadenacted legislation creating a patient safety center. Although they differed in governing structures, operations, andactivities, patient safety centers were similar in that their mission statements included language related to improving,ensuring, or promoting patient safety. Other similar features of many of the centers included goals related to fosteringa culture of safety, a desire to provide patient safety education, and the potential to serve as data repositories.

Mandatory reporting requirement for medical errors or adverse events in hospitals, as of July 2005 — HealthPolicy Tracking Service, “Issue Brief: Medical Errors and Patient Safety,” Thomson West, July 18, 2005. [Used withpermission.] EXPLANATION: Refers to whether, as of July 2005, a state had laws or regulations requiring mandatoryreporting of medical errors or adverse events in hospitals. An adverse event is an injury that was caused by or isassociated with medical management and that results in death or measurable disability. For purposes of these data,medical error and adverse event are defined synonymously. The requirements for what information must be reportedvaried significantly by state.

Policies to enhance pain management, as of March 2003 — Pain & Policy Studies Group, University of WisconsinComprehensive Cancer Center, “Achieving Balance in Federal and State Pain Policy: A Guide to Evaluation, SecondEdition,” 2003. [Used with permission.] EXPLANATION: Refers to the number of policies—laws, regulations, orguidelines—in each state, as of March 2003, that had the potential to enhance pain management. A law refers to rulesof conduct with binding legal force. A regulation is an official policy issued pursuant to statutory authority. A guidelineis an officially adopted policy issued by a government agency. In order for a policy to be considered to enhance painmanagement, it must have met at least one of the following criteria: (1) contained provisions in which controlledsubstances were recognized as necessary for public health reasons; (2) contained provisions in which painmanagement was recognized as part of general medical practice; (3) contained provisions in which medical use ofopioids was recognized as legitimate professional practice; (4) contained provisions in which pain management wasencouraged; (5) contained provisions that addressed practitioners’ concerns about regulatory scrutiny; (6) containedprovisions that recognized that prescription amount (e.g., duration or amount of drug therapy) alone was insufficient todetermine legitimacy of prescribing practice; (7) contained provisions that did not confuse physical dependence oranalgesic tolerance with “addiction”; and (8) contained other provisions that may have enhanced pain management(e.g., additional treatment flexibility when a provider is adhering to state medical board policy). A single policy mayhave met multiple criteria.

State minority health office or designated contact, as of June 2005 — National Conference of State Legislatures(NCSL), “Minority Health Laws: Commissions and Offices of Minority Health,” NCSL, June 2005. Retrieved from theWorld Wide Web: http://www.ncsl.org. [Used with permission.] EXPLANATION: Refers to whether, as of June 2005, astate had an officially established office of minority health, a designated minority health contact only, or neither. Stateoffices of minority health had various titles (e.g., office, commission, council, center, branch, project, or other unit) andwere established as official minority health entities through executive or legislative branch action. States that had

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designated minority health contacts, but no officially established office, had an identified person or entity within stategovernment to handle issues related to minority health.

Limits on non-economic damages for medical malpractice, as of July 2005 — AARP Public Policy Institute analysisusing data from Health Policy Tracking Service, “Issue Brief: Medical Malpractice and Tort Reform,” Thomson West,July 18, 2005. [Used with permission.] EXPLANATION: Refers to states that had enacted medical malpractice legislationthat placed limits or caps on non-economic damages for medical malpractice as of July 2005. Limits on non-economicdamages may be imposed either directly through caps that apply specifically to non-economic damages or indirectlythrough caps that apply to total damages. “Cap on total damages” refers to states with limits that apply to totaldamages and, therefore, include non-economic damages. “Cap on non-economic damages” refers to states withlimits that apply specifically to non-economic damages. “Both” refers to states with limits on total and non-economicdamages. “Neither” refers to states with limits on neither total nor non-economic damages. Limits may not apply tocertain types of injuries or categories of providers, or unless other conditions are satisfied. In addition, limits may beexpressed in terms other than a single dollar amount.

Health plan liability laws to protect consumers, as of December 2004 — BlueCross BlueShield Association(BCBSA), Office of Policy and Representation, “State Legislative Health Care and Insurance Issues: 2004 Survey ofPlans,” BCBSA, December 2004. [Used with permission.] EXPLANATION: Refers to states that, as of December 2004,had laws that, under assorted liability theories, created a legal cause of action for damages against health plans(managed care and other health plans) and their employees for harm to enrollees.

HEDIS reporting for commercial plans, as of August 2005 — National Committee for Quality Assurance, “Map ofState Recognition of HEDIS/CAHPS®,” 2005. Retrieved from the World Wide Web: http://www.ncqa.org/Programs/publicpolicy/staterecognition.htm. [Used with permission.] EXPLANATION: Refers to state laws that requiredcommercial managed care plans to collect and report HEDIS, the most extensively used set of performance measuresin the managed care industry. “Audited data required” refers to states that required plans to report HEDIS data thathad been subject to a HEDIS Compliance Audit. The audit is designed to ensure the accuracy, reproducibility, andvalidity of the HEDIS data, and to detect fraud and gaming. “Data required without audit” refers to states that requiredplans to report HEDIS data but did not require data to be audited. Data that are not audited can produce greatly differentresults than HEDIS data that have been audited. “Other HEDIS data required” refers to states that required plans toreport HEDIS data for specific measures or plan types, and states where health plan performance measurement wasnot required by law or regulation but was made a contractual requirement by government agencies. “No HEDIS datarequired” refers to states that had no requirements to report HEDIS quality data for commercial managed care plans.

External grievance review for health plan coverage decisions, as of December 2004 — BlueCross BlueShieldAssociation (BCBSA), Office of Policy and Representation, “State Legislative Health Care and Insurance Issues: 2004Survey of Plans,” BCBSA, December 2004. [Used with permission.] EXPLANATION: Refers to states that, as ofDecember 2004, reported having at least one law that required health plans to allow enrollees who were dissatisfiedwith the outcome of the health plan’s internal appeals process to appeal a coverage or claims denial (or other adversedecisions) to an outside medical expert or panel.

DEMOGRAPHICSDistribution of population by age (projected), 2005 — AARP Public Policy Institute calculations using data from (1)U.S. Department of Commerce, Bureau of the Census, Population Division, Interim State Population Projections, 2005,“Interim State Projections of Population for Five-Year Age Groups and Selected Age Groups by Sex: July 1, 2004 to2030.” Retrieved from the World Wide Web: http://www.census.gov/population/projections; and (2) U.S. Department ofCommerce, Bureau of the Census, International Programs Center, International Data Base (IDB), “Mid-Year Population

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by Age and Sex,” July 2005 (for Commonwealth of Puerto Rico and U.S. Virgin Islands data). Retrieved from the WorldWide Web: http://www.census.gov/ipc/www/idbprint.html. EXPLANATION: Refers to the total projected U.S. populationresiding in each state in 2005, including members of the U.S. armed forces stationed in the area, and the share of thetotal projected population in each age group. Slightly different age groups are presented for states than for theCommonwealth of Puerto Rico and the U.S. Virgin Islands.

Rural population (% of total), 2004 — AARP Public Policy Institute calculations using data from U.S. Department ofAgriculture, Economic Research Service, “State Fact Sheets,” 2005. Retrieved from the World Wide Web:http://www.ers.usda.gov. EXPLANATION: Refers to the percentage of the estimated state population residing innonmetropolitan areas in 2004. As defined by the Office of Management and Budget (OMB), metropolitan areas arecounties with a core urbanized area of at least 50,000 people and a total population of over 100,000 people. A countylying outside of a metropolitan area is counted as part of the metropolitan area if at least 25 percent of its totalpopulation commutes into the core metropolitan area. The commuting distance is a proxy for the significance of theeconomic tie that the surrounding county has to the core area. The current definition of metropolitan area wasimplemented in 2003. Prior to that time, counties lying outside of metropolitan areas were counted as part of themetropolitan area only if they were both economically tied to the core area and they displayed a high level of“metropolitan character” based on population density, urbanization, and population growth. Due to this definitionalchange, data presented in this edition of State Profiles should not be compared with earlier editions of State Profiles.

Per capita personal income (average), 2004 — U. S. Department of Commerce, Bureau of Economic Analysis (BEA),Regional Accounts Data, “Annual State Personal Income.” Retrieved from the World Wide Web: http://www.bea.doc.gov/bea/regional/spi. EXPLANATION: Refers to average annual per capita personal income from all sources(i.e., government and nongovernment) in 2004. Per capita personal income equals total personal income in a statedivided by that state’s midyear population.

Family income (median), 2004 — AARP Public Policy Institute analysis using data from U.S. Department ofCommerce, Bureau of the Census, Current Population Survey (CPS) 2005 March Supplement. EXPLANATION: Refers tothe annual income earned by families (and related subfamilies) in 2004 from all sources. For each state, half of thefamilies had higher incomes and half of the families had lower incomes than the median.

Distribution of persons under age 50 by family income (%), 2004 — AARP Public Policy Institute analysis usingdata from U.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refersto the percentage of noninstitutionalized persons under the age of 50 with family (and related subfamily) income at orbelow 100 percent of the federal poverty threshold and with family (and related subfamily) income between 101 percentand 200 percent of the federal poverty threshold in 2004. In calendar year 2004, the federal poverty threshold for afamily of four was $19,484.

Distribution of persons age 50-64 by family income (%), 2004 — AARP Public Policy Institute analysis using datafrom U.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to thepercentage of noninstitutionalized persons age 50-64 with family (and related subfamily) income at or below 100percent of the federal poverty threshold and with family (and related subfamily) income between 101 percent and 200percent of the federal poverty threshold in 2004. In calendar year 2004, the federal poverty threshold for a family offour was $19,484. “–” = data not reported due to small sample size.

Distribution of persons age 65+ by family income (%), 2004 — AARP Public Policy Institute analysis using data fromU.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to thepercentage of noninstitutionalized persons age 65 and older with family (and related subfamily) income at or below 100percent of the federal poverty threshold and with family (and related subfamily) income between 101 percent and 200

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percent of the federal poverty threshold in 2004. In calendar year 2004, the federal poverty threshold for a family oftwo, headed by a person age 65 years or older, was $11,418. “–” = data not reported due to small sample size.

EXPENDITURES AND FINANCINGFederal matching funds (%): Medicaid, FY2006 — U.S. Department of Health and Human Services (DHHS), “FederalRegister,” Volume 69, Number 226, November 24, 2004. Retrieved from the World Wide Web:http://www.archives.gov/federal_register/index.html. EXPLANATION: Refers to the share of expenditures for medicalservices under federally approved Medicaid plans (Title XIX) that will be paid with federal funds from October 1, 2005,through September 30, 2006. Federal payments to the Commonwealth of Puerto Rico and the U.S. territories are limitedby statute to maximum annual dollar amounts.

Federal matching funds (%): SCHIP, FY2006 — U.S. DHHS, “Federal Register,” Volume 69, Number 226, November24, 2004. Retrieved from the World Wide Web: http://www.archives.gov/federal_register/index.html. EXPLANATION:Refers to the share of expenditures for medical services and medical insurance under the State Children’s HealthInsurance Program (SCHIP) that will be paid with federal funds from October 1, 2005, through September 30, 2006.

Total Medicaid payments for all enrollees, FY2002 — AARP Public Policy Institute calculations using data from U.S.DHHS, Centers for Medicare and Medicaid Services (CMS), Center for Medicaid and State Operations, MedicaidStatistical Information System, Office of Research, Development and Information, “Medicaid Payments, by Basis ofEligibility and Area of Residence: Fiscal Year 2002,” Draft Table 107, Health Care Financing Review: Medicare andMedicaid Statistical Supplement, 2004 [forthcoming publication]. EXPLANATION: Refers to total Medicaid payments(in billions) in FY2002 for all categories of enrollees (e.g., children, adults, disabled, elderly, and other/unknown).Included are capitated premiums for Medicaid eligibles enrolled in managed care plans, disproportionate share hospital(DSH) payments, interim lump-sum provider reimbursement adjustments, and final cost report settlements.

Medicaid payments (% of total): Elderly, FY2002 — AARP Public Policy Institute calculations using data from U.S.DHHS, CMS, Center for Medicaid and State Operations, Medicaid Statistical Information System, Office of Research,Development and Information, “Medicaid Payments, by Basis of Eligibility and Area of Residence: Fiscal Year 2002,”Draft Table 107, Health Care Financing Review: Medicare and Medicaid Statistical Supplement, 2004 [forthcomingpublication]. EXPLANATION: Refers to the percentage of Medicaid payments made on behalf of enrollees age 65 andolder in FY2002. Capitated premiums for Medicaid eligibles enrolled in managed care plans were included in paymentsmade on behalf of elderly enrollees. Disproportionate share hospital (DSH) payments, interim lump-sum providerreimbursement adjustments, and final cost report settlements were categorized as other/unknown payments and areincluded in the total Medicaid payments for all enrollees.

Medicaid payments (% of total): Disabled, FY2002 — AARP Public Policy Institute calculations using data from U.S.DHHS, CMS, Center for Medicaid and State Operations, Medicaid Statistical Information System, Office of Research,Development and Information, “Medicaid Payments, by Basis of Eligibility and Area of Residence: Fiscal Year 2002,”Draft Table 107, Health Care Financing Review: Medicare and Medicaid Statistical Supplement, 2004 [forthcomingpublication]. EXPLANATION: Refers to the percentage of Medicaid payments made on behalf of enrollees withdisabilities in FY2002. Capitated premiums for Medicaid eligibles enrolled in managed care plans were included inpayments made on behalf of disabled enrollees. Disproportionate share hospital (DSH) payments, interim lump-sumprovider reimbursement adjustments, and final cost report settlements were categorized as other/unknown paymentsand are included in the total Medicaid payments for all enrollees.

Total Medicaid expenditures as a percent of total state budget, FY2003 — National Association of State BudgetOfficers, The Reforming States Group, and the Milbank Memorial Fund, “2002-2003 State Health Care Expenditure

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Report,” Table 5, “State Spending by Function as a Percent of Total State Expenditures, Fiscal 2003,” June 2005. [Usedwith permission.] EXPLANATION: Refers to total Medicaid spending (federal and state funds) as a percentage of totalstate expenditures in FY2003. Total state expenditures consist of state general funds, other state funds, and federalfunds spent on elementary and secondary education, higher education, public assistance, Medicaid, corrections,transportation, and other services. “N/A” = data not available.

State Medicaid expenditures as a percent of state-only budget, FY2003 — Prepared by Congressional ResearchService (CRS), using data from the National Association of State Budget Officers, State Expenditure Report 2003, fall2004. “Memorandum: Medicaid in State Budgets,” Table 4, June 13, 2005. EXPLANATION: Refers to state-fundedMedicaid expenditures as a percentage of FY2003 state-funded budgets. Data do not include the federal portion ofMedicaid spending, but do include funds from other levels of state government. “N/A” = data not available.

Medicaid long-term care expenditures (%), FY2004 — AARP Public Policy Institute calculations using data fromBrian Burwell, The MEDSTAT Group, Table G (Total Long-Term Care Expenditures) and Table P (Medicaid Expenditures),May 2005. [Used with permission.] EXPLANATION: Refers to the percentage of Medicaid payments attributed to long-term care services in FY2004. Data were derived from the CMS Form-64 (formerly HCFA Form-64) reports submittedby states to CMS in order to claim federal financial participation (FFP) for state Medicaid outlays. Figures do not includespending for services provided through capitated managed care programs. Long-term care services include thoseprovided by skilled nursing facilities and intermediate care facilities for mentally retarded persons (ICF-MR), thoseprovided under home and community-based services (HCBS) waivers; and home health and personal care supportservices.

Medicare fee-for-service payment per beneficiary (average), 2003 — AARP Public Policy Institute calculationsusing data from U.S. DHHS, CMS, Office of the Actuary, “Fee-for-Service Expenditure Data by County, Aged: 2003.”Retrieved from the World Wide Web: http://www.cms.hhs.gov/healthplans/rates/#ffs. EXPLANATION: Refers to theaverage total per capita fee-for-service payment made on behalf of Medicare beneficiaries enrolled in Part A and PartB in 2003. The calculations assume enrollment in both Part A and Part B. The U.S. total includes the Commonwealthof Puerto Rico and the U.S. Virgin Islands.

Publicly funded state health care expenditures (% of total state budget), FY2003 — National Association of StateBudget Officers, The Reforming States Group, and the Milbank Memorial Fund, “2002-2003 State Health CareExpenditure Report,” Table 44, June 2005. [Used with permission.] EXPLANATION: Refers to total publicly funded statehealth care expenditures as a percentage of total state expenditures (including capital) in FY2003. Publicly funded statehealth care expenditures consist of state general funds, other state funds, and federal funds spent on direct personalhealth in the categories of Medicaid, the State Children’s Health Insurance Program (SCHIP), state employees’ healthbenefits, health services provided by state department of corrections, health services expenditures related to highereducation, insurance and access expansion, public health-related expenditures, state facility-based services, andcommunity-based health services. Figures generally exclude expenditures for subsistence and personal care. “N/A”= data not available.

Public health and community health services expenditures (% of state health spending), FY2003 — AARP PublicPolicy Institute calculations using data from the National Association of State Budget Officers, The Reforming StatesGroup, and the Milbank Memorial Fund, “2002-2003 State Health Care Expenditure Report,” Table 43, June 2005.[Used with permission.] EXPLANATION: Refers to expenditures for public health-related and community-based healthservices as a percentage of total publicly funded state health care expenditures in 2003. Public health-relatedexpenditures refer to direct personal health expenditures for specific program areas including, but not limited to, localhealth clinics, Ryan White AIDS grants, nonfederal Indian health care, licensing boards, and regulatory oversight.Examples of other programs that may be included are pharmaceutical assistance for the elderly, childhoodimmunization, and chronic disease programs. Data reported for public health-related expenditures do not include all

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expenditure information for state health departments. Community-based health services expenditures are funds spenton health services provided in a community setting, excluding those eligible for reimbursement under Medicaid. Examplesinclude rehabilitation services, alcohol and drug abuse treatment, mental health community services, developmentaldisabilities community services, and vocational rehabilitation services. Publicly funded state health care expendituresconsist of state general funds, other state funds, and federal funds spent on direct personal health in the categories ofMedicaid, the State Children’s Health Insurance Program (SCHIP), state employees’ health benefits, health servicesprovided by state department of corrections, health services expenditures related to higher education, insurance andaccess expansion, public health-related expenditures, state facility-based services, and community-based health services.Figures generally exclude expenditures for subsistence and personal care. “N/A” = data not available.

Price of retail prescription drug (average), 2003 — Data from Vector One™: National (VONA) from Verispan, L.L.C.:Special data request, 2004. Retrieved from the Kaiser Family Foundation on the World Wide Web: http://www.statehealthfacts.kff.org. EXPLANATION: Refers to the average price of a product purchased with a prescription anddispensed in retail pharmacies, including new prescriptions and refills of both brand name and generic drugs, in 2003.The Vector One™: National (VONA) collects data from a panel of retail pharmacies, third-party payers, and dataproviders. Retail pharmacies included independent pharmacies, chain pharmacies, food stores, and massmerchandisers found in 814 defined regional zones. These data exclude prescriptions filled by mail order.

Average employee health insurance premium contribution (%), 2003 — U.S. DHHS, Agency for HealthcareResearch and Quality (AHRQ), Center for Financing, Access and Cost Trends, 2003 Medical Expenditure Panel Survey(MEPS): Insurance Component, Table II.C.3. Retrieved from the World Wide Web: http://www.meps.ahrq.gov.EXPLANATION: Refers to the percentage of the total insurance premium amount that active employees contributed tothe average annual cost of employment-based health insurance for employee-only coverage in 2003. MEPS is a seriesof national probability surveys conducted by AHRQ on the financing and utilization of medical care in the United States.

HEALTH STATUSAdults age 50+ in poor or fair general health (%), 2004 — AARP Public Policy Institute analysis using data from theU.S. DHHS, Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and HealthPromotion, Behavioral Risk Factor Surveillance System (BRFSS) Online Prevalence Data, “Health Status — 2004.”Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentageof noninstitutionalized adults age 50 and older who reported their general health to be poor or fair. “General” healthtends to reflect physical, rather than mental, health. The U.S. total is the median of states (excluding HI), theCommonwealth of Puerto Rico, and the U.S. Virgin Islands. There were insufficient data to include HI in the aggregate2004 BRFSS data set. Due to a change in the age breakdown, data presented in this edition of State Profiles should notbe compared with data from earlier editions of State Profiles. “N/A” = data not available.

High blood pressure prevalence among adults age 50+ (%), 2003 — AARP Public Policy Institute analysis usingdata from the U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data, “Hypertension Awareness — 2003.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50and older who reported that they had ever been told by a doctor, nurse, or other health professional that they had highblood pressure. Percentages do not include women reporting gestational hypertension. The U.S. total is the median ofstates, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Due to a change in the age breakdown, datapresented in this edition of State Profiles should not be compared with data from earlier editions of State Profiles.

Adults age 50+ whose mental health was not good for >1 week in month (%), 2004 — AARP Public Policy Instituteanalysis using data from the U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion,

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BRFSS Online Prevalence Data, “Health Status — 2004.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50and older who reported that their mental health was not good for at least 8 days during past 30 days. The U.S. total isthe median of states (excluding HI), the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. There wereinsufficient data to include HI in the aggregate 2004 BRFSS data set. Due to a change in the age breakdown, datapresented in this edition of State Profiles should not be compared with data from earlier editions of State Profiles. “N/A”= data not available.

Adults age 65+ with 6+ teeth lost to decay or gum disease (%), 2004 — AARP Public Policy Institute calculations using data from the U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion,BRFSS Online Prevalence Data, “Oral Health — 2004.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age65 and older who reported having lost six or more teeth in their lifetime due to tooth decay or gum disease. The U.S.total is the median of states (excluding HI), the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. There wereinsufficient data to include HI in the aggregate 2004 BRFSS data set. “N/A” = data not available.

Adults age 50+ with diabetes (%), 2004 — AARP Public Policy Institute analysis using data from U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data, “DiabetesAwareness — 2004.” Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION:Refers to the percentage of noninstitutionalized adults age 50 and older who reported that they had ever been told bya doctor that they had diabetes. Percentages do not include women reporting gestational diabetes. The U.S. total is themedian of states (excluding HI), the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. There were insufficientdata to include HI in the aggregate 2004 BRFSS data set. Due to a change in the age breakdown, data presented inthis edition of State Profiles should not be compared with data from earlier editions of State Profiles. “N/A” = data notavailable.

Adults age 50+ who smoke cigarettes (%), 2004 — AARP Public Policy Institute analysis using data from the U.S.DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data,“Tobacco Use — 2004.” Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp.EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 to 64 and age 65 and older who reportedthat they were smoking cigarettes in 2004. The U.S. total is the median of states (excluding HI), the Commonwealth ofPuerto Rico, and the U.S. Virgin Islands. There were insufficient data to include HI in the aggregate 2004 BRFSS dataset. Due to a change in the age breakdown, data in the present edition of State Profiles should not be compared withdata from earlier editions of State Profiles. “N/A” = data not available.

Adults age 50+ reporting exercise with the intention to maintain/lose weight (%), 2003 — AARP Public PolicyInstitute analysis using data from U.S. DHHS, CDC, National Center for Chronic Disease Prevention and HealthPromotion, BRFSS Online Prevalence Data, “Weight Control — 2003.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50to 64 and 65 and older who reported exercising with the intention to maintain or lose weight in 2003. The U.S. total isthe median of states, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands.

Adults age 65+ with a self-care limitation (%), 2004 — AARP Public Policy Institute analysis using data from U.S.Department of Commerce, Bureau of the Census, 2004 American Community Survey. EXPLANATION: Refers to thepercentage of noninstitutionalized persons age 65 and older who reported having a physical, mental, or emotionalcondition lasting six months or more that made it difficult for them to dress, bathe, or get around inside the home in2004. Due to a change in data source, caution should be used when comparing data presented in this edition of StateProfiles with data from earlier editions of State Profiles.

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Deaths due to 5 major chronic diseases (%), 2001 — U.S. DHHS, CDC, National Center for Chronic DiseasePrevention and Health Promotion, “The Burden of Chronic Diseases and Their Risk Factors: National and StatePerspectives, 2004,” Section 1 Tables and Figures. Retrieved from the World Wide Web:http://www.cdc.gov/nccdphp/burdenbook2004. EXPLANATION: Refers to the percentage of all deaths in 2001 due tothe five major chronic diseases. In 2001, the top five leading chronic diseases were heart disease, all cancers, stroke,chronic obstructive pulmonary diseases, and diabetes. Together, these diseases accounted for more than two-thirds ofall deaths in the United States and 75 percent of the nation’s health care costs in 2001. The U.S. total is the median ofall states.

UTILIZATION AND QUALITY OF SERVICESWomen age 50+ receiving mammogram (%), 2004 — AARP Public Policy Institute analysis using data from U.S.DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data,“Women’s Health — 2004.” Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp.EXPLANATION: Refers to the percentage of noninstitutionalized women age 50 and older in 2004 who reported receivingat least one screening or diagnostic mammography service in the past 12 months. The U.S. total is the median of states(excluding HI), the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. There were insufficient data to include HIin the aggregate 2004 BRFSS data set. Caution should be used when comparing data presented in this edition of StateProfiles with data from earlier editions of State Profiles, which reported mammogram utilization over the previous twoyears. “N/A” = data not available.

Adults age 50+ receiving colonoscopy or sigmoidoscopy (%), 2004 — AARP Public Policy Institute analysis usingdata from U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS OnlinePrevalence Data, “Colorectal Cancer Screening — 2004.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50and older who reported ever having a colonoscopy or sigmoidoscopy and also reported having a colonoscopy orsigmoidoscopy within the past 10 years. The U.S. total is the median of states (excluding HI), the Commonwealth of PuertoRico, and the U.S. Virgin Islands. There were insufficient data to include HI in the aggregate 2004 BRFSS data set. Cautionshould be used when comparing data presented in this edition of State Profiles with data from earlier editions of StateProfiles, which reported colonoscopy or sigmoidoscopy utilization within the past year. “N/A” = data not available.

Adult immunization (age 65+): Pneumococcal pneumonia (%), 2004 — AARP Public Policy Institute analysis using data from U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data, “Immunization — 2004.” Retrieved from the World Wide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of noninstitutionalized adults age 65and older who reported that they had ever received a pneumonia shot. This vaccine is used to prevent pneumococcaldisease, which includes pneumonia, bacteremia, and meningitis. The U.S. total is the median of states (excluding HI),the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. There were insufficient data to include HI in theaggregate 2004 BRFSS data set. “N/A” = data not available.

Adult immunization (age 50+): Influenza (%), 2004 — AARP Public Policy Institute calculations using data from U.S.DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS Online Prevalence Data,“Immunization — 2004.” Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp.EXPLANATION: Refers to the percentage of noninstitutionalized adults age 50 and older who reported receiving a flu

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shot in the past 12 months. The U.S. total is the median of states (excluding HI), the Commonwealth of Puerto Rico,and the U.S. Virgin Islands. There were insufficient data to include HI in the aggregate 2004 BRFSS data set. Due to achange in the age breakdown, data presented in this edition of State Profiles should not be compared with data fromearlier editions of State Profiles. “N/A” = data not available.

Number of retail prescriptions filled per person (average), 2003 — Data from Vector One™: National (VONA) fromVerispan, L.L.C.: Special data request, 2004. Retrieved from the Kaiser Family Foundation on the World Wide Web:http://www.statehealthfacts.kff.org. EXPLANATION: Refers to the average number of all products filled with aprescription and dispensed in retail pharmacies, including new prescriptions and refills of both brand name and genericdrugs, in 2003. The Vector One™: National (VONA) collects data from a panel of retail pharmacies, third-party payers,and data providers. Retail pharmacies included independent pharmacies, chain pharmacies, food stores, and massmerchandisers found in 814 defined regional zones. These data exclude prescriptions filled by mail order.

Hospital admissions (per 1,000 population), 2003 — AARP Public Policy Institute calculations using data from (1)American Hospital Association (AHA), Health Forum, L.L.C., “AHA Hospital Statistics, 2005.” [Used with permission.];and (2) U.S. Department of Commerce, Bureau of the Census, CPS 2004 March Supplement. EXPLANATION: Refers tothe number of patients (excluding newborns) within a state who were accepted for inpatient service by registeredcommunity (nonfederal short-term general and other special) hospitals in 2003. Data are reported per 1,000noninstitutionalized population. The total facility inpatient number excludes separate nursing home units and includespatients who visited the emergency room and were later admitted for inpatient service. Admissions were tabulated byhospital location and may include patients who were residing in other states.

Medicare home health users (% of beneficiaries), 2004 — AARP Public Policy Institute calculations using data from(1) U.S. DHHS, CMS, Office of Information Systems (OIS), Health Care Information System (HCIS), untitled table on homehealth agencies, July 2005; and (2) U.S. DHHS, CMS, OIS, HCIS, untitled table on Medicare enrollment, July 2005[unpublished data]. EXPLANATION: Refers to the percentage of Medicare beneficiaries in traditional (fee-for-service)Medicare who used home health services in 2004. Visits were tabulated by location of provider and may includebeneficiaries who resided in other states. Data represent fee-for-service claims for services performed in 2004 andrecorded as of July 2005. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Medicare home health visits per person served (average), 2004 — AARP Public Policy Institute calculations usingdata from U.S. DHHS, CMS, OIS, HCIS, untitled table on home health agencies, July 2005 [unpublished data].EXPLANATION: Refers to the average number of Medicare home health visits received per beneficiary using home healthservices in 2004. Visits were tabulated by location of provider and may include beneficiaries who resided in otherstates. Data represent utilization by fee-for-service beneficiaries based on claims for services performed in 2004 andrecorded as of July 2005. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Medicare SNF users (% of beneficiaries), 2004 — AARP Public Policy Institute calculations using data from (1) U.S.DHHS, CMS, OIS, HCIS, untitled table on skilled nursing facilities, July 2005 [unpublished data]. and (2) U.S. DHHS,CMS, OIS, HCIS, untitled table on Medicare enrollment, July 2005 [unpublished data]. EXPLANATION: Refers to thepercentage of Medicare beneficiaries in traditional (fee-for-service) Medicare who used Medicare-covered skillednursing facility (SNF) services in 2004. Medicare-covered SNF service use was counted only for fee-for-servicebeneficiaries. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands. Caution should beused when comparing data presented in this edition of State Profiles with earlier editions of State Profiles.

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Medicare hospice users (% of beneficiaries), 2003 — AARP Public Policy Institute calculations using data from (1)U.S. DHHS, CMS, OIS, HCIS, untitled table on Medicare enrollment, July 2005 [unpublished data]; and (2) U.S. DHHS,CMS, “Medicare Hospice Utilization by State.” Retrieved from the World Wide Web: http://www.cms.hhs.gov/statistics/feeforservice. EXPLANATION: Refers to the percentage of Medicare beneficiaries in traditional(fee-for-service) Medicare who used Medicare hospice services in 2003. Data represent fee-for-service claims forservices performed in 2003. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

RESOURCES AVAILABLEPhysician generalists (per 100,000 population), 2003 — AARP Public Policy Institute calculations using data from(1) American Medical Association, Department of Data Quality Measurement, Division of Data and Operations,“Physician Characteristics and Distribution in the U.S.,” 2005 ed., 2005. [Used with permission.]; and (2) the U.S.Department of Commerce, Bureau of the Census, CPS 2004 March Supplement. Population data for U.S. territories fromU.S Department of Commerce, Bureau of the Census, International Programs Center, International Database (IDB),“Mid-Year Population by Age and Sex,” July 2003. Retrieved from the World Wide Web:http://www.census.gov/ipc/www/idbprint.html. EXPLANATION: Refers to the number of nonfederal, generalistphysicians who reported being engaged in patient care as of December 31, 2003. Data are reported per 100,000noninstitutionalized population. Generalists were defined as physicians whose self-designated practice specialty was either general practice or family practice. The U.S. total includes the Commonwealth of Puerto Rico and the U.S.Virgin Islands.

Physician specialists (per 100,000 population), 2003 — AARP Public Policy Institute calculations using data from(1) American Medical Association, Department of Data Quality Measurement, Division of Data and Operations,“Physician Characteristics and Distribution in the U.S.,” 2005 ed., 2005. [Used with permission.]; and (2) the U.S.Department of Commerce, Bureau of the Census, CPS 2004 March Supplement. Population data for U.S. territoriesfrom U.S Department of Commerce, Bureau of the Census, International Programs Center, International Database (IDB),“Mid-Year Population by Age and Sex,” July 2003. Retrieved from the World Wide Web:http://www.census.gov/ipc/www/idbprint.html. EXPLANATION: Refers to the number of nonfederal, nongeneralistphysicians who reported being engaged in patient care as of December 31, 2003. Data are reported per 100,000noninstitutionalized population. Specialists were defined as physicians whose self-designated practice specialtyincluded medical, surgical, or other specialties as defined by the American Medical Association. The U.S. total includesthe Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Geriatricians (per 100,000 population age 65+), 2005 — AARP Public Policy Institute calculations using data from(1) The American Board of Medical Specialties (ABMS), “2005 ABMS Annual Report and Reference Handbook,” Table8 (Geographic Distribution of Diplomates by Subspecialty Certificate). [Used with permission.]; and (2) U.S. Departmentof Commerce, Bureau of the Census, Population Division, Interim State Population Projections, 2005, “Interim StateProjections of Population for Five-Year Age Groups and Selected Age Groups by Sex: July 1, 2004 to 2030.” Retrievedfrom the World Wide Web: http://www.census.gov/population/projections. EXPLANATION: Refers to the number ofcertificates awarded by state medical boards in the area of gerontology to internal medicine physicians, psychiatrists,and family physicians as of June 2005. Data are reported per 100,000 noninstitutionalized persons age 65 and older(projected for 2005).

Number of practicing pharmacists (per 100,000 population), 2004 — AARP Public Policy Institute calculationsusing data from (1) U.S. Department of Labor, Bureau of Labor Statistics, Occupational Employment Statistics, 2005.Retrieved from the World Wide Web: http://www.bls.gov/oes/oes_dl.htm; and (2) the U.S. Department of Commerce,Bureau of the Census, CPS 2005 March Supplement. Population data for U.S. territories from U.S Department of

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Commerce, Bureau of the Census, International Programs Center, International Database (IDB), “Mid-Year Populationby Age and Sex,” July 2004. Retrieved from the World Wide Web: http://www.census.gov/ipc/www/idbprint.html.EXPLANATION: Refers to the number of practicing pharmacists per 100,000 noninstitutionalized population in 2004.Pharmacists were defined as licensed health personnel who dispense drugs prescribed by physicians and other healthpractitioners and provide information to patients about medications and their use. They may also advise physicians andother health practitioners on the selection, dosage, interactions, and side effects of medications. The Bureau of LaborStatistics uses sampling techniques for a relatively small occupational group to derive the number of pharmacists in eachstate. Therefore, the number of practicing pharmacist in a given state may be overestimated or underestimated. The U.S.total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Hospital-based registered nurses in nonmetropolitan areas (% of total), 2003 — AARP Public Policy Institutecalculations using data from The American Hospital Association (AHA), Health Forum L.L.C., “AHA Hospital Statistics,2005.” [Used with permission.] EXPLANATION: Refers to the percentage of full-time equivalent registered nurses whowere employed by registered community (nonfederal short-term general and other special) hospitals located innonmetropolitan areas within a state in 2003 as a percentage of all full-time equivalent registered nurses employed byregistered community hospitals in the state. As defined by the OMB, metropolitan areas are counties with a coreurbanized area of at least 50,000 people and a total population of over 100,000 people. A county lying outside of ametropolitan area is counted as part of the metropolitan area if at least 25 percent of its total population commutes intothe core metropolitan area. The commuting distance is a proxy for the significance of the economic tie that thesurrounding county has to the core area. The current definition of metropolitan area was implemented in 2003. Priorto that time, counties lying outside of metropolitan areas were counted as part of the metropolitan area only if they wereboth economically tied to the core area and they displayed a high level of “metropolitan character” based on populationdensity, urbanization, and population growth. Due to this definitional change, caution should be used when comparingdata presented in this edition of State Profiles with earlier editions of State Profiles.

Hospital beds (per 100,000 population), 2003 — AARP Public Policy Institute calculations using data from (1) TheAmerican Hospital Association (AHA), Health Forum, L.L.C., “AHA Hospital Statistics, 2005.” [Used with permission.];and (2) the U.S. Department of Commerce, Bureau of the Census, CPS 2004 March Supplement. EXPLANATION: Refersto the number of beds, cribs, and pediatric bassinets that were regularly maintained for inpatient use by registeredcommunity (nonfederal short-term general and other special) hospitals in 2003. Data are reported per 100,000noninstitutionalized population. The number excludes beds in separate nursing home units.

Community health centers (#), 2005 — AARP Public Policy Institute calculations using data from U.S. DHHS, CMS,Office of Survey and Certification, Online Survey, Certification, and Reporting (OSCAR) system, “Number of Active RuralHealth Clinics and Federally Qualified Health Centers,” July 19, 2005 [unpublished data]. EXPLANATION: Refers to thenumber of active federally-qualified health centers and rural health clinics. Due to variation in reporting, this figure maynot include all health centers receiving federal funding from a Public Health Service program. The U.S. total includesthe Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Medicare-certified home health agencies (per 100,000 beneficiaries), 2005 — AARP Public Policy Institutecalculations using data from (1) U.S. DHHS, CMS, OSCAR, Report No. 10, ”Facility Counts, Active Providers,” July 15,2005 [unpublished data]; and (2) U.S. DHHS, CMS, OIS, HCIS, untitled table on Medicare enrollment, July 14, 2005[unpublished data]. EXPLANATION: Refers to the number of Medicare-certified home health agencies reported as ofJuly 2005. Data are reported per 100,000 Medicare beneficiaries in 2004, the latest year available when this reportwas prepared. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

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MEDICAREMedicare beneficiaries: Number (in 1,000s), 2004 — U.S. DHHS, CMS, OIS, HCIS, untitled table on Medicareenrollment, July 2005 [unpublished data]. EXPLANATION: Refers to the total number of beneficiaries enrolled in theMedicare program as of 2004, including persons enrolled in Part A only (Hospital Insurance), Part B only (SupplementaryMedical Insurance), or both Part A and Part B. The U.S. total includes the Commonwealth of Puerto Rico and the U.S.Virgin Islands.

Medicare beneficiaries: Percent of population, 2004 — AARP Public Policy Institute calculations using data from (1)U.S. DHHS, CMS, OIS, HCIS, untitled table on Medicare enrollment, July 2005 [unpublished data]; and (2) the U.S.Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. Population data for the Commonwealthof Puerto Rico and the U.S. Virgin Islands from U.S Department of Commerce, Bureau of the Census, InternationalPrograms Center, International Database (IDB), “Mid-Year Population by Age and Sex,” July 2004. EXPLANATION:Refers to the total number of beneficiaries enrolled in the Medicare program as of 2004, including persons enrolled inPart A only (Hospital Insurance), Part B only (Supplementary Medical Insurance), or both Part A and Part B, as apercentage of total state population. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. VirginIslands.

Disabled Medicare beneficiaries under age 65 (%), 2004 — AARP Public Policy Institute calculations based on U.S.DHHS, CMS, OIS, HCIS, untitled table on Medicare enrollment, July 2005 [unpublished data]. EXPLANATION: Refers tothe percentage of Medicare beneficiaries, enrolled as of 2004, who were under age 65 and qualified for Medicare byreceiving Social Security Disability Insurance (SSDI) cash payments for at least two years, or having end-stage renaldisease (ESRD), or being diagnosed with amyotropic lateral sclerosis (ALS), commonly known as Lou Gehrig’s Disease.The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Medicare beneficiaries with full or partial Medicaid (%), 2003 — Kaiser Commission on Medicaid and theUninsured, “Dual Eligibles as a Percent of Total Medicare Enrollees, 2003,” 2005. Calculations based on (1) CMSStatistics: Medicare State Enrollment, CMS; and (2) Urban Institute estimates based on data from the MedicaidStatistical Information System. Retrieved from the World Wide Web: http://www.statehealthfacts.org. EXPLANATION:Refers to the percentage of noninstitutionalized Medicare beneficiaries of all ages who also had full or partial Medicaidcoverage during 2003. Medicare beneficiaries with full Medicaid coverage qualify for full Medicaid benefits, includinglong-term care provided both in institutions and in the community as well as prescription drugs. For this group,Medicaid may also pay Medicare premiums and cost sharing. Medicare beneficiaries with partial Medicaid coverageare not eligible for full Medicaid benefits but may receive assistance with some or all of their Medicare premiums andcost sharing.

Private supplemental coverage among Medicare beneficiaries age 65+ (%): Employer sponsored, 2004 — AARPPublic Policy Institute analysis using data from the U.S. Department of Commerce, Bureau of the Census, CPS 2005March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized Medicare beneficiaries age 65 andover who had employer-provided (retirement or other) health insurance at any time during 2004. Employer-sponsoredcoverage did not preclude the possibility of coverage from another source at some time during the year.

Private supplemental coverage among Medicare beneficiaries age 65+ (%): Individually purchased, 2004 —AARP Public Policy Institute analysis using data from the U.S. Department of Commerce, Bureau of the Census, CPS2005 March Supplement. EXPLANATION: Refers to the percentage of noninstitutionalized Medicare beneficiaries age65 and over who had privately purchased individual supplemental coverage (e.g., Medigap) at any time during 2004.Individually purchased coverage did not preclude the possibility of coverage from another source at some time duringthe year. “–” = data not reported due to small sample size.

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Providers who accept Medicare fee as full payment (% of providers), 2005 — U.S. DHHS, CMS, Office of FinancialManagement, Budget & Analysis Group, 2005, “Medicare Part B Participating Physicians and Other Practitioners byState,” July 2005 [unpublished data]. EXPLANATION: Refers to the percentage of physicians and other health caresuppliers submitting Medicare claims in 2005 that are enrolled in the Medicare participating physician and supplierprogram. This program requires that physicians and suppliers agree to accept the Medicare fee as the total amountthey will bill for Medicare-covered services (i.e., “accept assignment”), thereby limiting the patient’s financial exposureto Medicare-approved coinsurance amounts.

Enrollment of Medicare beneficiaries in MA plans (%), 2005 — AARP Public Policy Institute calculations using datafrom U.S. DHHS, CMS, Center for Health Plans and Providers, “Medicare Managed Care Market Penetration for AllMedicare Plan Contractors – Quarterly State/County Data Files,” July 2005. Retrieved from the World Wide Web:http://www.cms.gov/healthplans/statistics/mpsct. EXPLANATION: Refers to the percentage of total Medicarebeneficiaries who were enrolled in Medicare Advantage plans as of July 2005. Medicare Advantage plans includeCoordinated Care Plans (HMOs), Private Fee-for-Service Plans, Preferred Provider Organizations, and Specialty Plans. Datado not include cost contracts, demonstrations or Health Care Prepayment Plans (Sec. 1833 of the Social Security Act).Enrollment was attributed to the state in which the beneficiary resided. “<1”= less than one percent enrollment. The U.Stotal includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

Number of stand-alone Medicare prescription drug plans, 2006 — U.S. DHHS, CMS, “Medicare Prescription DrugPlan Approvals - September 30, 2005.” Retrieved from the World Wide Web: http://www.cms.hhs.gov/map/map.asp.EXPLANATION: Refers to the number of stand-alone Medicare Part D prescription drug plans operating within a statethat have been approved for participation by CMS as of September 2005. Stand-alone prescription drug plans allow anybeneficiary in the state to enroll in Medicare prescription drug coverage while remaining in traditional Medicare. Allplans were determined to have met Medicare’s requirements for providing access to medically necessary drugs,including formulary standards as well as standards for access to convenient retail pharmacies and to drugs in nursinghomes. Not included are Medicare Advantage plans offering prescription drug coverage as MA-PD plans, e.g., regionalPPOs, HMOs, and private fee-for-service plans. The U.S. total number of plans is less than the sum of the number ofstate plans because plans offered within the same prescription drug plan region (which may consist of more than onestate) were counted only once. The U.S. total includes the Commonwealth of Puerto Rico and the U.S. Virgin Islands.

MEDICAIDMedicaid enrollment by category of enrollee, 2001 — The Urban Institute for the Kaiser Commission on Medicaidand the Uninsured, “Distribution of Medicaid Enrollees by Enrollment Group, FY2001,” 2005. Retrieved from the WorldWide Web: http://www.statehealthfacts.org. EXPLANATION: Refers to the distribution of persons enrolled in Medicaidfor any length of time during FY2001 based on their eligibility category. These individuals may not have actually usedany services during this period, but they were reported as enrolled in the program and were eligible to receive servicesin at least one month. “Child” generally refers to enrollees age 17 and younger. “Adult” generally refers to enrolleesage 18 to 64. However, some people under age 18 may have been classified as “adults” and some people age 18 andolder may have been classified as “children” depending on why they qualified for the program and each state’spractices. “Elderly” refers to all enrollees age 65 and older. “Disabled” refers to enrollees age 64 and under who werereported as eligible for Medicaid due to a disability. Adjustments to enrollment data were made by The Urban Instituteto assure data quality and consistency.

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Persons under age 65 in poverty with Medicaid (% <65 in poverty), 2004 — AARP Public Policy Institute analysisusing data from U.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION:Refers to the percentage of all noninstitutionalized persons under age 65 with family (and related subfamily) income ator below 100 percent of the federal poverty threshold in 2004 who were covered by Medicaid at any time during theyear.

Maximum annual income for Medicaid eligibility (% of poverty level): Low-income working adults withdependents, as of July 2004 — The Kaiser Commission on Medicaid and the Uninsured, “Beneath the Surface:Barriers Threaten to Slow Progress on Expanding Health Coverage of Children and Families: A 50 State Update onEligibility, Enrollment, Renewal and Cost-Sharing Practices in Medicaid and SCHIP,” Table 3 (Income Threshold forParents Applying for Medicaid, Based on a Family of Three as of July 2004), October 2004. EXPLANATION: Refers tothe income standard for a family of three, as of July 2004, as a percentage of the federal poverty guideline, for parentsapplying for Medicaid under (a) section 1931 of the Social Security Act (parents with dependent children), (b) section1115 (research and demonstration) waiver authority, or (c) state-only funded coverage expansions. The followingstates have expanded coverage for parents under waivers using Medicaid and/or State Children’s Health Insurance(SCHIP) funds: AZ, DE, HI, MN, NY, OR, RI, TN, VT, and WI. Utah reported providing a limited benefit package withenrollment fees, copayments, and an enrollment cap under its section 1115 waiver. PA and WA reported using statefunds to extend coverage to working parents. States that stopped enrolling at least some—and possibly all—eligibleparents at any time between April 2003 and July 2004 were OR, PA, TN, UT, and WA. Earnings disregards were takeninto account when presenting income standards for working parents. In some cases, these disregards may have beentime limited. In some states, the income eligibility guidelines vary by region. In 2004, the federal poverty guidelines fora family of three living in the 48 contiguous states and the District of Columbia was $15,670; in AK, the povertyguideline was $19,590 for a family of three; and, in HI, the poverty guideline was $18,020 for a family of three.

Maximum annual income for Medicaid eligibility (% of poverty level): Supplemental Security Income, 2003 —AARP Public Policy Institute calculations using data from (1) Families USA, “Medicaid Eligibility for Seniors and Peoplewith Disabilities as of June 2003.” [Used with permission.]; and (2) U.S. DHHS, “Federal Register, Annual Update of the HHSPoverty Levels,” Volume 68, Number 26, February 7, 2003. Retrieved from the World Wide Web: http://www.aspe.dhhs.gov/poverty/03fedreg.htm. EXPLANATION: Refers to the maximum amount of income, including SupplementalSecurity Income (SSI) and a State Supplement (SSP) benefit from federal and state sources, expressed as a percentageof the federal poverty guidelines, that an aged or disabled individual living in the community could receive and beeligible for Medicaid in 2003 under the SSI or SSP eligibility pathways. In most states, recipients of SSI benefitsautomatically receive Medicaid coverage. “*” = section 209(b) states, in which more restrictive income criteria forMedicaid eligibility may apply to aged individuals and, therefore, SSI eligibility does not guarantee Medicaid eligibility.Because specified amounts of income are excluded when determining income eligibility for Medicaid, an individual withincome exceeding the maximum income eligibility level may still be eligible for Medicaid; these “income disregards”are not reflected in the figures presented. In 2003, the federal poverty guideline for a single individual living in the 48contiguous states and the DC was $8,980; in AK, the poverty guideline was $11,210; and, in HI, the poverty guidelinewas $10,330. “N/A” = data not available.

Medicaid enrollment in managed care plans (%), as of December 2004 — U.S. DHHS, CMS, “Medicaid Managed Care Enrollment as of December 31, 2004.” Retrieved from the World Wide Web:http://www.cms.hhs.gov/medicaid/managedcare/mmcpr04.pdf. EXPLANATION: Refers to the percentage of Medicaidbeneficiaries enrolled in Medicaid managed care plans as of December 31, 2004. Managed care plans includedprimary care case management (PCCM) providers, commercial managed care organizations (MCO), Medicaid-onlymanaged care organizations (MCO), health insuring organizations (HIO), prepaid inpatient health plans (PIHP), prepaidambulatory health plans (PAHP), programs for all-inclusive care for the elderly (PACE), and other managed care plans.Enrollment figures included all Medicaid beneficiaries, including the aged, disabled, and those who may have beenMedicaid-eligible because of state Medicaid coverage expansions. Enrollees were attributed to the state in which the

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health plan was located. Managed care enrollment figures reflect unduplicated counts and included enrollees whowere receiving either comprehensive benefits or limited benefits. The U.S. total includes the Commonwealth of PuertoRico and the U.S. Virgin Islands.

HEALTH COVERAGE AND THE UNINSUREDPersons under age 65 with and without health insurance (%), 2004 — AARP Public Policy Institute analysis usingdata from U.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refersto the percentage of noninstitutionalized individuals under age 65 by primary source of health insurance in 2004.Individuals with more than one source of coverage during the year were assigned to a single source according to theorder of the categories listed below. Due to changes in the CPS questions used to ascertain health insurance statusthat were introduced in the 2000 survey, caution should be used when comparing data in different editions of StateProfiles.• An employer, as either a current/former employee or a dependent of a current/former employee.• Some other private source of coverage not offered through a person’s current or former employer or union. This

category includes both group and individually-purchased coverage but consists primarily of individually-purchasedinsurance.

• Medicaid.• Some other public program other than Medicaid, such as Medicare or CHAMPUS (Civilian Health and Medical

Program of the Uniformed Services).• Uninsured, i.e., not covered by private health insurance (employer or other) and did not receive publicly financed

health coverage (Medicaid or other) at any time during the year.

Uninsured persons (%): White, 2004 — AARP Public Policy Institute analysis using data from U.S. Department ofCommerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to the percentage ofnoninstitutionalized white persons under age 65 who reported having no type of health insurance coverage (public orprivate) throughout 2004. Persons who did not define their racial origin as Black, American Indian, or Asian/PacificIslander and did not define their ethnicity as Hispanic (of any race) were categorized as White. Due to changes in theCPS questions used to ascertain health insurance status that were introduced in the 2000 survey, caution should beused when comparing data in different editions of State Profiles.

Uninsured persons (%): Minority/ethnic, 2004 — AARP Public Policy Institute analysis using data from U.S.Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to thepercentage of noninstitutionalized minority/ethnic persons under age 65 who reported having no type of healthinsurance coverage (public or private) throughout 2004. Persons who defined their racial origin as Black, AmericanIndian, or Asian/Pacific Islander or defined their ethnicity as Hispanic (of any race) were categorized as minority/ethnic.“–” = data not reported due to small sample size. Due to changes in the CPS questions used to ascertain healthinsurance status that were introduced in the 2000 survey, caution should be used when comparing data in differenteditions of State Profiles.

Uninsured children below 200% of poverty (%), 2004 — AARP Public Policy Institute analysis using data from U.S.Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to thepercentage of noninstitutionalized persons under age 19 with family (and related subfamily) income below 200 percentof the federal poverty level who reported having no type of health insurance coverage (public or private) throughout2004. In 2004, the federal poverty threshold for a family of four was $18,850. “–” = data not reported due to smallsample size. Due to changes in the CPS questions used to ascertain health insurance status that were introduced inthe 2000 survey, caution should be used when comparing data in different editions of State Profiles.

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Uninsured nonelderly adults with family income below the national median (%), 2004 — AARP Public PolicyInstitute analysis using data from U.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement.EXPLANATION: Refers to the percentage of noninstitutionalized persons age 18 to 64 with family (and related subfamily)income below the national median who reported having no type of health insurance coverage (public or private)throughout 2004. In 2004, the median family income for all families from all sources was $53,774. Due to changesin the CPS questions used to ascertain health insurance status that were introduced in the 2000 survey, caution shouldbe used when comparing data in different editions of State Profiles.

Uninsured adults age 50-64 (%), 2004 — AARP Public Policy Institute analysis using data from U.S. Department ofCommerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to the percentage ofnoninstitutionalized persons between the ages of 50 and 64 who reported having no type of health insurance coverage(public or private) throughout 2004. Due to changes in the CPS questions used to ascertain health insurance statusthat were introduced in the 2000 survey, caution should be used when comparing data in different editions of StateProfiles.

Uninsured full-time workers with dependents (%), 2004 — AARP Public Policy Institute analysis using data fromU.S. Department of Commerce, Bureau of the Census, CPS 2005 March Supplement. EXPLANATION: Refers to thepercentage of noninstitutionalized persons age 18 to 64 working full-time, either full-year or part-year, who also havedependents and who reported having no type of health insurance coverage (public or private) throughout 2004. Datamay overestimate the extent of uninsured persons because children on Medicaid whose parents were full-time workersand uninsured are counted as uninsured. Due to changes in the CPS questions used to ascertain health insurancestatus that were introduced in the 2000 survey, caution should be used when comparing data in different editions ofState Profiles.

High-risk insurance pool participation (average per month), reported as of 2005 — Communicating forAgriculture and the Self-Employed, “Comprehensive Health Insurance for High-Risk Individuals,” 19th ed., 2005/2006.[Used with permission.] EXPLANATION: Refers to the average monthly number of participants who had in-force policiesin state high-risk insurance pools that make comprehensive health insurance coverage available to otherwise“uninsurable” individuals. A person eligible for Medicaid is usually not eligible to participate in a high-risk pool.Average enrollment for AR, CT, FL, IN, KS, LA, MD, MN, MS, MO, NE, NM, ND, OK, OR, SC, SD, and WI was as of theend of 2004. Average enrollment for AK, CA, CO, ID, IL, IA, KY, MT, NH, TX, UT, WA, and WY was as of June 2005.Average enrollment for AL is as of the end of 2005. The high-risk pools in AL and SD are for portability only, meaningonly federally protected individuals who lose group coverage are eligible to participate. The high-risk pool in FL hasbeen closed to new enrollees since 1991. The high-risk pool in IA is currently being reorganized. High-risk poolparticipants in TN are not tracked separately from Medicaid participants. The high-risk pool in WV is new and currentlybeing organized.

KEY TRENDS Population age 50-64 (#), 1995 & 2005 — Population age 50-64 (#), 1995 & 2005 — AARP Public Policy Institutecalculations using data from (1) U.S. Department of Commerce, Bureau of the Census, Population Division, Interim StatePopulation Projections, 2005, “Interim State Projections of Population for Five-Year Age Groups and Selected AgeGroups by Sex: July 1, 2004 to 2030.” Retrieved from the World Wide Web: http://www.census.gov/population/projections; and (2) “Population Estimates for the U.S., Regions, Divisions and States by 5-year Age Groups and Sex:Time Series Estimates, July 1, 1990 to July 1, 1999 and April 1, 1990 Census Population Counts.” Retrieved from theWorld Wide Web: http://www.census.gov/popest/archives/1990s. EXPLANATION: Refers to the projected U.S.population age 50-64 residing in each state in 1995, including members of the U.S. armed forces stationed in the area,compared with the projected population in 2005. Percent change from 1995 to 2005 — AARP Public Policy Institute

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calculation. Refers to the cumulative change in indicator value over the entire 10-year period. Changes (in percentageterms) may appear especially large when the absolute value for the indicator in the first year is relatively low.

Population age 65+ (#), 1995 & 2005 — AARP Public Policy Institute calculations using data from (1) U.S. Departmentof Commerce, Bureau of the Census, Population Division, Interim State Population Projections, 2005, “Interim StateProjections of Population for Five-Year Age Groups and Selected Age Groups by Sex: July 1, 2004 to 2030.” Retrievedfrom the World Wide Web: http://www.census.gov/population/projections; and (2) “Population Estimates for the U.S.,Regions, Divisions and States by 5-year Age Groups and Sex: Time Series Estimates, July 1, 1990 to July 1, 1999 andApril 1, 1990 Census Population Counts.” Retrieved from the World Wide Web: http://www.census.gov/popest/archives/1990s. EXPLANATION: Refers to the projected U.S. population age 65 and older residing in each statein 1995, including members of the armed forces stationed in the area, compared with the projected population in 2005.Percent change from 1995 to 2005 — AARP Public Policy Institute calculation. Refers to the cumulative change inindicator value over the entire 10-year period. Changes (in percentage terms) may appear especially large when theabsolute value for the indicator in the first year is relatively low.

Minority/ethnic population (%), 1995 & 2005 — AARP Public Policy Institute analysis using data from the U.S.Department of Commerce, Bureau of the Census, CPS 1995 March Supplement and 2005 March Supplement.EXPLANATION: Refers to the percentage of noninstitutionalized persons in 1995 who defined their racial origin as Black,American Indian, or Asian/Pacific Islander, or defined their ethnicity as Hispanic (of any race), compared with thepercentage of persons in 2005. Percent change from 1995 to 2005 — AARP Public Policy Institute calculation. Refers to the cumulative change in indicator value over the entire 10-year period. Changes (in percentage terms) may appear especially large when the absolute value for the indicator in the first year is relatively low.

Persons under age 65 with family income at or below poverty (%), 1994 & 2004 — AARP Public Policy Instituteanalysis using data from the U.S. Department of Commerce, Bureau of the Census, CPS 1995 March Supplement and2005 March Supplement. EXPLANATION: Refers to the percentage of all noninstitutionalized persons under age 65 in1994 with family (and related subfamily) income at or below 100 percent of the federal poverty threshold, comparedwith the percentage of persons in 2004. The federal poverty threshold for a nonelderly family of four was $15,286 in1994 and $19,484 in 2004. Percent change from 1994 to 2004 — AARP Public Policy Institute calculation. Refersto the cumulative change in indicator value over the entire 10-year period. Changes (in percentage terms) may appearespecially large when the absolute value for the indicator in the first year is relatively low.

Infant deaths (per 1,000 live births), 1993 & 2003 — AARP Public Policy Institute calculations using (1) U.S. DHHS,CDC, National Center for Health Statistics (NCHS), National Vital Statistics Report (NVSR) (53:9), “Live births by race andHispanic origin of mother: United States, each State and territory, and birth and fertility rates, preliminary 2003,” Table4; (2) U.S. DHHS, CDC, NCHS, NVSR (53:15), “Total count of records and percent completeness of preliminary files ofinfant deaths and deaths 1 year and over: United States, each State and territory, preliminary 2003,” Table I; and (3)U.S. DHHS, CDC, NCHS, Monthly Vital Statistics Report (42:13), “Provisional number of deaths and infant deaths: Eachdivision and State, 1992 and 1993,” Table 1, and “Provisional death rates and infant mortality rates: Each division andState, 1992 and 1993,” Table 3. Retrieved from the World Wide Web: http://www.cdc.gov/nchs/data/nvsr/.EXPLANATION: Refers to the number of deaths of children of all races under one year of age per 1,000 live births in1993, compared with the number in 2003. Infant death rates for 2003 are based on preliminary data. Percent changefrom 1993 to 2003 — AARP Public Policy Institute calculation. Refers to the cumulative change in indicator value overthe entire 10-year period. Changes (in percentage terms) may appear especially large when the absolute value for theindicator in the first year is relatively low.

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Overweight and/or obese adults age 50+ (%), 1994 & 2004 — AARP Public Policy Institute calculations using datafrom the U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSS OnlinePrevalence Data, “Weight Classifications based on BMI—1994” and “Weight Classifications Based on BMI—2004.”Retrieved from the World Wide Web: http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentageof all noninstitutionalized adults age 50 and older in 1994 whose body mass index (BMI) was over 25.0, compared withthe percentage in 2004. According to the CDC, a BMI between 25.0 and 29.9 is considered overweight, and BMI of30.0 or more is considered obese. BMI is calculated as weight in kilograms divided by height in meters squared.Figures presented underestimate the prevalence of overweight among adults because people tend to underreport theirweight. There were insufficient data to include RI in the aggregate 1994 BRFSS data set, and there were insufficientdata to include HI in the aggregate 2004 BRFSS data set. “N/A” = data not available. The 1994 U.S. total is the medianof states (excluding RI). The 2004 U.S. total is the median of states (excluding HI). Percent change from 1994 to2004 — AARP Public Policy Institute calculation. Refers to the cumulative change in indicator value over the entire 10-year period. Changes (in percentage terms) may appear especially large when the absolute value for the indicator inthe first year is relatively low.

Adults age 50+ who didn’t visit a doctor due to cost (%), 1994 & 2004 — AARP Public Policy Institute calculationsusing data from the U.S. DHHS, CDC, National Center for Chronic Disease Prevention and Health Promotion, BRFSSOnline Prevalence Data, “Health Care Access—1994” and “Health Care Access—2004.” Retrieved from the WorldWide Web:http://apps.nccd.cdc.gov/brfss/index.asp. EXPLANATION: Refers to the percentage of all noninstitutionalizedadults age 50+ in 1994 who reported that there was a time during the past 12 months when they needed to see adoctor but did not because of the cost, compared with the percentage in 2004. There were insufficient data to includeRI in the aggregate 1994 BRFSS data set, and insufficient data to include HI in the aggregate 2004 BRFSS data set.“N/A” = data not available. The 1994 U.S. total is the median of states (excluding RI). The 2004 U.S. total is the medianof states (excluding HI). Percent change from 1994 to 2004 — AARP Public Policy Institute calculation. Refers to thecumulative change in indicator value over the entire 10-year period. Changes (in percentage terms) may appearespecially large when the absolute value for the indicator in the first year is relatively low.

Population underserved by primary care physicians (%), 1995 & 2005 — AARP Public Policy Institute calculationsusing data from (1) U.S. DHHS, Health Resources and Services Administration (HRSA), Bureau of Health Professions,“Selected Statistics on Health Professional Shortage Areas” (as of June 30, 1995, and as of March 31, 2005)[unpublished tables]; (2) U.S. Department of Commerce, Bureau of the Census, Population Division, Interim StatePopulation Projections, 2005, “Interim State Projections of Population for Five-Year Age Groups and Selected AgeGroups by Sex: July 1, 2004 to 2030.” Retrieved from the World Wide Web: http://www.census.gov/population/projections; and (3) U.S. Department of Commerce, Bureau of the Census, “Population Estimates for theU.S., Regions, Divisions and States by 5-year Age Groups and Sex: Time Series Estimates, July 1, 1990 to July 1, 1999,and April 1, 1990 Census Population Counts.” Retrieved from the World Wide Web: http://www.census.gov/popest/archives/1990s. EXPLANATION: Refers to the percentage of the state population considered to be underservedby primary care physicians in 1995, compared with the percentage in 2005. “Underserved,” as defined by HRSA, refersto a population-to-practitioner ratio greater than 2,000:1. “Practitioners” are defined as all nonfederal doctors ofmedicine and doctors of osteopathy providing direct patient care who practice principally in general or family practice,general internal medicine, pediatrics, or obstetrics and gynecology. Percent change from 1995 to 2005 — AARPPublic Policy Institute calculation. Refers to the cumulative change in indicator value over the entire 10-year period.Changes (in percentage terms) may appear especially large when the absolute value for the indicator in the first yearis relatively low.

Total Medicaid enrollment (in 1,000s), FY1992 & FY2001 — AARP Public Policy Institute calculations using data from(1) The Urban Institute for the Kaiser Commission on Medicaid and the Uninsured. Estimates based on data from HCFA-2082 reports [unpublished data]; and (2) The Urban Institute and Kaiser Commission on Medicaid and the Uninsured. Estimates based on data from Medicaid Statistical Information System (MSIS) reports from the Centers for Medicare

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and Medicaid Services (CMS), 2005. Retrieved from the Kaiser Family Foundation on the World Wide Web:http://www.statehealthfacts.kff.org. EXPLANATION: Refers to the number of persons who were enrolled in theMedicaid program in FY1992, compared with the number in FY2001. “*” = a significant number of enrollees wereeither missing or categorized as “unknown” (no reported enrollee group or cash assistance status) in the original1992 data released by the Centers for Medicare and Medicaid Services. Therefore, the Urban Institute estimates for1992 relied heavily on supplemental data sources. Although states are not supposed to report Title XXI program(SCHIP) enrollment on their HCFA-2082 forms, some states may have included it. Percent change from 1992 to2001 — AARP Public Policy Institute calculation. Refers to the cumulative change in indicator value over the entirenine-year period. Changes (in percentage terms) may appear especially large when the absolute value for theindicator in the first year is relatively low.

Medicaid spending on prescription drugs (%), 1997 & 2004 — AARP Public Policy Institute calculations using datafrom Brian Burwell, The MEDSTAT Group, Table O (Medicaid Total Long-Term Care Expenditures) and Table P (MedicaidExpenditures), May 2005, and Table M (Drugs) and Table N (Medicaid Expenditures), May 2003. [Used with permission.]EXPLANATION: Refers to the percentage of Medicaid payments (before rebates) attributed to prescription drugs inFY1997, compared with FY2004. Data were derived from the CMS Form-64 (formerly HCFA Form-64) reports submittedby states to CMS in order to claim federal matching funds. Figures do not include spending for services provided bymanaged care plans. N/A = states where the vast majority of spending was for services provided by managed careplans. The 1997 U.S. total did not include AZ or TN. The 2004 U.S. total did not include AZ. Percent change from1997 to 2004 — AARP Public Policy Institute calculation. Refers to the cumulative change in indicator value over theentire seven-year period. Change (in percentage terms) may appear especially large when the absolute value for theindicator in the first year is relatively low.

Emergency room visits (per 1,000 population), 1993 & 2003 — AARP Public Policy Institute calculations using datafrom (1) The American Hospital Association (AHA), Health Forum, L.L.C., “AHA Hospital Statistics, 2005” and “AHAHospital Statistics, 1994/95.” [Used with permission.]; and (2) U.S. Department of Commerce, Bureau of the Census,CPS 1994 and 2004 March Supplements. EXPLANATION: Refers to the rate of emergency room visits at registeredcommunity (nonfederal, short-term general, and other special) hospitals per 1,000 persons in 1993, compared with therate of visits in 2003. Emergency room patients admitted for inpatient care were counted as emergency visits. Visitswere attributed to the state in which the hospital was located and may have included patients who resided in otherstates. Percent change from 1993 to 2003 — AARP Public Policy Institute calculation. Refers to the cumulativechange in indicator value over the entire 10-year period. Changes (in percentage terms) may appear especially largewhen the absolute value for the indicator in the first year is relatively low.

Nursing home residents age 65+ (% of age 65+), 1994 & 2004 — AARP Public Policy Institute calculations usingdata from (1) Cowles Research Group, “Table III-7: Payor Mix and Census by State, 1994,” and “Table III-7: Payor Mixand Census by State, 2004,” July 16, 2005 (data derived from U.S. DHHS, CMS, OSCAR database; used withpermission); and (2) U.S. Department of Commerce, Bureau of the Census, CPS 1995 and 2005 March Supplements.EXPLANATION: Refers to residents age 65 and older in nursing facilities as a percentage of the total population age 65and older in 1994, compared with 2004. Percent change from 1994 to 2004 — AARP Public Policy Institutecalculation. Refers to the cumulative change in indicator value over the entire 10-year period. Changes (in percentageterms) may appear especially large when the absolute value for the indicator in the first year is relatively low.

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AARP MEMBERSHIP MAPAARP membership as percent of age 50+ population, 2005 — Prepared by AARP Knowledge Management usingdata from (1) AARP Konnex Database, July 2005, and Claritas, Inc., 2005; and (2) AARP Membership DevelopmentReport and U.S. Bureau of the Census, 2005 (for Commonwealth of Puerto Rico and U.S. Virgin Islands data).EXPLANATION: Refers to AARP member households as a percentage of all households with householders ages 50 andolder. The penetration rate was in the 8 to 34.9 percent range for the Commonwealth of Puerto Rico and in the 55 to65 percent range for the U.S. Virgin Islands.

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AARP Members as Percent of Individuals Age 50 Years and Older®

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

55 - 65% (4)45 - 54.9% (14)35 - 44.9% (30) 8 - 34.9% (5)

PR

VI

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AARP State Offices*

ALABAMA201 Monroe StreetSuite 1880, RSA TowerMontgomery, AL 36104(866) 542-8167FAX (334) 954-3050

ALASKA3601 C StreetSuite 1420Anchorage, AK 99503(866) 227-7447FAX (907) 341-2270

ARIZONA201 E. Washington StreetSuite 1795Phoenix, AZ 85004(866) 389-5649FAX (602) 256-2928

ARKANSAS1701 Centerview DriveSuite 205Little Rock, AR 72211(866) 554-5379FAX (501) 227-7710

CALIFORNIA/Pasadena200 S. Los Robles AvenueSuite 400Pasadena, CA 91101(866) 448-3615FAX (626) 583-8500

CALIFORNIA/Sacramento980 9th StreetSuite 700Sacramento, CA 95814(866) 448-3614FAX (916) 556-3000

COLORADO1301 Pennsylvania AvenueSuite 200Denver, CO 80203(866) 554-5376FAX (303) 764-5999

CONNECTICUT21 Oak StreetSuite 104Hartford, CT 06106(866) 295-7279FAX (860) 249-7707

DELAWARE1100 N. Market Street SuiteSuite 1201Wilmington, DE 19890(866) 227-7441FAX (302) 571-1984

DISTRICT OF COLUMBIA601 E Street NWA1-200Washington, DC 20049(202) 434-7701FAX (202) 434-7710

FLORIDA/St. Petersburg400 Carillon ParkwaySuite 100St. Petersburg, FL 33716(866) 595-7678FAX (727) 571-2278

FLORIDA/South Florida3350 SW 148th AvenueSuite 120Miramar, FL 33027(866) 595-7678FAX (954) 438-7871

FLORIDA/Tallahassee200 West College AvenueSuite 304Tallahassee, FL 32301(866) 595-7678FAX (850) 222-8968

GEORGIA999 Peachtree Street NESuite 1645Atlanta, GA 30309(866) 295-7281FAX (404) 881-6997

HAWAII1132 Bishop Street19th floorHonolulu, HI 96813(866) 295-7282FAX (808) 537-2288

IDAHO3080 Gentry WaySuite 100Meridian, ID 83642(866) 295-7284FAX (208) 288-4424

ILLINOIS/Chicago222 N. LaSalle StreetSuite 710Chicago, IL 60601(866) 448-3613FAX (312) 372-2204

ILLINOIS/Springfield300 West Edwards Street3rd floorSpringfield, IL 62708(866) 448-3617FAX (217) 522-7796

INDIANAOne North Capitol AveSuite 1275Indianapolis, IN 46204(866) 448-3618FAX (317) 423-2211

IOWA600 E. Court AvenueSuite CDes Moines, IA 50309(866) 554-5378FAX (515) 244-4719

KANSAS555 South Kansas AvenueSuite 201Topeka, KS 66603(866) 448-3619FAX (785) 232-8259

KENTUCKY10401 Linn Station RoadPlainview Center, Suite 121Louisville, KY 40223(866) 295-7275FAX (502) 394-9918

LOUISIANA301 Main StreetSuite 1012Baton Rouge, LA 70825(866) 448-3620FAX (225) 387-3400

MAINE1685 Congress StreetPortland, ME 04102(866) 554-5380FAX (207) 775-5727

MARYLAND200 St. Paul PlaceSuite 2510Baltimore, MD 21202(866) 542-8163FAX (410) 895-0269

MASSACHUSETTSOne Beacon StreetSuite 2301Boston, MA 02108(866) 448-3621FAX (617) 723-4224

MICHIGAN309 North WashingtonSquareSuite 110Lansing, MI 48933(866) 227-7448FAX (517) 482-2794

MINNESOTA30 East 7th StreetSuite 1200St. Paul, MN 55101(866) 554-5381FAX (651) 221-2636

MISSISSIPPI6360 1-55 NorthSuite 160Jackson, MS 39211(866) 554-5382FAX (601) 991-3342

MISSOURI700 West 47th StreetSuite 110Kansas City, MO 64112(866) 389-5627FAX (816) 561-3107

MONTANA30 West 14th StreetSuite 301Helena, MT 59601(866) 295-7278FAX (406) 441-2230

NEBRASKA301 South 13th StreetSuite 201Lincoln, NE 68508(866) 389-5651FAX (402) 323-6913

*Information is current as of July 2005. For more information on an office in your state, please call AARP at (800) 424-3410.

288

AARP State Offices*

NEVADA5820 S. Eastern AvenueSuite 190Las Vegas, NV 89119(866) 389-5652FAX (702) 938-3225

NEW HAMPSHIRE900 Elm StreetSuite 702Manchester, NH 01301(866) 542-8168FAX (603) 629-0066

NEW JERSEYForrestal Village132 Main StreetPrinceton, NJ 08540(866) 542-8165FAX (609) 987-4634

NEW MEXICO535 Cerrillos RoadSuite ASanta Fe, NM 87501(866) 389-5636FAX (505) 820-2889

NEW YORK/New York780 Third Avenue33rd floorNew York, NY 10017(866) 227-7442Fax: 212-644-6390

NEW YORK/AlbanyOne Commerce PlazaSuite 706Albany, NY 12260(866) 542-8166FAX (518) 434-6949

NORTH CAROLINA225 Hillsborough StreetSuite 440Raleigh, NC 27603(866) 389-5650FAX (919) 755-9684

NORTH DAKOTA107 West Main AvenueSuite 125Bismarck, ND 58501(866) 554-5388FAX (701) 221-2242

OHIO17 South High StreetSuite 800Columbus, OH 43215(866) 389-5653FAX (614) 224-9801

OKLAHOMA126 North Bryant AvenueEdmond, OK 73034(866) 295-7277FAX (405) 844-7772

OREGON9200 SE SunnybrookBoulevardSuite 410Clackamas, OR 97015(866) 554-5360FAX (503) 652-9933

PENNSYLVANIA30 North Third StreetSuite 750Harrisburg, PA 17101(866) 389-5654FAX (717) 236-4078

PUERTO RICO654 Munoz Rivera AvenueSuite 901San Juan, PR 00918(866) 542-8169FAX (787) 754-2211

RHODE ISLAND10 Orms StreetSuite 200Providence, RI 02904(866) 542-8170FAX (401) 272-0876

SOUTH CAROLINA1201 Main StreetSuite 1280Columbia, SC 29201(866) 389-5655FAX (803) 251-4379

SOUTH DAKOTA5101 S. Nevada Street#150Sioux Falls, SD 57108(866) 542-8172FAX (605) 361-2323

TENNESSEE150 4th Avenue NorthSuite 180Nashville, TN 37219(866) 295-7274FAX (615) 313-8414

TEXAS/Austin98 San Jacinto BlvdSuite 750Austin, TX 75231(866) 227-7443FAX (512)480-9799

TEXAS/Houston2323 South ShepherdSuite 1100Houston, TX 77019(866) 227-7443FAX (832) 325-2213

TEXAS/Dallas8144 Walnut Hill LaneSuite 700Dallas, TX 75231(866) 554-5377FAX (214) 265-4061

UTAH6975 Union Park CenterSuite 320Midvale, UT 84047(866) 448-3616FAX (801) 561-2209

VERMONT112 State Street5th floorMontpelier, VT 05602(866)-227-7451FAX (802) 224-9057

VIRGINIA707 East Main StreetSuite 910Richmond, VA 23219(866) 542-8164FAX (804) 819-1923

VIRGIN ISLANDS93B Estate DiamondSunny IsleSt. Croix, VI 00820(866) 389-5633FAX (340) 692-2544

WASHINGTON9750 Third Avenue NESuite 450Seattle, WA 98115(866) 227-7457FAX (206) 517-9350

WEST VIRGINIA300 Summers StreetSuite 400Charleston, WV 25301(866) 227-7458FAX (304) 344-4633

WISCONSIN222 West Washington AveSuite 600Madison, WI 53703(866) 448-3611FAX (608) 251-7612

WYOMING2020 Carey AvenueMezzanineCheyenne, WY 82001(866) 663-3290FAX (307) 634-3808

*Information is current as of July 2005. For more information on an office in your state, please call AARP at (800) 424-3410.

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