RANKING · 2020 CENSUS · 51 SHOWN OF 51

Most uninsured people, US states · 2020

US states with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate. Texas leads at 4,877,069. 51 states qualify in total. The top 25 average 971,429, against an all-states median of 312,704.

All statesAll rankings

SAME RANKING BYCities Counties Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS –

USUnited States8.5% of US population331,449,28128,058,903–

01Texas, TXTX30,188,4244,877,069–

02California, CACA39,287,3772,806,173–

03Florida, FLFL22,416,0772,646,931–

04Georgia, GAGA10,940,4071,345,294–

05North Carolina, NCNC10,730,4041,084,103–

06New York, NYNY19,852,3661,037,271–

07Illinois, ILIL12,694,798854,433–

08Arizona, AZAZ7,378,838747,778–

09Ohio, OHOH11,810,293708,532–

10Pennsylvania, PAPA13,018,639705,891–

11Virginia, VAVA8,705,170681,362–

12New Jersey, NJNJ9,343,809662,917–

13Tennessee, TNTN7,066,383649,312–

14Missouri, MOMO6,191,814565,099–

15Oklahoma, OKOK4,028,634556,644–

16Michigan, MIMI10,077,761528,400–

17Indiana, ININ6,851,073528,176–

18South Carolina, SCSC5,296,225518,723–

19Washington, WAWA7,816,116458,228–

20Alabama, ALAL5,086,768455,545–

21Colorado, COCO5,862,189436,261–

22Louisiana, LALA4,611,961395,259–

23Maryland, MDMD6,206,011352,186–

24Mississippi, MSMS2,946,779350,002–

25Nevada, NVNV3,184,612334,130–

26Wisconsin, WIWI5,914,872312,704–

27Utah, UTUT3,392,331280,433–

28Oregon, OROR4,254,293274,414–

29Minnesota, MNMN5,739,445251,900–

30Kansas, KSKS2,947,197249,223–

31Kentucky, KYKY4,534,824246,078–

32Arkansas, ARAR3,049,391245,980–

33New Mexico, NMNM2,120,246194,896–

34Massachusetts, MAMA7,044,056185,687–

35Idaho, IDID1,934,262179,490–

36Connecticut, CTCT3,624,508179,066–

37Nebraska, NENE1,978,707154,287–

38Iowa, IAIA3,210,507145,633–

39West Virginia, WVWV1,778,373109,844–

40Maine, MEME1,387,817101,045–

41Alaska, AKAK735,70689,765–

42Montana, MTMT1,116,87587,857–

43South Dakota, SDSD907,42882,407–

44New Hampshire, NHNH1,394,86880,071–

45Wyoming, WYWY582,39765,297–

46Delaware, DEDE1,021,19155,571–

47North Dakota, NDND784,84153,835–

48Hawaii, HIHI1,445,23552,807–

49Rhode Island, RIRI1,101,80144,575–

50District of Columbia, DCDC681,29425,288–

51Vermont, VTVT647,10625,031–

SHOWING 1–51 OF 51

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which state has the highest uninsured residents?

Texas ranks #1 with 4,877,069 (2020 Decennial Census).

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 2020 Decennial Census 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, 2020 Decennial Census.