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Issue Brief 11
Issue Brief 11
THE IMPACT OF
RECLASSIFICATION FOR SELECT
STATES
Insured
Insured
IHS-only
Insured
Uninsured
Uninsured
Uninsured
State*
Alaska
Arizona
Montana
New Mexico
North Dakota
Oklahoma
South Dakota
119,241
292,552
66,320
191,475
35,228
391,949
68,281
19.0%
5.7%
7.4%
10.5%
5.5%
11.4%
9.0%
United States
4,119,301
1.5%
IHS Area**
Alaska
Phoenix, Navajo, and Tucson
Billings
Albuquerque and Navajo
Aberdeen
Oklahoma
Aberdeen
Source: Ogunwole, S.U. 2002. The American Indian and Alaska Native Population: 2000. Census 2000 Brief.
U.S. Census Bureau.
* States with > 5% of population reporting AI/AN in 2000 Census are included.
** There are twelve IHS Area Offices, serving 35 states. IHS Area Offices are designated geographic regions
9
each of which administers multiple local service units of the IHS.
Arizona
Montana
New Mexico
North Dakota
Oklahoma
South Dakota
292,552
66,320
191,475
35,228
391,949
68,281
5.7%
7.4%
10.5%
5.5%
11.4%
9.0%
United States
4,119,301
1.5%
Source: Ogunwole, S.U. 2002. The American Indian and Alaska Native Population: 2000. Census 2000 Brief.
U.S. Census Bureau.
* States with > 5% of population reporting AI/AN in 2000 Census are included.
** There are twelve IHS Area Offices, serving 35 states. IHS Area Offices are designated geographic regions
9
each of which administers multiple local service units of the IHS.
IHS-only as Insurance
(Pre-1998)
State
Alaska
Arizona
Montana
New Mexico
North Dakota
Oklahoma
South Dakota
IHS-only as Uninsurance
(Post-1998)
32
39
33
50
2
43
3
46
39
42
50
14
47
18
CONCLUSIONS
NOTES
1
2
3
5
6
7
8
9
There are 562 federally recognized tribes in the 48 contiguous states and Alaska. Source:
Bureau of Indian Aairs. Indian Entities Recognized and Eligible To Receive Services From
the United States Bureau of Indian Aairs; Notice. Federal Register, 67(134): 46327-46333
(12 Jul 2002).
Source: Indian Health Service, 2004. Indian Health Service Fact Sheet. U.S. Department of
Health and Human Services. http://www.ihs.gov/PublicInfo/PublicAairs/Welcome_Info/
ThisFacts.asp Updated March 29, 2004. Accessed Feb. 7, 2005.
Ogunwole, Stella U. 2002. The American Indian and Alaska Native Population: 2000. Census
2000 Brief. U.S. Census Bureau.
Indian Health Service. Regional Dierences in Indian Health, 2000-2001. Rockville, MD: U.S.
Department of Health and Human Services, Indian Health Service, Oce of Public Health,
Program Statistics Team.
10 Dixon, M. (2001). Access to Care Issues of Native American Consumers. In M. Dixon &
Y. Roubideaux (Eds.), Promises to Keep: Public Health Policy for American Indians &
Alaska Natives in the 21st Century (pp. 61-88). Washington DC: American Public Health
Association; Zuckerman, Stephen, Jennifer Haley, Yvette Roubideaux, and Marsha LillieBlanton. 2004. Health service access, use, and insurance coverage among American Indians/
Alaska Natives and Whites: What role does the Indian Health Service Play? American Journal
of Public Health. 94(1):53-59.
11 Dixon, M. (2001).
12 Kunitz, Stephen J. 1996. The History and Politics of US Health Care Policy for American
Indians and Alaskan Natives. American Journal of Public Health. 86(10): 1464-1473; Indian
Health Service. 2001. IHS Issue Summary: Eligibility. http://info.ihs.gov
State Health Access Data Assistance Center (SHADAC) | University of Minnesota School of Public Health
612-624-4802 | fax: 612-624-1493 | www.shadac.org
IB-10-604