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

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

Texas had the highest uninsured rate, under 19 (US model-based estimate) of 51 states in 2019, at 12.7%. Massachusetts had the lowest, at 1.6%. The median was 4.9%. Source: the U.S. Census Bureau.

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Highest12.7Texas
Lowest1.6Massachusetts
Median4.951 states

Map of states, 2019

Alabama: 3.3 %Alaska: 7.7 %Arizona: 9.2 %Arkansas: 5.9 %California: 3.5 %Colorado: 5.7 %Connecticut: 3.6 %Delaware: 5 %District of Columbia: 1.9 %Florida: 7.6 %Georgia: 7.5 %Hawaii: 2.6 %Idaho: 5.1 %Illinois: 3.9 %Indiana: 7 %Iowa: 2.6 %Kansas: 5.7 %Kentucky: 4.3 %Louisiana: 4 %Maine: 5.6 %Maryland: 3.3 %Massachusetts: 1.6 %Michigan: 3.4 %Minnesota: 3.1 %Mississippi: 6.2 %Missouri: 6.5 %Montana: 6.3 %Nebraska: 5.2 %Nevada: 8 %New Hampshire: 3.4 %New Jersey: 4.2 %New Mexico: 5.9 %New York: 2.3 %North Carolina: 5.8 %North Dakota: 6.3 %Ohio: 4.9 %Oklahoma: 8.6 %Oregon: 4 %Pennsylvania: 4.6 %Rhode Island: 1.8 %South Carolina: 5.9 %South Dakota: 7.7 %Tennessee: 4.9 %Texas: 12.7 %Utah: 8.1 %Vermont: 1.9 %Virginia: 4.9 %Washington: 3.1 %West Virginia: 3.1 %Wisconsin: 3.8 %Wyoming: 11.1 %
  • Under 3.1
  • 3.1 to 3.9
  • 3.9 to 4.9
  • 4.9 to 5.9
  • 5.9 to 7.6
  • 7.6 and over
%, 2019. 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, 2019

Texas: 12.7 %Texas12.7Wyoming: 11.1 %Wyoming11.1Arizona: 9.2 %Arizona9.2Oklahoma: 8.6 %Oklahoma8.6Utah: 8.1 %Utah8.1Nevada: 8 %Nevada8Alaska: 7.7 %Alaska7.7South Dakota: 7.7 %South Dakota7.7Florida: 7.6 %Florida7.6Georgia: 7.5 %Georgia7.5Indiana: 7 %Indiana7Missouri: 6.5 %Missouri6.5Montana: 6.3 %Montana6.3North Dakota: 6.3 %North Dakota6.3Mississippi: 6.2 %Mississippi6.2Arkansas: 5.9 %Arkansas5.9New Mexico: 5.9 %New Mexico5.9South Carolina: 5.9 %South Carolina5.9North Carolina: 5.8 %North Carolina5.8Colorado: 5.7 %Colorado5.7Kansas: 5.7 %Kansas5.7Maine: 5.6 %Maine5.6Nebraska: 5.2 %Nebraska5.2Idaho: 5.1 %Idaho5.1Delaware: 5 %Delaware5Ohio: 4.9 %Ohio4.9Tennessee: 4.9 %Tennessee4.9Virginia: 4.9 %Virginia4.9Pennsylvania: 4.6 %Pennsylvania4.6Kentucky: 4.3 %Kentucky4.3New Jersey: 4.2 %New Jersey4.2Louisiana: 4 %Louisiana4Oregon: 4 %Oregon4Illinois: 3.9 %Illinois3.9Wisconsin: 3.8 %Wisconsin3.8Connecticut: 3.6 %Connecticut3.6California: 3.5 %California3.5Michigan: 3.4 %Michigan3.4New Hampshire: 3.4 %New Hampshire3.4Alabama: 3.3 %Alabama3.3Maryland: 3.3 %Maryland3.3Minnesota: 3.1 %Minnesota3.1Washington: 3.1 %Washington3.1West Virginia: 3.1 %West Virginia3.1Hawaii: 2.6 %Hawaii2.6Iowa: 2.6 %Iowa2.6New York: 2.3 %New York2.3District of Columbia: 1.9 %District of Columbia1.9Vermont: 1.9 %Vermont1.9Rhode Island: 1.8 %Rhode Island1.8Massachusetts: 1.6 %Massachusetts1.6Texas: 12.7 %Texas12.7Wyoming: 11.1 %Wyoming11.1Arizona: 9.2 %Arizona9.2Oklahoma: 8.6 %Oklahoma8.6Utah: 8.1 %Utah8.1Nevada: 8 %Nevada8Alaska: 7.7 %Alaska7.7South Dakota: 7.7 %South Dakota7.7Florida: 7.6 %Florida7.6Georgia: 7.5 %Georgia7.5Indiana: 7 %Indiana7Missouri: 6.5 %Missouri6.5Montana: 6.3 %Montana6.3North Dakota: 6.3 %North Dakota6.3Mississippi: 6.2 %Mississippi6.2Arkansas: 5.9 %Arkansas5.9New Mexico: 5.9 %New Mexico5.9South Carolina: 5.9 %South Carolina5.9North Carolina: 5.8 %North Carolina5.8Colorado: 5.7 %Colorado5.7Kansas: 5.7 %Kansas5.7Maine: 5.6 %Maine5.6Nebraska: 5.2 %Nebraska5.2Idaho: 5.1 %Idaho5.1Delaware: 5 %Delaware5Ohio: 4.9 %Ohio4.9Tennessee: 4.9 %Tennessee4.9Virginia: 4.9 %Virginia4.9Pennsylvania: 4.6 %Pennsylvania4.6Kentucky: 4.3 %Kentucky4.3New Jersey: 4.2 %New Jersey4.2Louisiana: 4 %Louisiana4Oregon: 4 %Oregon4Illinois: 3.9 %Illinois3.9Wisconsin: 3.8 %Wisconsin3.8Connecticut: 3.6 %Connecticut3.6California: 3.5 %California3.5Michigan: 3.4 %Michigan3.4New Hampshire: 3.4 %New Hampshire3.4Alabama: 3.3 %Alabama3.3Maryland: 3.3 %Maryland3.3Minnesota: 3.1 %Minnesota3.1Washington: 3.1 %Washington3.1West Virginia: 3.1 %West Virginia3.1Hawaii: 2.6 %Hawaii2.6Iowa: 2.6 %Iowa2.6New York: 2.3 %New York2.3District of Columbia: 1.9 %District of Columbia1.9Vermont: 1.9 %Vermont1.9Rhode Island: 1.8 %Rhode Island1.8Massachusetts: 1.6 %Massachusetts1.6
%. 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

RankStates2019 (%)Change on 2018
1Texas12.7+1.6 pts
2Wyoming11.1+4.3 pts
3Arizona9.2+0.8 pts
4Oklahoma8.6+0.3 pts
5Utah8.1+0.9 pts
6Nevada80 pts
7Alaska7.7-1.2 pts
7South Dakota7.7+1.8 pts
9Florida7.60 pts
10Georgia7.5-0.5 pts
11Indiana7+0.4 pts
12Missouri6.5+0.7 pts
13Montana6.3+0.1 pts
13North Dakota6.30 pts
15Mississippi6.2+1.6 pts
16Arkansas5.9+1.6 pts
16New Mexico5.9+0.5 pts
16South Carolina5.9+1.1 pts
19North Carolina5.8+0.4 pts
20Colorado5.7+0.9 pts
20Kansas5.7+0.7 pts
22Maine5.6-0.1 pts
23Nebraska5.2+0.1 pts
24Idaho5.1-1 pts
25Delaware5+1.4 pts
26Ohio4.9+0.1 pts
26Tennessee4.9-0.2 pts
26Virginia4.9-0.1 pts
29Pennsylvania4.6+0.2 pts
30Kentucky4.3+0.6 pts
31New Jersey4.2+0.4 pts
32Louisiana4+0.7 pts
32Oregon4+0.6 pts
34Illinois3.9+0.6 pts
35Wisconsin3.80 pts
36Connecticut3.6+1 pts
37California3.5+0.3 pts
38Michigan3.4+0.1 pts
38New Hampshire3.4+1.1 pts
40Alabama3.3+0.1 pts
40Maryland3.3+0.1 pts
42Minnesota3.1-0.2 pts
42Washington3.1+0.3 pts
42West Virginia3.1-0.3 pts
45Hawaii2.60 pts
45Iowa2.6-0.1 pts
47New York2.3-0.2 pts
48District of Columbia1.9+0.2 pts
48Vermont1.9+0.4 pts
50Rhode Island1.8-0.3 pts
51Massachusetts1.6+0.4 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2019.
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-2019-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)?

Texas, with 12.7% in 2019, according to the U.S. Census Bureau.

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

Massachusetts, with 1.6% in 2019.

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