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Exhibit 1 . 8.6 Million Uninsured Adults Ages 50 – 64 in 2009, Up by 1.1 Million in Last Year

Exhibit 1 . 8.6 Million Uninsured Adults Ages 50 – 64 in 2009, Up by 1.1 Million in Last Year. Millions uninsured, adults ages 50–64. Source: Analysis of the 2001–2010 Current Population Surveys by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund.

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Exhibit 1 . 8.6 Million Uninsured Adults Ages 50 – 64 in 2009, Up by 1.1 Million in Last Year

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  1. Exhibit 1. 8.6 Million Uninsured Adults Ages 50–64 in 2009,Up by 1.1Million in Last Year Millions uninsured, adults ages 50–64 Source: Analysis of the 2001–2010 Current Population Surveys by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund.

  2. Exhibit 2. Most of the 8.6 Million Currently Uninsured Adults Ages 50–64 Will Gain Coverage Beginning in 2014 Subsidized private insurance with consumer protections 3.5 million 41% Medicaid 3.3 million 38% Nonsubsidized private insurance with consumer protections 1.4 million 17% Undocumented 376,889 4% 8.6 Million Uninsured Adults Ages 50–64 in 2009 Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund; estimates of undocumented uninsured adults by Jonathan Gruber and Ian Perry of MIT using the Gruber Microsimulation Model for The Commonwealth Fund.

  3. Exhibit 3. Adults Ages 50–64 in 16 States with Uninsured Rate Higher Than the National Average Will Particularly Benefit from the Health Reform Law States with uninsured rate higher than national average of 14.2%, adults ages 50–64, 2008–2009 AK 16.5% NH WA VT ME MT 15.3% ND MN OR NY WI MA SD ID WY 17.2% MI RI PA CT IA NJ NE OH DE NV 16.6% IL IN MD UT WV VA CO DC CA 17.6% MO KS KY NC 14.3% TN 15.3% OK 15.9% SC 14.5% AZ 17.7% NM 20.1% AR MS 15.8% GA 18.2% AL HI LA 15.4% TX 22.5% FL 20.6% Note: Uninsured rates are two-year averages, 2008–2009. Source: Analysis of the March 2009 and 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund.

  4. Exhibit 4. Two of Five Adults Ages 50–64 Who Have or Tried to Buy Individual Insurance Were Turned Down, Charged a Higher Price, or Excluded Because of a Preexisting Condition Source: The Commonwealth Fund Biennial Health Insurance Survey (2007).

  5. Exhibit 5. Seventy-Five Percent of Uninsured Adults Ages 50–64 Reported a Cost-Related Problem Getting Needed Care Percent of adults ages 50–64 * Not able to pay bills, contacted by collection agency for unpaid medical bills, had to change way of life to pay medical bills, or medical bills/debt being paid off over time. ** Did not fill a prescription; did not see a specialist when needed; skipped recommended medical test, treatment, or follow-up; had a medical problem but did not visit doctor or clinic. Source: The Commonwealth Fund Biennial Health Insurance Survey (2007).

  6. Exhibit 6. Affordable Care Act Implementation Timeline:Provisions Benefiting Adults Ages 50–64 • Pre-Existing Condition Insurance Plans • Early retiree reinsurance for adults who have retired but do not yet qualify for Medicare • Preventive services coverage without cost-sharing • Ban on lifetime benefit caps and rescissions • Phased-in ban on annual limits • Medicaid expansion • State insurance exchanges • Insurance market reforms, including no rating on health, limits on age rating • Essential benefit standard • Premium and cost-sharing credits for exchange plans • Individual requirement to have insurance • Employer shared responsibility payments • CLASS Act • Establishment of CLASS Program (2011) • Designation of CLASS Benefit Plan (2012) • Phased-in ban on annual limits 2010 2011–2013 2014 Source: Commonwealth Fund Health Reform Resource Center: What’s In the Affordable Care Act? (Public Law 111-148 and 111-152), www.commonwealthfund.org/Health-Reform/Health-Reform-Resource.aspx.

  7. Exhibit 7. Uninsured and Underinsured Adults Ages 50–64 Often Miss Recommended Preventive and Cancer Screenings Source: The Commonwealth Fund Biennial Health Insurance Survey (2007).

  8. Exhibit 8. Distribution of 8.6 Million Uninsured Adults Ages 50–64 by Federal Poverty Level and Provisions of the Affordable Care Act Uninsured adults ages 50–64 Source: Analysis of the March 2010 Current Population Survey by N. Tilipman and B. Sampat of Columbia University for The Commonwealth Fund; Commonwealth Fund Health Reform Resource Center: What’s In the Affordable Care Act? (Public Law 111-148 and 111-152), www.commonwealthfund.org/Health-Reform/Health-Reform-Resource.aspx.

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