RANKING · 2024 ACS · 51 SHOWN OF 51

Most uninsured people, US states

US states with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. Texas leads at 5,085,788. 51 states qualify in total. The top 25 average 958,351, against an all-states median of 306,589.

All statesAll rankings

SAME RANKING BYCities Counties Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

USUnited States8.3% of US population334,922,49927,734,911–

01Texas, TXTX30,188,4245,085,788+4%

02California, CACA39,287,3772,557,944−9%

03Florida, FLFL22,416,0772,548,782−4%

04Georgia, GAGA10,940,4071,329,511−1%

05North Carolina, NCNC10,730,4041,036,452−4%

06New York, NYNY19,852,366993,274−4%

07Illinois, ILIL12,694,798858,493+0%

08Arizona, AZAZ7,378,838763,416+2%

09Ohio, OHOH11,810,293746,399+5%

10Pennsylvania, PAPA13,018,639721,936+2%

11Tennessee, TNTN7,066,383699,452+8%

12New Jersey, NJNJ9,343,809692,661+4%

13Virginia, VAVA8,705,170586,299−14%

14Missouri, MOMO6,191,814533,622−6%

15Oklahoma, OKOK4,028,634507,270−9%

16South Carolina, SCSC5,296,225500,927−3%

17Indiana, ININ6,851,073498,043−6%

18Michigan, MIMI10,077,761490,044−7%

19Washington, WAWA7,816,116488,185+7%

20Alabama, ALAL5,086,768459,841+1%

21Colorado, COCO5,862,189446,581+2%

22Maryland, MDMD6,206,011382,503+9%

23Nevada, NVNV3,184,612359,401+8%

24Louisiana, LALA4,611,961353,984−10%

25Mississippi, MSMS2,946,779317,977−9%

26Wisconsin, WIWI5,914,872306,589−2%

27Utah, UTUT3,392,331283,037+1%

28Arkansas, ARAR3,049,391269,851+10%

29Kentucky, KYKY4,534,824267,675+9%

30Minnesota, MNMN5,739,445265,121+5%

31Kansas, KSKS2,947,197253,274+2%

32Oregon, OROR4,254,293247,724−10%

33New Mexico, NMNM2,120,246200,435+3%

34Connecticut, CTCT3,624,508192,081+7%

35Massachusetts, MAMA7,044,056180,409−3%

36Idaho, IDID1,934,262172,826−4%

37Iowa, IAIA3,210,507158,299+9%

38Nebraska, NENE1,978,707139,810−9%

39West Virginia, WVWV1,778,373104,878−5%

40Montana, MTMT1,116,87594,266+7%

41Maine, MEME1,387,81784,556−16%

42South Dakota, SDSD907,42879,933−3%

43Alaska, AKAK735,70677,711−13%

44New Hampshire, NHNH1,394,86872,559−9%

45Wyoming, WYWY582,39764,627−1%

46Delaware, DEDE1,021,19163,563+14%

47Hawaii, HIHI1,445,23549,859−6%

48North Dakota, NDND784,84149,591−8%

49Rhode Island, RIRI1,101,80147,764+7%

50Vermont, VTVT647,10625,234+1%

51District of Columbia, DCDC681,29424,454−3%

SHOWING 1–51 OF 51

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which state has the highest uninsured residents?

Texas ranks #1 with 5,085,788 (2024 American Community Survey).

What are the top 5 states by uninsured residents?

Texas, California, Florida, Georgia, North Carolina.

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 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).