Published: 26 July 2021

Uninsured Population By State In The United States [2021]

Research Summary


Research Summary. Using the last five years of Census Data, we determined the levels of people without insurance for each state in the United States. The Affordable Care Act continues to help drive down the rate of the uninsured. Here is the high level summary of the data:

  • There are a total of 28,126,009 uninsued persons in the United States as 2019, the most recently available data.

  • 8.82% of Americans are uninsured.

  • Texas has the highest number of uninsured people at 4,773,873.

  • Texas has the highest percentage of uninsured people at 17.18%.

  • Vermont has the lowest number of uninsured people at 24,576.

  • Massachusetts has the lowest percentage of uninsured people at 2.71%.

Uninsured By State Analysis


Uninsured Population By State In America Map
Click to enlarge

The uninsured population in America has been decreasing over the past decade as states continue to enroll more people in the Affordable Care Act, commonly known as Obamacare. The rate of unisured was over 18% in 2010, pre-Obamacare. That has since dropped to it's current level of 8.82%. Unfotunately, the percent of uninsured has actually increased in the last several years of data from a low point of 10.4% in 2016.

While the overall population has seen a general decrease in the level of the uninsured, the rate very much depends on certain geographies and demographics. Certain geographies and demographic cohorts continue to see lowerthan average levels of insurance.

Geographiclly, the Northeast has some of the lowest levels of people without insurance led by Massachusetts. The south has continued to see relatively elevated levels of people without insurance with Texas being the state with the highest percentage of uninsured.

Demographically, men, people iving in relative poverty, and people of color continue to see insured rates lower than women, people with higher incomes, and the white population, respectively. Men have uninsurance rates about three percentage points higher than women. People who make under 200% of the federal poverty line have uninsured rates at least twice as high as the overall population. And the Black, Hispanic, and Native American population have rates of uninsured that are 30%+ higher than the white population.

Here's a breakdown of the uninsured by race as of the most recent data:

Race% Uninsured
White7.8%
Black11.4%
Hispanic20%
Asian/Native Hawaiian and Pacific Islander7.4%
American Indian/Alaska Native21.7%
Multiple Races8.2%

Here's a breakdown of the uninsured by states with the largest number of uninsured:

  1. Texas - 4,773,873 Uninsured
  2. California - 2,901,934 Uninsured
  3. Florida - 2,626,067 Uninsured
  4. Georgia - 1,348,039 Uninsured
  5. New York - 1,112,364 Uninsured
  6. North Carolina - 1,074,975 Uninsured
  7. Illinois - 855,659 Uninsured
  8. Arizona - 721,193 Uninsured
  9. Pennsylvania - 712,793 Uninsured
  10. Virginia - 704,964 Uninsured

Here's a breakdown of the uninsured by states with the largest percent of uninsured:

  1. Texas - 17.18% Uninsured
  2. Oklahoma - 14.03% Uninsured
  3. Alaska - 13.6% Uninsured
  4. Georgia - 13.2% Uninsured
  5. Florida - 12.76% Uninsured
  6. Mississippi - 12.28% Uninsured
  7. Wyoming - 11.44% Uninsured
  8. Nevada - 11.08% Uninsured
  9. North Carolina - 10.69% Uninsured
  10. Idaho - 10.55% Uninsured

Number And Percent Uninsured By State: Table


Rank State % Uninsured 2019 Uninsured Population
1 Texas 17.18% 4,773,873
2 Oklahoma 14.03% 540,312
3 Alaska 13.6% 96,908
4 Georgia 13.2% 1,348,039
5 Florida 12.76% 2,626,067
6 Mississippi 12.28% 358,080
7 Wyoming 11.44% 65,297
8 Nevada 11.08% 325,313
9 North Carolina 10.69% 1,074,975
10 Idaho 10.55% 178,918
11 South Carolina 10.45% 514,516
12 Arizona 10.39% 721,193
13 Tennessee 9.66% 637,981
14 New Mexico 9.56% 196,689
15 Alabama 9.53% 457,204
16 South Dakota 9.45% 80,675
17 Louisiana 9.45% 430,743
18 Utah 9.39% 288,400
19 Missouri 9.32% 558,562
20 Montana 8.99% 93,064
21 Kansas 8.78% 250,261
22 Virginia 8.56% 704,964
23 Arkansas 8.49% 249,973
24 Indiana 8.38% 550,419
25 Nebraska 8.15% 153,629
26 Maine 7.86% 103,750
27 New Jersey 7.75% 680,013
28 Colorado 7.6% 419,354
29 California 7.48% 2,901,934
30 North Dakota 7.34% 54,330
31 Illinois 6.8% 855,659
32 Oregon 6.7% 274,087
33 Washington 6.25% 456,051
34 Ohio 6.09% 699,680
35 Maryland 6.02% 356,719
36 West Virginia 6.02% 107,745
37 New Hampshire 5.93% 78,899
38 New York 5.75% 1,112,364
39 Delaware 5.7% 53,667
40 Kentucky 5.68% 248,002
41 Pennsylvania 5.66% 712,793
42 Michigan 5.5% 541,594
43 Wisconsin 5.41% 309,372
44 Connecticut 5.31% 187,056
45 Iowa 4.66% 144,307
46 Rhode Island 4.47% 46,590
47 Minnesota 4.46% 245,474
48 Vermont 3.98% 24,576
49 Hawaii 3.83% 52,500
50 Massachusetts 2.71% 183,438

Methodology


To determine the number of uninsured people by state, we used the most recent American Community Survey Table B27010: TYPES OF HEALTH INSURANCE COVERAGE BY AGE. In particular, we looked at the percent of CIVILIAN NONINSTITUTIONALIZED POPULATION without insurance.

Conclusion


The rate of uninsured has decreased over the past five years of data, meaning the number of people with insurance has been increasing.

The states in the Northeast have the lowest rate of the uninsured and the states in the midwest and south have the highest levels of uninsured. As, mostly red states, start to embrace expanded medicaid programs under Obamacare, we can expect the number of uninsured to continue to decrease over time.

References


  1. www.census.gov
  2. api.census.gov
  3. aspe.hhs.gov
  4. www.kff.org