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RANKING · 2024 ACS · 62 SHOWN OF 62

Highest Medicaid coverage, New York counties

New York counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 62 counties in New York that qualify, ranked against each other statewide. The median across all 62 is 25.2%. Biggest climber in the top 100 since 2020: Orange County, NY, up 18 places to #12.

Highest Medicaid coverage by state
RANKPLACESTATEPOPMEDICAIDVS 2020
01Bronx County, NYNY1,406,33252.5%+4.1 pts
02Kings County, NYNY2,653,96338.8%+2.3 pts
03▲1Rockland County, NYNY357,39735.8%+5.5 pts
04▲1Queens County, NYNY2,358,18233.0%+3.6 pts
05▲17Sullivan County, NYNY80,58632.5%+6.9 pts
06▲2Cattaraugus County, NYNY75,39032.4%+4.8 pts
07Chautauqua County, NYNY124,12632.2%+4.5 pts
08▼2Fulton County, NYNY52,21631.3%+2.8 pts
09▲10Oneida County, NYNY226,39230.8%+4.5 pts
10▲4Chenango County, NYNY45,71530.6%+3.4 pts
11▼8Montgomery County, NYNY50,04629.6%−0.8 pts
12▲18Orange County, NYNY417,66929.3%+5.8 pts
13▼1Chemung County, NYNY80,41529.2%+1.9 pts
14▲3Broome County, NYNY195,73628.7%+2.1 pts
15▲6Franklin County, NYNY46,50028.7%+2.8 pts
16▲13Lewis County, NYNY26,47928.7%+5.0 pts
17▼2Schuyler County, NYNY16,92428.7%+1.9 pts
18▼8Oswego County, NYNY118,56928.6%+1.2 pts
19▲9Allegany County, NYNY46,80027.3%+3.3 pts
20▲13Cayuga County, NYNY74,36527.1%+3.9 pts
21▼5Delaware County, NYNY44,30527.1%+0.4 pts
22▼2Steuben County, NYNY91,85527.1%+1.0 pts
23▲1St. Lawrence County, NYNY105,48826.6%+1.7 pts
24▼13Herkimer County, NYNY59,21926.6%−0.8 pts
25▲1Niagara County, NYNY208,91226.4%+2.1 pts
26▲1Tioga County, NYNY47,45326.4%+2.1 pts
27▼9Washington County, NYNY59,35326.1%−0.4 pts
28▲3Erie County, NYNY946,74126.0%+2.6 pts
29▼20Jefferson County, NYNY111,54026.0%−1.4 pts
30▲14Cortland County, NYNY45,85025.9%+4.7 pts
31▼18Orleans County, NYNY39,82525.2%−2.1 pts
32▲2Monroe County, NYNY750,50625.1%+1.9 pts
33▲6Onondaga County, NYNY466,58425.1%+2.8 pts
34▲1Schoharie County, NYNY30,17624.9%+2.2 pts
35▲3Greene County, NYNY47,23824.8%+2.5 pts
36Seneca County, NYNY32,88324.7%+2.2 pts
37▼5Clinton County, NYNY78,13824.4%+1.1 pts
38▲10Richmond County, NYNY501,29024.3%+4.2 pts
39▲8Columbia County, NYNY60,16824.0%+3.7 pts
40▼15Schenectady County, NYNY162,58123.9%−1.0 pts
41▲1Essex County, NYNY36,43823.6%+1.9 pts
42▼2Ulster County, NYNY183,33023.6%+1.4 pts
43▼6New York County, NYNY1,664,86223.5%+1.1 pts
44▲6Warren County, NYNY65,02023.5%+3.8 pts
45Wyoming County, NYNY39,74123.3%+2.2 pts
46▲3Otsego County, NYNY60,58923.0%+3.0 pts
47▼24Hamilton County, NYNY5,00622.9%−2.0 pts
48▲3Rensselaer County, NYNY160,51022.9%+3.6 pts
49▼8Wayne County, NYNY91,25022.9%+0.7 pts
50▼7Genesee County, NYNY58,41622.6%+0.9 pts
51▲4Livingston County, NYNY61,43821.8%+3.3 pts
52▼6Madison County, NYNY67,12021.1%+0.7 pts
53▼1Albany County, NYNY321,22520.4%+1.4 pts
54Ontario County, NYNY113,13020.3%+1.6 pts
55▼2Yates County, NYNY24,54720.2%+1.2 pts
56Westchester County, NYNY1,015,74319.0%+1.8 pts
57▲1Tompkins County, NYNY104,04718.5%+2.0 pts
58▼1Dutchess County, NYNY300,70817.5%+0.6 pts
59Suffolk County, NYNY1,546,09016.6%+1.7 pts
60▲2Saratoga County, NYNY241,34315.6%+2.7 pts
61▼1Nassau County, NYNY1,398,93915.4%+2.4 pts
62▼1Putnam County, NYNY99,02814.0%+1.1 pts
SHOWING 1–62 OF 62

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES