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

Which states have the most uninsured residents?

Compare residents without health insurance across all 50 states. Highest reported values appear first. Explore the full ranking, find your state, and share the comparison.

HIGHEST REPORTED5,152,427Texas
MIDDLE OF THE 50 STATES309,649.5Unweighted median of state values
MEASUREMENTCountPopulation size affects this ranking
READ THIS RANKING

This ranking uses uninsured counts. State profiles also show a calculated uninsured share using insured plus uninsured residents as the denominator.

Where does your state stand?

2024 ACS · 5-YEAR

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

RANKSTATERESIDENTS WITHOUT HEALTH INSURANCERELATIVE VALUEState profile
01TXTexas5,152,427↗
02FLFlorida2,509,782↗
03CACalifornia2,314,464↗
04GAGeorgia1,314,223↗
05NYNew York973,715↗
06NCNorth Carolina927,893↗
07ILIllinois860,898↗
08OHOhio782,626↗
09AZArizona767,380↗
10PAPennsylvania752,566↗
11NJNew Jersey727,278↗
12TNTennessee690,683↗
13VAVirginia595,595↗
14INIndiana512,807↗
15WAWashington511,691↗
16MIMichigan507,760↗
17SCSouth Carolina481,968↗
18MOMissouri474,886↗
19COColorado463,722↗
20OKOklahoma461,884↗
21ALAlabama417,848↗
22MDMaryland390,741↗
23NVNevada366,606↗
24LALouisiana348,045↗
25WIWisconsin310,536↗
26KYKentucky308,763↗
27MNMinnesota290,828↗
28UTUtah288,681↗
29ARArkansas284,915↗
30MSMississippi279,879↗
31KSKansas248,116↗
32OROregon219,386↗
33CTConnecticut211,726↗
34NMNew Mexico211,289↗
35MAMassachusetts198,589↗
36IDIdaho181,552↗
37IAIowa174,113↗
38NENebraska139,831↗
39WVWest Virginia100,543↗
40MTMontana98,102↗
41AKAlaska77,532↗
42MEMaine76,864↗
43SDSouth Dakota73,403↗
44DEDelaware71,608↗
45NHNew Hampshire62,323↗
46WYWyoming59,332↗
47RIRhode Island50,647↗
48HIHawaii47,926↗
49NDNorth Dakota47,118↗
50VTVermont27,102↗

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 ↗31,061
Puerto Rico ↗178,626