Most uninsured people, US metro areas
US metro areas with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. Houston-Pasadena-The Woodlands, TX leads at 1,364,407. 925 metro areas qualify in total. Texas carries 6 of the top 25 entries.
UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES
Frequently asked
Which metro area has the highest uninsured residents?
Houston-Pasadena-The Woodlands, TX ranks #1 with 1,364,407 (2024 American Community Survey).
What are the top 5 metro areas by uninsured residents?
Houston-Pasadena-The Woodlands, TX, Dallas-Fort Worth-Arlington, TX, New York-Newark-Jersey City, NY-NJ, Los Angeles-Long Beach-Anaheim, CA, Miami-Fort Lauderdale-West Palm Beach, FL.
How many metro areas are in this ranking?
925 metro areas qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.
How is uninsured residents measured?
Number of civilian noninstitutionalized residents without health insurance (ACS S2701). The raw-count companion to the uninsured rate. Source: US Census Bureau, American Community Survey 5-year estimates (2024).