Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / US states

US states by uninsured rate, under 65 (US model-based estimate), 2024

Texas had the highest uninsured rate, under 65 (US model-based estimate) of 51 states in 2024, at 19.1%. Massachusetts had the lowest, at 3.3%. The median was 8.3%. Source: the U.S. Census Bureau.

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Highest19.1Texas
Lowest3.3Massachusetts
Median8.351 states

Map of states, 2024

Alabama: 10 %Alaska: 12.5 %Arizona: 12.9 %Arkansas: 11.3 %California: 6.9 %Colorado: 9.3 %Connecticut: 7 %Delaware: 8.3 %District of Columbia: 4.8 %Florida: 13.7 %Georgia: 14 %Hawaii: 4.1 %Idaho: 11.1 %Illinois: 8.1 %Indiana: 9 %Iowa: 6.4 %Kansas: 10.1 %Kentucky: 8.1 %Louisiana: 9.2 %Maine: 7.2 %Maryland: 7.2 %Massachusetts: 3.3 %Michigan: 6.2 %Minnesota: 6 %Mississippi: 12.1 %Missouri: 9.2 %Montana: 11.1 %Nebraska: 8.2 %Nevada: 13.7 %New Hampshire: 5.8 %New Jersey: 9 %New Mexico: 13.4 %New York: 5.9 %North Carolina: 10.2 %North Dakota: 6.6 %Ohio: 8.1 %Oklahoma: 14.4 %Oregon: 6.6 %Pennsylvania: 7.2 %Rhode Island: 5.3 %South Carolina: 11.2 %South Dakota: 9.9 %Tennessee: 11.3 %Texas: 19.1 %Utah: 9.4 %Vermont: 5.1 %Virginia: 8.1 %Washington: 7.8 %West Virginia: 7.3 %Wisconsin: 6.4 %Wyoming: 12.5 %
  • Under 6.3
  • 6.3 to 7.2
  • 7.2 to 8.3
  • 8.3 to 10
  • 10 to 12
  • 12 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2024

Texas: 19.1 %Texas19.1Oklahoma: 14.4 %Oklahoma14.4Georgia: 14 %Georgia14Florida: 13.7 %Florida13.7Nevada: 13.7 %Nevada13.7New Mexico: 13.4 %New Mexico13.4Arizona: 12.9 %Arizona12.9Alaska: 12.5 %Alaska12.5Wyoming: 12.5 %Wyoming12.5Mississippi: 12.1 %Mississippi12.1Arkansas: 11.3 %Arkansas11.3Tennessee: 11.3 %Tennessee11.3South Carolina: 11.2 %South Carolina11.2Idaho: 11.1 %Idaho11.1Montana: 11.1 %Montana11.1North Carolina: 10.2 %North Carolina10.2Kansas: 10.1 %Kansas10.1Alabama: 10 %Alabama10South Dakota: 9.9 %South Dakota9.9Utah: 9.4 %Utah9.4Colorado: 9.3 %Colorado9.3Louisiana: 9.2 %Louisiana9.2Missouri: 9.2 %Missouri9.2Indiana: 9 %Indiana9New Jersey: 9 %New Jersey9Delaware: 8.3 %Delaware8.3Nebraska: 8.2 %Nebraska8.2Illinois: 8.1 %Illinois8.1Kentucky: 8.1 %Kentucky8.1Ohio: 8.1 %Ohio8.1Virginia: 8.1 %Virginia8.1Washington: 7.8 %Washington7.8West Virginia: 7.3 %West Virginia7.3Maine: 7.2 %Maine7.2Maryland: 7.2 %Maryland7.2Pennsylvania: 7.2 %Pennsylvania7.2Connecticut: 7 %Connecticut7California: 6.9 %California6.9North Dakota: 6.6 %North Dakota6.6Oregon: 6.6 %Oregon6.6Iowa: 6.4 %Iowa6.4Wisconsin: 6.4 %Wisconsin6.4Michigan: 6.2 %Michigan6.2Minnesota: 6 %Minnesota6New York: 5.9 %New York5.9New Hampshire: 5.8 %New Hampshire5.8Rhode Island: 5.3 %Rhode Island5.3Vermont: 5.1 %Vermont5.1District of Columbia: 4.8 %District of Columbia4.8Hawaii: 4.1 %Hawaii4.1Massachusetts: 3.3 %Massachusetts3.3Texas: 19.1 %Texas19.1Oklahoma: 14.4 %Oklahoma14.4Georgia: 14 %Georgia14Florida: 13.7 %Florida13.7Nevada: 13.7 %Nevada13.7New Mexico: 13.4 %New Mexico13.4Arizona: 12.9 %Arizona12.9Alaska: 12.5 %Alaska12.5Wyoming: 12.5 %Wyoming12.5Mississippi: 12.1 %Mississippi12.1Arkansas: 11.3 %Arkansas11.3Tennessee: 11.3 %Tennessee11.3South Carolina: 11.2 %South Carolina11.2Idaho: 11.1 %Idaho11.1Montana: 11.1 %Montana11.1North Carolina: 10.2 %North Carolina10.2Kansas: 10.1 %Kansas10.1Alabama: 10 %Alabama10South Dakota: 9.9 %South Dakota9.9Utah: 9.4 %Utah9.4Colorado: 9.3 %Colorado9.3Louisiana: 9.2 %Louisiana9.2Missouri: 9.2 %Missouri9.2Indiana: 9 %Indiana9New Jersey: 9 %New Jersey9Delaware: 8.3 %Delaware8.3Nebraska: 8.2 %Nebraska8.2Illinois: 8.1 %Illinois8.1Kentucky: 8.1 %Kentucky8.1Ohio: 8.1 %Ohio8.1Virginia: 8.1 %Virginia8.1Washington: 7.8 %Washington7.8West Virginia: 7.3 %West Virginia7.3Maine: 7.2 %Maine7.2Maryland: 7.2 %Maryland7.2Pennsylvania: 7.2 %Pennsylvania7.2Connecticut: 7 %Connecticut7California: 6.9 %California6.9North Dakota: 6.6 %North Dakota6.6Oregon: 6.6 %Oregon6.6Iowa: 6.4 %Iowa6.4Wisconsin: 6.4 %Wisconsin6.4Michigan: 6.2 %Michigan6.2Minnesota: 6 %Minnesota6New York: 5.9 %New York5.9New Hampshire: 5.8 %New Hampshire5.8Rhode Island: 5.3 %Rhode Island5.3Vermont: 5.1 %Vermont5.1District of Columbia: 4.8 %District of Columbia4.8Hawaii: 4.1 %Hawaii4.1Massachusetts: 3.3 %Massachusetts3.3
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankStates2024 (%)Change on 2023
1Texas19.1+0.5 pts
2Oklahoma14.4+0.4 pts
3Georgia14+0.7 pts
4Florida13.7+0.3 pts
4Nevada13.7+0.9 pts
6New Mexico13.4+1.7 pts
7Arizona12.9+0.5 pts
8Alaska12.5-0.1 pts
8Wyoming12.5-0.8 pts
10Mississippi12.1-0.4 pts
11Arkansas11.3+0.6 pts
11Tennessee11.3+0.3 pts
13South Carolina11.2+0.1 pts
14Idaho11.1+0.2 pts
14Montana11.1+0.5 pts
16North Carolina10.2-0.9 pts
17Kansas10.1+0.3 pts
18Alabama10-0.2 pts
19South Dakota9.9+0.1 pts
20Utah9.4+0.4 pts
21Colorado9.3+1.4 pts
22Louisiana9.2+0.9 pts
22Missouri9.2+0.2 pts
24Indiana9+0.8 pts
24New Jersey9+0.5 pts
26Delaware8.3+0.6 pts
27Nebraska8.2+1 pts
28Illinois8.1+0.8 pts
28Kentucky8.1+1.7 pts
28Ohio8.1+0.7 pts
28Virginia8.1+0.6 pts
32Washington7.8+0.4 pts
33West Virginia7.3-0.1 pts
34Maine7.2-0.6 pts
34Maryland7.2+0.1 pts
34Pennsylvania7.2+0.7 pts
37Connecticut7+0.4 pts
38California6.9-0.6 pts
39North Dakota6.6+0.9 pts
39Oregon6.6-0.2 pts
41Iowa6.4+0.5 pts
41Wisconsin6.4+0.5 pts
43Michigan6.2+0.7 pts
44Minnesota6+0.9 pts
45New York5.9+0.1 pts
46New Hampshire5.8-0.2 pts
47Rhode Island5.30 pts
48Vermont5.1+0.5 pts
49District of Columbia4.8+1.6 pts
50Hawaii4.1+0.2 pts
51Massachusetts3.3+0.3 pts

Other periods

About this ranking

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. 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. People 65 and over are left out because nearly all of them have Medicare.

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 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 65, all races, both sexes, all income levels, states and counties (US states by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, US states by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. US states by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, US states by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: US states by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: US states by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which state has the highest uninsured rate, under 65 (US model-based estimate)?

Texas, with 19.1% in 2024, according to the U.S. Census Bureau.

Which state has the lowest uninsured rate, under 65 (US model-based estimate)?

Massachusetts, with 3.3% in 2024.

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 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 65 (US model-based estimate): other rankings

US states: more rankings