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 2019, at 20.7%. Massachusetts had the lowest, at 3.5%. The median was 9.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest20.7Texas
Lowest3.5Massachusetts
Median9.451 states

Map of states, 2019

Alabama: 11.6 %Alaska: 12.7 %Arizona: 13.6 %Arkansas: 10.8 %California: 8.9 %Colorado: 9.4 %Connecticut: 7 %Delaware: 8 %District of Columbia: 4 %Florida: 16.4 %Georgia: 15.7 %Hawaii: 4.8 %Idaho: 12.7 %Illinois: 8.7 %Indiana: 10.3 %Iowa: 5.7 %Kansas: 10.7 %Kentucky: 7.6 %Louisiana: 10.3 %Maine: 10.2 %Maryland: 7 %Massachusetts: 3.5 %Michigan: 7 %Minnesota: 5.8 %Mississippi: 15.4 %Missouri: 11.9 %Montana: 10.2 %Nebraska: 9.5 %Nevada: 13.5 %New Hampshire: 7.7 %New Jersey: 9.3 %New Mexico: 12.1 %New York: 6.2 %North Carolina: 13.4 %North Dakota: 7.2 %Ohio: 7.9 %Oklahoma: 16.8 %Oregon: 8.6 %Pennsylvania: 7 %Rhode Island: 5 %South Carolina: 13.2 %South Dakota: 12 %Tennessee: 12.1 %Texas: 20.7 %Utah: 10.7 %Vermont: 5.7 %Virginia: 9.2 %Washington: 7.7 %West Virginia: 8.1 %Wisconsin: 6.8 %Wyoming: 14.7 %
  • Under 6.9
  • 6.9 to 7.8
  • 7.8 to 9.4
  • 9.4 to 11
  • 11 to 13
  • 13 and over
%, 2019. 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, 2019

Texas: 20.7 %Texas20.7Oklahoma: 16.8 %Oklahoma16.8Florida: 16.4 %Florida16.4Georgia: 15.7 %Georgia15.7Mississippi: 15.4 %Mississippi15.4Wyoming: 14.7 %Wyoming14.7Arizona: 13.6 %Arizona13.6Nevada: 13.5 %Nevada13.5North Carolina: 13.4 %North Carolina13.4South Carolina: 13.2 %South Carolina13.2Alaska: 12.7 %Alaska12.7Idaho: 12.7 %Idaho12.7New Mexico: 12.1 %New Mexico12.1Tennessee: 12.1 %Tennessee12.1South Dakota: 12 %South Dakota12Missouri: 11.9 %Missouri11.9Alabama: 11.6 %Alabama11.6Arkansas: 10.8 %Arkansas10.8Kansas: 10.7 %Kansas10.7Utah: 10.7 %Utah10.7Indiana: 10.3 %Indiana10.3Louisiana: 10.3 %Louisiana10.3Maine: 10.2 %Maine10.2Montana: 10.2 %Montana10.2Nebraska: 9.5 %Nebraska9.5Colorado: 9.4 %Colorado9.4New Jersey: 9.3 %New Jersey9.3Virginia: 9.2 %Virginia9.2California: 8.9 %California8.9Illinois: 8.7 %Illinois8.7Oregon: 8.6 %Oregon8.6West Virginia: 8.1 %West Virginia8.1Delaware: 8 %Delaware8Ohio: 7.9 %Ohio7.9New Hampshire: 7.7 %New Hampshire7.7Washington: 7.7 %Washington7.7Kentucky: 7.6 %Kentucky7.6North Dakota: 7.2 %North Dakota7.2Connecticut: 7 %Connecticut7Maryland: 7 %Maryland7Michigan: 7 %Michigan7Pennsylvania: 7 %Pennsylvania7Wisconsin: 6.8 %Wisconsin6.8New York: 6.2 %New York6.2Minnesota: 5.8 %Minnesota5.8Iowa: 5.7 %Iowa5.7Vermont: 5.7 %Vermont5.7Rhode Island: 5 %Rhode Island5Hawaii: 4.8 %Hawaii4.8District of Columbia: 4 %District of Columbia4Massachusetts: 3.5 %Massachusetts3.5Texas: 20.7 %Texas20.7Oklahoma: 16.8 %Oklahoma16.8Florida: 16.4 %Florida16.4Georgia: 15.7 %Georgia15.7Mississippi: 15.4 %Mississippi15.4Wyoming: 14.7 %Wyoming14.7Arizona: 13.6 %Arizona13.6Nevada: 13.5 %Nevada13.5North Carolina: 13.4 %North Carolina13.4South Carolina: 13.2 %South Carolina13.2Alaska: 12.7 %Alaska12.7Idaho: 12.7 %Idaho12.7New Mexico: 12.1 %New Mexico12.1Tennessee: 12.1 %Tennessee12.1South Dakota: 12 %South Dakota12Missouri: 11.9 %Missouri11.9Alabama: 11.6 %Alabama11.6Arkansas: 10.8 %Arkansas10.8Kansas: 10.7 %Kansas10.7Utah: 10.7 %Utah10.7Indiana: 10.3 %Indiana10.3Louisiana: 10.3 %Louisiana10.3Maine: 10.2 %Maine10.2Montana: 10.2 %Montana10.2Nebraska: 9.5 %Nebraska9.5Colorado: 9.4 %Colorado9.4New Jersey: 9.3 %New Jersey9.3Virginia: 9.2 %Virginia9.2California: 8.9 %California8.9Illinois: 8.7 %Illinois8.7Oregon: 8.6 %Oregon8.6West Virginia: 8.1 %West Virginia8.1Delaware: 8 %Delaware8Ohio: 7.9 %Ohio7.9New Hampshire: 7.7 %New Hampshire7.7Washington: 7.7 %Washington7.7Kentucky: 7.6 %Kentucky7.6North Dakota: 7.2 %North Dakota7.2Connecticut: 7 %Connecticut7Maryland: 7 %Maryland7Michigan: 7 %Michigan7Pennsylvania: 7 %Pennsylvania7Wisconsin: 6.8 %Wisconsin6.8New York: 6.2 %New York6.2Minnesota: 5.8 %Minnesota5.8Iowa: 5.7 %Iowa5.7Vermont: 5.7 %Vermont5.7Rhode Island: 5 %Rhode Island5Hawaii: 4.8 %Hawaii4.8District of Columbia: 4 %District of Columbia4Massachusetts: 3.5 %Massachusetts3.5
%. 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

RankStates2019 (%)Change on 2018
1Texas20.7+0.8 pts
2Oklahoma16.8+0.2 pts
3Florida16.4+0.3 pts
4Georgia15.7-0.2 pts
5Mississippi15.4+1 pts
6Wyoming14.7+2.3 pts
7Arizona13.6+0.8 pts
8Nevada13.5+0.6 pts
9North Carolina13.4+0.7 pts
10South Carolina13.2+0.5 pts
11Alaska12.7-1.2 pts
11Idaho12.7-0.4 pts
13New Mexico12.1+0.6 pts
13Tennessee12.1+0.1 pts
15South Dakota12+0.8 pts
16Missouri11.9+0.5 pts
17Alabama11.6-0.3 pts
18Arkansas10.8+1.2 pts
19Kansas10.7+0.6 pts
19Utah10.7+0.3 pts
21Indiana10.3+0.6 pts
21Louisiana10.3+1 pts
23Maine10.20 pts
23Montana10.20 pts
25Nebraska9.5+0.1 pts
26Colorado9.4+0.6 pts
27New Jersey9.3+0.6 pts
28Virginia9.2-0.9 pts
29California8.9+0.6 pts
30Illinois8.7+0.6 pts
31Oregon8.6+0.2 pts
32West Virginia8.1+0.3 pts
33Delaware8+1.2 pts
34Ohio7.9+0.2 pts
35New Hampshire7.7+0.6 pts
35Washington7.7+0.2 pts
37Kentucky7.6+0.9 pts
38North Dakota7.2-0.9 pts
39Connecticut7+0.8 pts
39Maryland7+0.1 pts
39Michigan7+0.5 pts
39Pennsylvania7+0.3 pts
43Wisconsin6.8+0.3 pts
44New York6.2-0.1 pts
45Minnesota5.8+0.7 pts
46Iowa5.7+0.1 pts
46Vermont5.7+0.8 pts
48Rhode Island5+0.2 pts
49Hawaii4.8+0.1 pts
50District of Columbia4+0.4 pts
51Massachusetts3.5+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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2019.
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-2019-csv.zip. Retrieved 2026-10-12.
ER  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank US states by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"region","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=region&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Texas, with 20.7% in 2019, according to the U.S. Census Bureau.

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

Massachusetts, with 3.5% in 2019.

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