2022 Health Insurance Coverage: State-by-State Analysis and Trends

2023-09-14 07:00:00

SEPT. 14, 2023 – Twenty-seven states had a higher percentage of people with health insurance coverage in 2022 than in 2021 according to American Community Survey (ACS) 1-year estimates released today by the U.S. Census Bureau. In terms of uninsured rates, or the rate of people without health insurance, Maine was the only state where the uninsured rate increased (up to 6.6% in 2022, from 5.7%).

“The changes in uninsured rates are impacted by multiple factors including the demographic makeup of a population and the economy. In 2022, we saw the uninsured rate decrease with the driving force differing by state,” said David Waddington, chief of the Social, Economic, and Housing Statistics Division at the Census Bureau. “For seven of the states with lower uninsured rates in 2022, the difference was driven by increased private coverage. For 10 states, the uninsured rate decrease was related to increased public coverage. In three particular states —Missouri, New York, and Virginia — the decline in the uninsured rate was a result of increases in public coverage that outweighed decreases in private coverage.”

State-level uninsured rates ranged from 2.4% (Massachusetts) to 16.6% (Texas) in 2022. The District of Columbia was among the lowest with an uninsured rate of 2.9%, not statistically different from Massachusetts.

Additional health insurance highlights include:

  • Utah and North Dakota had the highest (78.4%) and New Mexico the lowest (54.4%) rates of private coverage in 2022, compared with the national average of 67.2%.
  • Nine states experienced an increase in private health insurance coverage (Alaska, Florida, Iowa, Kansas, Mississippi, North Carolina, Ohio, South Carolina, and Texas) and seven states (Maine, Minnesota, Missouri, Montana, Nebraska, New York, and Virginia) a decrease in private coverage from 2021 to 2022.
  • Utah had the lowest (22.2%) rate of public coverage in 2022, and New Mexico the highest (51.2%), compared with the national average of 37.2%.
  • Between 2021 and 2022, the rate of public coverage increased in 13 states (Alabama, California, Georgia, Illinois, Indiana, Michigan, Minnesota, Missouri, Nebraska, New York, Oklahoma, Pennsylvania, and Virginia) and decreased in one (Rhode Island). Oklahoma had one of the highest increases in public coverage (up 2.3 percentage points) from 2021 to 2022.

Additional statistics on health insurance coverage can be found in the report, Health Insurance Coverage Status and Type by Geography: 2021 and 2022.

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