RANKING · 2020 CENSUS · 51 SHOWN OF 51

Highest Medicaid coverage, US states · 2020

US states ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2020 ACS). New Mexico leads at 32.7%. 51 states qualify in total.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS –

USUnited States331,449,28120.0%–

01New Mexico, NMNM2,120,24632.7%–

02Louisiana, LALA4,611,96127.7%–

03West Virginia, WVWV1,778,37326.5%–

04Arkansas, ARAR3,049,39126.4%–

05District of Columbia, DCDC681,29426.2%–

06Kentucky, KYKY4,534,82426.2%–

07California, CACA39,287,37725.9%–

08New York, NYNY19,852,36625.7%–

09Vermont, VTVT647,10623.7%–

10Mississippi, MSMS2,946,77923.6%–

11Massachusetts, MAMA7,044,05622.4%–

12Oregon, OROR4,254,29322.1%–

13Michigan, MIMI10,077,76122.1%–

14Rhode Island, RIRI1,101,80121.7%–

15Alaska, AKAK735,70621.4%–

16Arizona, AZAZ7,378,83821.4%–

17Montana, MTMT1,116,87520.9%–

18Connecticut, CTCT3,624,50820.6%–

19Delaware, DEDE1,021,19120.5%–

20Ohio, OHOH11,810,29320.5%–

21Washington, WAWA7,816,11620.1%–

22Tennessee, TNTN7,066,38320.0%–

23Pennsylvania, PAPA13,018,63919.7%–

24Alabama, ALAL5,086,76819.6%–

25South Carolina, SCSC5,296,22519.3%–

26Iowa, IAIA3,210,50719.0%–

27Illinois, ILIL12,694,79819.0%–

28Nevada, NVNV3,184,61218.7%–

29Maine, MEME1,387,81718.5%–

30Colorado, COCO5,862,18918.4%–

31Maryland, MDMD6,206,01118.1%–

32North Carolina, NCNC10,730,40418.0%–

33Hawaii, HIHI1,445,23517.9%–

34Indiana, ININ6,851,07317.9%–

35Florida, FLFL22,416,07717.8%–

36Oklahoma, OKOK4,028,63417.6%–

37Minnesota, MNMN5,739,44517.6%–

38Georgia, GAGA10,940,40717.2%–

39Idaho, IDID1,934,26216.9%–

40Wisconsin, WIWI5,914,87216.8%–

41New Jersey, NJNJ9,343,80916.8%–

42Texas, TXTX30,188,42416.5%–

43Missouri, MOMO6,191,81414.4%–

44South Dakota, SDSD907,42814.0%–

45Kansas, KSKS2,947,19713.4%–

46New Hampshire, NHNH1,394,86813.1%–

47Nebraska, NENE1,978,70713.0%–

48Virginia, VAVA8,705,17012.5%–

49North Dakota, NDND784,84111.4%–

50Wyoming, WYWY582,39711.2%–

51Utah, UTUT3,392,33110.5%–

SHOWING 1–51 OF 51

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which state has the highest medicaid?

New Mexico ranks #1 with 32.7% (2020 Decennial Census).

What are the top 5 states by medicaid?

New Mexico, Louisiana, West Virginia, Arkansas, District of Columbia.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2020 Decennial Census 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, 2020 Decennial Census.