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 2023, at 11.8%. Massachusetts had the lowest, at 1.6%. The median was 4.7% and the figure for the United States was 5.4%. Source: the U.S. Census Bureau.

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Highest11.8Texas
Lowest1.6Massachusetts
Median4.751 states
United States5.4History

Map of states, 2023

Alabama: 3.5 %Alaska: 8.2 %Arizona: 8.8 %Arkansas: 5.8 %California: 3.4 %Colorado: 5 %Connecticut: 2.9 %Delaware: 3.9 %District of Columbia: 2.7 %Florida: 7.4 %Georgia: 6.9 %Hawaii: 3 %Idaho: 6.1 %Illinois: 3.4 %Indiana: 6.1 %Iowa: 3.2 %Kansas: 5.3 %Kentucky: 4.2 %Louisiana: 4.6 %Maine: 4.6 %Maryland: 4.2 %Massachusetts: 1.6 %Michigan: 3 %Minnesota: 3.2 %Mississippi: 5.9 %Missouri: 6.1 %Montana: 6.8 %Nebraska: 4.9 %Nevada: 7.8 %New Hampshire: 3.6 %New Jersey: 4.1 %New Mexico: 5.5 %New York: 2.5 %North Carolina: 5.5 %North Dakota: 6.3 %Ohio: 4.7 %Oklahoma: 8.3 %Oregon: 3.2 %Pennsylvania: 4.9 %Rhode Island: 2.8 %South Carolina: 5.5 %South Dakota: 7.2 %Tennessee: 5.6 %Texas: 11.8 %Utah: 7 %Vermont: 2 %Virginia: 4.6 %Washington: 3 %West Virginia: 3 %Wisconsin: 4 %Wyoming: 9.3 %
  • Under 3
  • 3 to 3.8
  • 3.8 to 4.7
  • 4.7 to 5.7
  • 5.7 to 6.9
  • 6.9 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2023

Texas: 11.8 %Texas11.8Wyoming: 9.3 %Wyoming9.3Arizona: 8.8 %Arizona8.8Oklahoma: 8.3 %Oklahoma8.3Alaska: 8.2 %Alaska8.2Nevada: 7.8 %Nevada7.8Florida: 7.4 %Florida7.4South Dakota: 7.2 %South Dakota7.2Utah: 7 %Utah7Georgia: 6.9 %Georgia6.9Montana: 6.8 %Montana6.8North Dakota: 6.3 %North Dakota6.3Missouri: 6.1 %Missouri6.1Indiana: 6.1 %Indiana6.1Idaho: 6.1 %Idaho6.1Mississippi: 5.9 %Mississippi5.9Arkansas: 5.8 %Arkansas5.8Tennessee: 5.6 %Tennessee5.6North Carolina: 5.5 %North Carolina5.5South Carolina: 5.5 %South Carolina5.5New Mexico: 5.5 %New Mexico5.5Kansas: 5.3 %Kansas5.3Colorado: 5 %Colorado5Nebraska: 4.9 %Nebraska4.9Pennsylvania: 4.9 %Pennsylvania4.9Ohio: 4.7 %Ohio4.7Virginia: 4.6 %Virginia4.6Maine: 4.6 %Maine4.6Louisiana: 4.6 %Louisiana4.6Maryland: 4.2 %Maryland4.2Kentucky: 4.2 %Kentucky4.2New Jersey: 4.1 %New Jersey4.1Wisconsin: 4 %Wisconsin4Delaware: 3.9 %Delaware3.9New Hampshire: 3.6 %New Hampshire3.6Alabama: 3.5 %Alabama3.5Illinois: 3.4 %Illinois3.4California: 3.4 %California3.4Minnesota: 3.2 %Minnesota3.2Oregon: 3.2 %Oregon3.2Iowa: 3.2 %Iowa3.2Washington: 3 %Washington3Hawaii: 3 %Hawaii3Michigan: 3 %Michigan3West Virginia: 3 %West Virginia3Connecticut: 2.9 %Connecticut2.9Rhode Island: 2.8 %Rhode Island2.8District of Columbia: 2.7 %District of Columbia2.7New York: 2.5 %New York2.5Vermont: 2 %Vermont2Massachusetts: 1.6 %Massachusetts1.6Texas: 11.8 %Texas11.8Wyoming: 9.3 %Wyoming9.3Arizona: 8.8 %Arizona8.8Oklahoma: 8.3 %Oklahoma8.3Alaska: 8.2 %Alaska8.2Nevada: 7.8 %Nevada7.8Florida: 7.4 %Florida7.4South Dakota: 7.2 %South Dakota7.2Utah: 7 %Utah7Georgia: 6.9 %Georgia6.9Montana: 6.8 %Montana6.8North Dakota: 6.3 %North Dakota6.3Missouri: 6.1 %Missouri6.1Indiana: 6.1 %Indiana6.1Idaho: 6.1 %Idaho6.1Mississippi: 5.9 %Mississippi5.9Arkansas: 5.8 %Arkansas5.8Tennessee: 5.6 %Tennessee5.6North Carolina: 5.5 %North Carolina5.5South Carolina: 5.5 %South Carolina5.5New Mexico: 5.5 %New Mexico5.5Kansas: 5.3 %Kansas5.3Colorado: 5 %Colorado5Nebraska: 4.9 %Nebraska4.9Pennsylvania: 4.9 %Pennsylvania4.9Ohio: 4.7 %Ohio4.7Virginia: 4.6 %Virginia4.6Maine: 4.6 %Maine4.6Louisiana: 4.6 %Louisiana4.6Maryland: 4.2 %Maryland4.2Kentucky: 4.2 %Kentucky4.2New Jersey: 4.1 %New Jersey4.1Wisconsin: 4 %Wisconsin4Delaware: 3.9 %Delaware3.9New Hampshire: 3.6 %New Hampshire3.6Alabama: 3.5 %Alabama3.5Illinois: 3.4 %Illinois3.4California: 3.4 %California3.4Minnesota: 3.2 %Minnesota3.2Oregon: 3.2 %Oregon3.2Iowa: 3.2 %Iowa3.2Washington: 3 %Washington3Hawaii: 3 %Hawaii3Michigan: 3 %Michigan3West Virginia: 3 %West Virginia3Connecticut: 2.9 %Connecticut2.9Rhode Island: 2.8 %Rhode Island2.8District of Columbia: 2.7 %District of Columbia2.7New York: 2.5 %New York2.5Vermont: 2 %Vermont2Massachusetts: 1.6 %Massachusetts1.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2023 (%)Change on 2022
1Texas11.8+0.2 pts
2Wyoming9.3+0.2 pts
3Arizona8.80 pts
4Oklahoma8.30 pts
5Alaska8.2-0.5 pts
6Nevada7.8-0.1 pts
7Florida7.4-0.1 pts
8South Dakota7.2+0.3 pts
9Utah7-0.1 pts
10Georgia6.9-0.4 pts
11Montana6.8+0.3 pts
12North Dakota6.3-0.4 pts
13Missouri6.1-0.1 pts
14Indiana6.1-0.1 pts
15Idaho6.1-0 pts
16Mississippi5.9+0.3 pts
17Arkansas5.8+0.4 pts
18Tennessee5.6+0.2 pts
19North Carolina5.50 pts
19South Carolina5.5+0.3 pts
21New Mexico5.5+0.1 pts
22Kansas5.3+0.1 pts
23Colorado5-0.1 pts
24Nebraska4.9-0.3 pts
25Pennsylvania4.9+0.2 pts
26Ohio4.7+0.1 pts
27Virginia4.6-0 pts
28Maine4.6-0.3 pts
29Louisiana4.6+0.4 pts
30Maryland4.2+0.4 pts
31Kentucky4.20 pts
32New Jersey4.1-0 pts
33Wisconsin40 pts
34Delaware3.9+0.1 pts
35New Hampshire3.6+0.1 pts
36Alabama3.5+0.2 pts
37Illinois3.40 pts
38California3.40 pts
39Minnesota3.20 pts
40Oregon3.2-0.3 pts
41Iowa3.2+0.2 pts
42Washington30 pts
43Hawaii3+0.1 pts
44Michigan3-0 pts
44West Virginia3-0.2 pts
46Connecticut2.9+0.1 pts
47Rhode Island2.8+0.2 pts
48District of Columbia2.7+0.1 pts
49New York2.50 pts
50Vermont2+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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/us-states?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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 11.8% in 2023, according to the U.S. Census Bureau.

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

Massachusetts, with 1.6% in 2023.

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