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 2017, at 19.4%. Massachusetts had the lowest, at 3.3%. The median was 9.3%. Source: the U.S. Census Bureau.

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Highest19.4Texas
Lowest3.3Massachusetts
Median9.351 states

Map of states, 2017

Alabama: 11 %Alaska: 14.8 %Arizona: 12.1 %Arkansas: 9.3 %California: 8.2 %Colorado: 8.7 %Connecticut: 6.3 %Delaware: 6.1 %District of Columbia: 4.3 %Florida: 16 %Georgia: 15.5 %Hawaii: 4.6 %Idaho: 11.8 %Illinois: 7.9 %Indiana: 9.6 %Iowa: 5.5 %Kansas: 10.1 %Kentucky: 6.4 %Louisiana: 9.6 %Maine: 10.2 %Maryland: 7 %Massachusetts: 3.3 %Michigan: 6.1 %Minnesota: 5.1 %Mississippi: 14.5 %Missouri: 10.9 %Montana: 10.4 %Nebraska: 9.6 %Nevada: 13.1 %New Hampshire: 7 %New Jersey: 9 %New Mexico: 11 %New York: 6.6 %North Carolina: 12.6 %North Dakota: 8.6 %Ohio: 7.1 %Oklahoma: 16.5 %Oregon: 8.2 %Pennsylvania: 6.6 %Rhode Island: 5.4 %South Carolina: 13.1 %South Dakota: 10.8 %Tennessee: 11.3 %Texas: 19.4 %Utah: 10 %Vermont: 5.5 %Virginia: 10.2 %Washington: 7.1 %West Virginia: 7.5 %Wisconsin: 6.4 %Wyoming: 14.2 %
  • Under 6.2
  • 6.2 to 7.1
  • 7.1 to 9.3
  • 9.3 to 11
  • 11 to 13
  • 13 and over
%, 2017. 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, 2017

Texas: 19.4 %Texas19.4Oklahoma: 16.5 %Oklahoma16.5Florida: 16 %Florida16Georgia: 15.5 %Georgia15.5Alaska: 14.8 %Alaska14.8Mississippi: 14.5 %Mississippi14.5Wyoming: 14.2 %Wyoming14.2Nevada: 13.1 %Nevada13.1South Carolina: 13.1 %South Carolina13.1North Carolina: 12.6 %North Carolina12.6Arizona: 12.1 %Arizona12.1Idaho: 11.8 %Idaho11.8Tennessee: 11.3 %Tennessee11.3Alabama: 11 %Alabama11New Mexico: 11 %New Mexico11Missouri: 10.9 %Missouri10.9South Dakota: 10.8 %South Dakota10.8Montana: 10.4 %Montana10.4Maine: 10.2 %Maine10.2Virginia: 10.2 %Virginia10.2Kansas: 10.1 %Kansas10.1Utah: 10 %Utah10Indiana: 9.6 %Indiana9.6Louisiana: 9.6 %Louisiana9.6Nebraska: 9.6 %Nebraska9.6Arkansas: 9.3 %Arkansas9.3New Jersey: 9 %New Jersey9Colorado: 8.7 %Colorado8.7North Dakota: 8.6 %North Dakota8.6California: 8.2 %California8.2Oregon: 8.2 %Oregon8.2Illinois: 7.9 %Illinois7.9West Virginia: 7.5 %West Virginia7.5Ohio: 7.1 %Ohio7.1Washington: 7.1 %Washington7.1Maryland: 7 %Maryland7New Hampshire: 7 %New Hampshire7New York: 6.6 %New York6.6Pennsylvania: 6.6 %Pennsylvania6.6Kentucky: 6.4 %Kentucky6.4Wisconsin: 6.4 %Wisconsin6.4Connecticut: 6.3 %Connecticut6.3Delaware: 6.1 %Delaware6.1Michigan: 6.1 %Michigan6.1Iowa: 5.5 %Iowa5.5Vermont: 5.5 %Vermont5.5Rhode Island: 5.4 %Rhode Island5.4Minnesota: 5.1 %Minnesota5.1Hawaii: 4.6 %Hawaii4.6District of Columbia: 4.3 %District of Columbia4.3Massachusetts: 3.3 %Massachusetts3.3Texas: 19.4 %Texas19.4Oklahoma: 16.5 %Oklahoma16.5Florida: 16 %Florida16Georgia: 15.5 %Georgia15.5Alaska: 14.8 %Alaska14.8Mississippi: 14.5 %Mississippi14.5Wyoming: 14.2 %Wyoming14.2Nevada: 13.1 %Nevada13.1South Carolina: 13.1 %South Carolina13.1North Carolina: 12.6 %North Carolina12.6Arizona: 12.1 %Arizona12.1Idaho: 11.8 %Idaho11.8Tennessee: 11.3 %Tennessee11.3Alabama: 11 %Alabama11New Mexico: 11 %New Mexico11Missouri: 10.9 %Missouri10.9South Dakota: 10.8 %South Dakota10.8Montana: 10.4 %Montana10.4Maine: 10.2 %Maine10.2Virginia: 10.2 %Virginia10.2Kansas: 10.1 %Kansas10.1Utah: 10 %Utah10Indiana: 9.6 %Indiana9.6Louisiana: 9.6 %Louisiana9.6Nebraska: 9.6 %Nebraska9.6Arkansas: 9.3 %Arkansas9.3New Jersey: 9 %New Jersey9Colorado: 8.7 %Colorado8.7North Dakota: 8.6 %North Dakota8.6California: 8.2 %California8.2Oregon: 8.2 %Oregon8.2Illinois: 7.9 %Illinois7.9West Virginia: 7.5 %West Virginia7.5Ohio: 7.1 %Ohio7.1Washington: 7.1 %Washington7.1Maryland: 7 %Maryland7New Hampshire: 7 %New Hampshire7New York: 6.6 %New York6.6Pennsylvania: 6.6 %Pennsylvania6.6Kentucky: 6.4 %Kentucky6.4Wisconsin: 6.4 %Wisconsin6.4Connecticut: 6.3 %Connecticut6.3Delaware: 6.1 %Delaware6.1Michigan: 6.1 %Michigan6.1Iowa: 5.5 %Iowa5.5Vermont: 5.5 %Vermont5.5Rhode Island: 5.4 %Rhode Island5.4Minnesota: 5.1 %Minnesota5.1Hawaii: 4.6 %Hawaii4.6District of Columbia: 4.3 %District of Columbia4.3Massachusetts: 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

RankStates2017 (%)Change on 2016
1Texas19.4+0.8 pts
2Oklahoma16.5+0.5 pts
3Florida16+0.6 pts
4Georgia15.5+0.6 pts
5Alaska14.8-0.7 pts
6Mississippi14.5+0.5 pts
7Wyoming14.2+0.8 pts
8Nevada13.10 pts
8South Carolina13.1+1 pts
10North Carolina12.6+0.4 pts
11Arizona12.1+0.2 pts
12Idaho11.80 pts
13Tennessee11.3+0.7 pts
14Alabama11+0.2 pts
14New Mexico11-0.2 pts
16Missouri10.9+0.3 pts
17South Dakota10.8+0.4 pts
18Montana10.4+0.4 pts
19Maine10.2+0.1 pts
19Virginia10.2+0.3 pts
21Kansas10.1+0.2 pts
22Utah10+0.3 pts
23Indiana9.6+0.1 pts
23Louisiana9.6-2.2 pts
23Nebraska9.6-0.1 pts
26Arkansas9.3-0.1 pts
27New Jersey9-0.2 pts
28Colorado8.7+0.1 pts
29North Dakota8.6+1 pts
30California8.2-0.2 pts
30Oregon8.2+0.8 pts
32Illinois7.9+0.4 pts
33West Virginia7.5+1 pts
34Ohio7.1+0.4 pts
34Washington7.1+0.2 pts
36Maryland70 pts
36New Hampshire7-0.2 pts
38New York6.6-0.5 pts
38Pennsylvania6.6-0.2 pts
40Kentucky6.4+0.4 pts
40Wisconsin6.4+0.1 pts
42Connecticut6.3+0.5 pts
43Delaware6.1-0.6 pts
43Michigan6.1-0.3 pts
45Iowa5.5+0.5 pts
45Vermont5.5+0.8 pts
47Rhode Island5.4+0.3 pts
48Minnesota5.1+0.3 pts
49Hawaii4.6+0.4 pts
50District of Columbia4.3+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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2017.
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-2017-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 19.4% in 2017, 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 2017.

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