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 2020, at 11.6%. Vermont had the lowest, at 1.1%. The median was 4.7%. Source: the U.S. Census Bureau.

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Highest11.6Texas
Lowest1.1Vermont
Median4.751 states

Map of states, 2020

Alabama: 3.6 %Alaska: 8.6 %Arizona: 9.3 %Arkansas: 4.2 %California: 3.4 %Colorado: 5.4 %Connecticut: 2.8 %Delaware: 3.3 %District of Columbia: 1.6 %Florida: 7 %Georgia: 7.5 %Hawaii: 2.9 %Idaho: 6.1 %Illinois: 2.9 %Indiana: 6.1 %Iowa: 2.6 %Kansas: 5.2 %Kentucky: 4.3 %Louisiana: 4.2 %Maine: 5.6 %Maryland: 3.4 %Massachusetts: 1.7 %Michigan: 2.6 %Minnesota: 3.5 %Mississippi: 5.2 %Missouri: 6.7 %Montana: 7.4 %Nebraska: 5.3 %Nevada: 8 %New Hampshire: 3.2 %New Jersey: 3.9 %New Mexico: 5.8 %New York: 2.5 %North Carolina: 5.3 %North Dakota: 6.3 %Ohio: 4.7 %Oklahoma: 9.6 %Oregon: 3.5 %Pennsylvania: 5.9 %Rhode Island: 3 %South Carolina: 5.7 %South Dakota: 6.4 %Tennessee: 6 %Texas: 11.6 %Utah: 7.2 %Vermont: 1.1 %Virginia: 4.4 %Washington: 3.1 %West Virginia: 3.2 %Wisconsin: 4.4 %Wyoming: 8 %
  • Under 2.9
  • 2.9 to 3.5
  • 3.5 to 4.7
  • 4.7 to 5.8
  • 5.8 to 7.1
  • 7.1 and over
%, 2020. 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, 2020

Texas: 11.6 %Texas11.6Oklahoma: 9.6 %Oklahoma9.6Arizona: 9.3 %Arizona9.3Alaska: 8.6 %Alaska8.6Nevada: 8 %Nevada8Wyoming: 8 %Wyoming8Georgia: 7.5 %Georgia7.5Montana: 7.4 %Montana7.4Utah: 7.2 %Utah7.2Florida: 7 %Florida7Missouri: 6.7 %Missouri6.7South Dakota: 6.4 %South Dakota6.4North Dakota: 6.3 %North Dakota6.3Idaho: 6.1 %Idaho6.1Indiana: 6.1 %Indiana6.1Tennessee: 6 %Tennessee6Pennsylvania: 5.9 %Pennsylvania5.9New Mexico: 5.8 %New Mexico5.8South Carolina: 5.7 %South Carolina5.7Maine: 5.6 %Maine5.6Colorado: 5.4 %Colorado5.4Nebraska: 5.3 %Nebraska5.3North Carolina: 5.3 %North Carolina5.3Kansas: 5.2 %Kansas5.2Mississippi: 5.2 %Mississippi5.2Ohio: 4.7 %Ohio4.7Virginia: 4.4 %Virginia4.4Wisconsin: 4.4 %Wisconsin4.4Kentucky: 4.3 %Kentucky4.3Arkansas: 4.2 %Arkansas4.2Louisiana: 4.2 %Louisiana4.2New Jersey: 3.9 %New Jersey3.9Alabama: 3.6 %Alabama3.6Minnesota: 3.5 %Minnesota3.5Oregon: 3.5 %Oregon3.5California: 3.4 %California3.4Maryland: 3.4 %Maryland3.4Delaware: 3.3 %Delaware3.3New Hampshire: 3.2 %New Hampshire3.2West Virginia: 3.2 %West Virginia3.2Washington: 3.1 %Washington3.1Rhode Island: 3 %Rhode Island3Hawaii: 2.9 %Hawaii2.9Illinois: 2.9 %Illinois2.9Connecticut: 2.8 %Connecticut2.8Iowa: 2.6 %Iowa2.6Michigan: 2.6 %Michigan2.6New York: 2.5 %New York2.5Massachusetts: 1.7 %Massachusetts1.7District of Columbia: 1.6 %District of Columbia1.6Vermont: 1.1 %Vermont1.1Texas: 11.6 %Texas11.6Oklahoma: 9.6 %Oklahoma9.6Arizona: 9.3 %Arizona9.3Alaska: 8.6 %Alaska8.6Nevada: 8 %Nevada8Wyoming: 8 %Wyoming8Georgia: 7.5 %Georgia7.5Montana: 7.4 %Montana7.4Utah: 7.2 %Utah7.2Florida: 7 %Florida7Missouri: 6.7 %Missouri6.7South Dakota: 6.4 %South Dakota6.4North Dakota: 6.3 %North Dakota6.3Idaho: 6.1 %Idaho6.1Indiana: 6.1 %Indiana6.1Tennessee: 6 %Tennessee6Pennsylvania: 5.9 %Pennsylvania5.9New Mexico: 5.8 %New Mexico5.8South Carolina: 5.7 %South Carolina5.7Maine: 5.6 %Maine5.6Colorado: 5.4 %Colorado5.4Nebraska: 5.3 %Nebraska5.3North Carolina: 5.3 %North Carolina5.3Kansas: 5.2 %Kansas5.2Mississippi: 5.2 %Mississippi5.2Ohio: 4.7 %Ohio4.7Virginia: 4.4 %Virginia4.4Wisconsin: 4.4 %Wisconsin4.4Kentucky: 4.3 %Kentucky4.3Arkansas: 4.2 %Arkansas4.2Louisiana: 4.2 %Louisiana4.2New Jersey: 3.9 %New Jersey3.9Alabama: 3.6 %Alabama3.6Minnesota: 3.5 %Minnesota3.5Oregon: 3.5 %Oregon3.5California: 3.4 %California3.4Maryland: 3.4 %Maryland3.4Delaware: 3.3 %Delaware3.3New Hampshire: 3.2 %New Hampshire3.2West Virginia: 3.2 %West Virginia3.2Washington: 3.1 %Washington3.1Rhode Island: 3 %Rhode Island3Hawaii: 2.9 %Hawaii2.9Illinois: 2.9 %Illinois2.9Connecticut: 2.8 %Connecticut2.8Iowa: 2.6 %Iowa2.6Michigan: 2.6 %Michigan2.6New York: 2.5 %New York2.5Massachusetts: 1.7 %Massachusetts1.7District of Columbia: 1.6 %District of Columbia1.6Vermont: 1.1 %Vermont1.1
%. 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

RankStates2020 (%)Change on 2019
1Texas11.6-1.1 pts
2Oklahoma9.6+1 pts
3Arizona9.3+0.1 pts
4Alaska8.6+0.9 pts
5Nevada80 pts
5Wyoming8-3.1 pts
7Georgia7.50 pts
8Montana7.4+1.1 pts
9Utah7.2-0.9 pts
10Florida7-0.6 pts
11Missouri6.7+0.2 pts
12South Dakota6.4-1.3 pts
13North Dakota6.30 pts
14Idaho6.1+1 pts
14Indiana6.1-0.9 pts
16Tennessee6+1.1 pts
17Pennsylvania5.9+1.3 pts
18New Mexico5.8-0.1 pts
19South Carolina5.7-0.2 pts
20Maine5.60 pts
21Colorado5.4-0.3 pts
22Nebraska5.3+0.1 pts
22North Carolina5.3-0.5 pts
24Kansas5.2-0.5 pts
24Mississippi5.2-1 pts
26Ohio4.7-0.2 pts
27Virginia4.4-0.5 pts
27Wisconsin4.4+0.6 pts
29Kentucky4.30 pts
30Arkansas4.2-1.7 pts
30Louisiana4.2+0.2 pts
32New Jersey3.9-0.3 pts
33Alabama3.6+0.3 pts
34Minnesota3.5+0.4 pts
34Oregon3.5-0.5 pts
36California3.4-0.1 pts
36Maryland3.4+0.1 pts
38Delaware3.3-1.7 pts
39New Hampshire3.2-0.2 pts
39West Virginia3.2+0.1 pts
41Washington3.10 pts
42Rhode Island3+1.2 pts
43Hawaii2.9+0.3 pts
43Illinois2.9-1 pts
45Connecticut2.8-0.8 pts
46Iowa2.60 pts
46Michigan2.6-0.8 pts
48New York2.5+0.2 pts
49Massachusetts1.7+0.1 pts
50District of Columbia1.6-0.3 pts
51Vermont1.1-0.8 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2020.
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-2020-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 11.6% in 2020, according to the U.S. Census Bureau.

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

Vermont, with 1.1% in 2020.

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