RANKING · 2024 ACS · 51 SHOWN OF 51

Highest Medicaid coverage, US states

US states ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). New Mexico leads at 33.5%. 51 states qualify in total.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

USUnited States334,922,49920.9%–

01New Mexico, NMNM2,120,24633.5%+0.8 pts

02Louisiana, LALA4,611,96131.3%+3.6 pts

03New York, NYNY19,852,36628.1%+2.4 pts

04Kentucky, KYKY4,534,82427.6%+1.4 pts

05California, CACA39,287,37726.9%+1.0 pts

06West Virginia, WVWV1,778,37326.5%+0.0 pts

07Arkansas, ARAR3,049,39126.4%+0.0 pts

08District of Columbia, DCDC681,29424.9%−1.3 pts

09Mississippi, MSMS2,946,77924.1%+0.5 pts

10Oregon, OROR4,254,29323.6%+1.5 pts

11Alaska, AKAK735,70623.4%+2.0 pts

12Michigan, MIMI10,077,76123.1%+1.0 pts

13Massachusetts, MAMA7,044,05623.0%+0.6 pts

14Vermont, VTVT647,10622.7%−1.0 pts

15Rhode Island, RIRI1,101,80122.7%+1.0 pts

16Connecticut, CTCT3,624,50822.0%+1.4 pts

17Ohio, OHOH11,810,29321.1%+0.6 pts

18Oklahoma, OKOK4,028,63421.0%+3.4 pts

19Pennsylvania, PAPA13,018,63920.8%+1.1 pts

20Montana, MTMT1,116,87520.6%−0.3 pts

21Delaware, DEDE1,021,19120.5%+0.0 pts

22Washington, WAWA7,816,11620.4%+0.3 pts

23Indiana, ININ6,851,07320.3%+2.4 pts

24Arizona, AZAZ7,378,83820.3%−1.1 pts

25Maine, MEME1,387,81720.2%+1.7 pts

26Alabama, ALAL5,086,76820.0%+0.4 pts

27Nevada, NVNV3,184,61219.9%+1.2 pts

28Iowa, IAIA3,210,50719.9%+0.9 pts

29Hawaii, HIHI1,445,23519.7%+1.8 pts

30South Carolina, SCSC5,296,22519.6%+0.3 pts

31Tennessee, TNTN7,066,38319.6%−0.4 pts

32Illinois, ILIL12,694,79819.5%+0.5 pts

33Maryland, MDMD6,206,01119.3%+1.2 pts

34North Carolina, NCNC10,730,40418.9%+0.9 pts

35Idaho, IDID1,934,26218.6%+1.7 pts

36Minnesota, MNMN5,739,44518.3%+0.7 pts

37Georgia, GAGA10,940,40718.2%+1.0 pts

38New Jersey, NJNJ9,343,80918.1%+1.3 pts

39Colorado, COCO5,862,18918.0%−0.4 pts

40Wisconsin, WIWI5,914,87217.8%+1.0 pts

41Florida, FLFL22,416,07717.4%−0.4 pts

42Missouri, MOMO6,191,81416.2%+1.8 pts

43Texas, TXTX30,188,42416.2%−0.3 pts

44Virginia, VAVA8,705,17016.0%+3.5 pts

45Nebraska, NENE1,978,70715.4%+2.4 pts

46Kansas, KSKS2,947,19714.2%+0.8 pts

47South Dakota, SDSD907,42813.6%−0.4 pts

48New Hampshire, NHNH1,394,86812.9%−0.2 pts

49North Dakota, NDND784,84112.5%+1.1 pts

50Wyoming, WYWY582,39711.7%+0.5 pts

51Utah, UTUT3,392,33110.9%+0.4 pts

SHOWING 1–51 OF 51

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which state has the highest medicaid?

New Mexico ranks #1 with 33.5% (2024 American Community Survey).

What are the top 5 states by medicaid?

New Mexico, Louisiana, New York, Kentucky, California.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is medicaid measured?

Share of the civilian noninstitutionalized population with Medicaid or other means-tested public coverage, alone or in combination (ACS S2704). Source: US Census Bureau, American Community Survey 5-year estimates (2024).