Exhibit 1.

Percent Of People Ages 18–64 With Mental Health Problems By Insurance Status, 1999–2010

Insurance status (n)	1999–2000	2001–02	2003–04	2005–06	2007–08	2009–10
None
SPD or limitation (3,193)**	5.1	5.7	5.5	5.1	5.8	6.1
SPD and limitation (791)***	1.0	1.3	1.4	1.3	1.3	1.6
Public
SPD or limitation (4,642)	14.5	16.2	13.7	14.9	15.2	15.4
SPD and limitation (1,909)	5.5	6.8	6.6	6.1	5.8	5.5
Private
SPD or limitation (5,160)**	2.5	2.7	2.7	2.6	2.5	3.1
SPD and limitation (987)**	0.4	0.5	0.5	0.5	0.6	0.5
Total
SPD or limitation (13,104)****	3.7	4.3	4.2	4.3	4.5	5.1
SPD and limitation (3,723)****	0.9	1.1	1.2	1.2	1.3	1.4

SOURCE Authors’ analysis of data from the Integrated Health Interview Series, 1999–2010 (see Note 22 in text).

NOTES Subjects were divided into three mutually exclusive groups: those with no mental health problem, those with a moderate mental health problem (either serious psychological distress (SPD) or an activity or functional limitation due to a mental health problem), and those with a serious mental health problem (both SPD and a limitation). Private insurance is employer-based, MediGap, or TRICARE. Public insurance is Medicaid, Medicare, other government programs, or other military coverage. None is uninsured. People with both private and public coverage were classified as private. Significance indicators pertain to statistical tests for significance of trend.

^**p ≤ 0.05

^***p ≤ 0.01

^****p ≤ 0.001