In Tompkins County, health insurance coverage for youth under the age of 19 varied across different types of coverage from 2020 to 2023. The number of youths with direct purchase health insurance remained relatively stable, increasing slightly from 210 in 2020 to 212 in 2023. Employer-based coverage saw a steady increase, from 1,307 in 2020 to 1,419 in 2023. However, Medicaid coverage decreased from 1,237 in 2020 to 884 in 2023.