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Health Insurance in States and Counties

Persons Without Health Insurance Concentrated in South

According to recently-released data compiled by RAND State Statistics here, the percentage of persons without health insurance is the highest in several states in the South (Figure 1). According to RAND State Statistics, the percent of uninsured in Texas is the highest in Texas (18.4%), Oklahoma (14.3%), Georgia (13.4%), Florida (13.2%), Mississippi (13.0%), and Wyoming (12.3%).  The lowest rates are in the Northeast and Upper Midwest: Massachusetts (3.0%), Rhode Island (4.1%), Vermont (4.5%), Minnesota (4.9%), Iowa (5.0%), and New York (5.2%).  The average uninsurance rate in the United States was 9.2%.

 

Figure 1—States With Highest Rate of Uninsured Persons, 2019

 

Counties with the highest rate of uninsured persons were also concentrated in the South, particularly in Texas (Figure 2). The highest rate of uninsured was in Hidalgo County, TX with 32.2% uninsured. Apache County, AZ ranked second highest at 31.4%. Eight of the top 10 counties with the highest rates of uninsurance were in Texas.

 

Figure 2—Counties With Highest Rate of Uninsured Persons, 2019

 

The uninsurance rate has fallen considerably in all states since 2010 (Table 1). The greatest decreases occurred in Rhode Island (-66% to 4.1%), California (-58% to 7.7%), and Kentucky (58% to 6.4%). The smallest decreases occurred in Puerto Rico (-3%, Wyoming (-17%), and South Dakota (-18%). The decrease for the United States overall was 41%, ending in 2019 at 9.2%.

 

Table 1—State Uninsured Rate, 2010, 2019

Rank State 2010 2019 Change, 2010-2019
1 Rhode Island 12.2 4.1 -66%
2 California 18.5 7.7 -58%
3 Kentucky 15.3 6.4 -58%
4 Oregon 17.2 7.2 -58%
5 New York 11.9 5.2 -56%
6 West Virginia 14.6 6.7 -54%
7 District of Columbia 7.6 3.5 -54%
8 Washington 14.2 6.6 -54%
9 Michigan 12.4 5.8 -53%
10 Montana 17.3 8.3 -52%
11 Louisiana 17.8 8.9 -50%
12 Colorado 15.9 8 -50%
13 Nevada 22.6 11.4 -50%
14 New Mexico 19.6 10 -49%
15 Arkansas 17.5 9.1 -48%
16 Maryland 11.3 6 -47%
17 Hawaii 7.9 4.2 -47%
18 Illinois 13.8 7.4 -46%
19 Ohio 12.3 6.6 -46%
20 Iowa 9.3 5 -46%
21 Minnesota 9.1 4.9 -46%
22 Vermont 8.1 4.5 -44%
23 New Hampshire 11.1 6.3 -43%
24 Pennsylvania 10.2 5.8 -43%
25 Indiana 14.8 8.7 -41%
26 United States 15.5 9.2 -41%
27 New Jersey 13.2 7.9 -40%
28 Virginia 13.1 7.9 -40%
29 Wisconsin 9.4 5.7 -39%
30 Idaho 17.8 10.8 -39%
31 Alaska 19.9 12.2 -39%
32 South Carolina 17.5 10.8 -38%
33 Florida 21.3 13.2 -38%
34 Utah 15.3 9.7 -37%
35 Connecticut 9.1 5.9 -35%
36 Kansas 13.9 9.2 -34%
37 Alabama 14.6 9.7 -34%
38 Arizona 16.9 11.3 -33%
39 North Carolina 16.8 11.3 -33%
40 Georgia 19.7 13.4 -32%
41 Delaware 9.7 6.6 -32%
42 Massachusetts 4.4 3 -32%
43 Tennessee 14.4 10.1 -30%
44 North Dakota 9.8 6.9 -30%
45 Mississippi 18.2 13 -29%
46 Nebraska 11.5 8.3 -28%
47 Oklahoma 18.9 14.3 -24%
48 Missouri 13.2 10 -24%
49 Texas 23.7 18.4 -22%
50 Maine 10.1 8 -21%
51 South Dakota 12.4 10.2 -18%
52 Wyoming 14.9 12.3 -17%
53 Puerto Rico 8 7.8 -3%

 

Persons Without Health Insurance Concentrated Among Racial Minorities

2019 data show that uninsurance rates remain the highest for racial minorities (Figure 3). The rate of uninsured American Indian and Alaska Native persons reached 19.1%, compared with Hispanics (18.7%), and Black or African American (10.1%). The rate of uninsurance for White persons as 8.3%, while the rate for Asians was lowest at 6.6%. The highest uninsurance rate for any race was in South Carolina, where Native Hawaiian and Other Pacific Islander alone topped 48%.

 

Figure 3—Uninsurance Rate by Race/Ethnicity, 2019

 

Persons Without Health Insurance Concentrated Among Lowest Income

Households with income of less than $25,000 continued to show uninsurance rates higher than most others, although households with incomes from $25,000 to $49,999 were slightly higher in 2019 (Figure 4). The lowest rate of uninsurance in 2019 was among households with $100,000 or more income, where the rate was 4.8%, or roughly one-half the U.S. average.

 

Figure 4—Uninsurance Rate by Household Income, 2010-2019

 

Persons Without Health Insurance Concentrated Among Ages 26-34

Finally, the lowest rate of uninsurance by age occurred for those age 65 and over at 0.8% (Figure 5).  The rate for persons under age 19 was 5.7%, while that for persons age 19-64 was 12.9%.  The highest rate for any age group was 16.1% for those age 26 to 34. 

 

Figure 5—Uninsurance Rate by Age Grouup, 2019

 

 

Category: Health & Health Care