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

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

Texas had the highest uninsured rate, under 19 (US, ACS) of 51 states in 2022, at 11.7%. Massachusetts had the lowest, at 1.5%. The median was 4.7% and the figure for the United States was 5.3%. Source: the U.S. Census Bureau.

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Highest11.7Texas
Lowest1.5Massachusetts
Median4.751 states
United States5.3History

Map of states, 2022

Alabama: 3.3 %Alaska: 8.7 %Arizona: 8.7 %Arkansas: 5.4 %California: 3.4 %Colorado: 5.1 %Connecticut: 2.8 %Delaware: 3.8 %District of Columbia: 2.5 %Florida: 7.5 %Georgia: 7.2 %Hawaii: 2.8 %Idaho: 6.1 %Illinois: 3.4 %Indiana: 6.2 %Iowa: 2.9 %Kansas: 5.2 %Kentucky: 4.1 %Louisiana: 4.2 %Maine: 4.8 %Maryland: 3.8 %Massachusetts: 1.5 %Michigan: 3 %Minnesota: 3.2 %Mississippi: 5.6 %Missouri: 6.2 %Montana: 6.5 %Nebraska: 5.2 %Nevada: 7.9 %New Hampshire: 3.5 %New Jersey: 4.1 %New Mexico: 5.5 %New York: 2.5 %North Carolina: 5.5 %North Dakota: 6.7 %Ohio: 4.6 %Oklahoma: 8.3 %Oregon: 3.4 %Pennsylvania: 4.7 %Rhode Island: 2.6 %South Carolina: 5.3 %South Dakota: 6.8 %Tennessee: 5.4 %Texas: 11.7 %Utah: 7.1 %Vermont: 2 %Virginia: 4.7 %Washington: 3 %West Virginia: 3.2 %Wisconsin: 4 %Wyoming: 9.1 %
  • Under 3
  • 3 to 3.7
  • 3.7 to 4.7
  • 4.7 to 5.5
  • 5.5 to 7
  • 7 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2022

Texas: 11.7 %Texas11.7Wyoming: 9.1 %Wyoming9.1Alaska: 8.7 %Alaska8.7Arizona: 8.7 %Arizona8.7Oklahoma: 8.3 %Oklahoma8.3Nevada: 7.9 %Nevada7.9Florida: 7.5 %Florida7.5Georgia: 7.2 %Georgia7.2Utah: 7.1 %Utah7.1South Dakota: 6.8 %South Dakota6.8North Dakota: 6.7 %North Dakota6.7Montana: 6.5 %Montana6.5Missouri: 6.2 %Missouri6.2Indiana: 6.2 %Indiana6.2Idaho: 6.1 %Idaho6.1Mississippi: 5.6 %Mississippi5.6North Carolina: 5.5 %North Carolina5.5New Mexico: 5.5 %New Mexico5.5Tennessee: 5.4 %Tennessee5.4Arkansas: 5.4 %Arkansas5.4South Carolina: 5.3 %South Carolina5.3Nebraska: 5.2 %Nebraska5.2Kansas: 5.2 %Kansas5.2Colorado: 5.1 %Colorado5.1Maine: 4.8 %Maine4.8Pennsylvania: 4.7 %Pennsylvania4.7Virginia: 4.7 %Virginia4.7Ohio: 4.6 %Ohio4.6Louisiana: 4.2 %Louisiana4.2Kentucky: 4.1 %Kentucky4.1New Jersey: 4.1 %New Jersey4.1Wisconsin: 4 %Wisconsin4Delaware: 3.8 %Delaware3.8Maryland: 3.8 %Maryland3.8New Hampshire: 3.5 %New Hampshire3.5Oregon: 3.4 %Oregon3.4Illinois: 3.4 %Illinois3.4California: 3.4 %California3.4Alabama: 3.3 %Alabama3.3Minnesota: 3.2 %Minnesota3.2West Virginia: 3.2 %West Virginia3.2Michigan: 3 %Michigan3Washington: 3 %Washington3Iowa: 2.9 %Iowa2.9Hawaii: 2.8 %Hawaii2.8Connecticut: 2.8 %Connecticut2.8Rhode Island: 2.6 %Rhode Island2.6District of Columbia: 2.5 %District of Columbia2.5New York: 2.5 %New York2.5Vermont: 2 %Vermont2Massachusetts: 1.5 %Massachusetts1.5Texas: 11.7 %Texas11.7Wyoming: 9.1 %Wyoming9.1Alaska: 8.7 %Alaska8.7Arizona: 8.7 %Arizona8.7Oklahoma: 8.3 %Oklahoma8.3Nevada: 7.9 %Nevada7.9Florida: 7.5 %Florida7.5Georgia: 7.2 %Georgia7.2Utah: 7.1 %Utah7.1South Dakota: 6.8 %South Dakota6.8North Dakota: 6.7 %North Dakota6.7Montana: 6.5 %Montana6.5Missouri: 6.2 %Missouri6.2Indiana: 6.2 %Indiana6.2Idaho: 6.1 %Idaho6.1Mississippi: 5.6 %Mississippi5.6North Carolina: 5.5 %North Carolina5.5New Mexico: 5.5 %New Mexico5.5Tennessee: 5.4 %Tennessee5.4Arkansas: 5.4 %Arkansas5.4South Carolina: 5.3 %South Carolina5.3Nebraska: 5.2 %Nebraska5.2Kansas: 5.2 %Kansas5.2Colorado: 5.1 %Colorado5.1Maine: 4.8 %Maine4.8Pennsylvania: 4.7 %Pennsylvania4.7Virginia: 4.7 %Virginia4.7Ohio: 4.6 %Ohio4.6Louisiana: 4.2 %Louisiana4.2Kentucky: 4.1 %Kentucky4.1New Jersey: 4.1 %New Jersey4.1Wisconsin: 4 %Wisconsin4Delaware: 3.8 %Delaware3.8Maryland: 3.8 %Maryland3.8New Hampshire: 3.5 %New Hampshire3.5Oregon: 3.4 %Oregon3.4Illinois: 3.4 %Illinois3.4California: 3.4 %California3.4Alabama: 3.3 %Alabama3.3Minnesota: 3.2 %Minnesota3.2West Virginia: 3.2 %West Virginia3.2Michigan: 3 %Michigan3Washington: 3 %Washington3Iowa: 2.9 %Iowa2.9Hawaii: 2.8 %Hawaii2.8Connecticut: 2.8 %Connecticut2.8Rhode Island: 2.6 %Rhode Island2.6District of Columbia: 2.5 %District of Columbia2.5New York: 2.5 %New York2.5Vermont: 2 %Vermont2Massachusetts: 1.5 %Massachusetts1.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2022 (%)Change on 2021
1Texas11.7+0.2 pts
2Wyoming9.1-0.2 pts
3Alaska8.7-0.1 pts
4Arizona8.7+0.1 pts
5Oklahoma8.3-0.1 pts
6Nevada7.90 pts
7Florida7.5-0 pts
8Georgia7.2-0.2 pts
9Utah7.1-0.1 pts
10South Dakota6.8+0.2 pts
11North Dakota6.7-0.3 pts
12Montana6.5-0 pts
13Missouri6.2+0.2 pts
14Indiana6.2-0.1 pts
15Idaho6.1+0.2 pts
16Mississippi5.6+0.1 pts
17North Carolina5.5-0 pts
18New Mexico5.5-0.2 pts
19Tennessee5.4+0.3 pts
20Arkansas5.4+0.3 pts
21South Carolina5.3+0.1 pts
22Nebraska5.2-0.1 pts
23Kansas5.2-0.1 pts
24Colorado5.1+0.1 pts
25Maine4.8-0 pts
26Pennsylvania4.7+0.1 pts
27Virginia4.7-0.2 pts
28Ohio4.60 pts
29Louisiana4.2+0.2 pts
30Kentucky4.10 pts
31New Jersey4.1+0.1 pts
32Wisconsin4+0.1 pts
33Delaware3.8-0.1 pts
34Maryland3.8+0.1 pts
35New Hampshire3.5+0.3 pts
36Oregon3.4-0.1 pts
37Illinois3.4+0.1 pts
38California3.40 pts
39Alabama3.3-0.1 pts
40Minnesota3.2-0 pts
40West Virginia3.2+0.2 pts
42Michigan3-0.1 pts
43Washington30 pts
44Iowa2.9+0.1 pts
45Hawaii2.8+0.2 pts
46Connecticut2.8-0 pts
47Rhode Island2.60 pts
48District of Columbia2.5+0.4 pts
49New York2.50 pts
50Vermont2+0.4 pts
51Massachusetts1.5-0.1 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank US states by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

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

Texas, with 11.7% in 2022, according to the U.S. Census Bureau.

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

Massachusetts, with 1.5% in 2022.

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