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UNINSURED RATES DECREASED IN OVER HALF OF U.S. STATES IN 2022






UNINSURED RATES DECREASED IN OVER HALF OF U.S. STATES IN 2022



   //
 * Census.gov /
 * America Counts: Stories /
 * Uninsured Rates Decreased in Over Half of U.S. States in 2022


CHANGES IN TYPES OF HEALTH INSURANCE COVERAGE CONTRIBUTED TO DECLINES IN
UNINSURED RATES FROM 2021 TO 2022

September 14, 2023
Written by:
Caitlin Carter

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The share of people without health insurance coverage decreased in 27 states
between 2021 and 2022, according to a U.S. Census Bureau report released today.

In 25 states where the uninsured rate decreased, at least one of the many types
of public or private insurance changed significantly. Only Utah and North Dakota
had decreases in the uninsured rate without significant changes in the types of
coverage.

Fifteen of the 27 states where uninsured rates dropped in 2022 had increases in
Medicare coverage; eight had increases in Medicaid coverage; and six had
increases in VA coverage. 

Types of health insurance coverage include:

 * Public coverage offered through Medicare, which provides coverage to most
   people aged 65 and older or with certain disabilities; Medicaid, which
   provides coverage to those with low incomes or a disability; or through the
   Department of Veterans Affairs (VA), which provides coverage to eligible
   veterans.
 * Private coverage, which may be provided through an individual’s or family
   member’s employer; the marketplace exchange or a broker (direct purchase); or
   TRICARE for current or retired members of the military and their family
   members.

Two new visualization tools depict health insurance coverage rates and types by
state based on the 2022 American Community Survey 1-year estimates. Users can
compare estimates within and across geographic areas to see the types of
coverage and percentage of people without insurance in their state.

Hover over the dots in the interactive figure below to explore the rates of
uninsured in your state.

Note: Select the image to go to the interactive data visualization.


HOW TYPES OF PUBLIC HEALTH INSURANCE COVERAGE CHANGED ACROSS STATES

Increases in the types of public health insurance coverage contributed to
decreases in uninsured rates in a number of states in 2022.

Fifteen of the 27 states where uninsured rates dropped in 2022 had increases in
Medicare coverage; eight had increases in Medicaid coverage; and six had
increases in VA coverage.

Across the nation, 22 states with increases in public health insurance coverage
types had either decreases or no changes in private health insurance coverage
types. Eleven of these states had lower uninsured rates in 2022: Alabama,
Illinois, Indiana, Michigan, Missouri, New Jersey, New York, Ohio, Oklahoma,
South Dakota and Virginia.

Overall, Medicaid rates increased in 10 states in 2022 and all but one (Alabama)
had expanded Medicaid eligibility on or before January 1, 2022.

Select a coverage type and hover over the dots in the visualization below to see
the percentage and type of health insurance coverage in your state.

Note: Select the image to go to the interactive data visualization.


CHANGES IN PRIVATE HEALTH INSURANCE COVERAGE TYPES ACROSS STATES

Changes in private health insurance coverage types also had an impact on
uninsured rates in 2022.

What happened between 2021 and 2022:

 * Of the 27 states that had decreases in uninsured rates in 2022, six
   experienced increases in employer-sponsored coverage and nine had increases
   in direct-purchase coverage. None of these states had increases in TRICARE
   coverage.
 * Eight states with increases in private health insurance coverage types had
   either decreases or no changes in public health insurance coverage types:
   Colorado, Georgia, Kansas, Mississippi, Nevada, Rhode Island, South Carolina
   and Texas.
 * Overall, employment-sponsored insurance coverage increased in Alaska,
   Arkansas, Colorado, Iowa, New Mexico, North Carolina, South Carolina and
   Texas. 
 * Employment-sponsored insurance coverage decreased in Indiana, Nebraska, New
   Hampshire and Virginia.
 * Direct-purchase coverage increased in 13 states: Arizona, California,
   Florida, Georgia, Iowa, Kansas, Louisiana, Mississippi, New Hampshire, North
   Carolina, Rhode Island, Texas and Washington.
 * Direct-purchase coverage decreased in Delaware, Kentucky, Minnesota,
   Missouri, New Mexico and Pennsylvania.

Caitlin Carter is a survey statistician in the Census Bureau’s Health and
Disability Statistics Branch.

This story was filed under:

Health
 
Health Insurance
 
Population
 


RELATED STATISTICS

--------------------------------------------------------------------------------

Stats for Stories
National Health Center Week: August 6-12, 2023
August 06, 2023
The 2021 County Business Patterns program counted 54,642 outpatient care centers
in the U.S. with 1,225,333 paid employees and an $84.1 billion annual payroll.

--------------------------------------------------------------------------------





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RELATED AMERICA COUNTS STORIES

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Health Insurance Coverage of U.S. Workers Increased in 2022
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MORE STORIES

America Counts Story
Uninsured Rates Decreased in Over Half of U.S. States in 2022
Infographics from the ACS 1-year estimates released today show changes in
state-level health insurance coverage rates and types from 2021 to 2022.


Income and Poverty
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New U.S. Census Bureau data show the official poverty rate for Black individuals
and Black children hit record lows in 2022.


Health
Health Insurance Coverage of U.S. Workers Increased in 2022
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