The purpose of this brief is to identify the state-level information currently available from federal surveys that states can use to monitor the impact of health reform and to compare the impacts of reform across states. We examine seven federal surveys that include questions on health insurance coverage and health access. While many states also conduct their own health surveys--and many of these state surveys include a richness of detail not available from federal surveys--our focus in this brief is on data that can be used to make comparisons across all 50 states and the District of Columbia. We provide an overview of survey design, survey content, and sample sizes, including sample sizes by state, for the following federal surveys: (1) American Community Survey (ACS) (2) Current Population Survey (CPS) (3) National Health Interview Survey (NHIS) (4) Medical Expenditure Panel Survey--Household Component (MEPS-HC) (5) Behavioral Risk Factor Surveillance System (BRFSS) (6) National Survey of Children's Health (NSCH) (7) Survey of Income and Program Participation (SIPP). This brief describes each of these surveys, addressing survey design, sample, content relating to coverage and access, and how to obtain estimates and data. This discussion is followed by a series of tables summarizing the information provided, with source notes included at the end of the brief.
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