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

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

Texas had the highest uninsured rate, under 65 (US model-based estimate) of 51 states in 2013, at 24.8%. Massachusetts had the lowest, at 4.3%. The median was 15.3%. Source: the U.S. Census Bureau.

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Highest24.8Texas
Lowest4.3Massachusetts
Median15.351 states

Map of states, 2013

Alabama: 15.9 %Alaska: 20.8 %Arizona: 20 %Arkansas: 18.8 %California: 19.4 %Colorado: 16 %Connecticut: 10.9 %Delaware: 10.9 %District of Columbia: 7.5 %Florida: 24.3 %Georgia: 21.2 %Hawaii: 7.6 %Idaho: 18.8 %Illinois: 14.6 %Indiana: 16.1 %Iowa: 9.6 %Kansas: 14.1 %Kentucky: 16.8 %Louisiana: 19.1 %Maine: 13.5 %Maryland: 11.7 %Massachusetts: 4.3 %Michigan: 12.9 %Minnesota: 9.5 %Mississippi: 20 %Missouri: 15.3 %Montana: 20 %Nebraska: 12.9 %Nevada: 23.3 %New Hampshire: 12.8 %New Jersey: 15 %New Mexico: 21.9 %New York: 12.4 %North Carolina: 18.1 %North Dakota: 12.3 %Ohio: 13 %Oklahoma: 20.6 %Oregon: 17.2 %Pennsylvania: 11.6 %Rhode Island: 13.9 %South Carolina: 18.6 %South Dakota: 12.8 %Tennessee: 16.2 %Texas: 24.8 %Utah: 15.3 %Vermont: 8.7 %Virginia: 14 %Washington: 15.9 %West Virginia: 17.1 %Wisconsin: 10.6 %Wyoming: 15.8 %
  • Under 11
  • 11 to 13
  • 13 to 15
  • 15 to 17
  • 17 to 20
  • 20 and over
%, 2013. 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, 2013

Texas: 24.8 %Texas24.8Florida: 24.3 %Florida24.3Nevada: 23.3 %Nevada23.3New Mexico: 21.9 %New Mexico21.9Georgia: 21.2 %Georgia21.2Alaska: 20.8 %Alaska20.8Oklahoma: 20.6 %Oklahoma20.6Arizona: 20 %Arizona20Mississippi: 20 %Mississippi20Montana: 20 %Montana20California: 19.4 %California19.4Louisiana: 19.1 %Louisiana19.1Arkansas: 18.8 %Arkansas18.8Idaho: 18.8 %Idaho18.8South Carolina: 18.6 %South Carolina18.6North Carolina: 18.1 %North Carolina18.1Oregon: 17.2 %Oregon17.2West Virginia: 17.1 %West Virginia17.1Kentucky: 16.8 %Kentucky16.8Tennessee: 16.2 %Tennessee16.2Indiana: 16.1 %Indiana16.1Colorado: 16 %Colorado16Alabama: 15.9 %Alabama15.9Washington: 15.9 %Washington15.9Wyoming: 15.8 %Wyoming15.8Missouri: 15.3 %Missouri15.3Utah: 15.3 %Utah15.3New Jersey: 15 %New Jersey15Illinois: 14.6 %Illinois14.6Kansas: 14.1 %Kansas14.1Virginia: 14 %Virginia14Rhode Island: 13.9 %Rhode Island13.9Maine: 13.5 %Maine13.5Ohio: 13 %Ohio13Michigan: 12.9 %Michigan12.9Nebraska: 12.9 %Nebraska12.9New Hampshire: 12.8 %New Hampshire12.8South Dakota: 12.8 %South Dakota12.8New York: 12.4 %New York12.4North Dakota: 12.3 %North Dakota12.3Maryland: 11.7 %Maryland11.7Pennsylvania: 11.6 %Pennsylvania11.6Connecticut: 10.9 %Connecticut10.9Delaware: 10.9 %Delaware10.9Wisconsin: 10.6 %Wisconsin10.6Iowa: 9.6 %Iowa9.6Minnesota: 9.5 %Minnesota9.5Vermont: 8.7 %Vermont8.7Hawaii: 7.6 %Hawaii7.6District of Columbia: 7.5 %District of Columbia7.5Massachusetts: 4.3 %Massachusetts4.3Texas: 24.8 %Texas24.8Florida: 24.3 %Florida24.3Nevada: 23.3 %Nevada23.3New Mexico: 21.9 %New Mexico21.9Georgia: 21.2 %Georgia21.2Alaska: 20.8 %Alaska20.8Oklahoma: 20.6 %Oklahoma20.6Arizona: 20 %Arizona20Mississippi: 20 %Mississippi20Montana: 20 %Montana20California: 19.4 %California19.4Louisiana: 19.1 %Louisiana19.1Arkansas: 18.8 %Arkansas18.8Idaho: 18.8 %Idaho18.8South Carolina: 18.6 %South Carolina18.6North Carolina: 18.1 %North Carolina18.1Oregon: 17.2 %Oregon17.2West Virginia: 17.1 %West Virginia17.1Kentucky: 16.8 %Kentucky16.8Tennessee: 16.2 %Tennessee16.2Indiana: 16.1 %Indiana16.1Colorado: 16 %Colorado16Alabama: 15.9 %Alabama15.9Washington: 15.9 %Washington15.9Wyoming: 15.8 %Wyoming15.8Missouri: 15.3 %Missouri15.3Utah: 15.3 %Utah15.3New Jersey: 15 %New Jersey15Illinois: 14.6 %Illinois14.6Kansas: 14.1 %Kansas14.1Virginia: 14 %Virginia14Rhode Island: 13.9 %Rhode Island13.9Maine: 13.5 %Maine13.5Ohio: 13 %Ohio13Michigan: 12.9 %Michigan12.9Nebraska: 12.9 %Nebraska12.9New Hampshire: 12.8 %New Hampshire12.8South Dakota: 12.8 %South Dakota12.8New York: 12.4 %New York12.4North Dakota: 12.3 %North Dakota12.3Maryland: 11.7 %Maryland11.7Pennsylvania: 11.6 %Pennsylvania11.6Connecticut: 10.9 %Connecticut10.9Delaware: 10.9 %Delaware10.9Wisconsin: 10.6 %Wisconsin10.6Iowa: 9.6 %Iowa9.6Minnesota: 9.5 %Minnesota9.5Vermont: 8.7 %Vermont8.7Hawaii: 7.6 %Hawaii7.6District of Columbia: 7.5 %District of Columbia7.5Massachusetts: 4.3 %Massachusetts4.3
%. 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

RankStates2013 (%)Change on 2012
1Texas24.8-0.4 pts
2Florida24.3+0.2 pts
3Nevada23.3-1.2 pts
4New Mexico21.9+0.4 pts
5Georgia21.2+0.5 pts
6Alaska20.8-1.5 pts
7Oklahoma20.6-0.8 pts
8Arizona20-0.4 pts
8Mississippi20+0.3 pts
8Montana20-1.6 pts
11California19.4-0.6 pts
12Louisiana19.1-0.3 pts
13Arkansas18.8-0.6 pts
13Idaho18.8+0.3 pts
15South Carolina18.6-1.2 pts
16North Carolina18.1-0.9 pts
17Oregon17.2-0.2 pts
18West Virginia17.1-0.5 pts
19Kentucky16.8+0.6 pts
20Tennessee16.20 pts
21Indiana16.1-0.5 pts
22Colorado16-0.7 pts
23Alabama15.9+0.1 pts
23Washington15.9+0.1 pts
25Wyoming15.8-1.5 pts
26Missouri15.3-0.5 pts
26Utah15.3-0.4 pts
28New Jersey15+0.4 pts
29Illinois14.60 pts
30Kansas14.1-0.3 pts
31Virginia14-0.2 pts
32Rhode Island13.9+1.1 pts
33Maine13.5+1.1 pts
34Ohio13-0.5 pts
35Michigan12.9-0.5 pts
35Nebraska12.90 pts
37New Hampshire12.8+0.2 pts
37South Dakota12.8-0.8 pts
39New York12.4-0.2 pts
40North Dakota12.3+0.3 pts
41Maryland11.7-0.1 pts
42Pennsylvania11.6-0.1 pts
43Connecticut10.9+0.4 pts
43Delaware10.9+0.6 pts
45Wisconsin10.6+0.2 pts
46Iowa9.6-0.3 pts
47Minnesota9.5+0.3 pts
48Vermont8.7+0.8 pts
49Hawaii7.6-0.2 pts
50District of Columbia7.5+0.5 pts
51Massachusetts4.3-0.2 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2013.
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-2013-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 24.8% in 2013, according to the U.S. Census Bureau.

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

Massachusetts, with 4.3% in 2013.

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