Uninsurance Fell Across All States Under the Affordable Care Act

Annual trends in rates of uninsurance by state (vs. U.S.) sorted by percentage point change, 2013–2023

Graphs shows trends in U.S. uninsured rates from 2013 to 2023 by state compared to nation.
Rates of uninsurance for the non-institutionalized population, 2013–2023. Respondents are asked about their health insurance coverage at the time of the interview. Data for 2020 were not officially released by the U.S. Census Bureau due to pandemic-related disruptions to data collection and resulting problems with data quality. All within-state changes between 2013 and 2023 are statistically significant at the 95% confidence level via two-sided t-test.
Chart: Robert Hest, MPPSource: SHADAC analysis of the American Community Survey (ACS) Public Use Microdata Sample (PUMS) filesGet the dataCreated with Datawrapper