Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / US states

US states by uninsured rate, under 19 (US model-based estimate)

Alaska had the highest uninsured rate, under 19 (US model-based estimate) of 51 states in 2016, at 10.5%. Massachusetts had the lowest, at 1%. The median was 4%. Source: the U.S. Census Bureau.

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Highest10.5Alaska
Lowest1Massachusetts
Median451 states

Map of states, 2016

Alabama: 2.7 %Alaska: 10.5 %Arizona: 7.7 %Arkansas: 4 %California: 3.1 %Colorado: 4.3 %Connecticut: 2.8 %Delaware: 3.5 %District of Columbia: 2.4 %Florida: 6.6 %Georgia: 6.7 %Hawaii: 2.4 %Idaho: 4.7 %Illinois: 2.6 %Indiana: 5.8 %Iowa: 2.6 %Kansas: 4.5 %Kentucky: 3.3 %Louisiana: 3.2 %Maine: 4.8 %Maryland: 3.4 %Massachusetts: 1 %Michigan: 3.1 %Minnesota: 3.2 %Mississippi: 4.7 %Missouri: 4.8 %Montana: 5.1 %Nebraska: 5.1 %Nevada: 7.2 %New Hampshire: 2.8 %New Jersey: 3.6 %New Mexico: 5.7 %New York: 2.6 %North Carolina: 4.7 %North Dakota: 7.2 %Ohio: 3.8 %Oklahoma: 7.7 %Oregon: 3.5 %Pennsylvania: 4.5 %Rhode Island: 2 %South Carolina: 4.4 %South Dakota: 5 %Tennessee: 3.7 %Texas: 9.7 %Utah: 6 %Vermont: 1.7 %Virginia: 4.9 %Washington: 2.7 %West Virginia: 2.4 %Wisconsin: 3.7 %Wyoming: 8.2 %
  • Under 2.6
  • 2.6 to 3.3
  • 3.3 to 4
  • 4 to 4.8
  • 4.8 to 6.4
  • 6.4 and over
%, 2016. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2016

Alaska: 10.5 %Alaska10.5Texas: 9.7 %Texas9.7Wyoming: 8.2 %Wyoming8.2Arizona: 7.7 %Arizona7.7Oklahoma: 7.7 %Oklahoma7.7Nevada: 7.2 %Nevada7.2North Dakota: 7.2 %North Dakota7.2Georgia: 6.7 %Georgia6.7Florida: 6.6 %Florida6.6Utah: 6 %Utah6Indiana: 5.8 %Indiana5.8New Mexico: 5.7 %New Mexico5.7Montana: 5.1 %Montana5.1Nebraska: 5.1 %Nebraska5.1South Dakota: 5 %South Dakota5Virginia: 4.9 %Virginia4.9Maine: 4.8 %Maine4.8Missouri: 4.8 %Missouri4.8Idaho: 4.7 %Idaho4.7Mississippi: 4.7 %Mississippi4.7North Carolina: 4.7 %North Carolina4.7Kansas: 4.5 %Kansas4.5Pennsylvania: 4.5 %Pennsylvania4.5South Carolina: 4.4 %South Carolina4.4Colorado: 4.3 %Colorado4.3Arkansas: 4 %Arkansas4Ohio: 3.8 %Ohio3.8Tennessee: 3.7 %Tennessee3.7Wisconsin: 3.7 %Wisconsin3.7New Jersey: 3.6 %New Jersey3.6Delaware: 3.5 %Delaware3.5Oregon: 3.5 %Oregon3.5Maryland: 3.4 %Maryland3.4Kentucky: 3.3 %Kentucky3.3Louisiana: 3.2 %Louisiana3.2Minnesota: 3.2 %Minnesota3.2California: 3.1 %California3.1Michigan: 3.1 %Michigan3.1Connecticut: 2.8 %Connecticut2.8New Hampshire: 2.8 %New Hampshire2.8Alabama: 2.7 %Alabama2.7Washington: 2.7 %Washington2.7Illinois: 2.6 %Illinois2.6Iowa: 2.6 %Iowa2.6New York: 2.6 %New York2.6District of Columbia: 2.4 %District of Columbia2.4Hawaii: 2.4 %Hawaii2.4West Virginia: 2.4 %West Virginia2.4Rhode Island: 2 %Rhode Island2Vermont: 1.7 %Vermont1.7Massachusetts: 1 %Massachusetts1Alaska: 10.5 %Alaska10.5Texas: 9.7 %Texas9.7Wyoming: 8.2 %Wyoming8.2Arizona: 7.7 %Arizona7.7Oklahoma: 7.7 %Oklahoma7.7Nevada: 7.2 %Nevada7.2North Dakota: 7.2 %North Dakota7.2Georgia: 6.7 %Georgia6.7Florida: 6.6 %Florida6.6Utah: 6 %Utah6Indiana: 5.8 %Indiana5.8New Mexico: 5.7 %New Mexico5.7Montana: 5.1 %Montana5.1Nebraska: 5.1 %Nebraska5.1South Dakota: 5 %South Dakota5Virginia: 4.9 %Virginia4.9Maine: 4.8 %Maine4.8Missouri: 4.8 %Missouri4.8Idaho: 4.7 %Idaho4.7Mississippi: 4.7 %Mississippi4.7North Carolina: 4.7 %North Carolina4.7Kansas: 4.5 %Kansas4.5Pennsylvania: 4.5 %Pennsylvania4.5South Carolina: 4.4 %South Carolina4.4Colorado: 4.3 %Colorado4.3Arkansas: 4 %Arkansas4Ohio: 3.8 %Ohio3.8Tennessee: 3.7 %Tennessee3.7Wisconsin: 3.7 %Wisconsin3.7New Jersey: 3.6 %New Jersey3.6Delaware: 3.5 %Delaware3.5Oregon: 3.5 %Oregon3.5Maryland: 3.4 %Maryland3.4Kentucky: 3.3 %Kentucky3.3Louisiana: 3.2 %Louisiana3.2Minnesota: 3.2 %Minnesota3.2California: 3.1 %California3.1Michigan: 3.1 %Michigan3.1Connecticut: 2.8 %Connecticut2.8New Hampshire: 2.8 %New Hampshire2.8Alabama: 2.7 %Alabama2.7Washington: 2.7 %Washington2.7Illinois: 2.6 %Illinois2.6Iowa: 2.6 %Iowa2.6New York: 2.6 %New York2.6District of Columbia: 2.4 %District of Columbia2.4Hawaii: 2.4 %Hawaii2.4West Virginia: 2.4 %West Virginia2.4Rhode Island: 2 %Rhode Island2Vermont: 1.7 %Vermont1.7Massachusetts: 1 %Massachusetts1
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankStates2016 (%)Change on 2015
1Alaska10.5-0.1 pts
2Texas9.7-0.3 pts
3Wyoming8.2+0.2 pts
4Arizona7.7-1.1 pts
4Oklahoma7.7+0.1 pts
6Nevada7.2-0.9 pts
6North Dakota7.2-0.7 pts
8Georgia6.7-0.3 pts
9Florida6.6-0.7 pts
10Utah6-1.2 pts
11Indiana5.8-1.1 pts
12New Mexico5.7+0.6 pts
13Montana5.1-3 pts
13Nebraska5.1-0.4 pts
15South Dakota5-2 pts
16Virginia4.9-0.1 pts
17Maine4.8-0.7 pts
17Missouri4.8-1.3 pts
19Idaho4.7-1.2 pts
19Mississippi4.7+0.1 pts
19North Carolina4.7+0.1 pts
22Kansas4.5-0.6 pts
22Pennsylvania4.5+0.3 pts
24South Carolina4.40 pts
25Colorado4.3-0.1 pts
26Arkansas4-1 pts
27Ohio3.8-0.7 pts
28Tennessee3.7-0.5 pts
28Wisconsin3.70 pts
30New Jersey3.6-0.3 pts
31Delaware3.5+0.7 pts
31Oregon3.5-0.6 pts
33Maryland3.4-0.3 pts
34Kentucky3.3-1 pts
35Louisiana3.2-0.6 pts
35Minnesota3.2+0.2 pts
37California3.1-0.5 pts
37Michigan3.1-0.1 pts
39Connecticut2.8-0.5 pts
39New Hampshire2.80 pts
41Alabama2.7-0.4 pts
41Washington2.7-0.2 pts
43Illinois2.6-0.3 pts
43Iowa2.6-1 pts
43New York2.60 pts
46District of Columbia2.4+0.7 pts
46Hawaii2.4+0.8 pts
46West Virginia2.4-0.6 pts
49Rhode Island2-1.4 pts
50Vermont1.7+0.4 pts
51Massachusetts1-0.2 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

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. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (US states by uninsured rate, under 19 (US model-based estimate), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, US states by uninsured rate, under 19 (US model-based estimate), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. US states by uninsured rate, under 19 (US model-based estimate), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, US states by uninsured rate, under 19 (US model-based estimate), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2016,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: US states by uninsured rate, under 19 (US model-based estimate), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: US states by uninsured rate, under 19 (US model-based estimate), 2016
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2016.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which state has the highest uninsured rate, under 19 (US model-based estimate)?

Alaska, with 10.5% in 2016, according to the U.S. Census Bureau.

Which state has the lowest uninsured rate, under 19 (US model-based estimate)?

Massachusetts, with 1% in 2016.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

US states: more rankings