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RANKING · 2024 ACS · 39 SHOWN OF 39

Highest Medicaid coverage, Washington counties

Washington 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 39 counties in Washington that qualify, ranked against each other statewide. The median across all 39 is 24.2%. Biggest climber in the top 100 since 2020: Garfield County, WA, up 31 places to #5.

Highest Medicaid coverage by state
RANKPLACESTATEPOPMEDICAIDVS 2020
01Adams County, WAWA21,48838.8%+1.2 pts
02Yakima County, WAWA259,18537.2%+0.7 pts
03Ferry County, WAWA7,51733.1%−2.8 pts
04▲1Grant County, WAWA105,72732.2%−2.0 pts
05▲31Garfield County, WAWA2,41631.9%+16.4 pts
06▼2Okanogan County, WAWA45,23031.4%−4.0 pts
07▼1Franklin County, WAWA102,61230.9%−1.5 pts
08▲6Grays Harbor County, WAWA78,14430.4%+3.9 pts
09▼2Stevens County, WAWA49,66829.8%0.0 pts
10▲5Pend Oreille County, WAWA14,45729.7%+3.3 pts
11▲1Lewis County, WAWA88,06227.3%+0.4 pts
12▼2Pacific County, WAWA24,35727.3%−0.7 pts
13▲5Asotin County, WAWA22,54527.2%+1.9 pts
14▼3Mason County, WAWA71,16527.0%−0.8 pts
15▼7Cowlitz County, WAWA114,88526.9%−1.9 pts
16▲1Spokane County, WAWA558,34425.6%+0.1 pts
17▲8Columbia County, WAWA4,14124.9%+2.9 pts
18▲6Lincoln County, WAWA11,98224.8%+2.4 pts
19▲2Benton County, WAWA221,72224.6%+0.5 pts
20▲2Walla Walla County, WAWA62,36124.2%+0.2 pts
21▼12Douglas County, WAWA46,47324.1%−4.2 pts
22▼9Chelan County, WAWA81,94124.0%−2.9 pts
23▼4Clallam County, WAWA78,20224.0%−0.6 pts
24▼8Klickitat County, WAWA24,33123.8%−2.4 pts
25▼5Wahkiakum County, WAWA4,87322.4%−2.0 pts
26Skagit County, WAWA132,97522.2%+0.4 pts
27▲1Whatcom County, WAWA236,39221.0%+0.5 pts
28▼1Pierce County, WAWA946,28821.0%+0.4 pts
29▲1Clark County, WAWA532,11920.5%+0.4 pts
30▲2Jefferson County, WAWA33,97019.3%+0.7 pts
31▼8Skamania County, WAWA12,66919.1%−3.7 pts
32▼1Thurston County, WAWA304,26119.0%+0.1 pts
33▼4Kittitas County, WAWA48,80318.9%−1.5 pts
34▲1Whitman County, WAWA48,51218.2%+2.5 pts
35▲4San Juan County, WAWA18,57717.0%+2.6 pts
36▼3Kitsap County, WAWA283,37416.9%−0.3 pts
37▼3Snohomish County, WAWA870,65616.9%+0.6 pts
38▼1Island County, WAWA85,65716.0%+1.1 pts
39▼1King County, WAWA2,344,93915.4%+0.5 pts
SHOWING 1–39 OF 39

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