The healthiest, unhealthiest states for older adults in 2026: United Health Foundation

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For the second consecutive year, Vermont ranked as the healthiest state for older adults in the U.S., according to the United Health Foundation’s “America’s Health Rankings 2026 Senior Report.”

The United Health Foundation is a nonprofit founded by UnitedHealth Group. State health rankings are based on 36 measures spanning social and economic factors, physical environment, behaviors, clinical care, and health outcomes.

The early death rate for adults aged 65 to 74 dropped 2% between 2023 and 2024. However, compared to 2019 to 2021, drug deaths were up 38% for older adults from 2022 to 2024. Suicides increased 4% over the same period. Excessive drinking increased 10% for older adults between 2023 and 2024.

The workforce serving older adults has grown in recent years, including home healthcare workers and geriatric clinicians.

Healthiest states:

1. Vermont

2. Utah

3. New Hampshire

4. Minnesota

5. Colorado

6. Massachusetts

7. Washington

8. Connecticut

9. Maryland

10. Hawaii

Unhealthiest states: 

41. Missouri

42. New Mexico

43. Tennessee

44. Alabama

45. Oklahoma

46. West Virginia

47. Arkansas

48. Kentucky

49. Mississippi

50. Louisiana

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