By
Myles MaPublished October 30, 2019|3 min read
In 2018 the number of people with health insurance decreased, for the first time since the Affordable Care Act passed in 2010.
Federal policy has played a role. Congress suspended the tax penalty for the individual mandate and the Trump administration decreased the length of open enrollment and cut the advertising budget.
States play a large role in health insurance coverage as well. Insurance companies are regulated at the state level and states choose how to run Medicaid, including deciding whether to expand coverage to those making below a certain income level. (Learn the rules for qualifying for Medicaid in your state.)
Policies vary by state. So does insurance coverage.
We looked at estimates from the Census Bureau's 2018 American Community Survey to see which states had the lowest rates of insured residents.
Percent insured: 82.3% Number of uninsured people: 5 million
Percent insured: 85.8% Number of uninsured people: 548,316
Percent insured: 86.3% Number of uninsured people: 1.41 million
Percent insured: 87% Number of uninsured people: 2.73 million
Percent insured: 87.4% Number of uninsured people: 90,128
Percent insured: 87.9% Number of uninsured people: 354,151
Percent insured: 88.8% Number of uninsured people: 336,191
Percent insured: 88.9% Number of uninsured people: 192,620
Percent insured: 89.3% Number of uninsured people: 1.09 million
Percent insured: 89.4% Number of uninsured people: 749,977
Percent insured: 89.5% Number of uninsured people: 522,459
Percent insured: 89.5% Number of uninsured people: 59,337
Percent insured: 89.9% Number of uninsured people: 674,865
Percent insured: 90% Number of uninsured people: 481,259
Percent insured: 90.2% Number of uninsured people: 84,707
Percent insured: 90.5% Number of uninsured people: 196,250
Percent insured: 90.6% Number of uninsured people: 566,327
Percent insured: 90.6% Number of uninsured people: 295,364
Percent insured: 91.2% Number of uninsured people: 731,469
Percent insured: 91.2% Number of uninsured people: 250,355
Percent insured: 91.7% Number of uninsured people: 545,123
Percent insured: 91.7% Number of uninsured people: 157,612
Percent insured: 91.8% Number of uninsured people: 243,585
Percent insured: 91.8% Number of uninsured people: 86,029
Percent insured: 92% Number of uninsured people: 363,362
Percent insured: 92% Number of uninsured people: 106,187
Percent insured: 92.5% Number of uninsured people: 421,644
Percent insured: 92.6% Number of uninsured people: 655,000
Percent insured: 92.7% Number of uninsured people: 53,935
Percent insured: 92.8% Number of uninsured people: 2.83 million
Percent insured: 92.9% Number of uninsured people: 293,107
Percent insured: 93% Number of uninsured people: 874,608
Percent insured: 93.5% Number of uninsured people: 743,905
Percent insured: 93.6% Number of uninsured people: 477,284
Percent insured: 93.6% Number of uninsured people: 114,106
Percent insured: 94% Number of uninsured people: 356,708
Percent insured: 94.3% Number of uninsured people: 77,011
Percent insured: 94.3% Number of uninsured people: 53,962
Percent insured: 94.4% Number of uninsured people: 247,641
Percent insured: 94.5% Number of uninsured people: 699,376
Percent insured: 94.5% Number of uninsured people: 313,158
Percent insured: 94.6% Number of uninsured people: 1.04 million
Percent insured: 94.6% Number of uninsured people: 534,551
Percent insured: 94.7% Number of uninsured people: 186,923
Percent insured: 95.3% Number of uninsured people: 147,039
Percent insured: 95.6% Number of uninsured people: 244,379
Percent insured: 95.9% Number of uninsured people: 55,799
Percent insured: 95.9% Number of uninsured people: 42,481
Percent insured: 96% Number of uninsured people: 24,988
Percent insured: 96.8% Number of uninsured people: 21,897
Percent insured: 97.2% Number of uninsured people: 188,907
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