A NATIONAL DATA SYSTEM PUBLICATION2024 ACS · FIVE-YEAR EDITION
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Health coverage · 50-STATE RANKING

Which states have the most insured residents?

Compare residents with health insurance across all 50 states. Highest reported values appear first. Explore the full ranking, find your state, and share the comparison.

HIGHEST REPORTED36,664,436California
MIDDLE OF THE 50 STATES4,178,104.5Unweighted median of state values
MEASUREMENTCountPopulation size affects this ranking
READ THIS RANKING

This compares reported insured counts. Population size matters; the count does not measure coverage quality or adequacy.

Where does your state stand?

2024 ACS · 5-YEAR

50 states · ranks reflect highest reported values first · ties share a rank

RANKSTATERESIDENTS WITH HEALTH INSURANCERELATIVE VALUEState profile
01CACalifornia36,664,436↗
02TXTexas25,646,886↗
03FLFlorida20,528,683↗
04NYNew York18,693,001↗
05PAPennsylvania12,141,017↗
06ILIllinois11,676,608↗
07OHOhio10,931,544↗
08NCNorth Carolina9,910,035↗
09GAGeorgia9,674,616↗
10MIMichigan9,525,652↗
11NJNew Jersey8,686,417↗
12VAVirginia7,984,829↗
13WAWashington7,331,599↗
14MAMassachusetts6,872,233↗
15AZArizona6,705,980↗
16TNTennessee6,440,530↗
17INIndiana6,316,031↗
18MDMaryland5,776,829↗
19MOMissouri5,668,666↗
20WIWisconsin5,586,532↗
21MNMinnesota5,441,520↗
22COColorado5,395,201↗
23SCSouth Carolina4,898,013↗
24ALAlabama4,655,862↗
25KYKentucky4,199,034↗
26LALouisiana4,157,175↗
27OROregon4,007,961↗
28OKOklahoma3,547,583↗
29CTConnecticut3,419,245↗
30UTUtah3,188,051↗
31IAIowa3,021,839↗
32NVNevada2,862,041↗
33ARArkansas2,747,878↗
34KSKansas2,659,015↗
35MSMississippi2,603,899↗
36NMNew Mexico1,880,602↗
37NENebraska1,837,378↗
38IDIdaho1,793,174↗
39WVWest Virginia1,635,555↗
40HIHawaii1,338,962↗
41NHNew Hampshire1,330,536↗
42MEMaine1,309,493↗
43RIRhode Island1,046,007↗
44MTMontana1,023,003↗
45DEDelaware965,746↗
46SDSouth Dakota831,931↗
47NDNorth Dakota730,141↗
48AKAlaska628,145↗
49VTVermont615,657↗
50WYWyoming517,580↗

Source: U.S. Census Bureau · 2020–2024 ACS 5-Year Estimates. Supplied extract; descriptive ranks across 50 states.

Washington, D.C. & Puerto Rico · additional context

Shown separately because the main ranking compares the 50 states.

District Of Columbia ↗660,918
Puerto Rico ↗2,997,760