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<br /> 12 <br /> <br /> Latino immigrant focus group respondents experience a lack of appointments for men, frustration <br />with lack of response and long wait times when seeking service.16 <br /> <br />Access to Health Insurance <br /> According to 2013 small area health insurance estimates (SAHIE) approximately 21,000 (15.3%) <br />Orange County residents between 0-64 years of age were uninsured, a decrease from 2011 where <br />16.4% of residents were uninsured (see figure 7). <br /> <br /> Orange County generally has comparable rates of uninsured residents to the state; however in 2013, <br />a higher percentage of low income youth under 19 were uninsured in Orange County (15% +/- 3.2%) <br />as compared to NC (9.2% +/- 0.7%)17. <br /> <br /> <br /> <br />In 2010, the Patient Protection and Affordable Care Act were enacted by Congress to reduce the number <br />of uninsured Americans by providing affordable, high-quality health insurance.18 NC, a Federally- <br />Facilitated Marketplace (FFM) state, enrolled 28% of new consumers and 72% of re-enrollees during the <br />2016 plan selection, which could account for the decrease in our uninsured rate. <br /> <br /> Over 6,000 Orange County residents <br />enrolled into the Marketplace for 2015 <br />coverage (see figure 8). <br /> <br /> Among the 38 states that used the <br />healthcare.gov platform, NC is the fourth <br />highest in total people who selected a <br />plan with more than 11.2 million people <br />(including all plan selections whether <br />they use state or federal marketplace). <br /> <br /> 66% of NC plan selections live at or under <br />200% Federal Poverty Level; 88% of <br />North Carolinians have received <br />subsidies. <br /> *County level data was unavailable at time of report, Orange County’s <br />year three numbers is an estimate based on the statewide percent <br />350,000 <br />559,473 <br />613,487 <br />4,732 <br />6,978 7,675 <br />0 <br />2,000 <br />4,000 <br />6,000 <br />8,000 <br />10,000 <br />12,000 <br />14,000 <br />16,000 <br />18,000 <br />20,000 <br />0 <br />100,000 <br />200,000 <br />300,000 <br />400,000 <br />500,000 <br />600,000 <br />700,000 <br />Year 1 (2014)Year 2 (2015)Year 3 (2016) <br />Or <br />a <br />n <br />g <br />e <br /> <br />C <br />o <br />u <br />n <br />t <br />y <br /> <br />E <br />n <br />r <br />o <br />l <br />l <br />m <br />e <br />n <br />t <br />No <br />r <br />t <br />h <br /> <br />C <br />a <br />r <br />o <br />l <br />i <br />n <br />a <br /> <br />E <br />n <br />r <br />o <br />l <br />l <br />m <br />e <br />n <br />t <br />Figure 8: County and State Affordable Care Act Year- <br />to-Year Enrollment <br />North Carolina Orange County <br />Figure 7: