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 2014, at 21.4%. Massachusetts had the lowest, at 3.8%. The median was 11.7%. Source: the U.S. Census Bureau.

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Highest21.4Texas
Lowest3.8Massachusetts
Median11.751 states

Map of states, 2014

Alabama: 14.2 %Alaska: 19 %Arizona: 16.1 %Arkansas: 13.8 %California: 14.1 %Colorado: 11.7 %Connecticut: 8 %Delaware: 9.3 %District of Columbia: 5.9 %Florida: 20.2 %Georgia: 18 %Hawaii: 6 %Idaho: 15.7 %Illinois: 11.2 %Indiana: 14 %Iowa: 7.3 %Kansas: 11.7 %Kentucky: 9.9 %Louisiana: 16.9 %Maine: 12.4 %Maryland: 8.9 %Massachusetts: 3.8 %Michigan: 10.1 %Minnesota: 6.7 %Mississippi: 17.1 %Missouri: 13.7 %Montana: 16.8 %Nebraska: 11 %Nevada: 17.3 %New Hampshire: 11 %New Jersey: 12.6 %New Mexico: 17.1 %New York: 10.1 %North Carolina: 15.2 %North Dakota: 9.3 %Ohio: 9.9 %Oklahoma: 17.9 %Oregon: 11.6 %Pennsylvania: 10.2 %Rhode Island: 8.6 %South Carolina: 16.1 %South Dakota: 11.6 %Tennessee: 14.1 %Texas: 21.4 %Utah: 13.8 %Vermont: 6.1 %Virginia: 12.4 %Washington: 10.6 %West Virginia: 10.6 %Wisconsin: 8.6 %Wyoming: 14.2 %
  • Under 8.7
  • 8.7 to 10
  • 10 to 12
  • 12 to 14
  • 14 to 17
  • 17 and over
%, 2014. 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, 2014

Texas: 21.4 %Texas21.4Florida: 20.2 %Florida20.2Alaska: 19 %Alaska19Georgia: 18 %Georgia18Oklahoma: 17.9 %Oklahoma17.9Nevada: 17.3 %Nevada17.3Mississippi: 17.1 %Mississippi17.1New Mexico: 17.1 %New Mexico17.1Louisiana: 16.9 %Louisiana16.9Montana: 16.8 %Montana16.8Arizona: 16.1 %Arizona16.1South Carolina: 16.1 %South Carolina16.1Idaho: 15.7 %Idaho15.7North Carolina: 15.2 %North Carolina15.2Alabama: 14.2 %Alabama14.2Wyoming: 14.2 %Wyoming14.2California: 14.1 %California14.1Tennessee: 14.1 %Tennessee14.1Indiana: 14 %Indiana14Arkansas: 13.8 %Arkansas13.8Utah: 13.8 %Utah13.8Missouri: 13.7 %Missouri13.7New Jersey: 12.6 %New Jersey12.6Maine: 12.4 %Maine12.4Virginia: 12.4 %Virginia12.4Colorado: 11.7 %Colorado11.7Kansas: 11.7 %Kansas11.7Oregon: 11.6 %Oregon11.6South Dakota: 11.6 %South Dakota11.6Illinois: 11.2 %Illinois11.2Nebraska: 11 %Nebraska11New Hampshire: 11 %New Hampshire11Washington: 10.6 %Washington10.6West Virginia: 10.6 %West Virginia10.6Pennsylvania: 10.2 %Pennsylvania10.2Michigan: 10.1 %Michigan10.1New York: 10.1 %New York10.1Kentucky: 9.9 %Kentucky9.9Ohio: 9.9 %Ohio9.9Delaware: 9.3 %Delaware9.3North Dakota: 9.3 %North Dakota9.3Maryland: 8.9 %Maryland8.9Rhode Island: 8.6 %Rhode Island8.6Wisconsin: 8.6 %Wisconsin8.6Connecticut: 8 %Connecticut8Iowa: 7.3 %Iowa7.3Minnesota: 6.7 %Minnesota6.7Vermont: 6.1 %Vermont6.1Hawaii: 6 %Hawaii6District of Columbia: 5.9 %District of Columbia5.9Massachusetts: 3.8 %Massachusetts3.8Texas: 21.4 %Texas21.4Florida: 20.2 %Florida20.2Alaska: 19 %Alaska19Georgia: 18 %Georgia18Oklahoma: 17.9 %Oklahoma17.9Nevada: 17.3 %Nevada17.3Mississippi: 17.1 %Mississippi17.1New Mexico: 17.1 %New Mexico17.1Louisiana: 16.9 %Louisiana16.9Montana: 16.8 %Montana16.8Arizona: 16.1 %Arizona16.1South Carolina: 16.1 %South Carolina16.1Idaho: 15.7 %Idaho15.7North Carolina: 15.2 %North Carolina15.2Alabama: 14.2 %Alabama14.2Wyoming: 14.2 %Wyoming14.2California: 14.1 %California14.1Tennessee: 14.1 %Tennessee14.1Indiana: 14 %Indiana14Arkansas: 13.8 %Arkansas13.8Utah: 13.8 %Utah13.8Missouri: 13.7 %Missouri13.7New Jersey: 12.6 %New Jersey12.6Maine: 12.4 %Maine12.4Virginia: 12.4 %Virginia12.4Colorado: 11.7 %Colorado11.7Kansas: 11.7 %Kansas11.7Oregon: 11.6 %Oregon11.6South Dakota: 11.6 %South Dakota11.6Illinois: 11.2 %Illinois11.2Nebraska: 11 %Nebraska11New Hampshire: 11 %New Hampshire11Washington: 10.6 %Washington10.6West Virginia: 10.6 %West Virginia10.6Pennsylvania: 10.2 %Pennsylvania10.2Michigan: 10.1 %Michigan10.1New York: 10.1 %New York10.1Kentucky: 9.9 %Kentucky9.9Ohio: 9.9 %Ohio9.9Delaware: 9.3 %Delaware9.3North Dakota: 9.3 %North Dakota9.3Maryland: 8.9 %Maryland8.9Rhode Island: 8.6 %Rhode Island8.6Wisconsin: 8.6 %Wisconsin8.6Connecticut: 8 %Connecticut8Iowa: 7.3 %Iowa7.3Minnesota: 6.7 %Minnesota6.7Vermont: 6.1 %Vermont6.1Hawaii: 6 %Hawaii6District of Columbia: 5.9 %District of Columbia5.9Massachusetts: 3.8 %Massachusetts3.8
%. 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

RankStates2014 (%)Change on 2013
1Texas21.4-3.4 pts
2Florida20.2-4.1 pts
3Alaska19-1.8 pts
4Georgia18-3.2 pts
5Oklahoma17.9-2.7 pts
6Nevada17.3-6 pts
7Mississippi17.1-2.9 pts
7New Mexico17.1-4.8 pts
9Louisiana16.9-2.2 pts
10Montana16.8-3.2 pts
11Arizona16.1-3.9 pts
11South Carolina16.1-2.5 pts
13Idaho15.7-3.1 pts
14North Carolina15.2-2.9 pts
15Alabama14.2-1.7 pts
15Wyoming14.2-1.6 pts
17California14.1-5.3 pts
17Tennessee14.1-2.1 pts
19Indiana14-2.1 pts
20Arkansas13.8-5 pts
20Utah13.8-1.5 pts
22Missouri13.7-1.6 pts
23New Jersey12.6-2.4 pts
24Maine12.4-1.1 pts
24Virginia12.4-1.6 pts
26Colorado11.7-4.3 pts
26Kansas11.7-2.4 pts
28Oregon11.6-5.6 pts
28South Dakota11.6-1.2 pts
30Illinois11.2-3.4 pts
31Nebraska11-1.9 pts
31New Hampshire11-1.8 pts
33Washington10.6-5.3 pts
33West Virginia10.6-6.5 pts
35Pennsylvania10.2-1.4 pts
36Michigan10.1-2.8 pts
36New York10.1-2.3 pts
38Kentucky9.9-6.9 pts
38Ohio9.9-3.1 pts
40Delaware9.3-1.6 pts
40North Dakota9.3-3 pts
42Maryland8.9-2.8 pts
43Rhode Island8.6-5.3 pts
43Wisconsin8.6-2 pts
45Connecticut8-2.9 pts
46Iowa7.3-2.3 pts
47Minnesota6.7-2.8 pts
48Vermont6.1-2.6 pts
49Hawaii6-1.6 pts
50District of Columbia5.9-1.6 pts
51Massachusetts3.8-0.5 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-2014-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), 2014) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-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), 2014. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014. 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), 2014. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014.

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), 2014 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2014,
  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), 2014}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014. 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-2014-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), 2014
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-2014-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2014.
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-2014-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 21.4% in 2014, according to the U.S. Census Bureau.

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

Massachusetts, with 3.8% in 2014.

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