calsim version 1.8 regional data book 2014 and 2019

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CalSIM California Simulation of Insurance Markets e California Simulation of Insurance Markets (CalSIM) model is designed to estimate the impacts of various elements of the Affordable Care Act on employer decisions to offer insurance coverage and individual decisions to obtain coverage in California. It was developed by the UC Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research, with generous funding provided by e California Endowment. CalSIM version 1.8 Regional Data Book 2014 and 2019 UCLA Center for Health Policy Research UC Berkeley Center for Labor Research and Education March 2013

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Page 1: CalSIM version 1.8 Regional Data Book 2014 and 2019

CalSIMCalifornia

Simulation of

Insurance

Markets

The California Simulation of

Insurance Markets (CalSIM)

model is designed to estimate the

impacts of various elements of

the Affordable Care Act on

employer decisions to offer

insurance coverage and

individual decisions to obtain

coverage in California. It was

developed by the UC Berkeley

Center for Labor Research and

Education and the UCLA Center

for Health Policy Research, with

generous fund ing provided by

The California Endowment.

CalSIM version 1.8Regional Data Book2014 and 2019

UCLA Center for Health Policy ResearchUC Berkeley Center for Labor Research and Education

March 2013

Page 2: CalSIM version 1.8 Regional Data Book 2014 and 2019

TABLE OF CONTENTS

Regional Data Book, CalSIM version 1.8 Contents

RegionsNorthern California/Sierra CountiesGreater Bay AReaSacramento AreaSan Joaquin ValleyCentral CoastLos AngelesOther Southern California

CountiesFresno CountyOrange CountySan Diego CountySan Bernardino CountyRiverside County

1

2-78-13

14-1718-2324-2930-3536-41

42-4748-5152-5758-6162-65

Page 3: CalSIM version 1.8 Regional Data Book 2014 and 2019

1  

REGIONAL DATA BOOK, CalSIM version 1.8  Populations and Variables Each page contains information on three populations 

A. Eligible for Exchange Subsidies B. Newly Eligible for Medi‐Cal C. Previously Eligible for Medi‐Cal or Healthy Families but Not Enrolled 

Information is provided for two years, 2014 and 2019, the first and last years of the CalSIM model. The demographics of those eligible and enrolled are provided, along with take‐up rates (in italics). Demographic variables may include: 

Gender  Race and Ethnicity  Age  Income  Limited English Proficient (LEP) Status  Source of Coverage without the ACA  Chronic Conditions  Self Reported Health Status  Employment Status 

 Regional Definitions: Regions are made up of counties as defined by the California Health Interview Survey.  Northern California and Sierra Counties 

Butte, Shasta, Humboldt, Del Norte, Siskiyou, Lassen, Trinity, Modoc, Mendocino, Lake, Tehama, Glenn, Colusa, Sutter, Yuba, Nevada, Plumas, Sierra, Tuolumne, Calaveras, Amador, Inyo, Mariposa, Mono, Alpine 

Greater Bay Area  Santa Clara, Alameda, Contra Costa, San Francisco, San Mateo, Sonoma, Solano, Marin, Napa  

Sacramento Area   Sacramento, Placer, Yolo, El Dorado  

San Joaquin Valley   Fresno, Kern, San Joaquin, Stanislaus, Tulare, Merced, Kings, Madera  

Central Coast  Ventura, Santa Barbara, Santa Cruz, San Luis Obispo, Monterey, San Benito  

Los Angeles  Los Angeles County 

Other Southern California   Orange, San Diego, San Bernardino, Riverside, Imperial  

 Notes: All regional estimates are subject to more error than statewide estimates due to smaller sample size. Due to data limitations, not all variables are available for all populations in a region or county. Demographic breakdowns are not reported for large counties that lack reliability across multiple populations (Santa Clara County, Alameda, Ventura).  Source: UC Berkeley / UCLA CalSIM version 1.8. For more information on CalSIM and the underlying methodology,visit www.healthpolicy.ucla.edu/calsim.

Page 4: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 99,000 38% 37,000 100% 48% 48,000 100%GenderMale 52,000 33% 17,000 47% 45% 23,000 49%Female 47,000 42% 20,000 53% 52% 24,000 51%

Race and EthnicityLatino 16,000 23% 4,000 10% 44% 7,000 15%Asian 5,000 25% 1,000 3% 32% 1,000 3%African American 0 38% 0 0% 48% 0 0%White 73,000 41% 30,000 81% 50% 36,000 76%Other 5,000 44% 2,000 6% 54% 3,000 6%

Age0‐18 years 4,000 44% 2,000 4% 44% 2,000 3%19‐29 years 32,000 38% 12,000 32% 48% 15,000 32%30‐44 years 19,000 41% 8,000 21% 53% 10,000 21%45‐64 years 45,000 35% 16,000 43% 47% 21,000 44%

Income138% FPL or less 2,000 25% 0 1% 55% 1,000 2%139‐200% FPL 39,000 44% 17,000 47% 58% 23,000 48%201‐250% FPL 27,000 26% 7,000 19% 35% 9,000 20%251‐400% FPL 31,000 39% 12,000 33% 47% 15,000 31%

Limited English Proficiency (18+)18+ Speaks English Very Well 82,000 40% 33,000 89% 50% 41,000 85%18+ Limited English Proficiency 13,000 19% 3,000 7% 40% 5,000 11%

Source of Coverage, without ACAUninsured 56,000 27% 15,000 41% 45% 26,000 54%Individual Market 23,000 80% 18,000 49% 80% 18,000 38%Employer Sponsored Insurance 20,000 20% 4,000 11% 20% 4,000 8%

Chronic ConditionsNo chronic conditions 68,000 32% 22,000 59% 43% 29,000 61%One or more chronic conditions 31,000 49% 15,000 41% 60% 19,000 39%

Self Reported Health StatusExcellent 19,000 46% 9,000 24% 54% 11,000 22%Very Good 34,000 37% 12,000 34% 48% 16,000 34%Good 33,000 30% 10,000 27% 41% 13,000 28%Fair 9,000 43% 4,000 11% 59% 6,000 12%Poor 3,000 46% 2,000 4% 62% 2,000 4%

Employment StatusNot Employed 23,000 41% 10,000 26% 53% 12,000 26%Employed 76,000 36% 28,000 74% 47% 35,000 74%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 2

Page 5: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 80,000 31% 25,000 100% 50% 40,000 100%GenderMale 45,000 29% 13,000 53% 49% 22,000 54%Female 35,000 33% 12,000 47% 53% 18,000 46%

Race and EthnicityLatino 12,000 35% 4,000 17% 61% 7,000 18%Asian 2,000 37% 1,000 3% 59% 1,000 3%African American 1,000 32% 0 1% 50% 0 1%White 60,000 30% 18,000 72% 48% 29,000 71%Other 5,000 36% 2,000 7% 56% 3,000 7%

Age19‐29 years 36,000 20% 7,000 30% 38% 14,000 34%30‐44 years 15,000 36% 5,000 21% 55% 8,000 20%45‐64 years 30,000 41% 12,000 49% 63% 18,000 46%

Income100% FPL or less 49,000 31% 15,000 60% 53% 26,000 64%101‐138% FPL 31,000 31% 10,000 40% 46% 15,000 36%

Limited English Proficiency (18+)18+ Speaks English Very Well 73,000 31% 22,000 90% 49% 36,000 89%18+ Limited English Proficiency 7,000 34% 2,000 10% 64% 5,000 11%

Source of Coverage, without ACAUninsured 47,000 36% 17,000 68% 61% 29,000 72%Individual Market 16,000 43% 7,000 27% 63% 10,000 24%Employer Sponsored Insurance 17,000 7% 1,000 5% 9% 1,000 4%

Chronic ConditionsNo chronic conditions 52,000 29% 15,000 62% 49% 26,000 64%One or more chronic conditions 28,000 34% 10,000 38% 53% 15,000 36%

Self Reported Health StatusExcellent 17,000 23% 4,000 16% 43% 7,000 18%Very Good 22,000 24% 5,000 22% 43% 10,000 24%Good 24,000 31% 7,000 29% 50% 12,000 29%Fair 14,000 42% 6,000 23% 64% 9,000 22%Poor 3,000 73% 2,000 10% 87% 3,000 7%

Employment StatusNot Employed 29,000 39% 11,000 45% 61% 18,000 44%Employed 51,000 26% 14,000 55% 44% 23,000 56%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 3

Page 6: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 93,000 6% 5,000 100% 14% 13,000 100%GenderMale 45,000 6% 3,000 46% 14% 6,000 46%Female 48,000 6% 3,000 54% 15% 7,000 54%

Race and EthnicityLatino 19,000 5% 1,000 17% 21% 4,000 30%Asian 4,000 7% 0 5% 17% 1,000 5%African American 1,000 5% 0 1% 13% 0 1%White 63,000 6% 4,000 72% 13% 8,000 60%Other 6,000 5% 0 6% 10% 1,000 5%

Age0‐18 years 66,000 7% 5,000 83% 12% 8,000 59%19‐29 years 9,000 4% 0 7% 25% 2,000 16%30‐44 years 11,000 3% 0 6% 19% 2,000 15%45‐64 years 7,000 3% 0 4% 18% 1,000 10%

Income100% FPL or less 35,000 6% 2,000 38% 22% 8,000 57%101‐138% FPL 12,000 7% 1,000 14% 13% 2,000 12%139‐200% FPL 23,000 5% 1,000 22% 9% 2,000 15%201‐250% FPL 23,000 6% 1,000 25% 9% 2,000 16%

Limited English Proficiency (18+)18+ Speaks English Very Well 25,000 5% 1,000 22% 19% 5,000 35%18+ Limited English Proficiency 6,000 3% 0 3% 30% 2,000 12%

Source of Coverage, without ACAUninsured 28,000 6% 2,000 31% 34% 10,000 72%Individual Market 9,000 42% 4,000 69% 42% 4,000 28%Employer Sponsored Insurance 56,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 78,000 6% 5,000 86% 14% 11,000 85%One or more chronic conditions 15,000 5% 1,000 14% 14% 2,000 15%

Self Reported Health StatusExcellent 33,000 6% 2,000 38% 13% 4,000 31%Very Good 30,000 6% 2,000 31% 13% 4,000 30%Good 23,000 6% 1,000 25% 17% 4,000 30%Fair 5,000 5% 0 4% 19% 1,000 7%Poor 2,000 3% 0 1% 15% 0 2%

Employment StatusNot Employed 74,000 6% 5,000 86% 13% 10,000 73%Employed 19,000 4% 1,000 14% 18% 4,000 27%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 4

Page 7: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

Exchange Subsidy EligibleAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

114,000 65% 74,000 100% 75% 86,000 100%

60,000 62% 37,000 50% 74% 44,000 52%54,000 69% 37,000 50% 77% 42,000 48%

17,000 55% 9,000 12% 77% 13,000 15%5,000 43% 2,000 3% 52% 3,000 3%1,000 70% 0 0% 79% 0 0%

86,000 68% 59,000 79% 76% 66,000 76%5,000 73% 4,000 5% 82% 4,000 5%

5,000 68% 3,000 4% 68% 3,000 4%33,000 61% 20,000 27% 74% 25,000 29%23,000 70% 16,000 22% 81% 19,000 22%53,000 65% 34,000 46% 74% 39,000 46%

1,000 64% 1,000 1% 97% 1,000 2%42,000 76% 32,000 43% 88% 38,000 44%31,000 53% 16,000 22% 62% 19,000 22%39,000 63% 25,000 33% 71% 28,000 32%

96,000 68% 65,000 88% 76% 74,000 86%13,000 44% 6,000 8% 69% 9,000 11%

57,000 57% 32,000 44% 78% 44,000 51%22,000 95% 21,000 28% 95% 21,000 25%35,000 59% 21,000 28% 59% 21,000 24%

78,000 59% 46,000 61% 72% 56,000 65%36,000 79% 29,000 39% 83% 30,000 35%

22,000 68% 15,000 20% 78% 17,000 20%40,000 66% 26,000 36% 78% 31,000 36%38,000 56% 21,000 29% 66% 25,000 29%11,000 78% 8,000 11% 88% 10,000 11%4,000 83% 3,000 4% 90% 3,000 4%

26,000 68% 18,000 24% 80% 21,000 24%88,000 64% 56,000 76% 74% 65,000 76%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 5

Page 8: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

83,000 45% 38,000 100% 58% 48,000 100%

46,000 43% 20,000 53% 55% 25,000 53%36,000 49% 18,000 47% 61% 22,000 47%

12,000 57% 7,000 19% 68% 8,000 18%2,000 54% 1,000 3% 67% 1,000 3%1,000 47% 0 1% 57% 0 1%

62,000 42% 26,000 70% 55% 34,000 72%5,000 52% 3,000 7% 64% 3,000 7%

37,000 30% 11,000 30% 44% 16,000 34%15,000 54% 8,000 22% 68% 10,000 22%30,000 59% 18,000 48% 69% 21,000 44%

50,000 45% 23,000 60% 61% 31,000 64%32,000 46% 15,000 40% 53% 17,000 36%

75,000 44% 33,000 88% 56% 42,000 89%8,000 58% 4,000 12% 71% 5,000 11%

49,000 54% 27,000 71% 70% 34,000 72%16,000 52% 8,000 22% 66% 11,000 22%18,000 15% 3,000 7% 16% 3,000 6%

54,000 44% 24,000 63% 55% 30,000 63%29,000 49% 14,000 37% 62% 18,000 37%

17,000 34% 6,000 16% 48% 8,000 17%23,000 38% 9,000 24% 53% 12,000 26%24,000 46% 11,000 30% 56% 14,000 29%14,000 58% 8,000 22% 71% 10,000 22%3,000 89% 3,000 8% 90% 3,000 7%

30,000 56% 16,000 44% 68% 20,000 42%53,000 40% 21,000 56% 52% 28,000 58%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 6

Page 9: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: N. California and Sierra Counties

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

96,000 7% 7,000 100% 16% 15,000 100%

46,000 7% 3,000 45% 15% 7,000 45%50,000 8% 4,000 55% 17% 8,000 55%

20,000 7% 1,000 19% 24% 5,000 30%4,000 8% 0 4% 18% 1,000 4%1,000 7% 0 1% 16% 0 1%

66,000 7% 5,000 70% 14% 9,000 60%6,000 7% 0 6% 12% 1,000 5%

68,000 8% 6,000 82% 14% 9,000 61%9,000 5% 0 6% 26% 2,000 15%

11,000 4% 0 7% 20% 2,000 15%8,000 4% 0 4% 20% 1,000 10%

36,000 7% 3,000 36% 23% 8,000 55%12,000 8% 1,000 13% 14% 2,000 11%23,000 7% 2,000 24% 11% 3,000 17%24,000 8% 2,000 26% 11% 3,000 17%

26,000 6% 2,000 22% 20% 5,000 33%6,000 4% 0 4% 31% 2,000 11%

29,000 11% 3,000 45% 40% 12,000 75%9,000 41% 4,000 55% 42% 4,000 25%

58,000 0% 0 0% 0% 0 0%

81,000 8% 6,000 87% 16% 13,000 85%15,000 6% 1,000 13% 15% 2,000 15%

34,000 8% 3,000 38% 14% 5,000 31%31,000 7% 2,000 31% 15% 5,000 30%24,000 8% 2,000 26% 19% 5,000 29%5,000 6% 0 4% 21% 1,000 7%2,000 4% 0 1% 15% 0 2%

76,000 8% 6,000 86% 15% 12,000 75%20,000 5% 1,000 14% 19% 4,000 25%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 7

Page 10: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 393,000 38% 148,000 100% 48% 190,000 100%GenderMale 197,000 31% 61,000 41% 42% 82,000 43%Female 196,000 44% 87,000 59% 55% 108,000 57%

Race and EthnicityLatino 126,000 26% 33,000 22% 47% 59,000 31%Asian 100,000 37% 37,000 25% 42% 42,000 22%African American 16,000 46% 7,000 5% 52% 9,000 5%White 134,000 47% 63,000 42% 53% 71,000 37%Other 15,000 54% 8,000 6% 60% 9,000 5%

Age0‐18 years 23,000 52% 12,000 8% 52% 12,000 6%19‐29 years 101,000 41% 42,000 28% 52% 53,000 28%30‐44 years 118,000 36% 43,000 29% 51% 60,000 32%45‐64 years 150,000 34% 52,000 35% 43% 65,000 34%

Income138% FPL or less 27,000 30% 8,000 5% 57% 15,000 8%139‐200% FPL 115,000 44% 51,000 34% 57% 66,000 34%201‐250% FPL 90,000 31% 27,000 18% 41% 37,000 19%251‐400% FPL 161,000 38% 62,000 42% 45% 72,000 38%

Limited English Proficiency (18+)18+ Speaks English Very Well 217,000 45% 98,000 66% 52% 114,000 60%18+ Limited English Proficiency 155,000 25% 39,000 26% 42% 65,000 34%

Source of Coverage, without ACAUninsured 191,000 21% 41,000 28% 43% 82,000 43%Individual Market 117,000 80% 93,000 63% 80% 93,000 49%Employer Sponsored Insurance 85,000 17% 15,000 10% 17% 15,000 8%

Chronic ConditionsNo chronic conditions 314,000 34% 108,000 73% 45% 141,000 74%One or more chronic conditions 78,000 51% 40,000 27% 62% 49,000 26%

Self Reported Health StatusExcellent 73,000 40% 29,000 19% 50% 36,000 19%Very Good 124,000 42% 52,000 35% 51% 63,000 33%Good 132,000 28% 36,000 25% 38% 51,000 27%Fair 55,000 50% 27,000 18% 63% 35,000 18%Poor 10,000 43% 4,000 3% 53% 5,000 3%

Employment StatusNot Employed 141,000 44% 62,000 42% 55% 78,000 41%Employed 252,000 34% 86,000 58% 44% 112,000 59%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 8

Page 11: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 181,000 35% 63,000 100% 54% 97,000 100%GenderMale 96,000 34% 33,000 52% 53% 51,000 52%Female 86,000 35% 30,000 48% 54% 46,000 48%

Race and EthnicityLatino 67,000 34% 23,000 36% 55% 37,000 38%Asian 26,000 43% 11,000 17% 62% 16,000 16%African American 17,000 32% 6,000 9% 48% 8,000 8%White 64,000 33% 21,000 33% 50% 32,000 33%Other 8,000 38% 3,000 5% 54% 4,000 4%

Age19‐29 years 59,000 24% 14,000 23% 43% 26,000 27%30‐44 years 56,000 35% 20,000 32% 54% 30,000 31%45‐64 years 66,000 44% 29,000 46% 62% 41,000 42%

Income100% FPL or less 89,000 34% 30,000 48% 57% 51,000 52%101‐138% FPL 92,000 36% 33,000 52% 50% 46,000 48%

Limited English Proficiency (18+)18+ Speaks English Very Well 125,000 34% 42,000 67% 50% 63,000 65%18+ Limited English Proficiency 56,000 37% 21,000 33% 61% 34,000 35%

Source of Coverage, without ACAUninsured 86,000 40% 35,000 55% 69% 60,000 62%Individual Market 46,000 52% 24,000 37% 70% 32,000 33%Employer Sponsored Insurance 49,000 9% 5,000 7% 11% 5,000 5%

Chronic ConditionsNo chronic conditions 129,000 33% 43,000 68% 53% 68,000 70%One or more chronic conditions 52,000 38% 20,000 32% 56% 29,000 30%

Self Reported Health StatusExcellent 31,000 26% 8,000 13% 45% 14,000 15%Very Good 53,000 27% 14,000 23% 46% 25,000 25%Good 50,000 33% 17,000 27% 53% 27,000 27%Fair 37,000 44% 16,000 26% 63% 23,000 24%Poor 10,000 77% 7,000 12% 84% 8,000 8%

Employment StatusNot Employed 72,000 44% 31,000 50% 66% 47,000 48%Employed 110,000 29% 32,000 50% 46% 50,000 52%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 9

Page 12: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 339,000 8% 28,000 100% 15% 52,000 100%GenderMale 167,000 8% 14,000 49% 15% 25,000 47%Female 172,000 8% 14,000 51% 16% 27,000 53%

Race and EthnicityLatino 122,000 6% 7,000 26% 18% 22,000 42%Asian 60,000 10% 6,000 21% 16% 10,000 19%African American 28,000 8% 2,000 8% 11% 3,000 6%White 110,000 10% 11,000 40% 14% 15,000 29%Other 18,000 8% 1,000 5% 10% 2,000 4%

Age0‐18 years 248,000 10% 25,000 91% 14% 34,000 65%19‐29 years 18,000 3% 1,000 2% 21% 4,000 8%30‐44 years 54,000 3% 1,000 5% 20% 11,000 20%45‐64 years 19,000 3% 1,000 2% 18% 4,000 7%

Income100% FPL or less 119,000 6% 8,000 28% 22% 26,000 50%101‐138% FPL 44,000 8% 3,000 13% 14% 6,000 11%139‐200% FPL 85,000 8% 7,000 25% 11% 9,000 17%201‐250% FPL 92,000 10% 9,000 34% 12% 11,000 21%

Limited English Proficiency (18+)18+ Speaks English Very Well 66,000 8% 5,000 19% 18% 12,000 23%18+ Limited English Proficiency 40,000 3% 1,000 4% 26% 11,000 20%

Source of Coverage, without ACAUninsured 85,000 5% 5,000 17% 34% 29,000 56%Individual Market 45,000 51% 23,000 83% 51% 23,000 44%Employer Sponsored Insurance 209,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 291,000 8% 24,000 89% 15% 45,000 87%One or more chronic conditions 48,000 7% 3,000 11% 14% 7,000 13%

Self Reported Health StatusExcellent 120,000 10% 12,000 45% 15% 18,000 35%Very Good 117,000 7% 8,000 29% 13% 16,000 30%Good 76,000 8% 6,000 21% 18% 13,000 26%Fair 23,000 5% 1,000 4% 17% 4,000 8%Poor 3,000 5% 0 1% 17% 1,000 1%

Employment StatusNot Employed 276,000 8% 23,000 85% 14% 40,000 77%Employed 63,000 6% 4,000 15% 19% 12,000 23%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 10

Page 13: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

Exchange Subsidy EligibleAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

451,000 63% 284,000 100% 74% 332,000 100%

227,000 55% 126,000 44% 66% 151,000 45%224,000 70% 158,000 56% 81% 181,000 55%

141,000 57% 80,000 28% 78% 110,000 33%109,000 55% 60,000 21% 62% 67,000 20%21,000 73% 15,000 5% 79% 16,000 5%

163,000 70% 115,000 40% 76% 124,000 37%18,000 78% 14,000 5% 83% 15,000 4%

29,000 75% 22,000 8% 75% 22,000 7%105,000 63% 67,000 24% 76% 80,000 24%141,000 66% 92,000 33% 80% 113,000 34%176,000 58% 103,000 36% 66% 117,000 35%

24,000 64% 16,000 5% 97% 23,000 7%127,000 75% 95,000 34% 87% 111,000 33%105,000 57% 60,000 21% 68% 72,000 22%195,000 58% 114,000 40% 65% 126,000 38%

263,000 71% 186,000 66% 78% 205,000 62%160,000 48% 76,000 27% 66% 106,000 32%

188,000 49% 92,000 32% 75% 140,000 42%119,000 95% 113,000 40% 95% 113,000 34%144,000 55% 79,000 28% 55% 79,000 24%

354,000 58% 205,000 72% 70% 249,000 75%98,000 81% 79,000 28% 86% 84,000 25%

84,000 63% 53,000 19% 75% 63,000 19%144,000 67% 96,000 34% 77% 111,000 33%151,000 51% 77,000 27% 62% 94,000 28%62,000 79% 49,000 17% 89% 55,000 17%11,000 82% 9,000 3% 89% 9,000 3%

154,000 68% 105,000 37% 81% 125,000 38%297,000 60% 178,000 63% 70% 208,000 62%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 11

Page 14: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

187,000 51% 95,000 100% 61% 114,000 100%

99,000 49% 49,000 51% 60% 59,000 52%88,000 52% 46,000 49% 62% 55,000 48%

69,000 54% 38,000 40% 63% 43,000 38%26,000 57% 15,000 16% 68% 18,000 16%18,000 47% 8,000 9% 55% 10,000 9%66,000 45% 30,000 31% 57% 38,000 33%8,000 51% 4,000 4% 61% 5,000 4%

61,000 36% 22,000 23% 50% 31,000 27%58,000 54% 31,000 33% 62% 36,000 32%68,000 61% 41,000 44% 69% 47,000 41%

92,000 49% 46,000 48% 65% 60,000 52%95,000 52% 49,000 52% 57% 54,000 48%

130,000 48% 62,000 65% 58% 75,000 66%57,000 57% 33,000 35% 67% 39,000 34%

89,000 63% 57,000 60% 77% 68,000 60%47,000 60% 28,000 30% 73% 34,000 30%51,000 19% 10,000 10% 21% 11,000 10%

133,000 50% 66,000 70% 59% 79,000 70%54,000 53% 29,000 30% 64% 34,000 30%

32,000 40% 13,000 14% 52% 17,000 15%55,000 43% 23,000 25% 55% 30,000 27%52,000 51% 27,000 28% 60% 31,000 27%38,000 61% 23,000 24% 71% 27,000 24%10,000 86% 9,000 9% 87% 9,000 8%

74,000 61% 45,000 47% 72% 53,000 47%113,000 44% 50,000 53% 53% 60,000 53%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 12

Page 15: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Greater Bay Area

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

350,000 9% 32,000 100% 17% 58,000 100%

172,000 9% 15,000 47% 15% 27,000 46%178,000 9% 17,000 53% 18% 31,000 54%

126,000 7% 9,000 29% 20% 25,000 43%62,000 10% 6,000 19% 16% 10,000 17%29,000 9% 3,000 8% 13% 4,000 6%114,000 11% 12,000 39% 15% 17,000 29%19,000 9% 2,000 5% 11% 2,000 4%

256,000 11% 28,000 89% 15% 38,000 66%19,000 4% 1,000 2% 22% 4,000 7%55,000 4% 2,000 7% 21% 12,000 20%20,000 3% 1,000 2% 19% 4,000 7%

123,000 7% 9,000 29% 23% 29,000 49%44,000 9% 4,000 13% 15% 7,000 12%88,000 9% 8,000 26% 12% 11,000 18%95,000 11% 10,000 32% 13% 12,000 21%

68,000 9% 6,000 18% 19% 13,000 22%42,000 4% 2,000 5% 28% 12,000 20%

88,000 10% 9,000 27% 40% 35,000 60%46,000 50% 23,000 73% 50% 23,000 40%

216,000 0% 0 0% 0% 0 0%

301,000 9% 28,000 89% 17% 50,000 87%50,000 7% 4,000 11% 15% 8,000 13%

124,000 11% 13,000 42% 16% 20,000 35%120,000 8% 9,000 30% 15% 18,000 31%79,000 9% 7,000 22% 19% 15,000 26%24,000 6% 2,000 5% 19% 5,000 8%4,000 6% 0 1% 18% 1,000 1%

286,000 10% 27,000 87% 16% 45,000 78%65,000 7% 4,000 13% 19% 13,000 22%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 13

Page 16: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Sacramento Area

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 126,000 34% 43,000 100% 44% 56,000 100%

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 101,000 29% 30,000 100% 47% 47,000 100%GenderMale 53,000 28% 15,000 50% 46% 24,000 51%Female 48,000 31% 15,000 50% 49% 23,000 49%

Age19‐29 years 45,000 21% 9,000 31% 38% 17,000 36%30‐44 years 24,000 34% 8,000 28% 51% 13,000 26%45‐64 years 32,000 38% 12,000 40% 57% 18,000 38%

Income100% FPL or less 53,000 30% 16,000 54% 51% 27,000 58%101‐138% FPL 47,000 29% 14,000 46% 42% 20,000 42%

Limited English Proficiency (18+)18+ Speaks English Very Well 84,000 29% 24,000 81% 45% 38,000 79%18+ Limited English Proficiency 17,000 33% 6,000 19% 58% 10,000 21%

Source of Coverage, without ACAUninsured 49,000 37% 18,000 61% 65% 31,000 66%Individual Market 21,000 43% 9,000 30% 63% 13,000 27%Employer Sponsored Insurance 31,000 8% 3,000 9% 10% 3,000 7%

Chronic ConditionsNo chronic conditions 71,000 28% 20,000 68% 47% 33,000 70%One or more chronic conditions 30,000 31% 9,000 32% 48% 14,000 30%

Self Reported Health StatusExcellent 20,000 23% 5,000 16% 41% 8,000 18%Very Good 29,000 24% 7,000 23% 41% 12,000 25%Good 31,000 29% 9,000 30% 46% 14,000 30%Fair 17,000 41% 7,000 24% 61% 10,000 22%Poor 3,000 70% 2,000 7% 81% 3,000 5%

Employment StatusNot Employed 30,000 38% 12,000 39% 60% 18,000 38%Employed 70,000 25% 18,000 61% 42% 29,000 62%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 14

Page 17: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Sacramento Area

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 166,000 6% 10,000 100% 13% 21,000 100%GenderMale 81,000 6% 5,000 49% 12% 10,000 46%Female 85,000 6% 5,000 51% 13% 11,000 54%

Age0‐18 years 122,000 7% 9,000 88% 10% 13,000 61%19‐29 years 13,000 4% 0 4% 23% 3,000 14%30‐44 years 22,000 3% 1,000 6% 17% 4,000 18%45‐64 years 9,000 2% 0 2% 16% 1,000 7%

Income100% FPL or less 61,000 6% 4,000 36% 20% 12,000 57%101‐138% FPL 24,000 6% 2,000 15% 11% 3,000 12%139‐200% FPL 41,000 5% 2,000 22% 7% 3,000 14%201‐250% FPL 40,000 7% 3,000 27% 8% 3,000 16%

Limited English Proficiency (18+)18+ Speaks English Very Well 38,000 6% 2,000 22% 17% 6,000 30%18+ Limited English Proficiency 13,000 3% 0 4% 28% 4,000 17%

Source of Coverage, without ACAUninsured 38,000 6% 2,000 21% 34% 13,000 62%Individual Market 17,000 47% 8,000 79% 47% 8,000 38%Employer Sponsored Insurance 111,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 143,000 6% 9,000 88% 13% 18,000 86%One or more chronic conditions 23,000 5% 1,000 12% 12% 3,000 14%

Self Reported Health StatusExcellent 63,000 7% 4,000 45% 12% 7,000 35%Very Good 54,000 5% 3,000 28% 11% 6,000 28%Good 39,000 6% 2,000 23% 15% 6,000 28%Fair 9,000 5% 0 4% 17% 2,000 8%Poor 2,000 3% 0 1% 12% 0 1%

Employment StatusNot Employed 133,000 6% 8,000 83% 11% 15,000 72%Employed 33,000 5% 2,000 17% 18% 6,000 28%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 15

Page 18: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Sacramento Area

Exchange Subsidy EligibleAll

Newly Eligible for Medi‐CalAllGenderMaleFemale

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

144,000 60% 87,000 100% 70% 101,000 100%

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

104,000 44% 45,000 100% 54% 56,000 100%

55,000 41% 23,000 50% 52% 28,000 50%49,000 46% 23,000 50% 57% 28,000 50%

46,000 31% 14,000 32% 44% 20,000 36%25,000 51% 13,000 28% 61% 15,000 27%33,000 56% 18,000 40% 64% 21,000 37%

55,000 44% 24,000 53% 59% 33,000 58%49,000 43% 21,000 47% 49% 24,000 42%

86,000 41% 36,000 79% 52% 45,000 80%18,000 54% 10,000 21% 65% 11,000 20%

50,000 58% 29,000 64% 72% 36,000 64%21,000 52% 11,000 24% 66% 14,000 25%32,000 16% 5,000 12% 18% 6,000 10%

73,000 43% 31,000 69% 53% 39,000 69%31,000 45% 14,000 31% 57% 18,000 31%

21,000 34% 7,000 16% 46% 10,000 17%30,000 37% 11,000 24% 50% 15,000 26%32,000 44% 14,000 31% 53% 17,000 30%18,000 57% 10,000 23% 68% 12,000 22%3,000 83% 3,000 6% 84% 3,000 5%

31,000 55% 17,000 38% 67% 21,000 37%73,000 39% 28,000 62% 49% 35,000 63%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 16

Page 19: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Sacramento Area

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

171,000 7% 12,000 100% 14% 23,000 100%

84,000 7% 6,000 47% 12% 10,000 45%88,000 7% 6,000 53% 15% 13,000 55%

126,000 8% 10,000 85% 11% 14,000 61%13,000 4% 1,000 5% 24% 3,000 13%23,000 4% 1,000 7% 19% 4,000 18%9,000 3% 0 3% 18% 2,000 7%

63,000 7% 4,000 37% 21% 13,000 56%24,000 7% 2,000 15% 12% 3,000 12%42,000 6% 3,000 22% 9% 4,000 15%42,000 7% 3,000 26% 9% 4,000 16%

39,000 7% 3,000 22% 17% 7,000 29%14,000 4% 1,000 5% 29% 4,000 17%

40,000 10% 4,000 33% 39% 16,000 66%17,000 46% 8,000 67% 46% 8,000 34%

115,000 0% 0 0% 0% 0 0%

148,000 7% 10,000 89% 14% 20,000 87%24,000 6% 1,000 11% 13% 3,000 13%

65,000 8% 5,000 43% 13% 8,000 35%55,000 6% 3,000 29% 12% 7,000 28%40,000 7% 3,000 23% 17% 7,000 28%9,000 6% 1,000 5% 19% 2,000 8%2,000 4% 0 1% 13% 0 1%

137,000 7% 10,000 84% 13% 17,000 73%34,000 6% 2,000 16% 18% 6,000 27%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 17

Page 20: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 255,000 28% 72,000 100% 44% 113,000 100%GenderMale 147,000 24% 36,000 49% 40% 59,000 52%Female 108,000 34% 37,000 51% 50% 54,000 48%

Age0‐18 years 12,000 44% 5,000 7% 45% 5,000 5%19‐29 years 82,000 24% 20,000 27% 41% 34,000 30%30‐44 years 58,000 29% 17,000 24% 49% 28,000 25%45‐64 years 102,000 29% 30,000 42% 44% 45,000 40%

Income138% FPL or less 16,000 22% 4,000 5% 54% 9,000 8%139‐200% FPL 91,000 32% 30,000 41% 52% 48,000 42%201‐250% FPL 58,000 22% 13,000 17% 36% 21,000 18%251‐400% FPL 89,000 30% 27,000 37% 40% 36,000 32%

Limited English Proficiency (18+)18+ Speaks English Very Well 132,000 35% 47,000 65% 46% 60,000 53%18+ Limited English Proficiency 112,000 18% 20,000 28% 42% 48,000 42%

Source of Coverage, without ACAUninsured 173,000 22% 37,000 52% 45% 78,000 69%Individual Market 34,000 80% 27,000 37% 80% 27,000 24%Employer Sponsored Insurance 48,000 17% 8,000 11% 17% 8,000 7%

Chronic ConditionsNo chronic conditions 186,000 23% 43,000 60% 39% 73,000 64%One or more chronic conditions 68,000 42% 29,000 40% 59% 40,000 36%

Self Reported Health StatusExcellent 41,000 31% 13,000 18% 44% 18,000 16%Very Good 62,000 29% 18,000 25% 45% 28,000 24%Good 107,000 24% 26,000 35% 39% 42,000 37%Fair 37,000 34% 13,000 18% 56% 21,000 18%Poor 7,000 40% 3,000 4% 58% 4,000 4%

Employment StatusNot Employed 67,000 33% 22,000 31% 51% 34,000 30%Employed 187,000 27% 50,000 69% 42% 79,000 70%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 18

Page 21: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 176,000 33% 58,000 100% 54% 95,000 100%GenderMale 98,000 31% 30,000 52% 52% 51,000 53%Female 78,000 35% 27,000 48% 57% 44,000 47%

Race and EthnicityLatino 99,000 35% 34,000 60% 59% 58,000 61%Asian 7,000 35% 2,000 4% 55% 4,000 4%African American 7,000 32% 2,000 4% 48% 3,000 4%White 56,000 29% 16,000 29% 46% 26,000 27%Other 6,000 35% 2,000 4% 55% 3,000 3%

Age19‐29 years 64,000 24% 15,000 26% 44% 29,000 30%30‐44 years 40,000 36% 15,000 25% 56% 23,000 24%45‐64 years 71,000 39% 28,000 48% 61% 44,000 46%

Income100% FPL or less 84,000 32% 27,000 47% 57% 47,000 50%101‐138% FPL 92,000 33% 31,000 53% 51% 47,000 50%

Limited English Proficiency (18+)18+ Speaks English Very Well 113,000 32% 36,000 63% 50% 57,000 60%18+ Limited English Proficiency 63,000 34% 21,000 37% 60% 38,000 40%

Source of Coverage, without ACAUninsured 112,000 39% 44,000 76% 69% 77,000 81%Individual Market 18,000 51% 9,000 16% 70% 12,000 13%Employer Sponsored Insurance 46,000 10% 5,000 8% 11% 5,000 6%

Chronic ConditionsNo chronic conditions 114,000 31% 36,000 62% 54% 61,000 65%One or more chronic conditions 62,000 35% 22,000 38% 54% 33,000 35%

Self Reported Health StatusExcellent 24,000 23% 6,000 10% 45% 11,000 11%Very Good 37,000 25% 9,000 16% 46% 17,000 18%Good 65,000 31% 20,000 35% 53% 35,000 36%Fair 43,000 40% 17,000 30% 62% 26,000 28%Poor 8,000 68% 5,000 9% 78% 6,000 6%

Employment StatusNot Employed 60,000 41% 25,000 43% 66% 40,000 42%Employed 116,000 28% 33,000 57% 48% 55,000 58%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 19

Page 22: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 312,000 6% 17,000 100% 15% 48,000 100%GenderMale 154,000 5% 8,000 48% 14% 22,000 46%Female 158,000 6% 9,000 52% 16% 26,000 54%

Race and EthnicityLatino 178,000 5% 8,000 48% 18% 33,000 68%Asian 20,000 8% 2,000 9% 14% 3,000 6%African American 11,000 6% 1,000 4% 11% 1,000 3%White 92,000 7% 6,000 35% 11% 10,000 21%Other 11,000 6% 1,000 4% 9% 1,000 2%

Age0‐18 years 222,000 7% 14,000 83% 12% 26,000 55%19‐29 years 28,000 4% 1,000 7% 29% 8,000 17%30‐44 years 41,000 3% 1,000 7% 22% 9,000 19%45‐64 years 22,000 3% 1,000 4% 22% 5,000 10%

Income100% FPL or less 123,000 5% 7,000 39% 24% 29,000 61%101‐138% FPL 43,000 6% 3,000 15% 14% 6,000 13%139‐200% FPL 78,000 5% 4,000 23% 8% 7,000 14%201‐250% FPL 68,000 6% 4,000 24% 9% 6,000 12%

Limited English Proficiency (18+)18+ Speaks English Very Well 58,000 6% 4,000 21% 21% 12,000 25%18+ Limited English Proficiency 46,000 3% 1,000 8% 28% 13,000 27%

Source of Coverage, without ACAUninsured 106,000 5% 6,000 33% 34% 36,000 76%Individual Market 21,000 55% 12,000 67% 55% 12,000 24%Employer Sponsored Insurance 185,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 255,000 6% 15,000 84% 15% 39,000 81%One or more chronic conditions 57,000 5% 3,000 16% 16% 9,000 19%

Self Reported Health StatusExcellent 93,000 7% 6,000 35% 14% 13,000 27%Very Good 86,000 5% 4,000 26% 13% 12,000 24%Good 102,000 5% 5,000 31% 17% 18,000 37%Fair 26,000 4% 1,000 6% 19% 5,000 11%Poor 4,000 4% 0 1% 16% 1,000 1%

Employment StatusNot Employed 247,000 6% 14,000 83% 14% 34,000 70%Employed 65,000 5% 3,000 17% 22% 14,000 30%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 20

Page 23: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

Exchange Subsidy EligibleAllGenderMaleFemale

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

285,000 58% 166,000 100% 73% 208,000 100%

164,000 53% 87,000 52% 69% 113,000 54%121,000 65% 79,000 48% 79% 95,000 46%

18,000 72% 13,000 8% 72% 13,000 6%80,000 49% 39,000 24% 70% 56,000 27%70,000 64% 45,000 27% 81% 57,000 27%

117,000 59% 69,000 41% 71% 83,000 40%

12,000 58% 7,000 4% 97% 12,000 6%99,000 68% 68,000 41% 86% 85,000 41%66,000 49% 32,000 20% 64% 42,000 20%

108,000 54% 58,000 35% 64% 69,000 33%

158,000 65% 102,000 62% 74% 117,000 56%110,000 47% 51,000 31% 72% 79,000 38%

164,000 52% 85,000 51% 77% 127,000 61%34,000 95% 32,000 19% 95% 32,000 15%87,000 56% 49,000 30% 57% 49,000 24%

201,000 49% 99,000 60% 68% 137,000 66%84,000 79% 66,000 40% 85% 71,000 34%

46,000 57% 26,000 16% 73% 34,000 16%70,000 59% 41,000 25% 75% 52,000 25%

120,000 52% 62,000 38% 67% 80,000 38%41,000 73% 30,000 18% 87% 36,000 17%8,000 77% 6,000 4% 86% 7,000 3%

77,000 63% 49,000 29% 80% 62,000 30%208,000 56% 117,000 71% 71% 147,000 70%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 21

Page 24: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

182,000 51% 93,000 100% 61% 111,000 100%

101,000 48% 48,000 52% 59% 59,000 53%81,000 55% 45,000 48% 64% 52,000 47%

103,000 57% 58,000 63% 66% 68,000 61%7,000 50% 4,000 4% 63% 5,000 4%7,000 46% 3,000 4% 55% 4,000 4%

58,000 42% 24,000 26% 53% 31,000 28%6,000 51% 3,000 3% 63% 4,000 3%

67,000 38% 25,000 27% 51% 34,000 31%42,000 56% 23,000 25% 65% 27,000 24%73,000 60% 44,000 48% 68% 50,000 45%

86,000 50% 43,000 47% 65% 56,000 50%95,000 52% 49,000 53% 58% 55,000 50%

116,000 48% 56,000 60% 58% 68,000 61%65,000 56% 37,000 40% 67% 44,000 39%

116,000 62% 72,000 78% 75% 87,000 78%18,000 59% 11,000 12% 73% 13,000 12%48,000 20% 10,000 10% 22% 11,000 10%

118,000 50% 59,000 64% 61% 72,000 65%64,000 52% 33,000 36% 62% 39,000 35%

24,000 38% 9,000 10% 52% 13,000 11%38,000 43% 16,000 17% 56% 21,000 19%67,000 51% 35,000 37% 60% 40,000 36%44,000 59% 26,000 28% 70% 31,000 28%8,000 81% 6,000 7% 82% 7,000 6%

62,000 61% 38,000 41% 72% 45,000 41%119,000 46% 54,000 59% 55% 66,000 59%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 22

Page 25: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: San Joaquin Valley

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

323,000 7% 22,000 100% 17% 55,000 100%

159,000 6% 10,000 46% 16% 25,000 45%163,000 7% 12,000 54% 18% 30,000 55%

184,000 6% 12,000 52% 21% 38,000 69%21,000 8% 2,000 8% 14% 3,000 5%12,000 7% 1,000 4% 13% 1,000 3%95,000 8% 7,000 33% 12% 12,000 21%11,000 7% 1,000 4% 10% 1,000 2%

229,000 8% 18,000 82% 14% 31,000 57%29,000 5% 1,000 6% 30% 9,000 16%43,000 4% 2,000 8% 23% 10,000 18%22,000 4% 1,000 4% 23% 5,000 10%

127,000 6% 8,000 37% 25% 32,000 59%44,000 7% 3,000 15% 16% 7,000 13%81,000 7% 5,000 25% 11% 9,000 16%70,000 7% 5,000 23% 10% 7,000 13%

60,000 7% 4,000 20% 22% 13,000 24%47,000 4% 2,000 8% 30% 14,000 25%

110,000 9% 10,000 46% 39% 43,000 78%22,000 54% 12,000 54% 54% 12,000 22%

191,000 0% 0 0% 0% 0 0%

263,000 7% 19,000 85% 17% 45,000 82%59,000 6% 3,000 15% 17% 10,000 18%

97,000 8% 8,000 34% 15% 15,000 27%89,000 7% 6,000 26% 15% 13,000 24%

105,000 7% 7,000 32% 19% 20,000 37%27,000 6% 2,000 7% 21% 6,000 11%4,000 4% 0 1% 17% 1,000 1%

255,000 7% 19,000 84% 15% 39,000 72%67,000 5% 4,000 16% 23% 15,000 28%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 23

Page 26: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 143,000 36% 52,000 100% 49% 70,000 100%GenderMale 75,000 31% 23,000 45% 44% 33,000 47%Female 69,000 41% 28,000 55% 54% 37,000 53%

Age0‐18 years 9,000 45% 4,000 8% 46% 4,000 6%19‐29 years 46,000 32% 15,000 29% 47% 21,000 31%30‐44 years 35,000 38% 13,000 25% 53% 18,000 26%45‐64 years 54,000 36% 20,000 38% 48% 26,000 37%

Income138% FPL or less 11,000 25% 3,000 5% 56% 6,000 8%139‐200% FPL 44,000 40% 17,000 34% 56% 24,000 35%201‐250% FPL 33,000 26% 9,000 17% 37% 12,000 18%251‐400% FPL 56,000 41% 23,000 44% 49% 27,000 39%

Limited English Proficiency (18+)18+ Speaks English Very Well 81,000 44% 36,000 69% 52% 42,000 60%18+ Limited English Proficiency 54,000 22% 12,000 23% 44% 24,000 35%

Source of Coverage, without ACAUninsured 82,000 20% 17,000 32% 42% 35,000 50%Individual Market 38,000 80% 30,000 59% 80% 30,000 43%Employer Sponsored Insurance 23,000 20% 5,000 9% 20% 5,000 7%

Chronic ConditionsNo chronic conditions 109,000 31% 34,000 66% 44% 49,000 69%One or more chronic conditions 34,000 52% 17,000 34% 63% 21,000 31%

Self Reported Health StatusExcellent 29,000 40% 11,000 22% 50% 15,000 21%Very Good 42,000 38% 16,000 31% 50% 21,000 30%Good 52,000 30% 16,000 31% 43% 23,000 32%Fair 18,000 40% 7,000 14% 59% 10,000 15%Poor 3,000 47% 1,000 3% 61% 2,000 2%

Employment StatusNot Employed 47,000 39% 18,000 35% 53% 25,000 35%Employed 97,000 35% 34,000 65% 47% 46,000 65%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 24

Page 27: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 66,000 34% 23,000 100% 55% 36,000 100%GenderMale 36,000 32% 11,000 50% 52% 18,000 51%Female 31,000 37% 11,000 50% 59% 18,000 49%

Age19‐29 years 26,000 26% 7,000 30% 47% 12,000 34%30‐44 years 15,000 38% 6,000 26% 58% 9,000 24%45‐64 years 25,000 41% 10,000 45% 61% 15,000 42%

Income100% FPL or less 32,000 33% 11,000 47% 56% 18,000 50%101‐138% FPL 34,000 36% 12,000 53% 54% 18,000 50%

Limited English Proficiency (18+)18+ Speaks English Very Well 45,000 34% 15,000 68% 52% 24,000 65%18+ Limited English Proficiency 21,000 35% 7,000 32% 61% 13,000 35%

Source of Coverage, without ACAUninsured 35,000 39% 14,000 61% 69% 24,000 67%Individual Market 15,000 48% 7,000 33% 67% 10,000 28%Employer Sponsored Insurance 15,000 10% 2,000 7% 11% 2,000 5%

Chronic ConditionsNo chronic conditions 46,000 32% 15,000 67% 54% 25,000 69%One or more chronic conditions 20,000 38% 7,000 33% 57% 11,000 31%

Self Reported Health StatusExcellent 12,000 25% 3,000 13% 46% 5,000 15%Very Good 16,000 28% 4,000 19% 49% 8,000 21%Good 22,000 34% 8,000 34% 56% 13,000 34%Fair 14,000 43% 6,000 27% 64% 9,000 25%Poor 2,000 70% 2,000 7% 80% 2,000 5%

Employment StatusNot Employed 24,000 42% 10,000 46% 66% 16,000 44%Employed 42,000 29% 12,000 54% 49% 20,000 56%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 25

Page 28: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 122,000 8% 10,000 100% 19% 23,000 100%GenderMale 59,000 8% 5,000 48% 18% 10,000 46%Female 63,000 8% 5,000 52% 20% 12,000 54%

Age0‐18 years 91,000 10% 9,000 90% 18% 16,000 69%19‐29 years 9,000 4% 0 4% 27% 3,000 11%30‐44 years 16,000 3% 0 4% 20% 3,000 14%45‐64 years 7,000 2% 0 2% 18% 1,000 6%

Income100% FPL or less 45,000 7% 3,000 30% 25% 11,000 50%101‐138% FPL 17,000 8% 1,000 14% 18% 3,000 13%139‐200% FPL 30,000 8% 3,000 26% 14% 4,000 19%201‐250% FPL 30,000 10% 3,000 30% 14% 4,000 18%

Limited English Proficiency (18+)18+ Speaks English Very Well 21,000 7% 1,000 15% 20% 4,000 19%18+ Limited English Proficiency 16,000 3% 0 5% 27% 4,000 19%

Source of Coverage, without ACAUninsured 45,000 6% 3,000 26% 34% 16,000 68%Individual Market 15,000 51% 7,000 74% 50% 7,000 32%Employer Sponsored Insurance 63,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 106,000 8% 9,000 88% 19% 20,000 88%One or more chronic conditions 16,000 7% 1,000 12% 17% 3,000 12%

Self Reported Health StatusExcellent 42,000 10% 4,000 40% 18% 8,000 34%Very Good 37,000 8% 3,000 29% 17% 6,000 28%Good 34,000 8% 3,000 26% 20% 7,000 30%Fair 8,000 5% 0 4% 20% 2,000 7%Poor 1,000 5% 0 1% 17% 0 1%

Employment StatusNot Employed 102,000 9% 9,000 90% 18% 19,000 82%Employed 21,000 5% 1,000 10% 20% 4,000 18%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 26

Page 29: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

Exchange Subsidy EligibleAllGenderMaleFemale

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

160,000 62% 100,000 100% 75% 121,000 100%

84,000 57% 48,000 48% 71% 60,000 49%76,000 68% 52,000 52% 80% 61,000 51%

12,000 69% 8,000 8% 70% 8,000 7%45,000 55% 25,000 25% 73% 33,000 27%41,000 67% 27,000 27% 82% 33,000 28%63,000 63% 40,000 40% 74% 46,000 38%

9,000 60% 5,000 5% 97% 8,000 7%47,000 71% 33,000 34% 87% 41,000 34%37,000 51% 19,000 19% 64% 24,000 20%67,000 63% 42,000 42% 71% 47,000 39%

95,000 69% 66,000 66% 76% 73,000 60%54,000 49% 26,000 26% 74% 40,000 33%

79,000 48% 38,000 38% 74% 59,000 49%39,000 95% 36,000 37% 95% 36,000 30%43,000 59% 26,000 26% 60% 26,000 21%

120,000 56% 67,000 67% 72% 86,000 71%41,000 81% 33,000 33% 86% 35,000 29%

32,000 62% 20,000 20% 75% 24,000 20%46,000 64% 30,000 30% 77% 36,000 30%59,000 56% 33,000 33% 69% 41,000 34%20,000 75% 15,000 15% 88% 17,000 14%3,000 79% 3,000 3% 87% 3,000 2%

51,000 64% 33,000 33% 80% 41,000 34%109,000 61% 67,000 67% 73% 80,000 66%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 27

Page 30: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

Newly Eligible for Medi‐CalAllGenderMaleFemale

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

68,000 51% 35,000 100% 62% 42,000 100%

37,000 47% 17,000 49% 59% 21,000 51%32,000 56% 18,000 51% 66% 21,000 49%

27,000 39% 11,000 30% 54% 14,000 34%16,000 58% 9,000 26% 66% 10,000 25%26,000 60% 15,000 44% 68% 17,000 41%

34,000 48% 16,000 46% 64% 21,000 50%35,000 54% 19,000 54% 60% 21,000 50%

47,000 49% 23,000 65% 60% 28,000 66%21,000 57% 12,000 35% 67% 14,000 34%

36,000 62% 23,000 65% 75% 27,000 65%16,000 57% 9,000 26% 70% 11,000 26%16,000 21% 3,000 10% 23% 4,000 9%

48,000 50% 24,000 69% 61% 29,000 69%20,000 54% 11,000 31% 65% 13,000 31%

12,000 37% 5,000 13% 51% 6,000 15%16,000 45% 7,000 20% 59% 9,000 22%23,000 54% 12,000 36% 63% 14,000 34%14,000 61% 9,000 25% 71% 10,000 24%2,000 83% 2,000 6% 83% 2,000 5%

25,000 61% 15,000 44% 72% 18,000 43%43,000 45% 20,000 56% 56% 24,000 57%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 28

Page 31: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Central Coast

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

127,000 10% 13,000 100% 21% 27,000 100%

61,000 10% 6,000 47% 20% 12,000 45%65,000 10% 7,000 53% 22% 15,000 55%

94,000 12% 11,000 89% 20% 19,000 71%9,000 5% 0 4% 28% 3,000 10%

16,000 4% 1,000 5% 22% 4,000 13%7,000 3% 0 2% 20% 1,000 6%

47,000 8% 4,000 28% 27% 13,000 47%17,000 10% 2,000 14% 21% 3,000 13%31,000 11% 4,000 28% 17% 5,000 21%31,000 12% 4,000 30% 17% 5,000 19%

22,000 8% 2,000 14% 21% 5,000 18%16,000 4% 1,000 5% 29% 5,000 18%

47,000 11% 5,000 40% 41% 19,000 72%15,000 50% 7,000 60% 50% 8,000 28%65,000 0% 0 0% 0% 0 0%

110,000 10% 11,000 89% 22% 24,000 89%17,000 8% 1,000 11% 18% 3,000 11%

43,000 11% 5,000 39% 21% 9,000 34%39,000 10% 4,000 30% 20% 8,000 29%35,000 9% 3,000 26% 23% 8,000 30%9,000 7% 1,000 5% 22% 2,000 7%1,000 5% 0 1% 17% 0 1%

105,000 11% 11,000 91% 21% 22,000 83%21,000 6% 1,000 9% 21% 5,000 17%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 29

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REGION: Los Angeles

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 779,000 33% 254,000 100% 48% 376,000 100%GenderMale 430,000 28% 120,000 47% 43% 188,000 50%Female 349,000 38% 134,000 53% 54% 188,000 50%

Race and EthnicityLatino 472,000 26% 124,000 49% 47% 226,000 60%Asian 101,000 32% 33,000 13% 38% 39,000 10%African American 37,000 48% 18,000 7% 55% 20,000 5%White 151,000 47% 71,000 28% 53% 81,000 21%Other 17,000 54% 9,000 4% 61% 10,000 3%

Age0‐18 years 40,000 45% 18,000 7% 45% 18,000 5%19‐29 years 200,000 30% 59,000 23% 45% 90,000 24%30‐44 years 241,000 30% 71,000 28% 49% 120,000 32%45‐64 years 297,000 35% 105,000 41% 49% 147,000 39%

Income138% FPL or less 44,000 25% 11,000 4% 55% 24,000 6%139‐200% FPL 262,000 34% 89,000 35% 54% 140,000 37%201‐250% FPL 172,000 28% 48,000 19% 43% 74,000 20%251‐400% FPL 301,000 35% 106,000 42% 45% 137,000 36%

Limited English Proficiency (18+)18+ Speaks English Very Well 324,000 43% 138,000 54% 51% 166,000 44%18+ Limited English Proficiency 418,000 24% 99,000 39% 46% 193,000 51%

Source of Coverage, without ACAUninsured 494,000 20% 97,000 38% 44% 218,000 58%Individual Market 169,000 80% 135,000 53% 80% 135,000 36%Employer Sponsored Insurance 116,000 19% 22,000 9% 19% 23,000 6%

Chronic ConditionsNo chronic conditions 576,000 27% 158,000 62% 42% 246,000 66%One or more chronic conditions 203,000 47% 96,000 38% 64% 129,000 34%

Self Reported Health StatusExcellent 132,000 32% 42,000 17% 45% 60,000 16%Very Good 200,000 34% 68,000 27% 48% 96,000 26%Good 293,000 28% 83,000 33% 44% 129,000 34%Fair 132,000 39% 52,000 20% 60% 78,000 21%Poor 22,000 41% 9,000 4% 56% 12,000 3%

Employment StatusNot Employed 238,000 36% 86,000 34% 53% 126,000 34%Employed 541,000 31% 168,000 66% 46% 250,000 66%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 30

Page 33: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Los Angeles

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 389,000 37% 143,000 100% 58% 226,000 100%GenderMale 209,000 35% 73,000 51% 56% 117,000 52%Female 180,000 39% 69,000 49% 60% 108,000 48%

Race and EthnicityLatino 249,000 36% 90,000 63% 60% 148,000 66%Asian 29,000 46% 13,000 9% 65% 19,000 8%African American 36,000 35% 13,000 9% 51% 18,000 8%White 68,000 35% 23,000 16% 53% 36,000 16%Other 8,000 40% 3,000 2% 58% 5,000 2%

Age19‐29 years 109,000 26% 28,000 20% 48% 53,000 23%30‐44 years 121,000 38% 47,000 33% 60% 73,000 32%45‐64 years 158,000 43% 68,000 48% 63% 100,000 44%

Income100% FPL or less 164,000 34% 56,000 40% 60% 98,000 43%101‐138% FPL 225,000 38% 86,000 60% 57% 128,000 57%

Limited English Proficiency (18+)18+ Speaks English Very Well 195,000 36% 70,000 49% 54% 105,000 47%18+ Limited English Proficiency 194,000 37% 72,000 51% 62% 121,000 53%

Source of Coverage, without ACAUninsured 229,000 42% 95,000 67% 73% 167,000 74%Individual Market 63,000 59% 37,000 26% 75% 47,000 21%Employer Sponsored Insurance 98,000 11% 10,000 7% 12% 12,000 5%

Chronic ConditionsNo chronic conditions 268,000 35% 93,000 65% 57% 153,000 68%One or more chronic conditions 121,000 41% 50,000 35% 60% 73,000 32%

Self Reported Health StatusExcellent 50,000 26% 13,000 9% 49% 25,000 11%Very Good 94,000 28% 26,000 18% 51% 47,000 21%Good 127,000 35% 44,000 31% 58% 74,000 33%Fair 97,000 45% 43,000 30% 64% 62,000 28%Poor 22,000 74% 16,000 11% 81% 18,000 8%

Employment StatusNot Employed 144,000 46% 66,000 46% 70% 101,000 45%Employed 245,000 31% 77,000 54% 51% 124,000 55%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 31

Page 34: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Los Angeles

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 680,000 8% 54,000 100% 20% 133,000 100%GenderMale 331,000 8% 26,000 49% 19% 62,000 47%Female 349,000 8% 28,000 51% 20% 70,000 53%

Race and EthnicityLatino 418,000 6% 26,000 48% 21% 89,000 67%Asian 64,000 12% 8,000 14% 20% 13,000 9%African American 60,000 9% 5,000 10% 14% 8,000 6%White 121,000 11% 14,000 25% 17% 21,000 15%Other 17,000 10% 2,000 3% 13% 2,000 2%

Age0‐18 years 461,000 10% 47,000 87% 18% 81,000 61%19‐29 years 50,000 4% 2,000 3% 27% 13,000 10%30‐44 years 121,000 3% 4,000 7% 24% 29,000 22%45‐64 years 48,000 3% 1,000 2% 20% 10,000 7%

Income100% FPL or less 276,000 6% 17,000 31% 26% 71,000 54%101‐138% FPL 94,000 8% 7,000 14% 19% 18,000 13%139‐200% FPL 160,000 9% 14,000 26% 14% 22,000 17%201‐250% FPL 150,000 11% 16,000 30% 15% 22,000 16%

Limited English Proficiency (18+)18+ Speaks English Very Well 112,000 9% 10,000 18% 22% 25,000 19%18+ Limited English Proficiency 138,000 3% 4,000 7% 27% 38,000 28%

Source of Coverage, without ACAUninsured 274,000 5% 14,000 27% 34% 94,000 71%Individual Market 75,000 52% 39,000 73% 52% 39,000 29%Employer Sponsored Insurance 331,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 574,000 8% 47,000 87% 20% 113,000 85%One or more chronic conditions 106,000 6% 7,000 13% 18% 19,000 15%

Self Reported Health StatusExcellent 202,000 10% 21,000 39% 19% 39,000 29%Very Good 211,000 7% 15,000 29% 18% 37,000 28%Good 196,000 7% 14,000 26% 21% 41,000 31%Fair 63,000 5% 3,000 6% 21% 13,000 10%Poor 8,000 5% 0 1% 20% 2,000 1%

Employment StatusNot Employed 531,000 9% 46,000 85% 19% 99,000 75%Employed 149,000 5% 8,000 15% 23% 34,000 25%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 32

Page 35: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Los Angeles

Exchange Subsidy EligibleAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

878,000 60% 530,000 100% 76% 666,000 100%

482,000 54% 262,000 50% 71% 341,000 51%396,000 68% 267,000 50% 82% 325,000 49%

524,000 57% 299,000 56% 79% 412,000 62%110,000 50% 55,000 10% 57% 63,000 9%46,000 75% 34,000 6% 80% 37,000 6%

180,000 70% 126,000 24% 77% 138,000 21%19,000 78% 15,000 3% 84% 16,000 2%

52,000 69% 36,000 7% 69% 36,000 5%204,000 53% 108,000 20% 72% 148,000 22%281,000 61% 172,000 32% 81% 227,000 34%341,000 63% 215,000 40% 75% 256,000 38%

38,000 59% 23,000 4% 97% 37,000 6%291,000 69% 202,000 38% 87% 254,000 38%195,000 55% 107,000 20% 71% 139,000 21%354,000 56% 198,000 37% 67% 236,000 35%

390,000 69% 271,000 51% 78% 303,000 46%440,000 51% 225,000 42% 75% 329,000 49%

484,000 48% 233,000 44% 76% 368,000 55%172,000 95% 163,000 31% 95% 163,000 25%222,000 60% 133,000 25% 61% 134,000 20%

634,000 52% 329,000 62% 71% 450,000 68%244,000 82% 200,000 38% 88% 216,000 32%

149,000 56% 82,000 16% 72% 107,000 16%222,000 60% 133,000 25% 76% 169,000 25%334,000 55% 184,000 35% 71% 237,000 36%149,000 75% 112,000 21% 89% 133,000 20%24,000 77% 18,000 3% 86% 20,000 3%

259,000 63% 164,000 31% 81% 209,000 31%619,000 59% 365,000 69% 74% 457,000 69%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 33

Page 36: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Los Angeles

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

402,000 55% 223,000 100% 65% 261,000 100%

216,000 52% 113,000 51% 63% 136,000 52%186,000 59% 110,000 49% 67% 125,000 48%

257,000 58% 149,000 67% 67% 171,000 66%29,000 60% 18,000 8% 71% 21,000 8%37,000 50% 18,000 8% 59% 22,000 8%70,000 48% 33,000 15% 60% 42,000 16%9,000 54% 5,000 2% 65% 6,000 2%

113,000 41% 46,000 21% 55% 62,000 24%126,000 60% 75,000 34% 67% 84,000 32%164,000 62% 102,000 46% 70% 115,000 44%

169,000 52% 89,000 40% 67% 114,000 44%232,000 58% 134,000 60% 63% 147,000 56%

201,000 52% 104,000 47% 61% 124,000 47%200,000 59% 118,000 53% 69% 138,000 53%

236,000 67% 157,000 71% 79% 186,000 71%65,000 66% 43,000 19% 77% 50,000 19%

101,000 23% 23,000 10% 25% 25,000 10%

276,000 54% 150,000 67% 64% 178,000 68%125,000 58% 73,000 33% 67% 84,000 32%

52,000 43% 22,000 10% 56% 29,000 11%97,000 47% 45,000 20% 59% 57,000 22%

131,000 57% 74,000 33% 65% 85,000 33%100,000 63% 63,000 28% 71% 71,000 27%22,000 84% 19,000 8% 84% 19,000 7%

148,000 66% 98,000 44% 76% 114,000 43%253,000 49% 125,000 56% 58% 148,000 57%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 34

Page 37: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Los Angeles

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

702,000 10% 68,000 100% 22% 153,000 100%

342,000 9% 32,000 47% 21% 70,000 46%361,000 10% 36,000 53% 23% 83,000 54%

432,000 8% 35,000 52% 24% 104,000 68%66,000 12% 8,000 12% 20% 13,000 9%62,000 10% 6,000 9% 16% 10,000 6%

125,000 13% 16,000 24% 19% 24,000 15%18,000 11% 2,000 3% 14% 3,000 2%

476,000 12% 58,000 86% 20% 96,000 63%51,000 4% 2,000 3% 28% 14,000 9%

125,000 4% 5,000 8% 26% 33,000 21%49,000 4% 2,000 3% 22% 11,000 7%

286,000 7% 20,000 30% 27% 78,000 51%96,000 10% 9,000 14% 21% 20,000 13%

165,000 11% 19,000 27% 17% 29,000 19%155,000 13% 19,000 29% 17% 26,000 17%

116,000 10% 12,000 17% 23% 27,000 18%143,000 4% 6,000 8% 29% 41,000 27%

283,000 10% 28,000 42% 40% 114,000 74%78,000 51% 40,000 58% 51% 40,000 26%

342,000 0% 0 0% 0% 0 0%

593,000 10% 59,000 88% 22% 132,000 86%110,000 7% 8,000 12% 20% 22,000 14%

209,000 12% 25,000 37% 22% 45,000 29%218,000 9% 20,000 30% 20% 44,000 29%203,000 9% 18,000 27% 23% 47,000 31%65,000 7% 4,000 6% 23% 15,000 10%8,000 6% 0 1% 21% 2,000 1%

549,000 11% 58,000 86% 21% 117,000 76%154,000 6% 9,000 14% 24% 37,000 24%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 35

Page 38: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 749,000 33% 244,000 100% 47% 352,000 100%GenderMale 399,000 28% 112,000 46% 42% 169,000 48%Female 350,000 38% 132,000 54% 52% 183,000 52%

Race and EthnicityLatino 372,000 24% 89,000 37% 45% 170,000 48%Asian 87,000 28% 24,000 10% 34% 30,000 9%African American 22,000 42% 9,000 4% 51% 11,000 3%White 249,000 45% 112,000 46% 52% 131,000 37%Other 18,000 50% 9,000 4% 58% 11,000 3%

Age0‐18 years 49,000 48% 24,000 10% 48% 24,000 7%19‐29 years 206,000 29% 60,000 25% 44% 91,000 26%30‐44 years 208,000 31% 65,000 27% 49% 102,000 29%45‐64 years 286,000 33% 95,000 39% 47% 136,000 39%

Income138% FPL or less 34,000 24% 8,000 3% 55% 19,000 5%139‐200% FPL 249,000 35% 87,000 36% 53% 133,000 38%201‐250% FPL 158,000 27% 42,000 17% 41% 65,000 18%251‐400% FPL 308,000 35% 107,000 44% 44% 136,000 39%

Limited English Proficiency (18+)18+ Speaks English Very Well 397,000 41% 161,000 66% 50% 198,000 56%18+ Limited English Proficiency 307,000 20% 61,000 25% 43% 132,000 37%

Source of Coverage, without ACAUninsured 483,000 21% 101,000 41% 43% 209,000 59%Individual Market 156,000 80% 124,000 51% 80% 124,000 35%Employer Sponsored Insurance 110,000 17% 19,000 8% 17% 19,000 5%

Chronic ConditionsNo chronic conditions 579,000 28% 164,000 67% 42% 246,000 70%One or more chronic conditions 170,000 47% 80,000 33% 63% 106,000 30%

Self Reported Health StatusExcellent 143,000 35% 51,000 21% 46% 67,000 19%Very Good 225,000 34% 76,000 31% 47% 106,000 30%Good 260,000 27% 71,000 29% 42% 110,000 31%Fair 100,000 38% 38,000 15% 58% 58,000 16%Poor 21,000 42% 9,000 4% 58% 12,000 3%

Employment StatusNot Employed 236,000 36% 86,000 35% 52% 122,000 35%Employed 513,000 31% 158,000 65% 45% 231,000 65%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 36

Page 39: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 408,000 35% 144,000 100% 57% 233,000 100%GenderMale 215,000 33% 72,000 50% 55% 119,000 51%Female 193,000 37% 72,000 50% 59% 115,000 49%

Race and EthnicityLatino 218,000 36% 79,000 55% 61% 134,000 57%Asian 26,000 41% 10,000 7% 62% 16,000 7%African American 23,000 34% 8,000 6% 51% 12,000 5%White 131,000 32% 42,000 29% 50% 66,000 28%Other 11,000 38% 4,000 3% 57% 6,000 3%

Age19‐29 years 138,000 25% 34,000 24% 46% 64,000 27%30‐44 years 113,000 38% 43,000 30% 60% 68,000 29%45‐64 years 157,000 43% 67,000 46% 65% 102,000 44%

Income100% FPL or less 194,000 33% 65,000 45% 58% 114,000 49%101‐138% FPL 214,000 37% 79,000 55% 56% 120,000 51%

Limited English Proficiency (18+)18+ Speaks English Very Well 255,000 35% 88,000 61% 53% 136,000 58%18+ Limited English Proficiency 154,000 36% 56,000 39% 64% 98,000 42%

Source of Coverage, without ACAUninsured 257,000 40% 103,000 72% 70% 180,000 77%Individual Market 63,000 51% 32,000 22% 69% 44,000 19%Employer Sponsored Insurance 88,000 10% 9,000 6% 11% 10,000 4%

Chronic ConditionsNo chronic conditions 291,000 34% 98,000 68% 57% 165,000 71%One or more chronic conditions 117,000 39% 46,000 32% 59% 69,000 29%

Self Reported Health StatusExcellent 65,000 26% 17,000 12% 48% 31,000 13%Very Good 112,000 28% 31,000 22% 50% 56,000 24%Good 124,000 35% 43,000 30% 58% 72,000 31%Fair 88,000 44% 39,000 27% 66% 58,000 25%Poor 18,000 73% 13,000 9% 83% 15,000 7%

Employment StatusNot Employed 157,000 43% 67,000 46% 67% 106,000 45%Employed 251,000 31% 77,000 54% 51% 128,000 55%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 37

Page 40: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 730,000 8% 60,000 100% 19% 140,000 100%GenderMale 345,000 8% 28,000 47% 18% 63,000 45%Female 385,000 8% 32,000 53% 20% 77,000 55%

Race and EthnicityLatino 389,000 6% 25,000 41% 22% 84,000 60%Asian 62,000 12% 7,000 12% 20% 13,000 9%African American 38,000 8% 3,000 5% 14% 5,000 4%White 220,000 11% 23,000 39% 16% 36,000 25%Other 21,000 9% 2,000 3% 13% 3,000 2%

Age0‐18 years 515,000 10% 53,000 88% 17% 88,000 63%19‐29 years 56,000 4% 2,000 4% 27% 15,000 11%30‐44 years 113,000 3% 4,000 6% 23% 26,000 19%45‐64 years 47,000 3% 1,000 2% 23% 11,000 8%

Income100% FPL or less 284,000 7% 19,000 31% 26% 74,000 53%101‐138% FPL 99,000 9% 8,000 14% 19% 18,000 13%139‐200% FPL 180,000 9% 16,000 26% 14% 24,000 17%201‐250% FPL 167,000 10% 17,000 29% 14% 23,000 17%

Limited English Proficiency (18+)18+ Speaks English Very Well 133,000 8% 10,000 17% 22% 29,000 21%18+ Limited English Proficiency 115,000 3% 4,000 6% 29% 33,000 24%

Source of Coverage, without ACAUninsured 278,000 5% 15,000 25% 34% 95,000 68%Individual Market 82,000 55% 45,000 75% 55% 45,000 32%Employer Sponsored Insurance 370,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 634,000 8% 54,000 89% 19% 122,000 87%One or more chronic conditions 96,000 7% 7,000 11% 18% 18,000 13%

Self Reported Health StatusExcellent 230,000 10% 23,000 39% 19% 42,000 30%Very Good 239,000 8% 18,000 30% 17% 42,000 30%Good 200,000 8% 15,000 25% 21% 42,000 30%Fair 53,000 6% 3,000 5% 22% 12,000 8%Poor 8,000 5% 0 1% 20% 2,000 1%

Employment StatusNot Employed 589,000 9% 52,000 87% 18% 107,000 77%Employed 141,000 6% 8,000 13% 23% 32,000 23%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 38

Page 41: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

Exchange Subsidy EligibleAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

815,000 60% 487,000 100% 74% 605,000 100%

435,000 55% 237,000 49% 69% 302,000 50%380,000 66% 249,000 51% 80% 303,000 50%

382,000 55% 209,000 43% 77% 294,000 49%94,000 45% 42,000 9% 53% 50,000 8%26,000 71% 18,000 4% 78% 20,000 3%

293,000 69% 202,000 42% 77% 225,000 37%20,000 75% 15,000 3% 82% 16,000 3%

63,000 71% 45,000 9% 71% 45,000 7%201,000 53% 107,000 22% 71% 142,000 24%235,000 61% 144,000 30% 79% 186,000 31%316,000 60% 191,000 39% 73% 232,000 38%

24,000 60% 14,000 3% 97% 23,000 4%261,000 68% 178,000 37% 87% 227,000 37%175,000 54% 94,000 19% 69% 121,000 20%355,000 56% 199,000 41% 66% 234,000 39%

458,000 67% 307,000 63% 76% 350,000 58%297,000 46% 137,000 28% 71% 212,000 35%

456,000 49% 224,000 46% 75% 342,000 56%156,000 95% 148,000 30% 95% 148,000 24%202,000 57% 115,000 24% 57% 116,000 19%

617,000 53% 327,000 67% 70% 433,000 72%198,000 81% 159,000 33% 87% 172,000 28%

155,000 59% 91,000 19% 72% 112,000 19%245,000 61% 148,000 31% 75% 185,000 31%285,000 53% 152,000 31% 68% 195,000 32%108,000 73% 78,000 16% 87% 94,000 16%22,000 77% 17,000 4% 88% 19,000 3%

260,000 63% 164,000 34% 79% 206,000 34%554,000 58% 322,000 66% 72% 399,000 66%

BASE ENHANCEDA. Characteristics of those under Age 65 Eligible for Exchange Subsidies

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 39

Page 42: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

422,000 54% 226,000 100% 64% 269,000 100%

222,000 50% 112,000 50% 62% 137,000 51%200,000 57% 114,000 50% 66% 132,000 49%

225,000 58% 132,000 58% 67% 152,000 56%26,000 57% 15,000 7% 69% 18,000 7%24,000 49% 12,000 5% 58% 14,000 5%

135,000 45% 61,000 27% 57% 78,000 29%11,000 53% 6,000 3% 64% 7,000 3%

143,000 39% 55,000 25% 53% 75,000 28%117,000 59% 69,000 30% 67% 79,000 29%162,000 63% 101,000 45% 71% 115,000 43%

201,000 51% 102,000 45% 66% 133,000 49%221,000 56% 124,000 55% 62% 136,000 51%

263,000 50% 131,000 58% 60% 159,000 59%159,000 59% 94,000 42% 69% 110,000 41%

266,000 64% 169,000 75% 76% 203,000 75%65,000 59% 38,000 17% 72% 47,000 17%91,000 20% 18,000 8% 22% 20,000 7%

301,000 53% 158,000 70% 63% 189,000 70%121,000 56% 68,000 30% 66% 80,000 30%

67,000 41% 28,000 12% 54% 36,000 14%116,000 46% 53,000 24% 59% 68,000 25%128,000 56% 72,000 32% 64% 82,000 31%91,000 62% 57,000 25% 72% 66,000 24%19,000 85% 16,000 7% 86% 16,000 6%

162,000 63% 101,000 45% 74% 120,000 45%260,000 48% 124,000 55% 57% 149,000 55%

BASE ENHANCEDB. Characteristics of those under Age 65 Newly Eligible for Medi‐Cal

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 40

Page 43: CalSIM version 1.8 Regional Data Book 2014 and 2019

REGION: Other Southern California

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

754,000 10% 75,000 100% 21% 162,000 100%

357,000 10% 34,000 45% 20% 71,000 44%397,000 10% 41,000 55% 23% 90,000 56%

402,000 9% 34,000 45% 24% 98,000 61%64,000 12% 8,000 10% 21% 13,000 8%39,000 10% 4,000 5% 16% 6,000 4%

227,000 12% 27,000 36% 18% 41,000 25%22,000 10% 2,000 3% 14% 3,000 2%

532,000 12% 65,000 87% 19% 104,000 64%57,000 5% 3,000 4% 28% 16,000 10%

116,000 5% 5,000 7% 25% 30,000 18%48,000 4% 2,000 3% 25% 12,000 7%

294,000 8% 23,000 31% 28% 82,000 50%101,000 10% 11,000 14% 21% 21,000 13%186,000 11% 21,000 27% 17% 31,000 19%173,000 12% 21,000 28% 16% 28,000 17%

137,000 9% 12,000 17% 23% 32,000 20%119,000 4% 5,000 7% 31% 37,000 23%

287,000 10% 30,000 39% 40% 116,000 72%85,000 54% 46,000 61% 54% 46,000 28%

382,000 0% 0 0% 0% 0 0%

655,000 10% 68,000 90% 22% 142,000 88%100,000 8% 8,000 10% 20% 20,000 12%

237,000 12% 28,000 37% 21% 49,000 30%247,000 9% 23,000 31% 20% 49,000 30%206,000 9% 19,000 26% 23% 48,000 30%55,000 7% 4,000 5% 25% 14,000 8%9,000 6% 1,000 1% 21% 2,000 1%

608,000 11% 66,000 87% 21% 126,000 78%146,000 6% 9,000 13% 24% 35,000 22%

BASE ENHANCED

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 41

Page 44: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 65,000 27% 18,000 100% 44% 29,000 100%GenderMale 38,000 22% 8,000 48% 39% 15,000 53%Female 27,000 34% 9,000 52% 51% 14,000 47%

Race and EthnicityLatino 40,000 22% 9,000 49% 45% 18,000 63%Asian 7,000 21% 2,000 9% 27% 2,000 7%African American 2,000 40% 1,000 4% 48% 1,000 3%White 15,000 41% 6,000 35% 49% 7,000 25%Other 1,000 46% 1,000 3% 55% 1,000 2%

Age0‐18 years 2,000 37% 1,000 5% 38% 1,000 3%19‐29 years 26,000 23% 6,000 33% 42% 11,000 39%30‐44 years 14,000 30% 4,000 24% 49% 7,000 24%45‐64 years 23,000 29% 7,000 38% 43% 10,000 35%

Income138% FPL or less 10,000 21% 2,000 12% 54% 5,000 18%139‐200% FPL 22,000 33% 7,000 41% 52% 11,000 39%201‐250% FPL 14,000 21% 3,000 16% 35% 5,000 17%251‐400% FPL 20,000 28% 5,000 31% 37% 8,000 26%

Limited English Proficiency (18+)18+ Speaks English Very Well 28,000 37% 10,000 59% 47% 13,000 45%18+ Limited English Proficiency 36,000 18% 6,000 36% 41% 15,000 52%

Source of Coverage, without ACAUninsured 46,000 20% 9,000 53% 45% 21,000 71%Individual Market 8,000 80% 6,000 37% 80% 6,000 22%Employer Sponsored Insurance 12,000 16% 2,000 11% 16% 2,000 7%

Chronic ConditionsNo chronic conditions 50,000 22% 11,000 62% 39% 20,000 69%One or more chronic conditions 15,000 44% 7,000 38% 60% 9,000 31%

Self Reported Health StatusExcellent 11,000 27% 3,000 17% 42% 5,000 16%Very Good 17,000 27% 5,000 27% 46% 8,000 27%Good 26,000 23% 6,000 33% 38% 10,000 34%Fair 10,000 34% 3,000 19% 56% 6,000 19%Poor 2,000 40% 1,000 4% 57% 1,000 4%

Employment StatusNot Employed 15,000 33% 5,000 28% 51% 7,000 26%Employed 51,000 25% 13,000 72% 42% 22,000 74%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 42

Page 45: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 37,000 33% 12,000 100% 54% 20,000 100%GenderMale 21,000 32% 7,000 54% 53% 11,000 55%Female 16,000 35% 6,000 46% 55% 9,000 45%

Race and EthnicityLatino 22,000 34% 8,000 61% 58% 13,000 63%Asian 2,000 37% 1,000 5% 58% 1,000 5%African American 2,000 31% 1,000 6% 45% 1,000 5%White 10,000 30% 3,000 25% 47% 5,000 24%Other 1,000 36% 0 3% 55% 1,000 3%

Age19‐29 years 13,000 24% 3,000 27% 46% 6,000 31%30‐44 years 9,000 34% 3,000 25% 53% 5,000 23%45‐64 years 15,000 40% 6,000 49% 61% 9,000 46%

Income100% FPL or less 16,000 32% 5,000 43% 57% 9,000 47%101‐138% FPL 21,000 33% 7,000 57% 51% 11,000 53%

Limited English Proficiency (18+)18+ Speaks English Very Well 23,000 33% 7,000 60% 50% 11,000 57%18+ Limited English Proficiency 14,000 34% 5,000 40% 59% 9,000 43%

Source of Coverage, without ACAUninsured 23,000 40% 9,000 73% 69% 16,000 78%Individual Market 4,000 53% 2,000 18% 72% 3,000 15%Employer Sponsored Insurance 10,000 10% 1,000 9% 12% 1,000 6%

Chronic ConditionsNo chronic conditions 23,000 32% 7,000 60% 54% 13,000 63%One or more chronic conditions 14,000 36% 5,000 40% 54% 7,000 37%

Self Reported Health StatusExcellent 5,000 24% 1,000 9% 46% 2,000 11%Very Good 8,000 25% 2,000 17% 46% 4,000 19%Good 13,000 31% 4,000 32% 52% 7,000 33%Fair 10,000 41% 4,000 32% 62% 6,000 30%Poor 2,000 67% 1,000 10% 77% 1,000 7%

Employment StatusNot Employed 11,000 42% 5,000 38% 66% 7,000 36%Employed 26,000 29% 8,000 62% 49% 13,000 64%

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 43

Page 46: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 62,000 5% 3,000 100% 14% 9,000 100%GenderMale 31,000 4% 1,000 48% 13% 4,000 47%Female 31,000 5% 2,000 52% 15% 5,000 53%

Race and EthnicityLatino 36,000 4% 1,000 50% 17% 6,000 70%Asian 4,000 7% 0 10% 13% 1,000 7%African American 3,000 4% 0 5% 9% 0 4%White 17,000 5% 1,000 31% 9% 2,000 18%Other 2,000 5% 0 3% 7% 0 2%

Age0‐18 years 44,000 5% 2,000 78% 10% 4,000 49%19‐29 years 6,000 4% 0 9% 29% 2,000 20%30‐44 years 8,000 3% 0 8% 20% 2,000 20%45‐64 years 4,000 3% 0 4% 21% 1,000 11%

Income100% FPL or less 24,000 5% 1,000 41% 23% 6,000 65%101‐138% FPL 9,000 5% 0 14% 12% 1,000 12%139‐200% FPL 16,000 4% 1,000 22% 7% 1,000 12%201‐250% FPL 13,000 5% 1,000 23% 7% 1,000 11%

Limited English Proficiency (18+)18+ Speaks English Very Well 12,000 6% 1,000 24% 20% 2,000 28%18+ Limited English Proficiency 9,000 3% 0 9% 27% 3,000 29%

Source of Coverage, without ACAUninsured 20,000 5% 1,000 37% 34% 7,000 79%Individual Market 4,000 49% 2,000 63% 49% 2,000 21%Employer Sponsored Insurance 39,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 49,000 5% 2,000 81% 13% 7,000 77%One or more chronic conditions 13,000 4% 1,000 19% 15% 2,000 23%

Self Reported Health StatusExcellent 19,000 5% 1,000 35% 12% 2,000 26%Very Good 17,000 4% 1,000 25% 12% 2,000 24%Good 20,000 5% 1,000 32% 16% 3,000 38%Fair 6,000 4% 0 7% 18% 1,000 12%Poor 1,000 3% 0 1% 15% 0 2%

Employment StatusNot Employed 48,000 5% 2,000 78% 11% 5,000 63%Employed 15,000 4% 1,000 22% 21% 3,000 37%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 44

Page 47: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

Exchange Subsidy EligibleAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

69,000 56% 39,000 100% 73% 50,000 100%

40,000 50% 20,000 52% 68% 28,000 55%28,000 66% 19,000 48% 79% 22,000 45%

40,000 54% 21,000 55% 78% 31,000 61%8,000 37% 3,000 7% 43% 3,000 7%2,000 71% 1,000 4% 78% 1,000 3%

18,000 67% 12,000 32% 74% 14,000 27%1,000 75% 1,000 3% 83% 1,000 2%

3,000 70% 2,000 6% 71% 2,000 5%23,000 48% 11,000 28% 72% 16,000 33%17,000 64% 11,000 28% 82% 14,000 27%26,000 57% 15,000 38% 68% 18,000 36%

6,000 56% 4,000 9% 97% 6,000 12%24,000 68% 16,000 42% 86% 20,000 40%16,000 47% 7,000 19% 63% 10,000 19%23,000 50% 12,000 30% 60% 14,000 28%

33,000 67% 22,000 57% 75% 25,000 50%33,000 44% 15,000 38% 70% 23,000 46%

41,000 50% 20,000 52% 78% 32,000 63%8,000 95% 8,000 20% 95% 8,000 15%

20,000 54% 11,000 28% 55% 11,000 22%

50,000 47% 24,000 61% 68% 34,000 68%19,000 79% 15,000 39% 85% 16,000 32%

12,000 52% 6,000 16% 71% 8,000 17%17,000 58% 10,000 26% 77% 13,000 27%28,000 49% 14,000 35% 65% 18,000 36%10,000 74% 7,000 19% 88% 9,000 17%2,000 78% 2,000 4% 86% 2,000 3%

16,000 63% 10,000 27% 82% 13,000 27%52,000 54% 28,000 73% 70% 37,000 73%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 45

Page 48: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

38,000 51% 19,000 100% 61% 23,000 100%

21,000 49% 10,000 53% 59% 13,000 54%17,000 53% 9,000 47% 63% 11,000 46%

23,000 55% 12,000 64% 64% 14,000 62%2,000 53% 1,000 5% 65% 1,000 5%2,000 44% 1,000 5% 52% 1,000 5%

11,000 42% 4,000 23% 54% 6,000 25%1,000 51% 1,000 3% 63% 1,000 3%

14,000 39% 5,000 27% 53% 7,000 31%9,000 53% 5,000 25% 61% 6,000 24%

15,000 60% 9,000 48% 67% 10,000 45%

17,000 50% 8,000 44% 65% 11,000 47%21,000 51% 11,000 56% 57% 12,000 53%

23,000 48% 11,000 58% 58% 14,000 58%15,000 55% 8,000 42% 65% 10,000 42%

23,000 63% 15,000 75% 76% 18,000 76%4,000 60% 3,000 14% 73% 3,000 14%

11,000 21% 2,000 11% 23% 2,000 11%

24,000 50% 12,000 63% 61% 15,000 63%14,000 51% 7,000 37% 61% 9,000 37%

5,000 39% 2,000 10% 52% 3,000 11%8,000 42% 4,000 18% 55% 5,000 20%

13,000 51% 7,000 34% 59% 8,000 33%10,000 59% 6,000 30% 69% 7,000 30%2,000 79% 1,000 7% 80% 1,000 6%

11,000 61% 7,000 36% 72% 8,000 35%27,000 46% 12,000 64% 56% 15,000 65%

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 46

Page 49: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Fresno

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

65,000 6% 4,000 100% 15% 10,000 100%

32,000 5% 2,000 46% 14% 4,000 46%32,000 6% 2,000 54% 16% 5,000 54%

37,000 5% 2,000 55% 19% 7,000 71%5,000 7% 0 8% 13% 1,000 6%3,000 6% 0 5% 11% 0 4%

17,000 6% 1,000 29% 10% 2,000 18%2,000 5% 0 3% 8% 0 2%

45,000 6% 3,000 77% 11% 5,000 51%6,000 5% 0 9% 30% 2,000 19%9,000 4% 0 9% 22% 2,000 19%5,000 4% 0 5% 23% 1,000 11%

25,000 6% 1,000 40% 24% 6,000 62%9,000 6% 1,000 14% 14% 1,000 12%

17,000 5% 1,000 24% 8% 1,000 14%14,000 6% 1,000 22% 8% 1,000 11%

13,000 7% 1,000 23% 21% 3,000 26%10,000 4% 0 10% 28% 3,000 28%

21,000 9% 2,000 50% 39% 8,000 81%4,000 48% 2,000 50% 48% 2,000 19%

40,000 0% 0 0% 0% 0 0%

51,000 6% 3,000 83% 15% 8,000 78%14,000 5% 1,000 17% 15% 2,000 22%

19,000 6% 1,000 34% 13% 3,000 26%18,000 5% 1,000 26% 13% 2,000 24%21,000 6% 1,000 32% 18% 4,000 37%6,000 5% 0 8% 20% 1,000 11%1,000 4% 0 1% 16% 0 2%

49,000 6% 3,000 80% 13% 6,000 65%15,000 5% 1,000 20% 22% 3,000 35%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 47

Page 50: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Orange

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 199,000 33% 66,000 100% 47% 94,000 100%

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 82,000 36% 30,000 100% 58% 48,000 100%GenderMale 42,000 34% 14,000 48% 56% 24,000 49%Female 40,000 38% 15,000 52% 61% 24,000 51%

Race and EthnicityLatino 47,000 36% 17,000 58% 61% 29,000 61%Asian 8,000 42% 3,000 11% 62% 5,000 10%African American 2,000 35% 1,000 2% 52% 1,000 2%White 23,000 34% 8,000 27% 52% 12,000 25%Other 1,000 39% 1,000 2% 57% 1,000 2%

Age19‐29 years 27,000 27% 7,000 24% 50% 14,000 28%30‐44 years 29,000 39% 11,000 38% 63% 18,000 38%45‐64 years 26,000 42% 11,000 38% 62% 16,000 34%

Income100% FPL or less 35,000 33% 11,000 39% 58% 20,000 42%101‐138% FPL 47,000 38% 18,000 61% 59% 28,000 58%

Limited English Proficiency (18+)18+ Speaks English Very Well 46,000 35% 16,000 55% 54% 25,000 52%18+ Limited English Proficiency 36,000 37% 13,000 45% 64% 23,000 48%

Source of Coverage, without ACAUninsured 51,000 40% 21,000 70% 71% 37,000 76%Individual Market 13,000 53% 7,000 24% 70% 9,000 20%Employer Sponsored Insurance 17,000 10% 2,000 6% 11% 2,000 4%

Chronic ConditionsNo chronic conditions 63,000 35% 22,000 74% 58% 37,000 76%One or more chronic conditions 19,000 40% 8,000 26% 59% 11,000 24%

Self Reported Health StatusExcellent 13,000 27% 4,000 12% 50% 7,000 14%Very Good 24,000 30% 7,000 24% 54% 13,000 27%Good 27,000 37% 10,000 33% 60% 16,000 33%Fair 15,000 45% 7,000 23% 65% 10,000 21%Poor 3,000 70% 2,000 8% 79% 3,000 6%

Employment StatusNot Employed 30,000 43% 13,000 44% 69% 20,000 43%Employed 52,000 32% 17,000 56% 52% 27,000 57%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 48

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COUNTY: Orange

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 172,000 10% 17,000 100% 22% 38,000 100%GenderMale 81,000 10% 8,000 48% 21% 17,000 45%Female 91,000 10% 9,000 52% 23% 21,000 55%

Race and EthnicityLatino 94,000 7% 7,000 39% 24% 22,000 58%Asian 22,000 14% 3,000 17% 23% 5,000 13%African American 3,000 11% 0 2% 16% 1,000 1%White 49,000 14% 7,000 39% 20% 10,000 25%Other 4,000 12% 0 3% 16% 1,000 2%

Age0‐18 years 124,000 13% 16,000 91% 21% 26,000 68%19‐29 years 12,000 4% 0 3% 29% 3,000 9%30‐44 years 29,000 3% 1,000 6% 26% 7,000 19%45‐64 years 8,000 3% 0 1% 20% 2,000 4%

Income100% FPL or less 63,000 7% 4,000 26% 28% 18,000 46%101‐138% FPL 24,000 10% 2,000 14% 22% 5,000 14%139‐200% FPL 45,000 11% 5,000 29% 18% 8,000 21%201‐250% FPL 40,000 14% 5,000 31% 18% 7,000 19%

Limited English Proficiency (18+)18+ Speaks English Very Well 28,000 10% 3,000 16% 25% 7,000 18%18+ Limited English Proficiency 29,000 3% 1,000 5% 29% 8,000 22%

Source of Coverage, without ACAUninsured 72,000 6% 4,000 23% 34% 25,000 65%Individual Market 23,000 59% 13,000 77% 59% 13,000 35%Employer Sponsored Insurance 78,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 154,000 10% 16,000 92% 22% 34,000 91%One or more chronic conditions 18,000 8% 1,000 8% 19% 3,000 9%

Self Reported Health StatusExcellent 54,000 13% 7,000 40% 22% 12,000 31%Very Good 58,000 9% 5,000 31% 20% 12,000 31%Good 47,000 9% 4,000 24% 24% 11,000 30%Fair 11,000 6% 1,000 4% 23% 3,000 7%Poor 2,000 6% 0 1% 22% 0 1%

Employment StatusNot Employed 139,000 11% 15,000 87% 21% 30,000 78%Employed 33,000 7% 2,000 13% 25% 8,000 22%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 49

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COUNTY: Orange

Exchange Subsidy EligibleAll

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

219,000 59% 129,000 100% 74% 162,000 100%

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

85,000 55% 47,000 100% 65% 55,000 100%

43,000 52% 23,000 48% 63% 27,000 50%41,000 59% 24,000 52% 67% 28,000 50%

49,000 59% 29,000 62% 68% 33,000 60%8,000 57% 5,000 10% 69% 6,000 10%2,000 50% 1,000 2% 59% 1,000 2%

24,000 47% 11,000 24% 59% 14,000 26%1,000 53% 1,000 2% 64% 1,000 2%

28,000 43% 12,000 25% 57% 16,000 29%29,000 62% 18,000 39% 70% 21,000 37%27,000 61% 17,000 36% 68% 19,000 34%

36,000 50% 18,000 38% 66% 24,000 43%49,000 59% 29,000 62% 65% 32,000 57%

48,000 51% 24,000 52% 62% 29,000 53%37,000 60% 22,000 48% 70% 26,000 47%

53,000 65% 35,000 74% 77% 41,000 74%14,000 61% 8,000 18% 73% 10,000 18%18,000 21% 4,000 8% 23% 4,000 7%

65,000 55% 35,000 76% 65% 42,000 76%20,000 57% 11,000 24% 66% 13,000 24%

13,000 44% 6,000 12% 57% 8,000 14%25,000 50% 12,000 26% 62% 15,000 28%27,000 58% 16,000 34% 66% 18,000 33%16,000 62% 10,000 21% 70% 11,000 20%4,000 81% 3,000 6% 82% 3,000 5%

31,000 64% 20,000 42% 75% 23,000 42%54,000 50% 27,000 58% 59% 32,000 58%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 50

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COUNTY: Orange

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

178,000 12% 22,000 100% 25% 44,000 100%

84,000 12% 10,000 46% 23% 20,000 44%94,000 12% 12,000 54% 26% 24,000 56%

97,000 10% 10,000 44% 27% 26,000 60%23,000 14% 3,000 15% 24% 5,000 12%4,000 13% 0 2% 19% 1,000 2%

51,000 15% 8,000 36% 22% 11,000 25%4,000 13% 1,000 2% 17% 1,000 2%

128,000 15% 19,000 89% 24% 30,000 69%12,000 5% 1,000 3% 30% 4,000 8%30,000 5% 1,000 7% 28% 8,000 19%8,000 4% 0 1% 21% 2,000 4%

66,000 8% 5,000 25% 30% 19,000 44%25,000 12% 3,000 14% 25% 6,000 14%46,000 14% 7,000 31% 22% 10,000 23%41,000 16% 6,000 30% 21% 8,000 19%

29,000 12% 3,000 15% 26% 7,000 17%30,000 4% 1,000 6% 31% 9,000 21%

74,000 11% 8,000 37% 41% 30,000 69%23,000 58% 13,000 63% 58% 14,000 31%80,000 0% 0 0% 0% 0 0%

160,000 12% 20,000 92% 25% 40,000 91%18,000 9% 2,000 8% 21% 4,000 9%

55,000 15% 8,000 38% 25% 14,000 31%60,000 12% 7,000 32% 23% 14,000 32%49,000 11% 5,000 25% 26% 13,000 29%12,000 8% 1,000 4% 26% 3,000 7%2,000 7% 0 1% 23% 0 1%

144,000 13% 19,000 88% 24% 35,000 80%34,000 8% 3,000 12% 26% 9,000 20%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 51

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2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 193,000 37% 72,000 100% 49% 95,000 100%GenderMale 99,000 32% 32,000 44% 44% 44,000 46%Female 93,000 43% 40,000 56% 55% 51,000 54%

Age0‐18 years 15,000 51% 7,000 10% 51% 7,000 8%19‐29 years 51,000 37% 19,000 26% 49% 25,000 27%30‐44 years 50,000 37% 18,000 26% 52% 26,000 27%45‐64 years 77,000 35% 27,000 38% 47% 37,000 39%

Income138% FPL or less 11,000 26% 3,000 4% 56% 6,000 7%139‐200% FPL 63,000 41% 25,000 35% 56% 35,000 37%201‐250% FPL 39,000 29% 11,000 16% 41% 16,000 16%251‐400% FPL 80,000 40% 32,000 45% 48% 38,000 40%

Limited English Proficiency (18+)18+ Speaks English Very Well 109,000 46% 50,000 69% 53% 58,000 61%18+ Limited English Proficiency 71,000 21% 15,000 21% 43% 30,000 32%

Source of Coverage, without ACAUninsured 105,000 21% 22,000 31% 43% 46,000 48%Individual Market 55,000 80% 44,000 61% 80% 44,000 46%Employer Sponsored Insurance 32,000 18% 6,000 8% 18% 6,000 6%

Chronic ConditionsNo chronic conditions 149,000 33% 49,000 68% 45% 67,000 70%One or more chronic conditions 44,000 52% 23,000 32% 64% 28,000 30%

Self Reported Health StatusExcellent 43,000 43% 18,000 26% 52% 22,000 23%Very Good 61,000 40% 24,000 34% 51% 31,000 33%Good 63,000 30% 19,000 26% 42% 27,000 28%Fair 20,000 42% 8,000 12% 59% 12,000 13%Poor 5,000 44% 2,000 3% 58% 3,000 3%

Employment StatusNot Employed 64,000 41% 26,000 36% 54% 34,000 36%Employed 129,000 36% 46,000 64% 47% 61,000 64%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 52

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2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 111,000 34% 38,000 100% 54% 60,000 100%GenderMale 59,000 32% 19,000 51% 53% 31,000 52%Female 52,000 35% 18,000 49% 56% 29,000 48%

Race and EthnicityLatino 47,000 35% 17,000 44% 59% 28,000 47%Asian 7,000 41% 3,000 7% 61% 4,000 7%African American 8,000 32% 2,000 7% 49% 4,000 6%White 46,000 32% 14,000 38% 49% 22,000 37%Other 4,000 38% 1,000 4% 55% 2,000 3%

Age19‐29 years 39,000 23% 9,000 25% 43% 17,000 28%30‐44 years 28,000 35% 10,000 27% 55% 16,000 26%45‐64 years 43,000 42% 18,000 49% 64% 27,000 46%

Income100% FPL or less 58,000 33% 19,000 50% 57% 33,000 54%101‐138% FPL 53,000 35% 19,000 50% 52% 28,000 46%

Limited English Proficiency (18+)18+ Speaks English Very Well 75,000 33% 25,000 66% 51% 38,000 63%18+ Limited English Proficiency 36,000 35% 13,000 34% 61% 22,000 37%

Source of Coverage, without ACAUninsured 59,000 39% 23,000 61% 69% 40,000 67%Individual Market 26,000 47% 12,000 33% 66% 17,000 28%Employer Sponsored Insurance 26,000 9% 2,000 6% 10% 3,000 5%

Chronic ConditionsNo chronic conditions 78,000 32% 25,000 67% 53% 42,000 69%One or more chronic conditions 33,000 38% 12,000 33% 56% 18,000 31%

Self Reported Health StatusExcellent 22,000 26% 6,000 15% 46% 10,000 17%Very Good 32,000 27% 9,000 23% 47% 15,000 26%Good 32,000 34% 11,000 29% 55% 18,000 29%Fair 20,000 45% 9,000 24% 66% 13,000 22%Poor 5,000 74% 3,000 9% 84% 4,000 7%

Employment StatusNot Employed 42,000 42% 18,000 47% 65% 27,000 46%Employed 69,000 29% 20,000 53% 48% 33,000 54%

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 53

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COUNTY: San Diego

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 200,000 10% 19,000 100% 19% 38,000 100%GenderMale 98,000 9% 9,000 48% 18% 18,000 47%Female 102,000 10% 10,000 52% 20% 20,000 53%

Race and EthnicityLatino 88,000 7% 6,000 31% 22% 19,000 50%Asian 16,000 13% 2,000 11% 21% 3,000 9%African American 13,000 10% 1,000 6% 15% 2,000 5%White 75,000 12% 9,000 47% 17% 13,000 34%Other 8,000 10% 1,000 4% 14% 1,000 3%

Age0‐18 years 144,000 12% 18,000 92% 19% 27,000 70%19‐29 years 13,000 3% 0 2% 23% 3,000 8%30‐44 years 29,000 3% 1,000 4% 20% 6,000 15%45‐64 years 13,000 3% 0 2% 21% 3,000 7%

Income100% FPL or less 78,000 8% 6,000 31% 24% 19,000 50%101‐138% FPL 26,000 10% 3,000 14% 18% 5,000 13%139‐200% FPL 51,000 10% 5,000 27% 15% 7,000 19%201‐250% FPL 44,000 12% 5,000 28% 16% 7,000 18%

Limited English Proficiency (18+)18+ Speaks English Very Well 37,000 8% 3,000 15% 19% 7,000 19%18+ Limited English Proficiency 27,000 3% 1,000 4% 27% 7,000 19%

Source of Coverage, without ACAUninsured 67,000 6% 4,000 19% 34% 23,000 60%Individual Market 30,000 52% 16,000 81% 52% 15,000 40%Employer Sponsored Insurance 103,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 174,000 10% 17,000 89% 19% 34,000 88%One or more chronic conditions 25,000 8% 2,000 11% 17% 4,000 12%

Self Reported Health StatusExcellent 72,000 12% 8,000 44% 19% 14,000 36%Very Good 66,000 9% 6,000 30% 18% 12,000 30%Good 48,000 9% 4,000 22% 21% 10,000 27%Fair 11,000 6% 1,000 3% 21% 2,000 6%Poor 2,000 5% 0 1% 17% 0 1%

Employment StatusNot Employed 163,000 11% 17,000 90% 19% 31,000 81%Employed 37,000 5% 2,000 10% 20% 7,000 19%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 54

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COUNTY: San Diego

Exchange Subsidy EligibleAllGenderMaleFemale

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income138% FPL or less139‐200% FPL201‐250% FPL251‐400% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

209,000 63% 132,000 100% 75% 157,000 100%

108,000 58% 63,000 47% 70% 76,000 48%101,000 69% 70,000 53% 80% 81,000 52%

18,000 73% 13,000 10% 73% 13,000 8%49,000 60% 30,000 22% 74% 37,000 23%57,000 66% 38,000 28% 81% 46,000 29%85,000 61% 52,000 39% 72% 62,000 39%

8,000 62% 5,000 4% 97% 8,000 5%65,000 72% 47,000 36% 87% 57,000 36%43,000 55% 24,000 18% 67% 29,000 18%92,000 61% 56,000 43% 69% 63,000 40%

125,000 70% 88,000 66% 78% 97,000 62%67,000 48% 32,000 24% 71% 47,000 30%

97,000 50% 48,000 37% 75% 73,000 47%54,000 95% 52,000 39% 95% 52,000 33%57,000 56% 32,000 24% 57% 32,000 21%

158,000 57% 91,000 69% 71% 113,000 72%51,000 82% 42,000 31% 87% 44,000 28%

47,000 65% 30,000 23% 76% 36,000 23%67,000 66% 44,000 33% 78% 52,000 33%68,000 54% 37,000 28% 67% 46,000 29%21,000 75% 16,000 12% 88% 19,000 12%6,000 78% 5,000 3% 88% 5,000 3%

70,000 66% 46,000 35% 80% 56,000 36%139,000 62% 86,000 65% 73% 101,000 64%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 55

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COUNTY: San Diego

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

115,000 50% 58,000 100% 61% 69,000 100%

61,000 48% 29,000 51% 58% 36,000 51%54,000 53% 28,000 49% 63% 34,000 49%

49,000 56% 28,000 48% 65% 32,000 46%7,000 56% 4,000 7% 68% 5,000 7%8,000 46% 4,000 6% 55% 4,000 6%

47,000 44% 21,000 36% 56% 26,000 38%4,000 52% 2,000 3% 62% 2,000 3%

41,000 35% 14,000 25% 49% 20,000 29%29,000 54% 16,000 28% 63% 19,000 27%45,000 61% 27,000 47% 70% 31,000 45%

60,000 49% 29,000 50% 64% 38,000 55%55,000 52% 28,000 50% 57% 31,000 45%

78,000 47% 36,000 63% 58% 45,000 64%37,000 57% 21,000 37% 67% 25,000 36%

61,000 62% 38,000 66% 75% 46,000 66%27,000 55% 15,000 26% 69% 18,000 26%27,000 18% 5,000 9% 20% 5,000 8%

81,000 49% 40,000 69% 59% 48,000 69%34,000 53% 18,000 31% 64% 21,000 31%

23,000 39% 9,000 15% 51% 12,000 17%33,000 43% 14,000 25% 56% 19,000 27%33,000 53% 17,000 30% 61% 20,000 29%21,000 62% 13,000 22% 72% 15,000 21%5,000 86% 4,000 7% 87% 4,000 6%

43,000 60% 26,000 45% 72% 31,000 45%71,000 44% 31,000 55% 54% 38,000 55%

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 56

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Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

206,000 11% 23,000 100% 21% 44,000 100%

101,000 11% 11,000 47% 20% 20,000 46%105,000 12% 12,000 53% 22% 24,000 54%

91,000 9% 8,000 35% 24% 22,000 51%17,000 13% 2,000 9% 22% 4,000 8%13,000 11% 1,000 6% 17% 2,000 5%77,000 13% 10,000 45% 19% 15,000 33%8,000 11% 1,000 4% 15% 1,000 3%

149,000 14% 21,000 90% 21% 31,000 71%13,000 4% 1,000 2% 24% 3,000 7%30,000 4% 1,000 5% 21% 6,000 15%14,000 4% 1,000 3% 23% 3,000 7%

81,000 9% 7,000 30% 26% 21,000 48%27,000 12% 3,000 14% 20% 5,000 13%53,000 12% 7,000 28% 17% 9,000 21%45,000 14% 6,000 28% 18% 8,000 18%

38,000 9% 3,000 14% 20% 8,000 18%28,000 4% 1,000 5% 29% 8,000 18%

69,000 11% 7,000 32% 40% 28,000 64%31,000 51% 16,000 68% 52% 16,000 36%

106,000 0% 0 0% 0% 0 0%

180,000 11% 21,000 90% 22% 39,000 89%26,000 9% 2,000 10% 19% 5,000 11%

74,000 13% 10,000 43% 21% 16,000 36%68,000 10% 7,000 31% 20% 13,000 31%50,000 10% 5,000 22% 23% 12,000 26%11,000 7% 1,000 4% 23% 3,000 6%2,000 6% 0 1% 18% 0 1%

168,000 12% 21,000 90% 21% 36,000 82%38,000 6% 2,000 10% 21% 8,000 18%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 57

Page 60: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: San Bernardino

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 160,000 28% 45,000 100% 44% 70,000 100%

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 100,000 35% 35,000 100% 58% 58,000 100%GenderMale 53,000 33% 17,000 49% 56% 29,000 50%Female 47,000 38% 18,000 51% 61% 29,000 50%

Race and EthnicityLatino 58,000 36% 21,000 61% 62% 36,000 63%Asian 4,000 39% 2,000 5% 62% 3,000 5%African American 9,000 34% 3,000 9% 53% 5,000 8%White 25,000 31% 8,000 22% 49% 12,000 21%Other 3,000 38% 1,000 3% 59% 2,000 3%

Age19‐29 years 36,000 25% 9,000 25% 47% 17,000 29%30‐44 years 23,000 38% 9,000 25% 60% 14,000 24%45‐64 years 41,000 42% 17,000 50% 66% 27,000 47%

Income100% FPL or less 50,000 34% 17,000 49% 60% 30,000 52%101‐138% FPL 50,000 36% 18,000 51% 57% 28,000 48%

Limited English Proficiency (18+)18+ Speaks English Very Well 62,000 35% 22,000 61% 54% 34,000 58%18+ Limited English Proficiency 38,000 36% 14,000 39% 64% 25,000 42%

Source of Coverage, without ACAUninsured 71,000 40% 28,000 80% 69% 49,000 85%Individual Market 9,000 52% 5,000 14% 71% 7,000 11%Employer Sponsored Insurance 20,000 10% 2,000 6% 12% 2,000 4%

Chronic ConditionsNo chronic conditions 69,000 33% 23,000 65% 57% 39,000 68%One or more chronic conditions 31,000 39% 12,000 35% 60% 19,000 32%

Self Reported Health StatusExcellent 13,000 24% 3,000 9% 48% 6,000 11%Very Good 26,000 26% 7,000 20% 49% 13,000 22%Good 29,000 34% 10,000 28% 59% 17,000 30%Fair 27,000 43% 12,000 33% 66% 18,000 31%Poor 5,000 72% 3,000 10% 84% 4,000 7%

Employment StatusNot Employed 41,000 42% 17,000 49% 68% 28,000 47%Employed 60,000 30% 18,000 51% 51% 31,000 53%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 58

Page 61: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: San Bernardino

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 162,000 6% 9,000 100% 18% 30,000 100%GenderMale 73,000 6% 4,000 45% 17% 12,000 42%Female 89,000 6% 5,000 55% 19% 17,000 58%

Race and EthnicityLatino 97,000 5% 5,000 52% 21% 21,000 70%Asian 10,000 9% 1,000 10% 18% 2,000 6%African American 12,000 6% 1,000 8% 14% 2,000 6%White 37,000 7% 3,000 27% 13% 5,000 17%Other 5,000 6% 0 3% 11% 1,000 2%

Age0‐18 years 108,000 7% 7,000 79% 15% 16,000 53%19‐29 years 18,000 4% 1,000 8% 30% 5,000 18%30‐44 years 24,000 3% 1,000 8% 23% 6,000 19%45‐64 years 12,000 3% 0 4% 25% 3,000 10%

Income100% FPL or less 70,000 5% 4,000 40% 26% 18,000 61%101‐138% FPL 20,000 6% 1,000 13% 17% 4,000 12%139‐200% FPL 36,000 6% 2,000 21% 11% 4,000 14%201‐250% FPL 36,000 7% 2,000 26% 11% 4,000 13%

Limited English Proficiency (18+)18+ Speaks English Very Well 33,000 6% 2,000 23% 23% 8,000 25%18+ Limited English Proficiency 28,000 3% 1,000 10% 30% 8,000 28%

Source of Coverage, without ACAUninsured 71,000 5% 4,000 42% 34% 24,000 82%Individual Market 10,000 51% 5,000 58% 51% 5,000 18%Employer Sponsored Insurance 80,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 135,000 6% 8,000 86% 18% 25,000 83%One or more chronic conditions 26,000 5% 1,000 14% 20% 5,000 17%

Self Reported Health StatusExcellent 41,000 7% 3,000 31% 17% 7,000 23%Very Good 54,000 5% 3,000 31% 16% 9,000 30%Good 48,000 5% 3,000 29% 20% 10,000 33%Fair 17,000 5% 1,000 9% 23% 4,000 13%Poor 2,000 4% 0 1% 19% 0 1%

Employment StatusNot Employed 127,000 6% 8,000 82% 17% 22,000 72%Employed 34,000 5% 2,000 18% 24% 8,000 28%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 59

Page 62: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: San Bernardino

Exchange Subsidy EligibleAll

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

176,000 56% 99,000 100% 72% 127,000 100%

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

104,000 54% 56,000 100% 65% 67,000 100%

55,000 50% 27,000 49% 62% 34,000 51%49,000 59% 29,000 51% 68% 33,000 49%

60,000 59% 36,000 64% 69% 41,000 62%4,000 57% 3,000 5% 70% 3,000 5%9,000 49% 5,000 8% 59% 5,000 8%

26,000 44% 12,000 21% 56% 15,000 22%3,000 54% 2,000 3% 66% 2,000 3%

37,000 40% 15,000 26% 54% 20,000 30%24,000 59% 14,000 25% 67% 16,000 24%43,000 64% 27,000 49% 73% 31,000 46%

52,000 52% 27,000 48% 67% 35,000 52%51,000 56% 29,000 52% 62% 32,000 48%

64,000 51% 32,000 58% 61% 39,000 59%39,000 60% 23,000 42% 70% 28,000 41%

74,000 63% 46,000 82% 75% 55,000 83%10,000 60% 6,000 10% 73% 7,000 11%20,000 20% 4,000 7% 22% 4,000 7%

71,000 53% 38,000 67% 63% 45,000 68%32,000 57% 18,000 33% 67% 22,000 32%

13,000 40% 5,000 10% 55% 7,000 11%27,000 44% 12,000 21% 58% 16,000 23%30,000 56% 17,000 30% 65% 20,000 29%28,000 63% 18,000 31% 72% 20,000 30%5,000 85% 4,000 8% 86% 4,000 6%

42,000 63% 26,000 47% 74% 31,000 47%61,000 48% 29,000 53% 58% 36,000 53%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 60

Page 63: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: San Bernardino

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Limited English Proficiency (18+)18+ Speaks English Very Well18+ Limited English Proficiency

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Self Reported Health StatusExcellentVery GoodGoodFairPoor

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

167,000 8% 13,000 100% 21% 35,000 100%

75,000 7% 6,000 44% 19% 14,000 41%91,000 8% 7,000 56% 22% 21,000 59%

100,000 7% 7,000 57% 24% 25,000 70%11,000 9% 1,000 8% 19% 2,000 6%13,000 8% 1,000 8% 16% 2,000 6%38,000 8% 3,000 25% 15% 6,000 17%5,000 7% 0 3% 12% 1,000 2%

111,000 9% 10,000 79% 18% 19,000 56%18,000 5% 1,000 8% 31% 6,000 16%25,000 5% 1,000 9% 26% 6,000 18%12,000 5% 1,000 5% 27% 3,000 10%

72,000 7% 5,000 37% 28% 20,000 58%21,000 8% 2,000 13% 20% 4,000 12%37,000 8% 3,000 24% 15% 6,000 16%37,000 9% 3,000 26% 14% 5,000 15%

34,000 8% 3,000 20% 24% 8,000 24%29,000 4% 1,000 10% 32% 9,000 26%

74,000 10% 7,000 58% 40% 30,000 85%11,000 50% 5,000 42% 50% 5,000 15%82,000 0% 0 0% 0% 0 0%

140,000 8% 11,000 87% 21% 29,000 84%27,000 6% 2,000 13% 21% 6,000 16%

42,000 9% 4,000 29% 19% 8,000 23%55,000 7% 4,000 32% 19% 11,000 30%50,000 7% 4,000 29% 23% 11,000 33%17,000 7% 1,000 9% 25% 4,000 13%2,000 5% 0 1% 20% 0 1%

132,000 8% 11,000 84% 20% 26,000 74%35,000 6% 2,000 16% 26% 9,000 26%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 61

Page 64: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Riverside

2014

Exchange Subsidy Eligible EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 181,000 31% 56,000 100% 47% 86,000 100%

2014

Newly Eligible for Medi‐Cal EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 108,000 37% 39,000 100% 59% 63,000 100%GenderMale 58,000 35% 20,000 51% 57% 33,000 52%Female 50,000 38% 19,000 49% 60% 30,000 48%

Race and EthnicityLatino 57,000 38% 22,000 55% 64% 36,000 58%Asian 4,000 42% 2,000 4% 65% 3,000 4%African American 7,000 37% 3,000 6% 54% 4,000 6%White 37,000 33% 12,000 31% 51% 19,000 30%Other 3,000 38% 1,000 3% 57% 2,000 3%

Age19‐29 years 34,000 23% 8,000 20% 42% 15,000 23%30‐44 years 28,000 40% 11,000 28% 63% 18,000 28%45‐64 years 46,000 44% 20,000 51% 68% 31,000 49%

Income100% FPL or less 50,000 35% 17,000 44% 60% 30,000 47%101‐138% FPL 58,000 38% 22,000 56% 57% 33,000 53%

Source of Coverage, without ACAUninsured 73,000 42% 31,000 78% 71% 52,000 82%Individual Market 12,000 53% 6,000 16% 71% 9,000 14%Employer Sponsored Insurance 23,000 10% 2,000 6% 12% 3,000 4%

Chronic ConditionsNo chronic conditions 74,000 35% 26,000 65% 58% 43,000 68%One or more chronic conditions 34,000 40% 14,000 35% 60% 20,000 32%

Employment StatusNot Employed 43,000 43% 19,000 47% 68% 29,000 46%Employed 65,000 32% 21,000 53% 53% 34,000 54%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 62

Page 65: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Riverside

2014

Previously Eligible for Medi‐Cal but Not Enrolled Eligible

Take Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

All 176,000 7% 13,000 100% 16% 29,000 100%GenderMale 83,000 7% 6,000 45% 15% 13,000 44%Female 93,000 8% 7,000 55% 17% 16,000 56%

Race and EthnicityLatino 94,000 6% 6,000 44% 19% 18,000 61%Asian 9,000 10% 1,000 7% 19% 2,000 6%African American 11,000 7% 1,000 6% 13% 1,000 5%White 57,000 9% 5,000 40% 14% 8,000 27%Other 5,000 7% 0 3% 10% 0 2%

Age0‐18 years 127,000 9% 11,000 86% 13% 16,000 56%19‐29 years 12,000 4% 0 4% 26% 3,000 11%30‐44 years 24,000 4% 1,000 7% 25% 6,000 21%45‐64 years 12,000 4% 0 4% 26% 3,000 11%

Income100% FPL or less 62,000 7% 4,000 32% 26% 16,000 55%101‐138% FPL 25,000 8% 2,000 15% 16% 4,000 14%139‐200% FPL 45,000 7% 3,000 25% 10% 4,000 16%201‐250% FPL 44,000 8% 4,000 28% 10% 5,000 16%

Source of Coverage, without ACAUninsured 55,000 5% 3,000 23% 34% 19,000 66%Individual Market 17,000 57% 10,000 77% 56% 10,000 34%Employer Sponsored Insurance 103,000 0% 0 0% 0% 0 0%

Chronic ConditionsNo chronic conditions 149,000 7% 11,000 86% 16% 24,000 83%One or more chronic conditions 27,000 7% 2,000 14% 18% 5,000 17%

Employment StatusNot Employed 143,000 8% 11,000 87% 15% 21,000 73%Employed 32,000 5% 2,000 13% 24% 8,000 27%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 63

Page 66: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Riverside

Exchange Subsidy EligibleAll

Newly Eligible for Medi‐CalAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

193,000 60% 116,000 100% 76% 147,000 100%

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

112,000 55% 62,000 100% 65% 72,000 100%

60,000 53% 31,000 51% 63% 38,000 52%52,000 58% 30,000 49% 67% 35,000 48%

59,000 61% 36,000 58% 70% 41,000 57%4,000 61% 3,000 4% 73% 3,000 4%7,000 52% 4,000 6% 60% 4,000 6%

38,000 47% 18,000 29% 58% 22,000 30%3,000 54% 2,000 3% 65% 2,000 3%

35,000 36% 13,000 21% 49% 17,000 24%29,000 61% 18,000 29% 70% 20,000 28%47,000 65% 31,000 50% 74% 35,000 48%

52,000 53% 27,000 44% 67% 35,000 48%60,000 57% 34,000 56% 63% 38,000 52%

76,000 65% 49,000 80% 77% 58,000 80%13,000 61% 8,000 12% 73% 9,000 13%23,000 19% 4,000 7% 21% 5,000 7%

77,000 54% 41,000 67% 64% 49,000 68%35,000 57% 20,000 33% 67% 23,000 32%

44,000 63% 28,000 46% 74% 33,000 45%68,000 50% 33,000 54% 59% 40,000 55%

A. Characteristics of those under Age 65 Eligible for Exchange SubsidiesBASE ENHANCED

B. Characteristics of those under Age 65 Newly Eligible for Medi‐CalBASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 64

Page 67: CalSIM version 1.8 Regional Data Book 2014 and 2019

COUNTY: Riverside

Previously Eligible for Medi‐Cal but Not EnrolledAllGenderMaleFemale

Race and EthnicityLatinoAsianAfrican AmericanWhiteOther

Age0‐18 years19‐29 years30‐44 years45‐64 years

Income100% FPL or less101‐138% FPL139‐200% FPL201‐250% FPL

Source of Coverage, without ACAUninsuredIndividual MarketEmployer Sponsored Insurance

Chronic ConditionsNo chronic conditionsOne or more chronic conditions

Employment StatusNot EmployedEmployed

2019

EligibleTake Up Rate under ACA Take Up

Take Up Rate under ACA Take Up

181,000 9% 16,000 100% 18% 33,000 100%

86,000 8% 7,000 44% 16% 14,000 43%96,000 9% 9,000 56% 19% 19,000 57%

98,000 8% 7,000 47% 21% 20,000 62%9,000 10% 1,000 6% 19% 2,000 5%

11,000 9% 1,000 6% 14% 2,000 5%59,000 10% 6,000 38% 15% 9,000 26%5,000 8% 0 3% 11% 1,000 2%

131,000 10% 13,000 84% 14% 19,000 57%13,000 5% 1,000 4% 27% 3,000 10%25,000 5% 1,000 8% 27% 7,000 21%13,000 5% 1,000 4% 29% 4,000 11%

64,000 8% 5,000 32% 27% 17,000 53%26,000 9% 2,000 15% 18% 4,000 14%47,000 8% 4,000 25% 12% 5,000 17%45,000 9% 4,000 27% 12% 5,000 16%

57,000 10% 6,000 36% 40% 23,000 69%18,000 56% 10,000 64% 56% 10,000 31%

106,000 0% 0 0% 0% 0 0%

154,000 9% 14,000 87% 18% 27,000 84%28,000 7% 2,000 13% 19% 5,000 16%

148,000 9% 13,000 86% 16% 24,000 74%33,000 6% 2,000 14% 26% 9,000 26%

C. Characteristics of those under Age 65 Previously Eligible for but Not Enrolled in Medi‐Cal or Healthy Families

BASE ENHANCED

Source: UC Berkeley / UCLA CalSIM version 1.8Due to data limitations, not all variables are available for all populations in a region or county. 65