Key Facts about the Uninsured Population

Appendix Table A: Uninsured Rate Among the Nonelderly by State, 2016, 2018, and 2019
2016
Uninsured
Rate
2018
Uninsured
Rate
2019
Uninsured
Rate
Change in
Uninsured
Rate
2016-2019
Change in
Number of Uninsured
2016-2019
Change in
Uninsured
Rate
2018-2019
Change in
Number of Uninsured
2018-2019
Expansion
States
7.8% 7.8% 8.3% 0.5% * 700,700 0.4% * 612,200
Alaska 16.0% 13.5% 12.9% -3.1% * -23,800 -0.6% -5,500
Arizona 11.9% 12.7% 13.4% 1.5% * 112,100 0.7% 44,800
Arkansas 9.5% 9.9% 10.9% 1.4% * 34,200 1.0% * 23,800
California 8.4% 8.2% 9.0% 0.6% * 160,000 0.8% * 231,900
Colorado 8.7% 8.8% 9.1% 0.3% 24,800 0.3% 14,400
Connecticut 5.7% 6.3% 7.1% 1.3% * 34,500 0.8% 19,800
Delaware 6.8% 6.9% 8.2% 1.4% 10,200 1.2% 9,000
District of Columbia 4.5% 3.5% 4.0% -0.5% -2,100 0.5% 2,700
Hawaii 4.1% 4.6% 4.9% 0.8% 6,700 0.3% 2,600
Illinois 7.5% 8.2% 8.6% 1.1% * 92,500 0.4% 28,700
Indiana 9.4% 9.9% 10.3% 1.0% * 51,000 0.4% 22,900
Iowa 4.8% 5.9% 5.6% 0.8% * 20,800 -0.3% -7,200
Kentucky 6.0% 6.6% 7.6% 1.6% * 54,400 1.0% * 35,000
Louisiana 11.9% 9.3% 10.4% -1.4% * -64,700 1.2% * 40,700
Maine 9.7% 9.9% 10.2% 0.5% 3,000 0.3% 2,800
Maryland 7.0% 6.9% 6.9% -0.1% -11,000 0.0% -3,400
Massachusetts 2.9% 3.2% 3.6% 0.7% * 38,600 0.4% * 20,300
Michigan 6.3% 6.4% 6.9% 0.6% * 44,800 0.5% * 35,700
Minnesota 4.9% 5.1% 5.7% 0.7% * 35,900 0.6% * 27,300
Montana 10.1% 10.0% 10.3% 0.2% 1,500 0.3% 2,400
Nevada 12.8% 13.2% 13.5% 0.7% 27,300 0.3% 10,500
New Hampshire 7.6% 6.3% 7.9% 0.2% 2,000 1.5% * 16,300
New Jersey 8.9% 8.6% 9.3% 0.4% 16,000 0.7% * 44,300
New Mexico 10.7% 11.2% 11.8% 1.1% 16,300 0.6% 8,500
New York 7.0% 6.2% 6.2% -0.8% * -170,600 0.0% -9,900
North Dakota 9.1% 9.0% 8.6% -0.6% -3,900 -0.4% -2,700
Ohio 6.6% 7.7% 8.0% 1.4% * 127,400 0.3% 21,900
Oregon 7.3% 8.6% 8.6% 1.3% * 45,200 -0.1% -3,400
Pennsylvania 7.0% 6.8% 6.9% 0.0% -13,700 0.2% 12,500
Rhode Island 5.0% 4.8% 5.1% 0.1% -100 0.3% 2,100
Vermont 4.4% 4.8% 5.5% 1.2% 5,000 0.7% 3,200
Virginia 10.3% 10.1% 9.4% -0.9% * -62,000 -0.7% * -51,600
Washington 6.9% 7.6% 7.7% 0.8% * 62,200 0.1% 4,500
West Virginia 6.0% 7.6% 8.2% 2.2% * 26,500 0.6% 7,100
Non-Expansion States 14.7% 15.0% 15.5% 0.8% * 1,556,900 0.5% * 461,200
Alabama 10.9% 12.2% 11.6% 0.7% 23,500 -0.6% -24,800
Florida 15.3% 16.3% 16.3% 1.0% * 235,900 0.1% 17,000
Georgia 14.8% 15.9% 15.5% 0.7% * 84,300 -0.4% -30,500
Idaho 12.1% 13.2% 12.4% 0.3% 13,300 -0.8% -8,800
Kansas 9.8% 10.2% 10.9% 1.2% * 23,000 0.7% 14,600
Mississippi 13.8% 14.5% 15.4% 1.6% * 30,900 0.9% 16,700
Missouri 10.6% 11.2% 12.1% 1.5% * 69,200 0.9% * 43,500
Nebraska 10.3% 10.0% 9.4% -0.9% -14,200 -0.5% -8,800
North Carolina 12.3% 12.9% 13.6% 1.3% * 126,500 0.8% * 67,900
Oklahoma 16.1% 16.1% 17.6% 1.5% * 46,200 1.5% * 49,200
South Carolina 11.8% 12.7% 13.1% 1.3% * 61,300 0.4% 19,700
South Dakota 9.8% 11.1% 11.5% 1.7% 11,900 0.4% 2,300
Tennessee 10.8% 12.1% 12.1% 1.4% * 83,600 0.0% 5,100
Texas 18.7% 20.0% 20.9% 2.2% * 672,400 0.9% * 250,900
Utah 9.4% 10.0% 10.8% 1.3% * 47,400 0.7% 23,500
Wisconsin 6.1% 6.6% 6.9% 0.8% * 34,40 0.3% * 14,000
Wyoming 12.7% 12.7% 14.8% 2.0% 7,200 2.1% 9,700
NOTES: * Indicates a statistically significant change from the respective year to 2019 at the p<0.05 level. Includes nonelderly individuals ages 0-64. Expansion status reflects the implementation of Medicaid expansion as of 2019. Changes showing percent are percentage-point changes from 2019 to the previous year.
SOURCE: KFF analysis of 2016, 2018, and 2019 American Community Survey (ACS), 1-Year Estimates.
Appendix Table B: Characteristics of the Nonelderly Uninsured, 2019
Nonelderly
(millions)
Percent of Nonelderly Uninsured
(millions)
Percent of Uninsured Uninsured
Rate
Total Nonelderly 266.5 100.0% 28.9 100.0% 10.9%
Age
Children – Total 75.3 28.3% 4.2 14.6% 5.6%
Nonelderly Adults – Total 191.2 71.7% 24.7 85.4% 12.9%
Adults 19 – 25 27.8 10.4% 4.3 14.9% 15.6%
Adults 26 – 34 39.8 14.9% 6.4 22.2% 16.1%
Adults 35 – 44 41.2 15.5% 5.8 19.9% 14.0%
Adults 45 – 54 40.3 15.1% 4.6 16.0% 11.5%
Adults 55 – 64 42.1 15.8% 3.6 12.4% 8.5%
Annual Family Income
<$20,000 33.6 12.6% 5.9 21.2% 17.6%
$20,000 – <$40,000 41.3 15.5% 7.1 25.6% 17.3%
$40,000+ 192.5 72.0% 14.8 53.2% 7.7%
Family Poverty Level
<100% 34.4 12.9% 6.2 21.3% 18.0%
100% – <200% 44.0 16.5% 8.0 27.6% 18.2%
200% – <400% 78.5 29.5% 9.8 33.7% 12.4%
400%+ 109.6 41.1% 5.0 17.4% 4.6%
Household Type
1 Parent with Children 19.6 7.3% 1.5 5.2% 7.7%
2 Parents with Children 76.4 28.7% 5.5 19.0% 7.2%
Multigenerational 18.3 6.9% 2.2 7.5% 11.9%
Adults Living Alone or with Other Adults 117.5 44.1% 15.2 52.6% 12.9%
Other 34.7 13.0% 4.6 15.8% 13.1%
Family Work Status
2+ Full-time 86.7 32.5% 6.8 23.5% 7.9%
1 Full-time 128.4 48.2% 14.4 49.7% 11.2%
Only Part-time 21.5 8.1% 3.3 11.5% 15.5%
Non-workers 30.0 11.2% 4.4 15.4% 14.8%
Race/Ethnicity
White 151.6 56.9% 11.9 41.1% 7.8%
Black 34.0 12.8% 3.9 13.4% 11.4%
Hispanic 54.5 20.5% 10.9 37.6% 20.0%
Asian 15.6 5.8% 1.1 3.9% 7.2%
American Indian/Alaska Native 1.9 0.7% 0.4 1.4% 21.7%
Native Hawaiian/Other Pacific Islander 0.5 0.2% 0.06 0.2% 12.7%
Two or More Races 8.4 3.1% 0.7 2.4% 8.2%
Citizenship
U.S. Citizen – Native 229.7 86.2% 20.4 70.5% 8.9%
U.S. Citizen – Naturalized 17.2 6.5% 1.9 6.5% 10.9%
Non-U.S. Citizen, Residents for <5 Years 6.5 2.5% 1.9 6.7% 29.6%
Non-U.S. Citizen, Residents for 5+ Years 13.0 4.9% 4.7 16.3% 36.3%
NOTES: Includes nonelderly individuals ages 0-64. The U.S. Census Bureau’s poverty threshold for a family with two adults and one child was $20,212 in 2018. Parent includes any person with a dependent child. Multigenerational/other families with children include families with at least three generations in a household, plus families in which adults ar ecaring for children other than their own. Part-time workers were defined as working <35 hours per week. Respondents who identify as mixed race who do not also identify as Hispanic fall into the “Two or More Races” category. All individuals who identify as Hispanic ethnicity fall into the Hispanic category regardless of race.
SOURCE: KFF analysis of 2019 American Community Survey (ACS), 1-Year Estimates.
Appendix Table C: Change in Selected Characteristics of the Nonelderly Uninsured, 2010, 2016, 2018, and 2019
2010
Uninsured Rate
2016
Uninsured Rate
2018
Uninsured Rate
2019
Uninsured Rate
Change in Uninsured Rate
2010-2019
Change in Uninsured Rate
2016-2019
Change in Uninsured Rate
2018-2019
Total Nonelderly 17.8% 10.0% 10.4% 10.9% -6.9% * 0.9% * 0.4% *
Age
Children – Total 8.5% 4.7% 5.1% 5.6% -2.9% * 0.9% * 0.5% *
Nonelderly Adults – Total 21.6% 12.1% 12.5% 12.9% -8.7% * 0.8% * 0.4% *
Adults 19 – 25 33.9% 14.6% 15.0% 15.6% -18.3% * 1.0% * 0.6% *
Adults 26 – 34 27.4% 15.6% 15.7% 16.1% -11.2% * 0.5% * 0.4% *
Adults 35 – 44 21.2% 13.6% 13.8% 14.0% -7.2% * 0.4% * 0.2%
Adults 45 – 54 17.2% 10.4% 11.1% 11.5% -5.8% * 1.0% * 0.4% *
Adults 55 – 64 12.6% 7.5% 8.0% 8.5% -4.1% * 1.1% * 0.5% *
Annual Family Income
<$20,000 31.3% 17.6% 17.6% 18.2% -13.1% * 0.6% * 0.7% *
$20,000 – <$40,000 27.6% 16.4% 17.3% 18.2% -9.4% * 1.7% * 0.9% *
$40,000+ 11.3% 6.9% 7.7% 8.3% -3.0% * 1.4% * 0.6% *
Family Poverty Level
<100% 30.3% 17.4% 17.3% 18.0% -12.4% * 0.5% * 0.6% *
100% – <200% 30.0% 16.7% 17.3% 18.2% -11.9% * 1.4% * 0.8% *
200% – <400% 17.3% 10.6% 11.5% 12.4% -4.8% * 1.8% * 0.9% *
400%+ 6.0% 3.6% 4.3% 4.6% -1.5% * 1.0% * 0.3% *
Household Type
1 Parent with Children 12.4% 7.1% 7.5% 7.7% -4.7% * 0.6% 0.1%
2 Parents with Children 10.3% 6.4% 6.7% 7.2% -3.1% * 0.8% * 0.5% *
Multigenerational 22.9% 11.5% 11.3% 11.9% -11.0% * 0.4% 0.6% *
Adults Living Alone or with Other Adults 22.0% 12.1% 12.6% 12.9% -9.1% * 0.8% * 0.3% *
Other 22.6% 12.0% 12.4% 13.1% -9.4% * 1.1% * 0.7% *
Family Work Status
2+ Full-time 11.9% 6.8% 7.3% 7.9% -4.0% * 1.0% * 0.5% *
1 Full-time 16.6% 10.1% 10.8% 11.2% -5.4% * 1.1% * 0.4% *
Only Part-time 28.7% 15.0% 15.1% 15.5% -13.2% * 0.5% 0.4%
Non-workers 25.8% 14.0% 14.4% 14.8% -11.0% * 0.9% * 0.5% *
Race/Ethnicity
White 13.1% 7.1% 7.5% 7.8% -5.2% * 0.8% * 0.3% *
Black 19.9% 10.7% 11.5% 11.4% -8.5% * 0.7% * -0.1%
Hispanic 32.6% 19.1% 19.0% 20.0% -12.7% * 0.8% * 1.0% *
Asian 16.7% 7.1% 6.8% 7.2% -9.5% * 0.1% * 0.4% *
American Indian/Alaska Native 32.0% 22.0% 21.8% 21.7% -10.3% * -0.3% -0.1%
Native Hawaiian/Other Pacific Islander 17.9% 10.8% 9.3% 12.7% -5.1% * 1.9% 3.4% *
Two or More Races 14.8% 7.7% 8.1% 8.2% -6.6% * 0.6% * 0.2%
Citizenship
U.S. Citizen – Native 14.7% 7.9% 8.5% 8.9% -5.8% * 1.0% * 0.4% *
U.S. Citizen – Naturalized 20.2% 9.8% 10.5% 10.9% -9.3% * 1.1% * 0.4% *
Non-U.S. Citizen, Residents for <5 Years 47.4% 26.4% 27.1% 29.6% -17.8% * 3.2% * 2.6% *
Non-U.S. Citizen, Residents for 5+ Years 51.6% 37.0% 35.6% 36.3% -15.3% * -0.8% * 0.7% *
NOTES: * Indicates a statistically significant change from prior year to 2019 at the p<0.05 level. Includes nonelderly individuals ages 0-64. The U.S. Census Bureau’s poverty threshold for a family with two adults and one child was $20,212 in 2019. Parent includes any person with a dependent child. Multigenerational/other families with children include families with at least three generations in a household, plus families in which adults are caring for children other than their own. Part-time workers were defined as working <35 hours per week. Respondents who identify as mixed race who do not also identify as Hispanic fall into the “Two or More Races” category. All individuals who identify as Hispanic ethnicity fall into the Hispanic category regardless of race.
SOURCE: KFF analysis of 2010, 2016, 2018, and 2019 American Community Survey (ACS), 1-Year Estimates.
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