Medicare Bill Reimbursement for Undocumented Immigrant Health Care Costs - California Institute Analysis (Dec. 2003)

Reimbursement for Emergency Health Services to Undocumented Immigrants
Based on Unauthorized Resident Population and Apprehensions by State
Residents, Jan.1, 2000 *  Apprehensions, Fiscal Year 2002 % Funds Allocation @ 2000 pop. for
State Number Percent  Number Rank Top 6 Percent Dollars Percent "other" states
1990 1990
All States        7,001,000 3,500        100.00 100.00%       1,059,499      999,357    100.00      250,000,000         7,720,907
Alabama            24,000 5            0.34 0.14%               638 33                -              572,490       0.23
Alaska             5,000 3            0.07 0.09%               285 44                -              119,269       0.05
Arizona          283,000 88            4.04 2.51%         382,628 1      382,628      38.29        38,529,165      15.41
Arkansas            27,000 5            0.39 0.14%            1,279 21                -              644,051       0.26
California        2,209,000 1,476          31.55 42.17%         236,529 3      236,529      23.67        72,337,439      28.93
Colorado          144,000 31            2.06 0.89%            6,795 7                -           3,434,938       1.37
Connecticut            39,000 19            0.56 0.54%               629 34                -              930,296       0.37
Delaware            10,000 3            0.14 0.09%                -              238,537       0.10
District of Colombia             7,000 16            0.10 0.46%               527 37                -              166,976       0.07
Florida          337,000 239            4.81 6.83%            8,230 6          8,230        0.82         8,722,238       3.49
Georgia          228,000 34            3.26 0.97%            1,436 19                -           5,438,652       2.18
Hawaii             2,000 6            0.03 0.17%               279 45                -               47,707       0.02
Idaho            19,000 11            0.27 0.31%            1,186 23                -              453,221       0.18
Illinois          432,000 194            6.17 5.54%            2,845 12                -          10,304,814       4.12
Indiana            45,000 11            0.64 0.31%               383 38                -           1,073,418       0.43
Iowa            24,000 5            0.34 0.14%                -              572,490       0.23
Kansas            47,000 13            0.67 0.37%                -           1,121,126       0.45
Kentucky            15,000 4            0.21 0.11%               573 35                -              357,806       0.14
Louisiana             5,000 15            0.07 0.43%            3,710 10                -              119,269       0.05
Maine             1,156            0.02 0.00%               531 36                -               27,572       0.01 1274923
Maryland            56,000 34            0.80 0.97%               768 30                -           1,335,809       0.53
Massachusetts            87,000 53            1.24 1.51%               821 29                -           2,075,275       0.83
Michigan            70,000 23            1.00 0.66%            2,041 17                -           1,669,761       0.67
Minnesota            60,000 13            0.86 0.37%            1,980 18                -           1,431,224       0.57
Mississippi             8,000 2            0.11 0.06%               967 28                -              190,830       0.08
Missouri            22,000 8            0.31 0.23%            3,661 11                -              524,782       0.21
Montana #                818            0.01 0.00%            1,130 25                -               19,511       0.01 902195
Nebraska            24,000 6            0.34 0.17%            4,319 9                -              572,490       0.23
Nevada          101,000 27            1.44 0.77%            2,321 15                -           2,409,227       0.96
New Hampshire #              1,120            0.02 0.00%               380 39                -               26,726       0.01 1235786
New Jersey          221,000 95            3.16 2.71%            1,188 22                -           5,271,675       2.11
New Mexico            39,000 20            0.56 0.57%           56,744 4        56,744        5.68         5,643,078       2.26
New York          489,000 357            6.98 10.20%            8,280 5          8,280        0.83        12,352,159       4.94
North Carolina          206,000 26            2.94 0.74%            1,125 26                -           4,913,869       1.97
North Dakota #                582            0.01 0.00%               691 32                -               13,889       0.01 642200
Ohio            40,000 12            0.57 0.34%            1,163 24                -              954,149       0.38
Oklahoma            46,000 16            0.66 0.46%               707 31                -           1,097,272       0.44
Oregon            90,000 26            1.29 0.74%            2,335 14                -           2,146,836       0.86
Pennsylvania            49,000 25            0.70 0.71%            2,231 16                -           1,168,833       0.47
Rhode Island            16,000 8            0.23 0.23%               324 41                -              381,660       0.15
South Carolina            36,000 7            0.51 0.20%               130 47                -              858,734       0.34
South Dakota #                684            0.01 0.00%               288 42                -               16,325       0.01 754844
Tennessee            46,000 9            0.66 0.26%            1,299 20                -           1,097,272       0.44
Texas        1,041,000 438          14.87 12.51%         306,946 2      306,946      30.71        50,324,648      20.13
Utah            65,000 15            0.93 0.43%            2,336 13                -           1,550,493       0.62
Vermont #                552            0.01 0.00%               984 27                -               13,167       0.01 608827
Virginia          103,000 48            1.47 1.37%               335 40                -           2,456,935       0.98
Washington          136,000 39            1.94 1.11%            5,011 8                -           3,244,108       1.30
West Virginia #             1,640            0.02               224 46                -               39,108       0.02 1808350
Wisconsin            41,000 10            0.59 0.29%               287 43                -              978,003       0.39
Wyoming #                448            0.01 0.00%                -               10,679       0.00 493782
# Eight States --Maine, Montana, New Hampshire, North Dakota, South Dakota, Vermont, West Virginia, and Wyoming --each housed fewer than 2,500 estimated unauthorized residents in 1990 and 2000.  For funds allocation purposes, we impute the "other states" count to these states according to their relative population share.
Unauthorized count for remaining eight states: 7000
* Resident source:  http://www.immigration.gov/graphics/shared/aboutus/statistics/Ill_Report_1211.pdf
% Apprehensions source:  DHS internal data, sourced to Performance Analysis Report (Form G-2318).
@ Funding of $250 million is proposed in S.1 (Senate version of Medicare coverage bill), to be allocated as follows: $167 million based on undocumented residents by state, and $83 million based on undocumented apprehensions by state for 6 states with most apprehensions.  Funding would be appropriated for FYs 2005 through 2008.