DESCRIPTION OF THE REPORT

This report provides an executive summary and highlights from the National Indian Health Board (NIHB) State Health Insurance Status Report (SHISR) for 2022. The SHISR provides an analysis of American Indian/Alaska Native (AI/AN) enrollment in Medicare and Medicaid as well as data for Uninsured from the American Community Survey (ACS). The SHISR uses five- year rolling averages for the United States and all 50 states including DC. While the focus of the SHISR is from 2012 to 2022, this annual enrollment report will provide highlights and differences among states for 2022 data only. Specific concerns over data sampling errors, the Medicaid undercount in ACS data, and adjusting the results for age differences between the AI/AN and Overall population are addressed in the Introduction section of the SHISR.

DATA DESCRIPTION AND SAMPLE: AMERICAN COMMUNITY SURVEY DATA

This report utilizes the ACS 5-year estimates for 2022.2 The 5-year estimates represent data collected over a period of the preceding five years. These estimates have increased statistical reliability for small population subgroups compared to the one-year data3 The AI/AN population is reported as the people who are American Indian or Alaska Native alone or in combination with one or more races. Foreign born are included in the AI/AN population estimates within this report.