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Major Users of State Provided Health Insurance Programs
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Nationally
Over the last two years, 13 states have disclosed employers that are major users of state provided health insurance programs which are aimed at low-income families. Wal-Mart has topped the list in all the states, except Massachusetts where it was second and Wisconsin, which did not disclose the usage of employers other than Wal-Mart.

Combined, the 13 states disclose that at least 55,000* Wal-Mart employees, children, and spouses are covered by state health insurance programs. A total of 480,000 Wal-Mart employees work in these 12 states, meaning that on average for every nine Wal-Mart employees, at least one Wal-Mart family member is getting state-provided health care.

A total of approximately 505,000 Wal-Mart employees work in these 13 states.

*The figure for Arkansas include forms of public aid other than health care, however Medicaid makes up the primary component.

State By State
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Alabama: Wal-Mart is the largest user of the state Medicaid program with 3,864 children of employees receiving coverage with an estimated annual state cost of between $5.8 million and $8.2 million a year. Wal-Mart has 37,026 employees in Alabama.
Source: John Davis and Jannell McGrew, “Health Plans Not Family Friendly,” Montgomery Advertiser, February 22, 2005, p.B6; state employee figures from www.walmartfacts.com.
Arizona: Wal-Mart is the largest user of KidsCare, a state public health care program for low-income families, with 450 employees and their families enrolled. Wal-Mart has 25,647 employees in Arizona.
Source: Jonathan Higuera, “Working Poor Swell AHCCCS Rolls,” The Arizona Republic, January 1, 2005, A17; state employee figures from www.walmartfacts.com.
Arkansas: Wal-Mart is the largest recipient of employee public assistance in Arkansas. A study done by the Arkansas Department of Human Services showed that 3,971 Wal-Mart employees received some sort of state public assistance, primarily Medicaid. Wal-Mart has 44,401 employees in Arkansas.
Source: Brian Baskin, "Top 9 Employers in State have 9,698 Getting Public Aid," Arkansas Democrat-Gazette, March 17, 2005; state employee figures from www.walmartfacts.com.
Connecticut: Wal-Mart is the largest user of Connecticut programs for children’s health insurance with 903 children of employees enrolled in the states’ Medicaid and Children’s Health insurance Program. Wal-Mart has 9,082 employees in Connecticut.
Source: Robin K. Cohen, HUSKY A and B—Enrollment and Employer Data, Connecticut Office of Legislative Research Report 2005-R-0017, January 10, 2005; available online at www.cga.ct.gov/2005/rpt/2005-R-0017.htm; state employee figures from www.walmartfacts.com.
Florida: Wal-Mart is the largest user of Florida Medicaid and state Children’s Health Insurance Program (CHIP) with 12,300 employees or children of employees enrolled. In addition Wal-Mart accounted for 1,375 employee children enrolled in Kidcare, an additional state-funded children’s health insurance program, bringing the total of disclosed participants to 13,675 employees and dependents. Wal-Mart has 89,109 employees in Florida.
Source: Sydney P. Freedberg and Connie Humburg, "Lured Employers Now Tax Medicaid," St. Petersburg Times, March 25, 2005 and Good Jobs First http://www.goodjobsfirst.org/gjfhealthcaredisclosure.htm; state employee figures from www.walmartfacts.com.
Georgia: Wal-Mart is the largest user of PeachCare for Kids, Georgia’s children’s health insurance program, with 10,261 children of employees. Wal-Mart has 49,600 employees in Florida.
Source: Andy Miller, Wal-Mart Stands Out on Rolls of PeachCare,” Atlanta Journal-Constitution, February 27, 2004, p.1B. state employee figures from www.walmartfacts.com.
Iowa: Wal-Mart is the largest user of Iowa’s Medicaid program with 845 employees enrolled. Wal-Mart has 17,249 employees in Iowa.
Source: Ryan Foley, "IA Medicaid Employers," Associated Press, March 4, 2005; state employee figures from www.walmartfacts.com.
Massachusetts: Wal-Mart is the second largest user of Massachusetts’ public healthcare program with 2,081 employees and children of employees enrolled in MassHealth and Uncompensated Care Pool. Wal-Mart has 11,625 employees in Massachusetts.
Sources: Massachusetts, Division of Health Care Finance and Policy- www.mass.gov/Eeohhs2/docs/dhcfp/pdf/50+_ees_ph_assist.pdf and the accompanying spreadsheet at www.mass.gov/Eeohhs2/docs/dhcfp/pdf/50+_ees_ph_assist_ss.pdf; state employee figures from www.walmartfacts.com.
Tennessee: Wal-Mart is the largest user of the state’s health plan for the poor- TennCare, with 9,617 employees enrolled in the plan. Wal-Mart has 38,621 employees in Tennessee.
Sources: Rebecca Ferrar, “Big Companies Have a Large Number of Workers in Program,” Knoxville News-Sentinel, January 30, 2005, p.C1; state employee figures from www.walmartfacts.com.
Texas: Wal-Mart is the largest user of the state Children’s Health Insurance program with 4,363 children of employees enrolled. Wal-Mart has 134,042 employees in Texas.
Source: Data obtained by the Center for Public Policy Priorities (www.cppp.org) and provided to Good Jobs First http://www.goodjobsfirst.org/pdf/texaschip.pdf; state employee figures from www.walmartfacts.com.
Washington: In March 2003, Wal-Mart was reported as the largest user of one of the state’s family health care plans—Basic Health Plan – with 281 enrolled employees. Wal-Mart has 14,676 employees in Washington.
Sources: Andrew Garber, “Enrollments in State’s Health Plan Questioned,” Seattle Times, February 3, 2004; state employee figures from www.walmartfacts.com.
West Virginia: Wal-Mart is the largest user of the state’s Children’s Health Insurance program with 452 children of employees participating in the program. Wal-Mart has 11,790 total employees in West Virginia.
Source: John Heys and Paul Wilson, “Wal-Mart Culture: Wal-Mart Tops State CHIP List,” Charleston Sunday Gazette-Mail, December 26, 2004, p.1A.; state employee figures from www.walmartfacts.com.
Wisconsin: In Wisconsin, 3,765 Wal-Mart employees, children, and spouses participate in BadgerCare, the state’s health insurance program for low-income working families. The annual cost to taxpayers of this BadgerCare coverage was estimated at $4.75 million, with the state covering $1.8 million of that amount. Wal-Mart employs 26,248 employees in Wisconsin.
Source: Anita Weier, “Wal-Mart Workers Need State Health Aid,” The Capital Times (Madison, WI), November 4, 2004, p.1A; state employee figures from www.walmartfacts.com.