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 2022, at 18.8%. Massachusetts had the lowest, at 2.9%. The median was 8%. Source: the U.S. Census Bureau.

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Highest18.8Texas
Lowest2.9Massachusetts
Median851 states

Map of states, 2022

Alabama: 10.5 %Alaska: 13.3 %Arizona: 12.7 %Arkansas: 10 %California: 7.5 %Colorado: 8.4 %Connecticut: 6.1 %Delaware: 6.9 %District of Columbia: 3.1 %Florida: 13.9 %Georgia: 13.6 %Hawaii: 4.3 %Idaho: 9.8 %Illinois: 7.7 %Indiana: 8.2 %Iowa: 5.4 %Kansas: 10.2 %Kentucky: 6.6 %Louisiana: 8.3 %Maine: 8.4 %Maryland: 6.8 %Massachusetts: 2.9 %Michigan: 5.5 %Minnesota: 5.4 %Mississippi: 13.1 %Missouri: 10.2 %Montana: 10.5 %Nebraska: 7.7 %Nevada: 13.2 %New Hampshire: 6.2 %New Jersey: 8 %New Mexico: 10.6 %New York: 5.7 %North Carolina: 11.2 %North Dakota: 7.2 %Ohio: 7.1 %Oklahoma: 14.3 %Oregon: 7.4 %Pennsylvania: 6.5 %Rhode Island: 5.2 %South Carolina: 11 %South Dakota: 10 %Tennessee: 11.1 %Texas: 18.8 %Utah: 9.2 %Vermont: 4.9 %Virginia: 7.5 %Washington: 7.2 %West Virginia: 7.4 %Wisconsin: 6.3 %Wyoming: 14.1 %
  • Under 5.8
  • 5.8 to 7.2
  • 7.2 to 8
  • 8 to 10
  • 10 to 12
  • 12 and over
%, 2022. 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, 2022

Texas: 18.8 %Texas18.8Oklahoma: 14.3 %Oklahoma14.3Wyoming: 14.1 %Wyoming14.1Florida: 13.9 %Florida13.9Georgia: 13.6 %Georgia13.6Alaska: 13.3 %Alaska13.3Nevada: 13.2 %Nevada13.2Mississippi: 13.1 %Mississippi13.1Arizona: 12.7 %Arizona12.7North Carolina: 11.2 %North Carolina11.2Tennessee: 11.1 %Tennessee11.1South Carolina: 11 %South Carolina11New Mexico: 10.6 %New Mexico10.6Alabama: 10.5 %Alabama10.5Montana: 10.5 %Montana10.5Kansas: 10.2 %Kansas10.2Missouri: 10.2 %Missouri10.2Arkansas: 10 %Arkansas10South Dakota: 10 %South Dakota10Idaho: 9.8 %Idaho9.8Utah: 9.2 %Utah9.2Colorado: 8.4 %Colorado8.4Maine: 8.4 %Maine8.4Louisiana: 8.3 %Louisiana8.3Indiana: 8.2 %Indiana8.2New Jersey: 8 %New Jersey8Illinois: 7.7 %Illinois7.7Nebraska: 7.7 %Nebraska7.7California: 7.5 %California7.5Virginia: 7.5 %Virginia7.5Oregon: 7.4 %Oregon7.4West Virginia: 7.4 %West Virginia7.4North Dakota: 7.2 %North Dakota7.2Washington: 7.2 %Washington7.2Ohio: 7.1 %Ohio7.1Delaware: 6.9 %Delaware6.9Maryland: 6.8 %Maryland6.8Kentucky: 6.6 %Kentucky6.6Pennsylvania: 6.5 %Pennsylvania6.5Wisconsin: 6.3 %Wisconsin6.3New Hampshire: 6.2 %New Hampshire6.2Connecticut: 6.1 %Connecticut6.1New York: 5.7 %New York5.7Michigan: 5.5 %Michigan5.5Iowa: 5.4 %Iowa5.4Minnesota: 5.4 %Minnesota5.4Rhode Island: 5.2 %Rhode Island5.2Vermont: 4.9 %Vermont4.9Hawaii: 4.3 %Hawaii4.3District of Columbia: 3.1 %District of Columbia3.1Massachusetts: 2.9 %Massachusetts2.9Texas: 18.8 %Texas18.8Oklahoma: 14.3 %Oklahoma14.3Wyoming: 14.1 %Wyoming14.1Florida: 13.9 %Florida13.9Georgia: 13.6 %Georgia13.6Alaska: 13.3 %Alaska13.3Nevada: 13.2 %Nevada13.2Mississippi: 13.1 %Mississippi13.1Arizona: 12.7 %Arizona12.7North Carolina: 11.2 %North Carolina11.2Tennessee: 11.1 %Tennessee11.1South Carolina: 11 %South Carolina11New Mexico: 10.6 %New Mexico10.6Alabama: 10.5 %Alabama10.5Montana: 10.5 %Montana10.5Kansas: 10.2 %Kansas10.2Missouri: 10.2 %Missouri10.2Arkansas: 10 %Arkansas10South Dakota: 10 %South Dakota10Idaho: 9.8 %Idaho9.8Utah: 9.2 %Utah9.2Colorado: 8.4 %Colorado8.4Maine: 8.4 %Maine8.4Louisiana: 8.3 %Louisiana8.3Indiana: 8.2 %Indiana8.2New Jersey: 8 %New Jersey8Illinois: 7.7 %Illinois7.7Nebraska: 7.7 %Nebraska7.7California: 7.5 %California7.5Virginia: 7.5 %Virginia7.5Oregon: 7.4 %Oregon7.4West Virginia: 7.4 %West Virginia7.4North Dakota: 7.2 %North Dakota7.2Washington: 7.2 %Washington7.2Ohio: 7.1 %Ohio7.1Delaware: 6.9 %Delaware6.9Maryland: 6.8 %Maryland6.8Kentucky: 6.6 %Kentucky6.6Pennsylvania: 6.5 %Pennsylvania6.5Wisconsin: 6.3 %Wisconsin6.3New Hampshire: 6.2 %New Hampshire6.2Connecticut: 6.1 %Connecticut6.1New York: 5.7 %New York5.7Michigan: 5.5 %Michigan5.5Iowa: 5.4 %Iowa5.4Minnesota: 5.4 %Minnesota5.4Rhode Island: 5.2 %Rhode Island5.2Vermont: 4.9 %Vermont4.9Hawaii: 4.3 %Hawaii4.3District of Columbia: 3.1 %District of Columbia3.1Massachusetts: 2.9 %Massachusetts2.9
%. 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

RankStates2022 (%)Change on 2021
1Texas18.8-1.5 pts
2Oklahoma14.3-2.6 pts
3Wyoming14.1-1.2 pts
4Florida13.9-1.2 pts
5Georgia13.6-1.2 pts
6Alaska13.3+0.1 pts
7Nevada13.2-0.6 pts
8Mississippi13.1-1.2 pts
9Arizona12.7-0.4 pts
10North Carolina11.2-1.3 pts
11Tennessee11.1-0.8 pts
12South Carolina11-1.3 pts
13New Mexico10.6-2 pts
14Alabama10.5-1.2 pts
14Montana10.50 pts
16Kansas10.2-0.7 pts
16Missouri10.2-1.2 pts
18Arkansas10-1.1 pts
18South Dakota10-1.5 pts
20Idaho9.8-0.7 pts
21Utah9.2-0.9 pts
22Colorado8.4-0.9 pts
22Maine8.4+1.1 pts
24Louisiana8.3-0.9 pts
25Indiana8.2-0.7 pts
26New Jersey8-0.3 pts
27Illinois7.7-0.5 pts
27Nebraska7.7-0.8 pts
29California7.5-0.6 pts
29Virginia7.5-0.5 pts
31Oregon7.40 pts
31West Virginia7.4-0.3 pts
33North Dakota7.2-2 pts
33Washington7.2-0.4 pts
35Ohio7.1-0.7 pts
36Delaware6.90 pts
37Maryland6.8-0.2 pts
38Kentucky6.6-0.2 pts
39Pennsylvania6.5-0.2 pts
40Wisconsin6.3-0.2 pts
41New Hampshire6.2-0.1 pts
42Connecticut6.1+0.1 pts
43New York5.7-0.4 pts
44Michigan5.5-0.5 pts
45Iowa5.4-0.4 pts
45Minnesota5.4+0.1 pts
47Rhode Island5.2+0.3 pts
48Vermont4.9+0.4 pts
49Hawaii4.3-0.1 pts
50District of Columbia3.1-0.6 pts
51Massachusetts2.90 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-states?period=2022.
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-2022-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 18.8% in 2022, according to the U.S. Census Bureau.

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

Massachusetts, with 2.9% in 2022.

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