States with the most uninsured residents 

Texas has the most uninsured residents in the country, while Vermont has the least, according to new data released Aug. 3 by the U.S. Census Bureau.

The new data is from 2021 and comes from the Small Area Health Insurance Estimates program, which is the only comprehensive source for single-year estimates of health insurance coverage in each of the country's 3,142 counties.

Texas also has the highest percentage of uninsured residents at 20.3 percent, while Massachusetts has the lowest at 2.9 percent.

The nation's uninsured rate hit a record low of 7.7 percent in the first quarter of 2023, according to data published Aug. 3 by the CDC. The record rate does not reflect the millions of people removed from Medicaid during the redeterminations process, which began in April. 

States ranked by total uninsured residents:

  1. Texas: 5.1 million
  2. California: 2.6 million
  3. Florida: 2.5 million
  4. Georgia: 1.3 million
  5. North Carolina: 1.1 million
  6. New York: 974,000
  7. Illinois: 845,000
  8. Arizona: 758,000
  9. Ohio: 742,000
  10. Pennsylvania: 681,000
  11. Tennessee: 671,000
  12. New Jersey: 623,000
  13. Missouri: 564,000
  14. Virginia: 559,000
  15. Oklahoma: 548,000
  16. South Carolina: 501,000
  17. Indiana: 494,000
  18. Washington: 488,000
  19. Michigan: 486,000
  20. Alabama: 470,000
  21. Colorado: 452,000
  22. Nevada: 358,000
  23. Maryland: 350,000
  24. Louisiana: 340,000
  25. Mississippi: 336,000
  26. Wisconsin: 305,000
  27. Utah: 295,000
  28. Arkansas: 268,000
  29. Kansas: 260,000
  30. Oregon: 252,000
  31. Minnesota: 248,000
  32. Kentucky: 247,000
  33. New Mexico: 208,000
  34. Connecticut: 173,000
  35. Idaho: 164,000
  36. Massachusetts: 163,000
  37. Iowa: 148,000
  38. Nebraska: 136,000
  39. West Virginia: 106,000
  40. Montana: 91,000
  41. South Dakota: 81,000
  42. Alaska: 80,500
  43. Maine: 77,000
  44. Wyoming: 71,000
  45. New Hampshire: 69,000
  46. North Dakota: 58,000
  47. Hawaii: 53,490
  48. Delaware: 53,437
  49. Rhode Island: 42,000
  50. Vermont: 22,000
  51. Washington, D.C: 20,000


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