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 2022, at 10.7%. District of Columbia had the lowest, at 1.3%. The median was 4.3%. Source: the U.S. Census Bureau.

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Highest10.7Texas
Lowest1.3District of Columbia
Median4.351 states

Map of states, 2022

Alabama: 3.1 %Alaska: 8.7 %Arizona: 8.4 %Arkansas: 5.4 %California: 3.2 %Colorado: 5 %Connecticut: 3.1 %Delaware: 3.4 %District of Columbia: 1.3 %Florida: 7.3 %Georgia: 6.2 %Hawaii: 3 %Idaho: 5.8 %Illinois: 3.4 %Indiana: 5.3 %Iowa: 3.6 %Kansas: 5.2 %Kentucky: 4.2 %Louisiana: 3.6 %Maine: 4.3 %Maryland: 3.8 %Massachusetts: 1.6 %Michigan: 2.6 %Minnesota: 3.3 %Mississippi: 5.6 %Missouri: 5.5 %Montana: 6.9 %Nebraska: 4.2 %Nevada: 7.7 %New Hampshire: 3.8 %New Jersey: 3.8 %New Mexico: 4.2 %New York: 2.5 %North Carolina: 5 %North Dakota: 5.3 %Ohio: 4.4 %Oklahoma: 7.7 %Oregon: 3 %Pennsylvania: 5 %Rhode Island: 2.2 %South Carolina: 4.5 %South Dakota: 6.6 %Tennessee: 5.3 %Texas: 10.7 %Utah: 6.1 %Vermont: 2 %Virginia: 4.3 %Washington: 3 %West Virginia: 2.6 %Wisconsin: 4.5 %Wyoming: 7.9 %
  • Under 3
  • 3 to 3.6
  • 3.6 to 4.3
  • 4.3 to 5.3
  • 5.3 to 6.5
  • 6.5 and over
%, 2022. 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, 2022

Texas: 10.7 %Texas10.7Alaska: 8.7 %Alaska8.7Arizona: 8.4 %Arizona8.4Wyoming: 7.9 %Wyoming7.9Nevada: 7.7 %Nevada7.7Oklahoma: 7.7 %Oklahoma7.7Florida: 7.3 %Florida7.3Montana: 6.9 %Montana6.9South Dakota: 6.6 %South Dakota6.6Georgia: 6.2 %Georgia6.2Utah: 6.1 %Utah6.1Idaho: 5.8 %Idaho5.8Mississippi: 5.6 %Mississippi5.6Missouri: 5.5 %Missouri5.5Arkansas: 5.4 %Arkansas5.4Indiana: 5.3 %Indiana5.3North Dakota: 5.3 %North Dakota5.3Tennessee: 5.3 %Tennessee5.3Kansas: 5.2 %Kansas5.2Colorado: 5 %Colorado5North Carolina: 5 %North Carolina5Pennsylvania: 5 %Pennsylvania5South Carolina: 4.5 %South Carolina4.5Wisconsin: 4.5 %Wisconsin4.5Ohio: 4.4 %Ohio4.4Maine: 4.3 %Maine4.3Virginia: 4.3 %Virginia4.3Kentucky: 4.2 %Kentucky4.2Nebraska: 4.2 %Nebraska4.2New Mexico: 4.2 %New Mexico4.2Maryland: 3.8 %Maryland3.8New Hampshire: 3.8 %New Hampshire3.8New Jersey: 3.8 %New Jersey3.8Iowa: 3.6 %Iowa3.6Louisiana: 3.6 %Louisiana3.6Delaware: 3.4 %Delaware3.4Illinois: 3.4 %Illinois3.4Minnesota: 3.3 %Minnesota3.3California: 3.2 %California3.2Alabama: 3.1 %Alabama3.1Connecticut: 3.1 %Connecticut3.1Hawaii: 3 %Hawaii3Oregon: 3 %Oregon3Washington: 3 %Washington3Michigan: 2.6 %Michigan2.6West Virginia: 2.6 %West Virginia2.6New York: 2.5 %New York2.5Rhode Island: 2.2 %Rhode Island2.2Vermont: 2 %Vermont2Massachusetts: 1.6 %Massachusetts1.6District of Columbia: 1.3 %District of Columbia1.3Texas: 10.7 %Texas10.7Alaska: 8.7 %Alaska8.7Arizona: 8.4 %Arizona8.4Wyoming: 7.9 %Wyoming7.9Nevada: 7.7 %Nevada7.7Oklahoma: 7.7 %Oklahoma7.7Florida: 7.3 %Florida7.3Montana: 6.9 %Montana6.9South Dakota: 6.6 %South Dakota6.6Georgia: 6.2 %Georgia6.2Utah: 6.1 %Utah6.1Idaho: 5.8 %Idaho5.8Mississippi: 5.6 %Mississippi5.6Missouri: 5.5 %Missouri5.5Arkansas: 5.4 %Arkansas5.4Indiana: 5.3 %Indiana5.3North Dakota: 5.3 %North Dakota5.3Tennessee: 5.3 %Tennessee5.3Kansas: 5.2 %Kansas5.2Colorado: 5 %Colorado5North Carolina: 5 %North Carolina5Pennsylvania: 5 %Pennsylvania5South Carolina: 4.5 %South Carolina4.5Wisconsin: 4.5 %Wisconsin4.5Ohio: 4.4 %Ohio4.4Maine: 4.3 %Maine4.3Virginia: 4.3 %Virginia4.3Kentucky: 4.2 %Kentucky4.2Nebraska: 4.2 %Nebraska4.2New Mexico: 4.2 %New Mexico4.2Maryland: 3.8 %Maryland3.8New Hampshire: 3.8 %New Hampshire3.8New Jersey: 3.8 %New Jersey3.8Iowa: 3.6 %Iowa3.6Louisiana: 3.6 %Louisiana3.6Delaware: 3.4 %Delaware3.4Illinois: 3.4 %Illinois3.4Minnesota: 3.3 %Minnesota3.3California: 3.2 %California3.2Alabama: 3.1 %Alabama3.1Connecticut: 3.1 %Connecticut3.1Hawaii: 3 %Hawaii3Oregon: 3 %Oregon3Washington: 3 %Washington3Michigan: 2.6 %Michigan2.6West Virginia: 2.6 %West Virginia2.6New York: 2.5 %New York2.5Rhode Island: 2.2 %Rhode Island2.2Vermont: 2 %Vermont2Massachusetts: 1.6 %Massachusetts1.6District of Columbia: 1.3 %District of Columbia1.3
%. 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

RankStates2022 (%)Change on 2021
1Texas10.7-1 pts
2Alaska8.7+0.4 pts
3Arizona8.4-0.2 pts
4Wyoming7.9-3.6 pts
5Nevada7.7-0.8 pts
5Oklahoma7.7-0.3 pts
7Florida7.30 pts
8Montana6.9-0.5 pts
9South Dakota6.6-1 pts
10Georgia6.2-0.4 pts
11Utah6.1-1.8 pts
12Idaho5.8-1.2 pts
13Mississippi5.6-0.9 pts
14Missouri5.5-0.4 pts
15Arkansas5.4-0.4 pts
16Indiana5.3-0.6 pts
16North Dakota5.3-2.2 pts
16Tennessee5.3+0.7 pts
19Kansas5.2+0.2 pts
20Colorado5+0.3 pts
20North Carolina5-0.5 pts
20Pennsylvania5+0.5 pts
23South Carolina4.5-0.8 pts
23Wisconsin4.5+0.4 pts
25Ohio4.4-0.6 pts
26Maine4.30 pts
26Virginia4.3-0.1 pts
28Kentucky4.2+0.3 pts
28Nebraska4.2-0.6 pts
28New Mexico4.2-2.7 pts
31Maryland3.8-0.3 pts
31New Hampshire3.8-0.1 pts
31New Jersey3.8+0.3 pts
34Iowa3.6+0.5 pts
34Louisiana3.6-0.6 pts
36Delaware3.4-0.2 pts
36Illinois3.4+0.2 pts
38Minnesota3.3+0.2 pts
39California3.2-0.2 pts
40Alabama3.1-1 pts
40Connecticut3.1+0.8 pts
42Hawaii3+0.3 pts
42Oregon3-0.6 pts
42Washington3-0.2 pts
45Michigan2.6-0.4 pts
45West Virginia2.6-0.7 pts
47New York2.5-0.1 pts
48Rhode Island2.2-0.3 pts
49Vermont2+0.4 pts
50Massachusetts1.6+0.5 pts
51District of Columbia1.3-1.1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-states?period=2022.
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-2022-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 10.7% in 2022, according to the U.S. Census Bureau.

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

District of Columbia, with 1.3% 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, 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