Impact of the Affordable Care Act on American Indian and Alaska Native Uninsured State Reports

Insurance Coverage 
and the Uninsured

National Report
19 State Charts 

18 State Insurance Reports 
Arizona
Alaska*
California
Colorado
Idaho**
Minnesota
Michigan
Montana****
Nevada
New York
New Mexico
North Dakota
Oregon
Oklahoma**
South Dakota**
Texas**
Washington
Wisconsin***


Note: Arizona, Minnesota, Wisconsin, New York had 'generous' Medicaid Programs prior to ACA.
​13 states expanded Medicaid.
September 2015 Medicaid Expansion(AK)
**No Medicaid Expansion
***Medicaid expansion to 100% (WI)
****2015 Medicaid Expansion (MT)

These reports are from 2012 and 2015 American Community Survey Data Sets 
Compiled March 2017.

Reports are from One-Year data sets (not the 5-Year). This means only 17 states have reports from ACS.


2012 American Indians and Alaska Natives Estimates of, insurance, income, uninsured, by 'access to IHS'.
Click on State Namer for Word Document for all states for PDF, click on image for PPT PowerPoint.
  • Presentations (PPTs click on icons) contain:
  • Insurance status 
  • ACA Income Categories
  • Design:  Verne Boerner
  • Data Input: Philip Fox
The following information is prepared for unrestriced use by tribes and Urban Indian Health programs with simple citation:  Fox-Boerner 33 State AIAN Database, August 2012  Authors:  Edward Fox and Verne' Boerner.  PowerPoints should be revised for use by each state's programs.  Raw data from California Rural Indian Health Board dataset 2012.  No federal funding expended to create these reports.
Authors of these PowerPoints Edward Fox and Verne Boerner 
Free use with proper citation:
"Fox-Boerner 33 State ACS Database, August 2012"
No government(tribal, state or federal) funds used to prepare these reports.

Medicaid Coverage
50 State report


18 State Medicaid Reports 
Arizona
Alaska*
California
Colorado
Idaho**
Minnesota
Michigan
Montana****
Nevada
New York
New Mexico
North Dakota
Oregon
Oklahoma**
South Dakota**
Texas**
Washington
Wisconsin***


Note: Arizona, Minnesota, Wisconsin, New York had 'generous' Medicaid Programs prior to ACA.
​13 states expanded Medicaid.
September 2015 Medicaid Expansion(AK)
**No Medicaid Expansion
***Medicaid expansion to 100% (WI)
****2015 Medicaid Expansion (MT)
*****June 2016 (LA)

These reports are from 2012 and 2015 American Community Survey Data Sets 
Compiled March 2017.

Reports are from One-Year data sets (not the 5-Year). This means only 17 states have reports from ACS.
Montana's Medicaid Expansion adds 9,900 AIANs since 2015
Montana's Medicaid Expansion results in 33% increase in Medicaid Coverage over 2012
Alaska's Medicaid Expansion adds 10,000 AIANs since 2015
Alaska's Medicaid Expansion results in estimated 25% increase in Medicaid Coverage over 2012