Data / Rankings / Uninsured rate, under 19 (US, ACS) / US states

US states by uninsured rate, under 19 (US, ACS), 2024

Texas had the highest uninsured rate, under 19 (US, ACS) of 51 states in 2024, at 12%. Massachusetts had the lowest, at 1.6%. The median was 4.8% and the figure for the United States was 5.5%. Source: the U.S. Census Bureau.

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Highest12Texas
Lowest1.6Massachusetts
Median4.851 states
United States5.5History

Map of states, 2024

Alabama: 3.6 %Alaska: 8.1 %Arizona: 8.8 %Arkansas: 6.1 %California: 3.2 %Colorado: 5.2 %Connecticut: 2.8 %Delaware: 4 %District of Columbia: 2.8 %Florida: 7.5 %Georgia: 6.9 %Hawaii: 3 %Idaho: 6.8 %Illinois: 3.3 %Indiana: 5.9 %Iowa: 3.3 %Kansas: 5.4 %Kentucky: 4.4 %Louisiana: 4.6 %Maine: 4.3 %Maryland: 4.4 %Massachusetts: 1.6 %Michigan: 3 %Minnesota: 3.4 %Mississippi: 5.9 %Missouri: 6.2 %Montana: 7.1 %Nebraska: 4.8 %Nevada: 8 %New Hampshire: 3.4 %New Jersey: 4.3 %New Mexico: 5.8 %New York: 2.6 %North Carolina: 5.5 %North Dakota: 5.9 %Ohio: 4.9 %Oklahoma: 8.3 %Oregon: 3 %Pennsylvania: 5.1 %Rhode Island: 3 %South Carolina: 5.6 %South Dakota: 7.3 %Tennessee: 5.9 %Texas: 12 %Utah: 6.7 %Vermont: 2.2 %Virginia: 4.7 %Washington: 3.2 %West Virginia: 2.9 %Wisconsin: 4.1 %Wyoming: 9.1 %
  • Under 3
  • 3 to 3.9
  • 3.9 to 4.8
  • 4.8 to 5.9
  • 5.9 to 7
  • 7 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2024

Texas: 12 %Texas12Wyoming: 9.1 %Wyoming9.1Arizona: 8.8 %Arizona8.8Oklahoma: 8.3 %Oklahoma8.3Alaska: 8.1 %Alaska8.1Nevada: 8 %Nevada8Florida: 7.5 %Florida7.5South Dakota: 7.3 %South Dakota7.3Montana: 7.1 %Montana7.1Georgia: 6.9 %Georgia6.9Idaho: 6.8 %Idaho6.8Utah: 6.7 %Utah6.7Missouri: 6.2 %Missouri6.2Arkansas: 6.1 %Arkansas6.1Indiana: 5.9 %Indiana5.9North Dakota: 5.9 %North Dakota5.9Mississippi: 5.9 %Mississippi5.9Tennessee: 5.9 %Tennessee5.9New Mexico: 5.8 %New Mexico5.8South Carolina: 5.6 %South Carolina5.6North Carolina: 5.5 %North Carolina5.5Kansas: 5.4 %Kansas5.4Colorado: 5.2 %Colorado5.2Pennsylvania: 5.1 %Pennsylvania5.1Ohio: 4.9 %Ohio4.9Nebraska: 4.8 %Nebraska4.8Virginia: 4.7 %Virginia4.7Louisiana: 4.6 %Louisiana4.6Maryland: 4.4 %Maryland4.4Kentucky: 4.4 %Kentucky4.4New Jersey: 4.3 %New Jersey4.3Maine: 4.3 %Maine4.3Wisconsin: 4.1 %Wisconsin4.1Delaware: 4 %Delaware4Alabama: 3.6 %Alabama3.6New Hampshire: 3.4 %New Hampshire3.4Minnesota: 3.4 %Minnesota3.4Illinois: 3.3 %Illinois3.3Iowa: 3.3 %Iowa3.3California: 3.2 %California3.2Washington: 3.2 %Washington3.2Hawaii: 3 %Hawaii3Oregon: 3 %Oregon3Michigan: 3 %Michigan3Rhode Island: 3 %Rhode Island3West Virginia: 2.9 %West Virginia2.9Connecticut: 2.8 %Connecticut2.8District of Columbia: 2.8 %District of Columbia2.8New York: 2.6 %New York2.6Vermont: 2.2 %Vermont2.2Massachusetts: 1.6 %Massachusetts1.6Texas: 12 %Texas12Wyoming: 9.1 %Wyoming9.1Arizona: 8.8 %Arizona8.8Oklahoma: 8.3 %Oklahoma8.3Alaska: 8.1 %Alaska8.1Nevada: 8 %Nevada8Florida: 7.5 %Florida7.5South Dakota: 7.3 %South Dakota7.3Montana: 7.1 %Montana7.1Georgia: 6.9 %Georgia6.9Idaho: 6.8 %Idaho6.8Utah: 6.7 %Utah6.7Missouri: 6.2 %Missouri6.2Arkansas: 6.1 %Arkansas6.1Indiana: 5.9 %Indiana5.9North Dakota: 5.9 %North Dakota5.9Mississippi: 5.9 %Mississippi5.9Tennessee: 5.9 %Tennessee5.9New Mexico: 5.8 %New Mexico5.8South Carolina: 5.6 %South Carolina5.6North Carolina: 5.5 %North Carolina5.5Kansas: 5.4 %Kansas5.4Colorado: 5.2 %Colorado5.2Pennsylvania: 5.1 %Pennsylvania5.1Ohio: 4.9 %Ohio4.9Nebraska: 4.8 %Nebraska4.8Virginia: 4.7 %Virginia4.7Louisiana: 4.6 %Louisiana4.6Maryland: 4.4 %Maryland4.4Kentucky: 4.4 %Kentucky4.4New Jersey: 4.3 %New Jersey4.3Maine: 4.3 %Maine4.3Wisconsin: 4.1 %Wisconsin4.1Delaware: 4 %Delaware4Alabama: 3.6 %Alabama3.6New Hampshire: 3.4 %New Hampshire3.4Minnesota: 3.4 %Minnesota3.4Illinois: 3.3 %Illinois3.3Iowa: 3.3 %Iowa3.3California: 3.2 %California3.2Washington: 3.2 %Washington3.2Hawaii: 3 %Hawaii3Oregon: 3 %Oregon3Michigan: 3 %Michigan3Rhode Island: 3 %Rhode Island3West Virginia: 2.9 %West Virginia2.9Connecticut: 2.8 %Connecticut2.8District of Columbia: 2.8 %District of Columbia2.8New York: 2.6 %New York2.6Vermont: 2.2 %Vermont2.2Massachusetts: 1.6 %Massachusetts1.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2024 (%)Change on 2023
1Texas12+0.1 pts
2Wyoming9.1-0.2 pts
3Arizona8.8+0.1 pts
4Oklahoma8.3-0 pts
5Alaska8.1-0.2 pts
6Nevada8+0.2 pts
7Florida7.5+0.1 pts
8South Dakota7.3+0.1 pts
9Montana7.1+0.3 pts
10Georgia6.90 pts
11Idaho6.8+0.7 pts
12Utah6.7-0.3 pts
13Missouri6.20 pts
14Arkansas6.1+0.3 pts
15Indiana5.9-0.2 pts
15North Dakota5.9-0.4 pts
17Mississippi5.9-0.1 pts
17Tennessee5.9+0.3 pts
19New Mexico5.8+0.3 pts
20South Carolina5.6+0.1 pts
21North Carolina5.5-0 pts
22Kansas5.4+0.2 pts
23Colorado5.2+0.2 pts
24Pennsylvania5.1+0.2 pts
25Ohio4.9+0.2 pts
26Nebraska4.8-0.1 pts
27Virginia4.7+0.1 pts
28Louisiana4.6-0 pts
29Maryland4.4+0.2 pts
30Kentucky4.4+0.2 pts
31New Jersey4.3+0.2 pts
32Maine4.3-0.3 pts
33Wisconsin4.10 pts
34Delaware4+0.1 pts
35Alabama3.6+0.1 pts
36New Hampshire3.4-0.1 pts
37Minnesota3.4+0.2 pts
38Illinois3.3-0.1 pts
39Iowa3.3+0.1 pts
40California3.2-0.1 pts
41Washington3.2+0.2 pts
42Hawaii3+0.1 pts
43Oregon3-0.2 pts
44Michigan30 pts
45Rhode Island3+0.1 pts
46West Virginia2.9-0 pts
47Connecticut2.8-0.1 pts
48District of Columbia2.8+0.1 pts
49New York2.6+0.1 pts
50Vermont2.2+0.1 pts
51Massachusetts1.6+0.1 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs (US states by uninsured rate, under 19 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US states by uninsured rate, under 19 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. US states by uninsured rate, under 19 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US states by uninsured rate, under 19 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: US states by uninsured rate, under 19 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: US states by uninsured rate, under 19 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

Which state has the highest uninsured rate, under 19 (US, ACS)?

Texas, with 12% in 2024, according to the U.S. Census Bureau.

Which state has the lowest uninsured rate, under 19 (US, ACS)?

Massachusetts, with 1.6% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

US states: more rankings