Sang-Hyop Lee, Ph.D. Gerard Russo, Ph.D. Lawrence Nitz, Ph.D. Abdul Jabbar, Ph.D. Candidate

1. Uncovered Workers in Hawai`i—Part-Time, Full-Time and Self-Employed: Estimates from the Current Population Survey (CPS) 1994-2003. Sang-Hyop Lee, Ph.D. Gerard Russo, Ph.D. Lawrence Nitz, Ph.D. Abdul Jabbar, Ph.D. Candidate University of Hawai`i at Mānoa Hawai`i Coverage for All Project Hawaii HRSA SPG Technical Workshop VI 17 September 2004 This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health. Sub-Contract Research Corporation of the University of Hawaii. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs: Hawaii Uninsured Project and the Hawaii Health Information Corporation.

2. Research Questions • How Many Uninsured Adults are Working? • How Many are Self-Employed? • Not Covered by Pre-Paid Health Care Act. • How Many are Part-Time Employees? • Not Covered by Pre-Paid Health Care Act. • How Many are Full-Time Employees? • Typically Should be Covered by Pre-Paid Health Care Act. Preliminary Results. Subject to revision.

3. Current Population Survey (CPS) Annual Social and Economic Supplement:Hawai´i Sample 1994-2003 Preliminary Results. Subject to revision.

4. Age Distribution of Hawaii’s Uninsured Population: CPS 1994-2003, 10-year Average 112,565 2,527 25,669 84,369 Preliminary Results. Subject to revision.

5. Three Measures of Hours Worked: Current Population Survey • Usual hours worked per week at all jobs held last year. • Usual hours worked per week at all jobs held last week. • Usual hours worked per week at main job held last week. Preliminary Results. Subject to revision.

6. Distribution of Uninsured AdultsAge 19-64 by Employment: Summary Note: Weighted Tabulations CPS 1994-2003 Hawaii Sample, 10-year Average. Preliminary Results. Subject to revision.

7. 84,369 Uninsured Adults Age 19-64 • Start with Usual Hours Worked per Week at All Jobs Held Last Year: Matches Insurance Question • Exclude the Unemployed and Not-in-Labor Force • Exclude Self-Employed • Exclude Employees with Two or More Employers • Exclude Unpaid Workers • Split Between Public and Private Sector • PLEASE NOTE: The Uninsured Private Sector are Mostly Non-Union Preliminary Results. Subject to revision.

8. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week All Jobs Last Year: Self-Employed & Employees 61,085 Uninsured Adults Age 19-64 Self-Employed + Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

9. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at All Jobs held Last Year: Employees 49,006 Uninsured Adults Age 19-64 Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

10. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at All Jobs held Last Year: Employees with one Employer 40,450 Uninsured Adults Age 19-64 Employees with one Employer NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

11. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at All Jobs held Last Year: Paid Employees with One Employer 40,255 Uninsured Adults Age 19-64 Paid Employees with One Employer NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

12. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at All Jobs held Last Year: Paid Public Sector Employees with One Employer 5,190 Uninsured Adults Age 19-64 Paid Public Sector Employees with One Employer NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

13. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at All Jobs held Last Year: Paid Private Sector Employees with One Employer 35,365 Uninsured Adults Age 19-64 Paid Private Sector Employees with One Employer NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

14. 84,369 Uninsured Adults Age 19-64 • Start with Usual Hours Worked per Week at Main Job Held Last Week: Accurate Recall & One Job • Exclude the Unemployed and Not-in-Labor Force • Exclude Self-Employed • Exclude Unpaid Workers • Split Between Public and Private Sector • PLEASE NOTE: The Uninsured Private Sector are Mostly Non-Union Preliminary Results. Subject to revision.

15. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Self-Employed & Employees 44,085 Uninsured Adults Age 19-64 Self-Employed & Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

16. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Employees 35,678 Uninsured Adults Age 19-64 Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

17. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Paid Employees 35,356 Uninsured Adults Age 19-64 Paid Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

18. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Paid Public Sector Employees 4,859 Uninsured Adults Age 19-64 Paid Public Sector Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

19. Percent Distribution of Uninsured Workers by Usual Hours Worked per Week at Main Jobs held Last Week: Paid Private Sector Employees 30,497 Uninsured Adults Age 19-64 Paid Private Sector Employees NOTE: Probability density function computed from the CPS 1994-2003 Hawaii sample. Preliminary Results. Subject to revision.

20. Uninsured Employees Age 19-64 by Major Industry:CPS 1994-200310-Year Average Preliminary Results. Subject to revision.

21. Some Examples • Wholesale & Retail Trade • Motor Vehicle Dealerships • Alcoholic Beverage Wholesaler • Drug Stores, Department Stores, Florist Shops, Grocery Stores, etc. • Services • Legal, Accounting, Engineering, Architectural, Advertising, etc. • Educational and Health Services • Hotel and Restaurant Services • Auto Repair & Maintenance, Barber Shops, Beauty Salons, Car Washes, Nail Salons, Funeral Homes Preliminary Results. Subject to revision.

22. Preliminary Results. Subject to revision.

23. Summary • If we look at 10-years of CPS data, we find there are approximately 25,000-30,000 uninsured employees per year working full-time in private-sector positions which are non-union jobs. • By CPS estimates, these uninsured full-time private-sector workers represent 20-25% of Hawaii’s uninsured population. • It seems plausible that many, if not most, of these workers should be subject to the provisions of the Pre-Paid Health Care Act of 1974 and therefore, covered by health insurance. • This inference assumes CPS responses are valid and reliable. Preliminary Results. Subject to revision.

24. Mahalo! This research is funded in part by U.S. Department of Health and Human Services Health Resources & Services Administration State Planning Grant Hawaii State Department of Health. Preliminary Results. Subject to revision.