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

Which states have the most residents with public health insurance?

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

HIGHEST REPORTED15,996,023California
MIDDLE OF THE 50 STATES1,903,790Unweighted median of state values
MEASUREMENTCountPopulation size affects this ranking
READ THIS RANKING

Private and public coverage can overlap. Coverage type does not by itself indicate financial well-being.

Where does your state stand?

2024 ACS · 5-YEAR

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

RANKSTATEPUBLIC HEALTH INSURANCERELATIVE VALUEState profile
01CACalifornia15,996,023↗
02TXTexas8,694,488↗
03NYNew York8,570,608↗
04FLFlorida8,253,155↗
05PAPennsylvania4,976,026↗
06OHOhio4,482,121↗
07ILIllinois4,369,694↗
08NCNorth Carolina4,081,977↗
09MIMichigan4,051,363↗
10GAGeorgia3,509,710↗
11NJNew Jersey3,105,695↗
12VAVirginia2,951,576↗
13AZArizona2,809,218↗
14WAWashington2,794,750↗
15MAMassachusetts2,646,331↗
16INIndiana2,536,167↗
17TNTennessee2,532,447↗
18MOMissouri2,203,681↗
19MDMaryland2,158,214↗
20LALouisiana2,087,086↗
21WIWisconsin2,084,516↗
22SCSouth Carolina2,059,512↗
23MNMinnesota2,013,969↗
24KYKentucky1,960,138↗
25ALAlabama1,921,506↗
26COColorado1,886,074↗
27OROregon1,785,576↗
28OKOklahoma1,555,864↗
29CTConnecticut1,379,370↗
30ARArkansas1,293,264↗
31MSMississippi1,174,460↗
32IAIowa1,171,112↗
33NVNevada1,166,345↗
34NMNew Mexico1,074,739↗
35KSKansas888,431↗
36WVWest Virginia811,267↗
37UTUtah773,055↗
38IDIdaho666,050↗
39NENebraska630,738↗
40MEMaine566,310↗
41HIHawaii556,017↗
42NHNew Hampshire461,766↗
43MTMontana440,101↗
44RIRhode Island439,236↗
45DEDelaware413,752↗
46SDSouth Dakota290,371↗
47AKAlaska266,835↗
48VTVermont260,439↗
49NDNorth Dakota221,960↗
50WYWyoming179,988↗

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 ↗239,572
Puerto Rico ↗1,982,840