Uninsured rate by state
Texas had the highest uninsured rate in 2025: 16.5% of residents had no health insurance, followed by Alaska (13.6%) and Oklahoma (12.6%). Massachusetts had the lowest (2.7%), ahead of Vermont (3.8%) and Hawaii (4.1%). Nationally the rate was 8.4%, up from 8.2% in 20241.
Data as of October 29, 2026 (newest release used on this page).
Source: Census Bureau, American Community Survey 1-year estimates, 2025, table B27010; Census Bureau, 2024 Cartographic Boundary Files. Darker states are higher; DC is the dot. Period: 2025.
| 1 | Texas | 16.5% | ±0.2 | 1st | Higher | Not significant | 13.0% | 11.5% | 26.8% |
|---|---|---|---|---|---|---|---|---|---|
| 2 | Alaska | 13.6% | ±0.8 | 2nd | Higher | +2.6% | 12.7% | 19.9% | 36.6% |
| 3 | Oklahoma | 12.6% | ±0.3 | 3rd | Higher | +1.1% | 10.5% | 18.5% | 37.5% |
| 4 | Arizona | 11.8% | ±0.3 | 4th–6th | Higher | +1.5% | 10.7% | 14.4% | 35.3% |
| 5 | Georgia | 11.7% | ±0.3 | 4th–6th | Higher | Not significant | 7.8% | 13.3% | 30.7% |
| 6 | Nevada | 11.5% | ±0.5 | 4th–7th | Higher | Not significant | 8.0% | 16.0% | 34.6% |
| 7 | Montana | 10.9% | ±0.6 | 6th–10th | Higher | +2.1% | 11.0% | 14.2% | 37.4% |
| =8 | Florida | 10.5% | ±0.2 | 7th–11th | Higher | −0.4% | 8.2% | 12.2% | 34.5% |
| =8 | New Mexico | 10.5% | ±0.5 | 7th–13th | Higher | Not significant | 5.6% | 26.3% | 48.1% |
| =10 | Mississippi | 10.2% | ±0.4 | 7th–14th | Higher | Not significant | 5.9% | 19.2% | 39.5% |
| =10 | South Carolina | 10.2% | ±0.3 | 8th–14th | Higher | +1.2% | 7.3% | 14.7% | 36.9% |
| 12 | Tennessee | 10.0% | ±0.3 | 9th–15th | Higher | Not significant | 6.4% | 14.4% | 34.1% |
| 13 | Kansas | 9.7% | ±0.4 | 10th–15th | Higher | +1.2% | 8.5% | 10.5% | 29.8% |
| 14 | Wyoming | 9.6% | ±0.8 | 9th–18th | Higher | Not significant | 7.3% | 9.8% | 32.3% |
| 15 | Idaho | 9.5% | ±0.4 | 12th–16th | Higher | Not significant | 8.1% | 13.6% | 32.7% |
| 16 | Arkansas | 9.1% | ±0.4 | 14th–19th | Higher | Not significant | 6.6% | 19.4% | 40.0% |
| 17 | Colorado | 8.8% | ±0.3 | 15th–20th | Higher | +0.9% | 6.7% | 13.7% | 31.1% |
| =18 | South Dakota | 8.6% | ±0.7 | 15th–25th | Not significant | Not significant | 9.2% | 12.7% | 32.9% |
| =18 | Utah | 8.6% | ±0.4 | 16th–24th | Not significant | Not significant | 7.1% | 8.1% | 21.3% |
| =20 | Alabama | 8.4% | ±0.3 | 17th–24th | Not significant | Not significant | 3.9% | 15.3% | 36.1% |
| =20 | North Carolina | 8.4% | ±0.2 | 18th–24th | Not significant | Not significant | 5.1% | 17.6% | 37.3% |
| =22 | Indiana | 8.1% | ±0.3 | 18th–26th | Lower | +0.6% | 6.3% | 17.4% | 35.9% |
| =22 | Louisiana | 8.1% | ±0.4 | 18th–27th | Not significant | Not significant | 4.8% | 25.3% | 44.2% |
| 24 | North Dakota | 8.0% | ±0.7 | 18th–28th | Not significant | +1.9% | 7.5% | 8.7% | 26.9% |
| 25 | Missouri | 7.9% | ±0.3 | 21st–28th | Lower | Not significant | 7.0% | 14.8% | 34.9% |
| 26 | New Jersey | 7.7% | ±0.2 | 23rd–28th | Lower | Not significant | 4.2% | 14.7% | 32.1% |
| 27 | Delaware | 7.6% | ±0.7 | 22nd–35th | Lower | Not significant | 7.3% | 13.4% | 36.1% |
| 28 | Nebraska | 7.5% | ±0.4 | 24th–31st | Lower | Not significant | 5.9% | 11.9% | 30.4% |
| =29 | Illinois | 7.2% | ±0.2 | 27th–34th | Lower | +0.3% | 3.8% | 15.8% | 33.9% |
| =29 | Kentucky | 7.2% | ±0.3 | 27th–35th | Lower | Not significant | 4.5% | 22.9% | 43.1% |
| 31 | Ohio | 7.1% | ±0.2 | 27th–35th | Lower | +0.4% | 5.9% | 17.2% | 37.0% |
| 32 | Washington | 7.0% | ±0.2 | 28th–35th | Lower | +0.5% | 3.5% | 16.4% | 34.6% |
| =33 | Virginia | 6.9% | ±0.2 | 29th–36th | Lower | Not significant | 5.3% | 13.2% | 32.6% |
| =33 | West Virginia | 6.9% | ±0.4 | 28th–36th | Lower | +1.1% | 3.6% | 21.3% | 45.5% |
| 35 | Maine | 6.8% | ±0.5 | 28th–36th | Lower | +1.3% | 4.6% | 15.5% | 39.9% |
| 36 | Maryland | 6.6% | ±0.3 | 33rd–36th | Lower | Not significant | 4.3% | 15.5% | 33.7% |
| 37 | Pennsylvania | 6.2% | ±0.2 | 37th–38th | Lower | +0.4% | 5.5% | 16.4% | 37.5% |
| 38 | California | 6.1% | ±0.1 | 37th–39th | Lower | +0.2% | 3.4% | 22.1% | 38.4% |
| 39 | Wisconsin | 5.9% | ±0.2 | 38th–40th | Lower | +0.6% | 4.7% | 13.3% | 34.3% |
| 40 | Iowa | 5.7% | ±0.3 | 39th–44th | Lower | Not significant | 4.1% | 15.8% | 35.7% |
| 41 | Minnesota | 5.6% | ±0.2 | 40th–44th | Lower | +0.5% | 4.5% | 13.1% | 32.2% |
| 42 | Michigan | 5.5% | ±0.1 | 40th–45th | Lower | +0.4% | 3.7% | 17.9% | 38.5% |
| 43 | Oregon | 5.4% | ±0.3 | 40th–45th | Lower | Not significant | 2.8% | 20.3% | 41.1% |
| 44 | New Hampshire | 5.3% | ±0.4 | 40th–45th | Lower | +0.8% | 4.1% | 11.0% | 34.3% |
| 45 | Connecticut | 5.2% | ±0.3 | 42nd–45th | Lower | −0.6% | 1.4% | 19.1% | 37.7% |
| 46 | New York | 4.7% | ±0.1 | 46th–48th | Lower | −0.3% | 2.3% | 25.7% | 42.7% |
| 47 | District of Columbia | 4.3% | ±0.8 | 46th–50th | Lower | Not significant | 5.5% | 21.8% | 34.0% |
| 48 | Rhode Island | 4.2% | ±0.6 | 46th–50th | Lower | Not significant | 2.1% | 16.8% | 37.2% |
| 49 | Hawaii | 4.1% | ±0.3 | 47th–50th | Lower | +0.6% | 3.3% | 17.2% | 39.6% |
| 50 | Vermont | 3.8% | ±0.5 | 47th–50th | Lower | Not significant | 1.7% | 17.0% | 41.1% |
| 51 | Massachusetts | 2.7% | ±0.2 | 51st | Lower | Not significant | 1.5% | 16.7% | 34.8% |
| United States | 8.4% | 6.1% | 16.6% | 35.4% |
Source: Census Bureau, American Community Survey 1-year estimates, 2025, table B27010; Census Bureau, American Community Survey 1-year estimates, 2025, table S2704. Period: 2025. "=" marks a tie at the displayed precision. Rank range: the ranks consistent with the 90% margins of error (Census Bureau method). "Compared with US" and changes use the Census Bureau significance test at 90% confidence; "Not significant" means the difference is within the margins of error.
Texas is in a group of its own
At 16.5% (±0.2 percentage points), the uninsured rate in Texas is about double the national figure: 8.1 percentage points above the US figure (8.4%). It is higher than every bordering state (Arkansas, Louisiana, New Mexico and Oklahoma), and not statistically different from 16.7% in 20241. Both ends of the ranking are firm: the margins of error leave no other state a chance of first place or of last place.
The gap behind Texas is wide. Alaska, second, is at 13.6% (±0.8 percentage points), and Oklahoma at 12.6%. Below them sits a cluster that the margins of error cannot separate: Arizona (11.8%), Georgia (11.7%) and Nevada (11.5%) have overlapping ranges of possible ranks: Arizona between 4th and 6th, Georgia between 4th and 6th and Nevada between 4th and 7th1.
Source: Census Bureau, American Community Survey 1-year estimates, 2025, table B27010. Whiskers show the 90% margin of error; states whose whiskers overlap may not differ significantly. Period: 2025.
Show the numbers
| State | Uninsured rate | MOE |
|---|---|---|
| Texas | 16.5% | ±0.2 |
| Alaska | 13.6% | ±0.8 |
| Oklahoma | 12.6% | ±0.3 |
| Arizona | 11.8% | ±0.3 |
| Georgia | 11.7% | ±0.3 |
| Nevada | 11.5% | ±0.5 |
| Montana | 10.9% | ±0.6 |
| Florida | 10.5% | ±0.2 |
| New Mexico | 10.5% | ±0.5 |
| Mississippi | 10.2% | ±0.4 |
| South Carolina | 10.2% | ±0.3 |
| Tennessee | 10.0% | ±0.3 |
| Kansas | 9.7% | ±0.4 |
| Wyoming | 9.6% | ±0.8 |
| Idaho | 9.5% | ±0.4 |
| United States | 8.4% |
Children in Texas are less often uninsured than residents overall, but the state still has the highest child rate: 13.0% of children under 19 had no coverage, 6.9 percentage points above the US figure (6.1%), though down from 13.6% in 20241. Few working-age adults report Medicaid coverage there: 4.5%, 8.1 percentage points below the US figure (12.6%)2.
Massachusetts and a Northeastern cluster at the bottom
Massachusetts has the lowest uninsured rate, 2.7% (±0.2 percentage points), lower than every bordering state (Connecticut, New Hampshire, New York, Rhode Island and Vermont). Among children it was 1.5%, down from 2.1% in 2024. The next lowest states are Vermont (3.8%), Hawaii (4.1%), Rhode Island (4.2%) and the District of Columbia (4.3%); these four overlap within their margins of error, so their order is not fixed (DC's range is between 46th and 50th1).
For children, the lowest estimate is in Connecticut, 1.4% (±0.3 percentage points), down from 2.6% in 2024. Massachusetts and Vermont (1.7%, ±0.8 percentage points1) are so close that the three cannot be told apart.
A map that follows regions
The Northeast has no state above the national figure: its highest, New Jersey, is at 7.7%, 0.7 percentage points below the US figure (8.4%). In the Midwest the range runs from 5.5% in Michigan to 9.7% in Kansas. The highest rates are in the South and the West: the South includes both Texas and the District of Columbia (4.3%), and the West runs from Hawaii (4.1%) to Alaska (13.6%1).
Counted against the national rate, 17 states are significantly above it and 28, counting DC, significantly below; the rest cannot be told apart from it. The median state is at 7.7%1, below the national rate: the national figure weights states by population, and Texas and Florida, two of the three most populous, have rates above it.
2025: more states saw the rate rise than fall
The national uninsured rate went up from 8.2% in 2024; in 2023 it had been 7.9%4. Statistically significant increases from 2024 appeared in every region. Among them, Alaska went up from 11.0% in 2024, Montana up from 8.8% in 2024, North Dakota up from 6.1% in 2024, Arizona up from 10.3% in 2024 and Oklahoma up from 11.5% in 2024. Low-rate states were not exempt: Hawaii went up from 3.5% in 2024 and New Hampshire up from 4.5% in 20241.
Only Florida (down from 10.9% in 2024), Connecticut (down from 5.8% in 2024) and New York (down from 5.0% in 20241) recorded significant declines. In Texas, Georgia and Nevada the rate was not statistically different from 2024.
For children, the national rate was not statistically different from 6.0% in 2024. Several states moved anyway: Montana went up from 7.7% in 2024, Oklahoma up from 8.5% in 2024 and Alaska up from 8.8% in 2024, while New York went down from 2.7% in 20241.
Children and adults rank differently
Source: Census Bureau, American Community Survey 1-year estimates, 2025, table B27010. Whiskers show the 90% margin of error; states whose whiskers overlap may not differ significantly. Period: 2025.
Show the numbers
| State | Children (under 19) without health insurance | MOE |
|---|---|---|
| Texas | 13.0% | ±0.4 |
| Alaska | 12.7% | ±2.0 |
| Montana | 11.0% | ±1.3 |
| Arizona | 10.7% | ±0.7 |
| Oklahoma | 10.5% | ±0.7 |
| South Dakota | 9.2% | ±1.6 |
| Kansas | 8.5% | ±1.0 |
| Florida | 8.2% | ±0.5 |
| Idaho | 8.1% | ±1.0 |
| Nevada | 8.0% | ±1.2 |
| Georgia | 7.8% | ±0.5 |
| North Dakota | 7.5% | ±1.4 |
| United States | 6.1% | ±0.1 |
The child ranking is close to the all-ages one at the top, but not everywhere. In Alabama, 8.4% of all residents were uninsured, not statistically different from the US figure (8.4%), while the rate for children was 3.9%, 2.2 percentage points below the US figure (6.1%). Louisiana (4.8%, 1.3 percentage points below the US figure (6.1%)) and West Virginia (3.6%, 2.5 percentage points below the US figure (6.1%)) follow the same pattern. The reverse holds in South Dakota: 8.6% of all residents, not statistically different from the US figure (8.4%), but 9.2% of children, 3.1 percentage points above the US figure (6.1%). Child estimates in small states have wide margins (±1.6 percentage points1 in South Dakota), so read their ranks loosely.
Public coverage and the uninsured rate
Medicaid and other public coverage do not map one-to-one onto the uninsured rate. New Mexico has the highest estimated share of residents reporting Medicaid or other means-tested coverage, 26.3% (±1.0 percentage points; its rank is between 1st and 3rd), and the highest share with any public coverage, 48.1%. Its uninsured rate, 10.5%, is still 2.1 percentage points above the US figure (8.4%)1. Texas has a reported Medicaid share of 11.5%, lower than every bordering state (Arkansas, Louisiana, New Mexico and Oklahoma)2.
Utah shows the opposite pattern: 21.3% of residents have public coverage, the lowest in the nation, yet its uninsured rate of 8.6% is not statistically different from the US figure (8.4%)1. Public coverage includes Medicare, and Utah is the youngest5 state by median age; 13.2% of its residents have Medicare, 6.4 percentage points below the US figure (19.6%)2.
These Medicaid shares are what people report in the survey. They run below the enrollment counts that states report to the federal government, which are on the SNAP and Medicaid ranking.
Since 2008, rates are lower in every state
The American Community Survey has collected health insurance data since 2008. Every state's uninsured rate is lower in 2025 than in that first year. Nationally the rate was 15.1% in 2008 and 14.5% in 2013, then 11.7% in 2014 and 9.4% in 2015; the Census Bureau's report on health insurance coverage in 2014 recorded the decrease between 2013 and 2014. Since 2016 the national rate has stayed between 7.9% and 9.2%4.
Source: Census Bureau, American Community Survey 1-year estimates, 2005-2019 and 2021-2025. ACS 1-year estimates; no standard 1-year release for 2020. Shaded band: 90% margin of error.
Show the numbers
| Year | Texas | Nevada | New Mexico | Massachusetts | United States |
|---|---|---|---|---|---|
| 2008 | 24.1% ±0.2 | 21.3% ±0.6 | 21.4% ±0.5 | 4.1% ±0.2 | 15.1% ±0.1 |
| 2009 | 23.8% ±0.2 | 21.9% ±0.5 | 19.7% ±0.5 | 4.2% ±0.2 | 15.1% ±0.0 |
| 2010 | 23.7% ±0.2 | 22.6% ±0.5 | 19.6% ±0.5 | 4.4% ±0.2 | 15.5% ±0.0 |
| 2011 | 23.0% ±0.2 | 21.9% ±0.6 | 19.8% ±0.5 | 4.3% ±0.2 | 15.1% ±0.0 |
| 2012 | 22.5% ±0.2 | 22.2% ±0.4 | 18.4% ±0.4 | 3.9% ±0.1 | 14.8% ±0.0 |
| 2013 | 22.1% ±0.2 | 20.7% ±0.4 | 18.6% ±0.5 | 3.7% ±0.1 | 14.5% ±0.0 |
| 2014 | 19.1% ±0.1 | 15.2% ±0.4 | 14.5% ±0.4 | 3.3% ±0.1 | 11.7% ±0.0 |
| 2015 | 17.1% ±0.1 | 12.3% ±0.3 | 10.9% ±0.4 | 2.8% ±0.1 | 9.4% ±0.0 |
| 2016 | 16.6% ±0.1 | 11.4% ±0.3 | 9.2% ±0.4 | 2.5% ±0.1 | 8.6% ±0.0 |
| 2017 | 17.3% ±0.1 | 11.2% ±0.3 | 9.1% ±0.4 | 2.8% ±0.1 | 8.7% ±0.0 |
| 2018 | 17.7% ±0.2 | 11.2% ±0.4 | 9.5% ±0.4 | 2.8% ±0.1 | 8.9% ±0.0 |
| 2019 | 18.4% ±0.2 | 11.4% ±0.4 | 10.0% ±0.4 | 3.0% ±0.1 | 9.2% ±0.0 |
| 2021 | 18.0% ±0.2 | 11.6% ±0.4 | 10.0% ±0.5 | 2.5% ±0.1 | 8.6% ±0.0 |
| 2022 | 16.6% ±0.1 | 11.1% ±0.4 | 8.2% ±0.4 | 2.4% ±0.1 | 8.0% ±0.0 |
| 2023 | 16.4% ±0.1 | 10.8% ±0.4 | 9.1% ±0.4 | 2.6% ±0.1 | 7.9% ±0.0 |
| 2024 | 16.7% ±0.2 | 11.4% ±0.4 | 10.1% ±0.5 | 2.8% ±0.1 | 8.2% ±0.0 |
| 2025 | 16.5% ±0.2 | 11.5% ±0.4 | 10.5% ±0.5 | 2.7% ±0.2 | 8.4% ±0.0 |
The order changed less than the levels. Texas was highest in 2008 too: its rate is down from 24.1% in 2008. Nevada is down from 21.3% in 2008 and New Mexico down from 21.4% in 2008; both were then among the states with the highest rates. Massachusetts had the lowest rate then as well, and is down from 4.1% in 20084. The Census Bureau did not publish standard 1-year estimates for 2020 (ACS user note), so that year is missing from the chart.
What the rate counts, and what it leaves out
- Who is in the base. The rate is the share of the civilian noninstitutionalized population with no health insurance coverage. Active-duty military personnel and people living in institutions such as prisons and nursing homes are outside it.
- Indian Health Service. In the American Community Survey, people whose only coverage is the Indian Health Service are counted as uninsured, because the Census Bureau does not treat it as comprehensive coverage. The rule weighs most in the states with the highest American Indian and Alaska Native shares: Alaska, New Mexico, Oklahoma, South Dakota and Montana6.
- Ties and ranges. Many states differ by a few tenths of a point. Florida and New Mexico are tied for 8th highest at 10.5%; New Mexico's rank could be between 7th and 13th1. The table gives the range of ranks for every state.
- Survey, not enrollment. These are estimates from the 2025 American Community Survey, released on October 29, 2026. The Census Bureau collects coverage data in more than one survey, including the Current Population Survey; those surveys and federal enrollment records measure coverage differently and give different numbers.
- States only. This site covers the 50 states and DC; rates for counties and cities are not ranked here.
Questions about the uninsured rate by state
Which state has the highest uninsured rate?
Texas, where 16.5% of residents (±0.2 percentage points) had no health insurance in 2025, 8.1 percentage points above the US figure (8.4%)1. It was also the highest in 2008, the first year the American Community Survey measured coverage, at a higher level then.
Which state has the lowest uninsured rate?
Massachusetts, at 2.7% (±0.2 percentage points) in 2025, lower than every bordering state (Connecticut, New Hampshire, New York, Rhode Island and Vermont)1.
What percent of Americans are uninsured?
8.4% of the civilian noninstitutionalized population had no health insurance in 2025, up from 8.2% in 2024. Among children under 19 the rate was 6.1%1.
Which states have the most uninsured people?
This page ranks shares, not numbers of people. The number of uninsured residents depends on population size as well as on the rate. Texas combines the highest rate with the second-largest population (31,709,8217 on July 1, 2025).
Related rankings
Sources
- Census Bureau, American Community Survey 1-year estimates, 2025, table B27010; 2025; released October 29, 2026. data.census.gov
- Census Bureau, American Community Survey 1-year estimates, 2025, table S2704; 2025; released October 29, 2026. data.census.gov
- Census Bureau, 2024 Cartographic Boundary Files; table cb_2024_us_state_20m; 2024; released April 10, 2025. www2.census.gov
- Census Bureau, American Community Survey 1-year estimates, 2005-2019 and 2021-2025; 2005-2025 (no standard 2020 1-year release); released October 29, 2026. api.census.gov
- Census Bureau, American Community Survey 1-year estimates, 2025, table B01002; 2025; released October 29, 2026. data.census.gov
- Census Bureau, Population Estimates Program, Vintage 2025; Vintage 2025 (July 1 2020-2025); released June 25, 2026. www2.census.gov
- Census Bureau, Population Estimates Program, Vintage 2025; released January 27, 2026. www2.census.gov
Margins of error (±) are at the 90% confidence level. A difference is called significant only when it passes the Census Bureau's test at that level. How every figure is built: methodology. Found an error? Write to [email protected]; corrections are listed on the updates page.