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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. The median across all 51 is 20.0%. Biggest climber in the top 100 since 2020: Oklahoma, OK, up 18 places to #18.

All statesAll rankings
RANKPLACESTATEPOPMEDICAIDVS 2020
USUnited States334,922,49920.9%–
01New Mexico, NMNM2,120,24633.5%+0.8 pts
02Louisiana, LALA4,611,96131.3%+3.6 pts
03▲5New York, NYNY19,852,36628.1%+2.4 pts
04▲2Kentucky, KYKY4,534,82427.6%+1.4 pts
05▲2California, CACA39,287,37726.9%+1.0 pts
06▼3West Virginia, WVWV1,778,37326.5%0.0 pts
07▼3Arkansas, ARAR3,049,39126.4%0.0 pts
08▼3District of Columbia, DCDC681,29424.9%−1.3 pts
09▲1Mississippi, MSMS2,946,77924.1%+0.5 pts
10▲2Oregon, OROR4,254,29323.6%+1.5 pts
11▲4Alaska, AKAK735,70623.4%+2.0 pts
12▲1Michigan, MIMI10,077,76123.1%+1.0 pts
13▼2Massachusetts, MAMA7,044,05623.0%+0.6 pts
14▼5Vermont, VTVT647,10622.7%−1.0 pts
15▼1Rhode Island, RIRI1,101,80122.7%+1.0 pts
16▲2Connecticut, CTCT3,624,50822.0%+1.4 pts
17▲3Ohio, OHOH11,810,29321.1%+0.6 pts
18▲18Oklahoma, OKOK4,028,63421.0%+3.4 pts
19▲4Pennsylvania, PAPA13,018,63920.8%+1.1 pts
20▼3Montana, MTMT1,116,87520.6%−0.3 pts
21▼2Delaware, DEDE1,021,19120.5%0.0 pts
22▼1Washington, WAWA7,816,11620.4%+0.3 pts
23▲11Indiana, ININ6,851,07320.3%+2.4 pts
24▼8Arizona, AZAZ7,378,83820.3%−1.1 pts
25▲4Maine, MEME1,387,81720.2%+1.7 pts
26▼2Alabama, ALAL5,086,76820.0%+0.4 pts
27▲1Nevada, NVNV3,184,61219.9%+1.2 pts
28▼2Iowa, IAIA3,210,50719.9%+0.9 pts
29▲4Hawaii, HIHI1,445,23519.7%+1.8 pts
30▼5South Carolina, SCSC5,296,22519.6%+0.3 pts
31▼9Tennessee, TNTN7,066,38319.6%−0.4 pts
32▼5Illinois, ILIL12,694,79819.5%+0.5 pts
33▼2Maryland, MDMD6,206,01119.3%+1.2 pts
34▼2North Carolina, NCNC10,730,40418.9%+0.9 pts
35▲4Idaho, IDID1,934,26218.6%+1.7 pts
36▲1Minnesota, MNMN5,739,44518.3%+0.7 pts
37▲1Georgia, GAGA10,940,40718.2%+1.0 pts
38▲3New Jersey, NJNJ9,343,80918.1%+1.3 pts
39▼9Colorado, COCO5,862,18918.0%−0.4 pts
40Wisconsin, WIWI5,914,87217.8%+1.0 pts
41▼6Florida, FLFL22,416,07717.4%−0.4 pts
42▲1Missouri, MOMO6,191,81416.2%+1.8 pts
43▼1Texas, TXTX30,188,42416.2%−0.3 pts
44▲4Virginia, VAVA8,705,17016.0%+3.5 pts
45▲2Nebraska, NENE1,978,70715.4%+2.4 pts
46▼1Kansas, KSKS2,947,19714.2%+0.8 pts
47▼3South Dakota, SDSD907,42813.6%−0.4 pts
48▼2New 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

UPDATED 2026-09-11 · 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).