The Uninsured by State and Congressional District

The Uninsured by State and Congressional
District
(name redacted)
Specialist in Health Care Financing
January 24, 2011
Congressional Research Service
7-....
www.crs.gov
R41621
CRS Report for Congress
Pr
epared for Members and Committees of Congress

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The Uninsured by State and Congressional District

Summary
The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more
than 301 million of whom 15.1%, or 45.5 million, were estimated by the American Community
Survey to be without health insurance or uninsured. The uninsured are far more likely than those
with health insurance to report problems getting needed medical care, less likely to follow
recommended treatments because of costs, have less access to care, receive less preventive care,
and are more likely to be hospitalized for avoidable health problems. Moreover, it is widely
believed that the uninsured, when they need care, are less able to pay for their care since they do
not have health insurance and therefore it is further assumed that other payers take on the
financial burden of their care through higher prices.
Many Americans obtain their health insurance through employers. Local factors such as local
labor market conditions, the mix of firms and firm sizes, and demographic factors such as age,
play a role in the proportion of uninsured among those of working age. The Medicare program
has effectively provided health insurance to almost all elderly Americans while the Medicaid
program and the State Children’s Health Insurance Program have expanded health insurance
coverage to both the poor and to children. State policies to expand coverage, including
implementing Medicaid waivers to expand coverage, account for some of the differences across
states in the proportion of uninsureds. Similarly, state policies to expand coverage such as
employer or personal mandates to purchase insurance in Hawaii and Massachusetts further
explain some of the differences in the number of uninsureds across states.
The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, as amended), through an
expansion of Medicaid and the creation of state health insurance exchanges, is projected by the
Congressional Budget Office to reduce the share of legal non-elderly residents without health
insurance to 6% of the population by 2019.
This report, using the U.S. Census Bureau’s 2009 American Community Survey, details
differences in the number and proportion of uninsured across states, within states, and across
demographic groups.

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Contents
Background...................................................................................................................................... 1
The Uninsured ........................................................................................................................... 1
Methodology.................................................................................................................................... 3
The Survey Question ................................................................................................................. 3
The ACS and Other Surveys of the Uninsured.......................................................................... 4
The Uninsured: National Analysis 2009.......................................................................................... 5
Estimates of the Number of Uninsured by Selected Demographic Characteristics .................. 5
The Patient Protection and Affordable Care Act and the Uninsured ......................................... 6
The Uninsured: Comparisons Across States .................................................................................... 8
Number and Percentage of Uninsureds by State ....................................................................... 8
One-Year Change in Uninsureds ............................................................................................... 8
The Uninsured: Characteristics by State, 2009.............................................................................. 14
The Uninsured: Characteristics by Congressional District (111th Congress)................................. 29
Alabama................................................................................................................................... 31
Alaska...................................................................................................................................... 33
Arizona .................................................................................................................................... 35
Arkansas .................................................................................................................................. 37
California................................................................................................................................. 39
Colorado .................................................................................................................................. 42
Connecticut.............................................................................................................................. 44
Delaware.................................................................................................................................. 46
District of Columbia ................................................................................................................ 48
Florida ..................................................................................................................................... 50
Georgia .................................................................................................................................... 52
Hawaii ..................................................................................................................................... 54
Idaho........................................................................................................................................ 56
Illinois...................................................................................................................................... 58
Indiana ..................................................................................................................................... 60
Iowa ......................................................................................................................................... 62
Kansas ..................................................................................................................................... 64
Kentucky.................................................................................................................................. 66
Louisiana ................................................................................................................................. 68
Maine....................................................................................................................................... 70
Maryland.................................................................................................................................. 72
Massachusetts.......................................................................................................................... 74
Michigan.................................................................................................................................. 76
Minnesota ................................................................................................................................ 78
Mississippi............................................................................................................................... 80
Missouri................................................................................................................................... 82
Montana................................................................................................................................... 84
Nebraska.................................................................................................................................. 86
Nevada..................................................................................................................................... 88
New Hampshire....................................................................................................................... 90
New Jersey............................................................................................................................... 92
New Mexico ............................................................................................................................ 94
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New York................................................................................................................................. 96
North Carolina......................................................................................................................... 98
North Dakota ......................................................................................................................... 100
Ohio ....................................................................................................................................... 102
Oklahoma .............................................................................................................................. 104
Oregon ................................................................................................................................... 106
Pennsylvania.......................................................................................................................... 108
Rhode Island.......................................................................................................................... 110
South Carolina....................................................................................................................... 112
South Dakota ......................................................................................................................... 114
Tennessee............................................................................................................................... 116
Texas...................................................................................................................................... 118
Utah ....................................................................................................................................... 120
Vermont ................................................................................................................................. 122
Virginia .................................................................................................................................. 124
Washington ............................................................................................................................ 126
West Virginia ......................................................................................................................... 128
Wisconsin .............................................................................................................................. 130
Wyoming ............................................................................................................................... 132

Figures
Figure 1. Map: The Uninsured by State – 2009............................................................................. 12

Tables
Table 1. Estimates of the Uninsured by Selected Demographic Characteristics, 2009 ................... 7
Table 2. Number and Percentage of Uninsured, by State, 2009 ...................................................... 9
Table 3. Ranking of States, by Percentage Uninsured, 2009 ......................................................... 10
Table 4. One-year Change in Percentage Uninsured, by State, 2008-2009 ................................... 13
Table 5. Percentage Uninsured by Age, by State, 2009 ................................................................. 16
Table 6. Ranking of States by Percentage Uninsured by Age, 2009.............................................. 18
Table 7. Percentage Uninsured, by Income by State, 2009............................................................ 21
Table 8. Ranking of States by Percentage Uninsured by Income, 2009 ........................................ 23
Table 9. Percentage Uninsured by Marital and Employment Status by State, 2009...................... 24
Table 10. Ranking of States by Percentage Uninsured by Marital Status, 2009............................ 26
Table 11. Ranking of States by Percentage Uninsured by Employment Status, 2009 ................... 28
Table A-1. Alabama: Characteristics of the Uninsured, 2009........................................................ 31
Table A-2. Alabama: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 32
Table A-3. Alaska: Characteristics of the Uninsured, 2009 ........................................................... 33
Table A-4. Alaska: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................... 34
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Table A-5. Arizona: Characteristics of the Uninsured, 2009 ......................................................... 35
Table A-6. Arizona: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 36
Table A-7. Arkansas: Characteristics of the Uninsured, 2009 ....................................................... 37
Table A-8. Arkansas: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 38
Table A-9.California: Characteristics of the Uninsured, 2009....................................................... 39
Table A-10.California: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 40
Table A-11.Colorado: Characteristics of the Uninsured, 2009 ...................................................... 42
Table A-12.Colorado: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 43
Table A-13.Connecticut: Characteristics of the Uninsured, 2009.................................................. 44
Table A-14.Connecticut: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 45
Table A-15.Delaware: Characteristics of the Uninsured, 2009...................................................... 46
Table A-16.Delaware: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 47
Table A-17.District of Columbia: Characteristics of the Uninsured, 2009.................................... 48
Table A-18.District of Columbia; Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009..................................................... 49
Table A-19.Florida: Characteristics of the Uninsured, 2009 ......................................................... 50
Table A-20.Florida: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 51
Table A-21.Georgia: Characteristics of the Uninsured, 2009 ........................................................ 52
Table A-22.Georgia: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 53
Table A-23. Hawaii: Characteristics of the Uninsured, 2009 ........................................................ 54
Table A-24. Hawaii: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 55
Table A-25.Idaho: Characteristics of the Uninsured, 2009............................................................ 56
Table A-26.Idaho: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................... 57
Table A-27.Illinois: Characteristics of the Uninsured, 2009.......................................................... 58
Table A-28.Illinois: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................... 59
Table A-29.Indiana: Characteristics of the Uninsured, 2009 ......................................................... 60
Table A-30.Indiana: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 61
Table A-31.Iowa: Characteristics of the Uninsured, 2009 ............................................................. 62
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Table A-32.Iowa: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................... 63
Table A-33.Kansas: Characteristics of the Uninsured, 2009 ......................................................... 64
Table A-34.Kansas: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 65
Table A-35.Kentucky: Characteristics of the Uninsured, 2009 ..................................................... 66
Table A-36.Kentucky: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 67
Table A-37.Louisiana: Characteristics of the Uninsured, 2009 ..................................................... 68
Table A-38.Louisiana: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 69
Table A-39.Maine: Characteristics of the Uninsured, 2009........................................................... 70
Table A-40.Maine: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................... 71
Table A-41.Maryland: Characteristics of the Uninsured, 2009 ..................................................... 72
Table A-42.Maryland: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 73
Table A-43.Massachusetts: Characteristics of the Uninsured, 2009.............................................. 74
Table A-44.Massachusetts: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 ...................................................................... 75
Table A-45.Michigan: Characteristics of the Uninsured, 2009...................................................... 76
Table A-46.Michigan: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 77
Table A-47.Minnesota: Characteristics of the Uninsured, 2009 .................................................... 78
Table A-48.Minnesota: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 79
Table A-49.Mississippi: Characteristics of the Uninsured, 2009................................................... 80
Table A-50.Mississippi: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 81
Table A-51.Missouri: Characteristics of the Uninsured, 2009....................................................... 82
Table A-52.Missouri: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 83
Table A-53.Montana: Characteristics of the Uninsured, 2009....................................................... 84
Table A-54.Montana: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 85
Table A-55. .Nebraska: Characteristics of the Uninsured, 2009.................................................... 86
Table A-56.Nebraska: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 87
Table A-57.Nevada: Characteristics of the Uninsured, 2009......................................................... 88
Table A-58.Nevada: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 89
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Table A-59.New Hampshire: Characteristics of the Uninsured, 2009........................................... 90
Table A-60.New Hampshire: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009 .................................................... 91
Table A-61.New Jersey: Characteristics of the Uninsured, 2009 .................................................. 92
Table A-62.New Jersey: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 93
Table A-63.New Mexico: Characteristics of the Uninsured, 2009 ................................................ 94
Table A-64.New Mexico: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 ...................................................................... 95
Table A-65.New York: Characteristics of the Uninsured, 2009..................................................... 96
Table A-66.New York: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ........................................................................... 97
Table A-67.North Carolina: Characteristics of the Uninsured, 2009............................................. 98
Table A-68.North Carolina: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 ...................................................................... 99
Table A-69.North Dakota: Characteristics of the Uninsured, 2009 ............................................. 100
Table A-70.North Dakota: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 101
Table A-71.Ohio: Characteristics of the Uninsured, 2009 ........................................................... 102
Table A-72.Ohio: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................. 103
Table A-73.Oklahoma: Characteristics of the Uninsured, 2009 .................................................. 104
Table A-74.Oklahoma: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 105
Table A-75.Oregon: Characteristics of the Uninsured, 2009 ....................................................... 106
Table A-76.Oregon: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 107
Table A-77.Pennsylvania: Characteristics of the Uninsured, 2009.............................................. 108
Table A-78.Pennsylvania: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 109
Table A-79.Rhode Island: Characteristics of the Uninsured, 2009.............................................. 110
Table A-80.Rhode Island: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 111
Table A-81.South Carolina: Characteristics of the Uninsured, 2009........................................... 112
Table A-82.South Carolina: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 113
Table A-83.South Dakota: Characteristics of the Uninsured, 2009 ............................................. 114
Table A-84.South Dakota: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 115
Table A-85.Tennessee: Characteristics of the Uninsured, 2009................................................... 116
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Table A-86.Tennessee: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 117
Table A-87.Texas: Characteristics of the Uninsured, 2009.......................................................... 118
Table A-88.Texas: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................. 119
Table A-89.Utah: Characteristics of the Uninsured, 2009 ........................................................... 120
Table A-90.Utah: Number and Percentage of People Without Health Insurance, by State
and Congressional District (111th), 2009 .................................................................................. 121
Table A-91.Vermont: Characteristics of the Uninsured, 2009 ..................................................... 122
Table A-92.Vermont: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 123
Table A-93.Virginia: Characteristics of the Uninsured, 2009...................................................... 124
Table A-94.Virginia: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 125
Table A-95.Washington: Characteristics of the Uninsured, 2009................................................ 126
Table A-96.Washington: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 127
Table A-97.West Virginia: Characteristics of the Uninsured, 2009 ............................................. 128
Table A-98.West Virginia: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009 .................................................................... 129
Table A-99.Wisconsin: Characteristics of the Uninsured, 2009 .................................................. 130
Table A-100.Wisconsin: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 131
Table A-101.Wyoming: Characteristics of the Uninsured, 2009 ................................................. 132
Table A-102.Wyoming: Number and Percentage of People Without Health Insurance, by
State and Congressional District (111th), 2009 ......................................................................... 133

Appendixes
Appendix. State and Congressional District Data Tables .............................................................. 31

Contacts
Author Contact Information......................................................................................................... 133
Acknowledgments ....................................................................................................................... 133

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The Uninsured by State and Congressional District

Background
The Uninsured
Roughly 15% of Americans are not covered by health insurance.1 The uninsured are more likely
to:2
• report problems getting needed medical care; and
• be hospitalized for avoidable health problems.
In addition, they are less likely, among other things, to:
• follow recommended treatments because of costs;
• have access to care; or
• receive preventive care.
Moreover, it is widely believed that the uninsured, when they need care, face higher prices since
they do not benefit from negotiated discounts.3 In addition, they are less able to pay for their care
since they do not have health insurance and therefore other payers are forced indirectly to assume
the financial burden of their care through higher prices.
While two-thirds of the uninsured are poor or near poor (i.e., with family incomes less than 133%
of federal poverty level (FPL)), in 2008 it was estimated that “the uninsured contributed $30
billion toward their own medical care. In addition, they benefited from $56 billion in
uncompensated care—$43 billion of which was government spending for care on behalf of the
uninsured (Medicaid disproportionate share hospital (DSH) and supplemental payment programs,
Medicare DSH and indirect medical education (IME) payments,4 various direct care programs,
and state and local tax appropriations).”5 The Institute of Medicine has estimated that among

1 While the actual proportion of uninsured varies somewhat from survey to survey, the various well designed federally
sponsored surveys provide consistent and reliable estimates over time. See Office of the Assistant Secretary for
Planning and Evaluation, Understanding Estimates of the Uninsured: Putting the Differences in Context , Department
of Health and Human Services, ASPE Issue Brief, Washington, DC, September 2005, http://aspe.hhs.gov/health/
reports/05/uninsured-understanding-ib/index.htm.
2 The Henry J. Kaiser Family Foundation, The Uninsured: A Primer, Washington, DC, October 2009,
http://www.kff.org/uninsured/upload/7451-05.pdf.
3 L. Lagnado, “Hospitals Try Extreme Measures to Collect Their Overdue Debts,” The Wall Street Journal, October
30, 2003, but also see Glenn A. Melnick and Katya Fonkych , “Hospital Pricing And The Uninsured: Do The
Uninsured Pay Higher prices?,” Health Affairs, vol. 27, no. 2 (2008), pp. w116-w122 .
4 Medicaid DSH payments or disproportionate share hospital payments are additional payments made to hospitals that
serve a large number of low-income patients. See Christie Provost Peters, The Basics: Medicaid Disproportionate
Hospital (DSH) Payments, National Health Policy Forum, Washington, DC, June 15, 2009, http://www.nhpf.org/
library/the-basics/Basics_DSH_06-15-09.pdf. Indirect Medical Education payments, or IME payments, are additional
Medicare payments to teaching hospitals for the higher cost of patient care in those facilities.
5 Jack Hadley, John Holahan, and Teresa Coughlin, et al., “Covering The Uninsured In 2008: Current Costs, Sources
Of Payment, And Incremental Costs,” Health Affairs Web Exclusive, August 25, 2008, pp. W411-W413.
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individuals ages 25-64, approximately 18,000 excess deaths per year can be attributed to the lack
of health insurance.6
As this report details, there are considerable differences across states, within states, and across
demographic groups in the proportion of uninsured. The Medicare program has effectively
provided health insurance to almost all elderly Americans while the Medicaid program and the
State Children’s Health Insurance Program have expanded health insurance coverage to both the
poor and to children. State policies to expand health insurance coverage, including Medicaid
waivers, account for some of the differences across states in the proportion of uninsureds.7 For
instance, Vermont has extended Medicaid benefits to childless adults with incomes up to 150% of
FPL and only 8.6% of the state’s population is uninsured.8 Similarly, state policies such as
employer or personal mandates to purchase health insurance in Hawaii and Massachusetts further
explain some of the differences.
The explanation for variations in health insurance coverage among working adults is complex
since it must include decisions on the part of employers to offer coverage and decisions regarding
the nature of the coverage, including cost sharing, if insurance is offered. In addition, it needs to
take into consideration employees’ decisions to purchase insurance. According to the Kaiser
Family Foundation, 61% of the non-elderly population received employer-sponsored health
insurance in 2009.9 While employer-based health insurance is nearly universally offered by large
employers (over 200 employees), only 59% of small firms (3-9 employees) offered health
insurance.10 Thus, the working uninsured, poor, and unemployed who are not otherwise eligible
for a public program, covered under a family member’s policy, or cannot afford coverage are
either relegated to the more expensive individual market or to do without coverage.
To understand those who are employed and have health insurance, one needs to understand the
decision-making process that firms engage in when deciding whether to offer employees health
insurance and how to share these costs. While many policy analysts have focused on the tax
treatment of health insurance premiums as one impetus for employer provided health insurance,
other factors such as local labor market conditions and company image are also likely to play a
role in these decisions. Even if one is employed and works for a firm that offers health insurance,
there is a further set of calculations that employees make regarding whether to take-up the offer
of health insurance. These considerations include: one’s current health status, one’s expectation of
future health insurance requirements, cost (including cost sharing of the premium, deductibles,
and coinsurance), and the availability of other benefits through Section 125 cafeteria plans (where
employees can personalized benefits from a set of offerings). In 2005, it was estimated that about
7% of those who are offered employer health insurance are actually uninsured.11 All of these

6 Institute of Medicine, Care without Coverage: Too Little, Too Late , Washington , DC: National Academies Press,
2002.
7 For additional background on Medicaid waivers, see CRS Report RL33202, Medicaid: A Primer, by (name redacted).
8 See Kaiser State Health Facts – Income Eligibility – Childless Adults. http://www.statehealthfacts.org/
comparetable.jsp?ind=749&cat=4.
9 Jonathan Gruber, The Tax Exclusion For Employer-Sponsored Health Insurance, National Bureau Of Economic
Research, Working Paper 15766, Cambridge, MA, February 2010, http://www.nber.org/papers/w15766 citing Kaiser
Family Foundation.
10 Smaller firms also tend to have higher employee contributions to premiums and less generous benefits. See Kaiser
Family Foundation and Health Research & Educational Trust, Employer Health Benefits: 2010 Summary of Findings,
2010, http://ehbs.kff.org/pdf/2010/8086.pdf.
11 Jonathan Gruber and Ebonya Washington, “Subsidies to Employee Health Insurance Premiums and the Health
(continued...)
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factors, in addition to others, will affect the proportion of working aged Americans without health
insurance.
Methodology
This report employs the U.S. Census Bureau’s 2009 American Community Survey (ACS) to
describe the characteristics of the uninsured and provide estimates of the number and percentage
of uninsureds at the national, state, and congressional district level.12 The survey is briefly
described below and more fully documented at the U.S. Census Bureau’s Website.13
The ACS is representative of the civilian non-institutionalized population and is designed to
produce reliable estimates of the number of uninsured at the time of the survey. Respondents in
the 2009 survey were sampled between January 1 and December 31, 2009. The ACS is a
mailout/mailback survey with telephone and in-person nonresponse follow-up, conducted
continuously throughout the year, with results consolidated to produce annual estimates using
90% confidence intervals.
This is the second year that the Congressional Research Service has used the ACS to generate
these estimates. While this year we report the state-level change in the proportion of uninsured in
2009 compared to 2008, in future years we will use the ACS to track changes in the number and
proportion of uninsured over a longer period of time.
The Survey Question
The ACS contains a single multipart question (question 16) addressing health insurance coverage.
The question is replicated below. Someone who responds “no” to every item is characterized as
uninsured.

(...continued)
Insurance Market,” Journal of Health Economics, vol. 24, no. 2 (2005), p. 590.
12 The 2009 American Community Survey dataset was released by the U.S. Census Bureau in October 2010.
13 http://www.census.gov/acs/www.
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ACS Health Insurance Question
16. Is this person CURRENTLY covered by any of the following types of health insurance of health
coverage plans? Mark “Yes” or “No” for EACH type of coverage for items a – h.

Item
Yes
No
Insurance through a current or former employer or union (of
a.
[ ]
[ ]
this person or another family member)
b.
Insurance purchased directly from an insurance company (by
[ ]
[ ]
this person or another family member)
c.
Medicare, for people 65 or older, or people with certain
[ ]
[ ]
disabilities
d.
Medicaid, Medical Assistance, or any kind of government-
[ ]
[ ]
assistance plan for those with low incomes or a disability
e.
TRICARE or other military health care
[ ]
[ ]
f.
VA (including those who have ever used or enrol ed for VA
[ ]
[ ]
health care)
g.
Indian Health Service
[ ]
[ ]
h.
Any other type of health insurance or health coverage plan –
[ ]
[ ]
Specify ______________________________
Source: U.S. Census Bureau, 2009 American Community Survey (ACS).
The ACS and Other Surveys of the Uninsured
There are several national surveys that estimate the uninsured including the Current Population
Survey (CPS), the American Community Survey (ACS), and the National Health Interview
Survey (NHIS). Each of these efforts have limitations – many of which have been well
documented and acknowledged by the Census Bureau and other research organizations.14 For
example, the CPS and NHIS have historically undercounted Medicaid beneficiaries and estimates
are less reliable for small states.15
The ACS, with a sample size of roughly 2 million completed surveys per year, allows for
reasonably accurate estimates of areas with a population of 65,000 or more. Therefore, the ACS
does a better job of reducing error associated with small sample size as compared to either the
CPS or NHIS. However, regardless of the survey used, discrepancies exist between survey
estimates of the number of uninsureds and estimates based on state and national administrative
data.

14 See Thomas J. Plewes, Rapporteur National Research Council and National Research Council, “Federal Surveys,” in
Databases for Estimating Health Insurance Coverage for Children: A Workshop Summary, http://www.nap.edu/
catalog.php?record_id=13024 ed. (Washington , DC: National Academies Press, 2010).
15 U.S. Census Bureau, “Income, Poverty, and Health Insurance Coverage in the United States: 2008,” Current
Population Reports P60-236(RV), Washington, DC, 2009, at http://www.census.gov/prod/2009pubs/p60-236.pdf, p. 20
and p. 57.
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The ACS is not without its limitations, including that:16
• it is primarily a mail survey completed without the assistance of an interviewer;
• there is a single health insurance question that uses an itemized list of coverage
types;
• the survey does not clearly delineate the coverage categories or clearly direct
respondents that “direct purchase” of insurance should be completely
independent of a current or former employer; and
• the characterization of uninsured is not collected directly, rather uninsured status
is derived from the answers to the various types of coverage and the result is not
verified.
Despite these limitations, the ACS produces results that are generally very similar to those
obtained from other surveys and the larger sample size allows for reliable state and congressional
district estimates of the uninsured.17
The Uninsured: National Analysis 2009
Estimates of the Number of Uninsured by Selected Demographic
Characteristics
The total U.S. civilian non-institutionalized population in 2009 was estimated to be slightly more
than 301 million of whom 15.1%, or 45.7 million, were uninsured (see Table 1). Women were
about 20% more likely to be uninsured than men with 16.9% of women being uninsured
compared to 13.4% of men. Older Americans, above age 65, were least likely to be uninsured,
fewer than 1%, because of the near universal coverage offered by Medicare. Those under age 19
were also less likely to be uninsured (9.0%) with only about 5% of those under age 1 and 7% of
those under age 6 being uninsured. Individuals age 19 through 21 were most likely to be
uninsured (29.7%).
Low income is associated with not having health insurance and individuals with incomes equal or
less than 133% of FPL are least likely to have health insurance (27.7%) compared to other
income groups. Almost 95% of those at 400% or more of FPL have health insurance.
Marital and employment status are also associated with being uninsured. Single individuals, age
18-64, were twice as likely to be uninsured compared to married individuals and those working
part-time were almost twice as likely to be uninsured compared to individuals working full time.18

16 Thomas J. Plewes, Rapporteur National Research Council and National Research Council, “Federal Surveys,” in
Databases for Estimating Health Insurance Coverage for Children: A Workshop Summary, http://www.nap.edu/
catalog.php?record_id=13024 ed. (Washington , DC: National Academies Press, 2010).
17 Ibid.
18 Full time is defined in PPACA § 1513(c)(4) as working 30 hours a week. To align with PPACA’s definition, full
time is defined in this report as working 30 or more hours a week for 50 or more weeks and part-time is defined as
working fewer than 30 hours a week or less than 50 weeks per year.
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The Uninsured by State and Congressional District

The Patient Protection and Affordable Care Act and the Uninsured
The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, as amended) was
designed, in part, to expand access to health insurance. For instance, beginning with renewals
from September 23, 2010, PPACA provides that dependent children up to age 26 can remain on
their parent’s health insurance generally beginning with the next subsequent renewal. Beginning
in 2014, or sooner at state option, PPACA requires states to expand Medicaid to certain
individuals who are under age 65 with income up to 133% of FPL. This reform not only expands
eligibility to a group that is not currently eligible for Medicaid (low income childless adults), but
also raises Medicaid’s mandatory income eligibility level for certain existing groups to 133% of
the FPL.19 The Congressional Budget Office (CBO) and Joint Committee on Taxation estimated
that the coverage expansion provisions in the health reform law would result in a Medicaid
enrollment increase, over what otherwise would have been the case, of approximately 16 million
by FY2019.20
Under PPACA, states are to establish health insurance exchanges that provide eligible individuals
and small businesses with access to health insurance. In addition, individuals with incomes
greater than 133% of FPL up to 400% of FPL are eligible for premium tax credits and cost-
sharing subsidies. CBO estimates that 24 million individuals will obtain health insurance through
an exchange and 5 million more will obtain their insurance through their employer’s participation
in an exchange. While some individuals who are currently privately insured will be covered
through an exchange in the future, CBO estimated that, on net, PPACA will reduce the number of
uninsured by 32 million by 2019, leaving 23 million (or 6%) of non-elderly Americans
uninsured.21

19 PPACA extended Medicaid coverage of children 6 through 18 up to 133% of FPL but the subsequent Medicare and
Medicaid Extenders Act of 2010 (P.L. 111-309).
20 Congressional Budget Office, letter to Honorable Nancy Pelosi, March 20, 2010, available at
http://www.cbo.gov/doc.cfm?index=11379.
21 Ibid.
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The Uninsured by State and Congressional District

Table 1. Estimates of the Uninsured by Selected Demographic Characteristics, 2009
(numbers in thousands)
Above (+), At
(x), Below (-)
Overall
Total
Number
Percent
National

Population
Uninsured
Uninsured
Averageb
Total Populationa
301,472 45,665 15.1

Male 153,927
20,699
13.4
-
Female 147,545
24,966
16.9
+
Under 1 Year
4,054
207
5.1
-
Under Age 6
25,201
1,764
7.0
-
Under Age 19
79,011
7,116
9.0
-
Under Age 26
108,259
16,399
15.1
x
Age 19 through 21
13,038
3,873
29.7
+
Age 21 through 64
175,729
35,665
20.3
+
Age 65 and over
37,932
358
0.9
-
Poverty Status
298,038 45,395 15.2

≤133% FPL
61,314
16,991
27.7
+
>133 to <400% FPL
127,517
22,486
17.6
+
≥400% + FPL
109,206
5,918
5.4
-
Total Population Age 18-64
189,181 38,937 20.6

Singlec 90,884
25,608
28.2
+
Married
98,297
13,329
13.6
-
Employed Ful Timed 100,110 14,295 14.3
-
Employed Part Timee 33,093 8,759 26.5 +
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate with a
confidence interval around the estimate. While the confidence intervals are not presented, they are
available.
b. Above (below) the national level means that subgroup has, with a 90% confidence level, a statistically
significantly higher (lower) likelihood of being uninsured as compared to the overall national average. If a
subgroup is at the national level, there is no statistical difference between the proportion of individuals
uninsured in the subgroup and the national average.
c. The population estimates based on poverty status are less than the total population estimates since these
estimates exclude people in military group quarters, people in college dormitories, and unrelated individuals
under 15 years old as well as institutionalized individuals.
d. Never married, separated, divorced, or widowed.
e. Working 30 or more hours for 50 or more weeks a year. 6: Working fewer than 30 hours a week for
fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

The Uninsured: Comparisons Across States
Number and Percentage of Uninsureds by State
There is wide variation across states in terms of the percentage of each state’s civilian non-
institutionalized population not having insurance (see Table 2). For instance, residents of Texas
are five times more likely not to have health insurance as residents of Massachusetts. Table 3
ranks orders the states from lowest to highest in terms of each state’s percent uninsured
population and Figure 1 presents the same data on a map of the United States.
While there are many factors that can potentially influence these estimates, two of the 10 states
with the lowest percentage of uninsureds, Massachusetts and Hawaii, have insurance mandates
(see Table 3). Hawaii has had an employer health insurance mandate since 1974 which covers
employees who work 20 hours a week or more;22 and Massachusetts adopted an individual
mandate beginning in July 2007. The District of Columbia has a low proportion of uninsureds in
part due to its low-income childless-adult Medicaid waiver and the District’s Healthcare Alliance
Program which provides care to non-disabled childless-adults, non-qualified aliens and some
individuals who are over-income for Medicaid. Most of the remaining states in the top ten, with
the exception of Iowa, also have Medicaid waivers that cover low-income childless adults. Iowa
has a high percentage of non-elderly adults covered by private health insurance and a low
percentage of uninsured children.
One-Year Change in Uninsureds
While in aggregate there was not a change in the percentage of uninsureds in the United States
between 2008 and 2009, several states experienced either a disproportionate increase or decrease
in the number of uninsureds. Table 4 presents the percentage of uninsured in each state in 2008
and 2009, the one year change in the percentage uninsured and the one-year percentage change in
the percentage uninsured.
Arizona, Arkansas, Colorado, the District of Columbia, New Mexico, and West Virginia
experienced the largest declines in the percentage uninsured while Alaska, Kansas, Nebraska,
Rhode Island, South Dakota, and Wyoming experienced the largest increases in the percentage of
uninsured (column 4). Arizona, Colorado, the District of Columbia, New Mexico, North Dakota,
and West Virginia each experienced a year-on-year decline of more than 7% (column 5). Kansas,
Nebraska, Rhode Island, South Dakota, and Wyoming each experienced a year-on-year increase
of more than 7% (column 5).

22 Gardiner Harris, “In Hawaii’s Health System, Lessons for Lawmakers ,” The New York Times, October 16, 2009,
http://www.nytimes.com/2009/10/17/health/policy/17hawaii.html.
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The Uninsured by State and Congressional District

Table 2. Number and Percentage of Uninsured, by State, 2009
Uninsured
Total Population (in
State
thousands)a
Number (in thousands)
Percent
United States
301,472
45,522
15.1
Alabama 4,616
637
13.8
Alaska 678
143
21.1
Arizona 6,502
1,127
17.3
Arkansas 2,833
483
17.0
California 36,377
6,559
18.0
Colorado 4,930
778
15.8
Connecticut
3,457
305
8.8
Delaware 869
89
10.2
District of Columbia
589
41
7.0
Florida 18,193
3,795
20.9
Georgia 9,594
1,836
19.1
Hawai 1,232
86
7.0
Idaho 1,521
264
17.4
Illinois 12,720
1,694
13.3
Indiana 6,316
901
14.3
Iowa 2,957
255
8.6
Kansas 2,757
363
13.2
Kentucky 4,225
613
14.5
Louisiana 4,392
762
17.4
Maine 1,301
137
10.5
Maryland 5,590
621
11.1
Massachusetts 6,496 271 4.2
Michigan 9,835
1,203
12.2
Minnesota 5,197
473
9.1
Mississippi 2,880
514
17.9
Missouri 5,871
774
13.2
Montana 958
174
18.2
Nebraska 1,763
210
11.9
Nevada 2,610
572
21.9
New Hampshire
1,309
134
10.2
New Jersey
8,583
1,084
12.6
New Mexico
1,976
390
19.7
New York
19,264
2,195
11.4
North Carolina
9,149
1,471
16.1
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The Uninsured by State and Congressional District

Uninsured
Total Population (in
State
thousands)a
Number (in thousands)
Percent
North Dakota
630
61
9.7
Ohio 11,352
1,383
12.2
Oklahoma 3,590
672
18.7
Oregon 3,780
643
17.0
Pennsylvania 12,366
1,220 9.9
Rhode Island
1,035
117
11.3
South Carolina
4,454
750
16.8
South Dakota
793
104
13.1
Tennessee 6,188
883
14.3
Texas 24,292
5,783
23.8
Utah 2,755
401
14.6
Vermont 615
53
8.6
Virginia 7,644
908
11.9
Washington 6,546 878 13.4
West Virginia
1,793
254
14.2
Wisconsin
5,566
521
9.4
Wyoming 534
81
15.2
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and
there is a confidence interval around the estimate. While the confidence level are not presented, they are
available.
Table 3. Ranking of States, by Percentage Uninsured, 2009
(lowest to highest)
Total Population
Number Uninsured
Rank/Statea
(in thousands)
(in thousands)
Percent Uninsured
1. Massachusetts
6,496
271
4.2
2. District of Columbia
589
41
7.0
2. Hawai
1,232
86
7.0
4. Iowa
2,957
255
8.6
4. Vermont
615
53
8.6
4. Connecticut
3,457
305
8.8
7. Minnesota
5,197
473
9.1
8. Wisconsin
5,566
521
9.4
9. North Dakota
630
61
9.7
10. Pennsylvania
12,366
1,220
9.9
11. Delaware
869
89
10.2
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The Uninsured by State and Congressional District

Total Population
Number Uninsured
Rank/Statea
(in thousands)
(in thousands)
Percent Uninsured
11. New Hampshire
1,309
134
10.2
13. Maine
1,301
137
10.5
14. Maryland
5,590
621
11.1
15. Rhode Island
1,035
117
11.3
16. New York
19,264
2,195
11.4
17. Nebraska
1,763
210
11.9
17. Virginia
7,644
908
11.9
19. Michigan
9,835
1,203
12.2
19. Ohio
11,352
1,383
12.2
21. New Jersey
8,583
1,084
12.6
22. South Dakota
793
104
13.1
23. Kansas
2,757
363
13.2
23. Missouri
5,871
774
13.2
25. Illinois
12,720
1,694
13.3
26. Washington
6,546
878
13.4
27. Alabama
4,616
637
13.8
28. West Virginia
1,793
254
14.2
29. Indiana
6,316
901
14.3
29. Tennessee
6,188
883
14.3
31. Kentucky
4,225
613
14.5
32. Utah
2,755
401
14.6
United States
301,472 45,522 15.1
33. Wyoming
534
81
15.2
34. Colorado
4,930
778
15.8
35. North Carolina
9,149
1,471
16.1
36. South Carolina
4,454
750
16.8
37. Arkansas
2,833
483
17.0
37. Oregon
3,780
643
17.0
39. Arizona
6,502
1,127
17.3
40. Idaho
1,521
264
17.4
40. Louisiana
4,392
762
17.4
42. Mississippi
2,880
514
17.9
43. California
36,377
6,559
18.0
44. Montana
958
174
18.2
45. Oklahoma
3,590
672
18.7
46. Georgia
9,594
1,836
19.1
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The Uninsured by State and Congressional District

Total Population
Number Uninsured
Rank/Statea
(in thousands)
(in thousands)
Percent Uninsured
47. New Mexico
1,976
390
19.7
48. Florida
18,193
3,795
20.9
49. Alaska
678
143
21.1
50. Nevada
2,610
572
21.9
51. Texas
24,292
5,783
23.8
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and
there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not
presented, they are available.

Figure 1. Map: The Uninsured by State – 2009

Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
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The Uninsured by State and Congressional District

Table 4. One-year Change in Percentage Uninsured, by State, 2008-2009
One-year Change
in Percentage
One-year Percentage
2008 Estimate
2009 Estimate
Uninsured
Change in Percentage
of Percentage
of Percentage
(Percentage
Uninsured
Statea
Uninsured (%)
Uninsured (%)
Points)
(Percentage Change)
United States
15.1 15.1 0.0
0.0%
Alabama 14.0
13.8 -0.2 -1.43%
Alaska 20.1
21.1
+1.0 4.98%
Arizona 18.7
17.3
-1.4 -7.49%
Arkansas 18.0 17.0 -1.0 -5.56%
California 17.8 18.0 +0.2
1.12%
Colorado 17.2 15.8 -1.4
-8.14%
Connecticut
9.0
8.8
-0.2
-2.22%
Delaware 10.3 10.2 -0.1
-0.97%
District of
8.0 7.0 -1.0 -12.50%
Columbia
Florida 20.8
20.9
+0.1 0.48%
Georgia 18.8
19.1
+0.3 1.60%
Hawai 6.7
7.0
+0.3 4.48%
Idaho 17.8
17.4
-0.4 -2.25%
Illinois 12.8
13.3
+0.5 3.91%
Indiana 13.9
14.3
+0.4 2.88%
Iowa 9.1
8.6
-0.5
-5.49%
Kansas 12.2
13.2
+1.0 8.20%
Kentucky 14.1 14.5 +0.4
2.84%
Louisiana 17.8 17.4 -0.4 -2.25%
Maine 10.9
10.5
-0.4 -3.67%
Maryland 11.1 11.1 0.0
0.00%
Massachusetts 4.1
4.2
+0.1
2.44%
Michigan 11.5
12.2 +0.7
6.09%
Minnesota 8.7 9.1 +0.4
4.60%
Mississippi 17.9 17.9 0.0
0.00%
Missouri 13.0
13.2
+0.2 1.54%
Montana 18.5 18.2 -0.3 -1.62%
Nebraska 11.1 11.9 +0.8
7.21%
Nevada 21.3
21.9
+0.6 2.82%
New Hampshire
10.8
10.2
-0.6
-5.56%
New Jersey
12.4
12.6
+0.2
1.61%
New Mexico
21.4
19.7
-1.7
-7.94%
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The Uninsured by State and Congressional District

One-year Change
in Percentage
One-year Percentage
2008 Estimate
2009 Estimate
Uninsured
Change in Percentage
of Percentage
of Percentage
(Percentage
Uninsured
Statea
Uninsured (%)
Uninsured (%)
Points)
(Percentage Change)
New York
11.8
11.4
-0.4
-3.39%
North Carolina
15.9
16.1
+0.2
1.26%
North Dakota
10.5
9.7
-0.8
-7.62%
Ohio 11.8
12.2
+0.4 3.39%
Oklahoma 19.5 18.7 -0.8
-4.10%
Oregon 16.4
17.0
+0.6 3.66%
Pennsylvania 9.4 9.9 +0.5
5.32%
Rhode Island
10.5
11.3
+0.8
7.62%
South Carolina
17.4
16.8
-0.6
-3.45%
South Dakota
11.7
13.1
+1.4
11.97%
Tennessee 13.6 14.3 +0.7
5.15%
Texas 24.1
23.8
-0.3 -1.24%
Utah 15.5
14.6
-0.9
-5.81%
Vermont 9.1 8.6
-0.5 -5.49%
Virginia 12.0
11.9
-0.1 -0.83%
Washington 13.1 13.4 +0.3
2.29%
West Virginia
15.8
14.2
-1.6
-10.13%
Wisconsin
9.1
9.4
+0.3
3.30%
Wyoming 13.9 15.2 +1.3
9.35%
Source: CRS analysis of data from 2008 and 2009 American Community Survey, U.S. Census Bureau.
a. Data are based on a sample and are subject to sampling variability. The reported year-on-year change are
based solely on the point estimates and therefore should be interpreted with the understanding that these
differences may be within the confidence interval.
The Uninsured: Characteristics by State, 2009
Table 5 presents the percentage uninsured in each state by four age categories: under age 6, under
age 19, age 21 through age 64, and age 65 and above.23 The first two categories depict two
overlapping groups children, the third category generally captures working adults, and the final
category describes the elderly who are generally covered by Medicare.

23 The under age 6 category is relevant as there is mandatory eligibility for Medicaid for these children with family
incomes up to 133% of FPL. The under age 19 category is relevant since there is also mandatory eligibility for
Medicaid for children ages 6 through 18 with family incomes up to 100% of FPL and 133% of FPL beginning January
1, 2014 although states can choose to extend this coverage prior to 2014.
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The Uninsured by State and Congressional District

Table 6 rank orders states by the percentage uninsured in each of the age categories, from lowest
to highest. Nationally, 7% of children under age 6 and 9% of children under age 19 were
uninsured. Massachusetts had the lowest proportion of uninsured children, 1.2% under age 6 and
1.5% under age 19, followed by Hawaii, the District of Columbia, and Vermont. Nevada had the
highest proportion of uninsured children, 16.8% under age 6 and 18.4% under age 19, followed
by Alaska, Montana, Texas, and Florida.
Among those adults age 21 through 64, nationally 20.3% were uninsured (see Table 5).
Massachusetts had the lowest proportion of non-elderly adults uninsured with 5.9% followed by
the District of Columbia, Hawaii, Minnesota, and Vermont. Texas, with 30.3%, had the highest
proportion of non-elderly adults uninsured followed by Florida, New Mexico, Nevada, and
Alaska (see Table 6). While no state had more than 1.9% of its elderly population, over age 65,
uninsured, the proportion across the states ranged from 0.1% in Vermont, West Virginia, and Iowa
to 1.9% in Nevada.
Table 7 presents the percentage uninsured in each state by three income categories: under 133%
of FPL , between 133% and 400% of FPL, and above 400% of FPL. Table 8 rank orders the
states by the percentage uninsured in each of the three income categories, from lowest to highest.
Nationally, 27.7% of individual with incomes under 133% of FPL were uninsured, 17.6% of
individuals with incomes between 133% and 400% of FPL were uninsured, and 5.4% of
individuals with incomes over 400% of FPL were uninsured. Massachusetts had the lowest
proportion of individuals with incomes under 133% of FPL, 7.6%, followed by the District of
Columbia, Vermont, and Hawaii. Nevada had the highest proportion of individuals with incomes
under 133% of FPL uninsured, 41.8%, followed by Texas, Florida, Georgia, and Alaska (see
Table 8).
Table 9 presents the percentage uninsured in each state by marital status (single/married). Table
10 rank orders the states by the percentage uninsured by marital status, lowest to highest.
Nationally, 28.2% of those individuals not married (single, separated, divorced, or widowed)
were uninsured whereas 13.6% of those individuals who were married were uninsured.
Massachusetts had the lowest proportion of single adults, age 18 through 64, uninsured with 8.9%
followed by the District of Columbia, Hawaii, Connecticut, and Minnesota. Texas, with 38.4%,
had the highest proportion of single adults, age 18 through 64, uninsured followed by Alaska,
Florida, Nevada, and Oklahoma. Massachusetts had the lowest proportion of married adults, age
18 through 64, uninsured with 2.8% followed by the District of Columbia, Hawaii, Minnesota,
and Vermont. Texas, with 24.3%, had the highest proportion of married adults, age 18 through 64,
uninsured followed by Florida, New Mexico, Nevada, and Oklahoma.
Table 9 also presents the percentage uninsured in each state by employment status (full/part time)
and Table 11 rank orders the states by the percentage uninsured by employment status, lowest to
highest. Nationally, 14.3% of those employed full-time were uninsured while 26.5% of those
employed part-time were uninsured.24 Massachusetts had the lowest proportion of full-time
employed adults, age 18 through 64, uninsured with 4.0% followed by Hawaii, the District of
Columbia, Connecticut, and Minnesota. Texas, with 23.0%, had the highest proportion of full
time employed adults, age 18 through 64, uninsured followed by New Mexico, Florida, Montana,
and Louisiana. Massachusetts had the lowest proportion of part-time employed adults, age 18

24 Individuals did not necessarily obtain their health insurance coverage from their employer and an insured working
part-time may have been covered by another family member working full-time.
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The Uninsured by State and Congressional District

through 64, uninsured with 8.0% followed by the District of Columbia, Hawaii, Minnesota, and
Iowa. Texas, with 41.2%, had the highest proportion of part-time employed adults, age 18 through
64, uninsured followed by Arkansas, Florida, Nevada, and Oklahoma.
Table 5. Percentage Uninsured by Age, by State, 2009
Under Age 19
Age 21 Through
Age 65 and Over
Statea
Under Age 6 (%)
(%)b
64 (%)
(%)
United States
7.0 9.0 20.3 0.9
Alabama
4.5 6.2 19.5 0.5
Alaska 13.7
14.6
26.0
0.7
Arizona 10.0
12.7
22.6
1.3
Arkansas
5.1 7.0 24.6 0.5
California 7.0
10.0
24.1
1.8
Colorado 8.2
10.6
20.0
1.0
Connecticut

3.7 4.0 12.3 0.7
Delaware
4.6 5.6 14.2 0.6
District of Columbia
1.7
3.4
9.4
0.7
Florida 12.1
15.3
28.3
1.3
Georgia 9.2
11.6
25.1
1.2
Hawai
1.4 2.9 10.0 0.8
Idaho 7.2
11.8
23.0
0.7
Illinois
3.4 4.9 18.8 1.3
Indiana
8.3 9.1 18.9 0.4
Iowa
4.1 4.9 11.9 0.1
Kansas
7.4 8.7 17.3 0.5
Kentucky
5.4 6.9 19.9 0.5
Louisiana
4.8 7.2 24.8 0.8
Maine
5.0 5.8 14.6 0.2
Maryland
3.1 5.1 15.3 0.8
Massachusetts 1.2 1.5 5.9 0.2
Michigan
3.7 5.1 15.3 0.8
Minnesota
5.3 6.7 11.4 0.3
Mississippi 8.7
10.9
24.2
0.2
Missouri
5.9 7.3 18.0 0.4
Montana 12.7
13.1
24.1
0.3
Nebraska
5.2 6.6 16.2 0.6
Nevada 16.8
18.4
26.4
1.9
New
Hampshire 3.1 4.9 13.9 0.3
New
Jersey
4.8 6.7 17.1 1.4
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The Uninsured by State and Congressional District

Under Age 19
Age 21 Through
Age 65 and Over
Statea
Under Age 6 (%)
(%)b
64 (%)
(%)
New Mexico
8.3
12.3
26.8
1.3
New
York
4.1 4.9 15.9 1.0
North
Carolina 5.6 8.7 22.0 0.6
North
Dakota 6.2 5.7 13.4 0.4
Ohio
5.2 6.7 16.7 0.4
Oklahoma 10.3
11.7
25.4
0.6
Oregon 8.8
10.9
22.6
0.8
Pennsylvania
5.0 5.6 13.6 0.5
Rhode
Island
4.9 5.7 15.5 0.5
South Carolina
9.1
10.5
22.6
0.4
South
Dakota 6.8 7.8 18.1 0.4
Tennessee
4.9 6.4 20.3 0.4
Texas 12.5
16.9
30.3
1.8
Utah 9.0
10.6
18.6
0.7
Vermont
2.0 3.5 11.8 0.1
Virginia
5.8 6.9 15.8 0.7
Washington
5.7 7.4 17.8 0.8
West
Virginia 4.5 6.0 20.2 0.1
Wisconsin

3.9 5.3 12.4 0.4
Wyoming
8.1 9.3 20.0 0.5
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and
there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not
presented, they are available.
b. Under age 19 is includes those under age 6 (i.e., the first two columns are not mutually exclusive). See
footnote 23 for the justification for these age categories.

Congressional Research Service
17

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Table 6. Ranking of States by Percentage Uninsured by Age, 2009
Age 21 Through 64 (lowest to
Under Age 6 (lowest to highest)
Under Age 19 (lowest to highest)b
highest)
Age 65 and Over (lowest to highest)
Ranking/Statea Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%)
1. Massachusetts
1.2
1. Massachusetts
1.5
1. Massachusetts
5.9
1. Iowa
0.1
2. Hawai
1.4
2. Hawai
2.9
2. District of Columbia
9.4
1. Vermont
0.1
3. District of Columbia
1.7
3. District of Columbia
3.4
3. Hawai
10.0
1. West Virginia
0.1
4. Vermont
2.0
4. Vermont
3.5
4. Minnesota
11.4
4. Maine
0.2
5. Maryland
3.1
5. Connecticut
4.0
5. Vermont
11.8
4. Massachusetts
0.2
5. New Hampshire
3.1
6. Illinois
4.9
6. Iowa
11.9
4. Mississippi
0.2
7. Illinois
3.4
6. Iowa
4.9
7. Connecticut
12.3
7. Minnesota
0.3
8. Connecticut
3.7
6. New Hampshire
4.9
8. Wisconsin
12.4
7. Montana
0.3
8. Michigan
3.7
6. New York
4.9
9. North Dakota
13.4
7. New Hampshire
0.3
10. Wisconsin
3.9
10. Maryland
5.1
10. Pennsylvania
13.6
10. Indiana
0.4
11. Iowa
4.1
10. Michigan
5.1
11. New Hampshire
13.9
10. Missouri
0.4
11. New York
4.1
12. Wisconsin
5.3
12. Delaware
14.2
10. North Dakota
0.4
13. Alabama
4.5
13. Delaware
5.6
13. Maine
14.6
10. Ohio
0.4
13. West Virginia
4.5
13. Pennsylvania
5.6
14. Maryland
15.3
10. South Carolina
0.4
15. Delaware
4.6
15. North Dakota
5.7
14. Michigan
15.3
10. South Dakota
0.4
16. Louisiana
4.8
15. Rhode Island
5.7
16. Rhode Island
15.5
10. Tennessee
0.4
16. New Jersey
4.8
17. Maine
5.8
17. Virginia
15.8
10. Wisconsin
0.4
18. Rhode Island
4.9
18. West Virginia
6.0
18. New York
15.9
18. Alabama
0.5
18. Tennessee
4.9
19. Alabama
6.2
19. Nebraska
16.2
18. Arkansas
0.5
20. Maine
5.0
20. Tennessee
6.4
20. Ohio
16.7
18. Kansas
0.5
20. Pennsylvania
5.0
21. Nebraska
6.6
21. New Jersey
17.1
18. Kentucky
0.5
22. Arkansas
5.1
22. Minnesota
6.7
22. Kansas
17.3
18. Pennsylvania
0.5
23. Nebraska
5.2
22. New Jersey
6.7
23. Washington
17.8
18. Rhode Island
0.5
CRS-18

---

Age 21 Through 64 (lowest to
Under Age 6 (lowest to highest)
Under Age 19 (lowest to highest)b
highest)
Age 65 and Over (lowest to highest)
Ranking/Statea Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%)
23. Ohio
5.2
22. Ohio
6.7
24. Missouri
18.0
18. Wyoming
0.5
25. Minnesota
5.3
25. Kentucky
6.9
25. South Dakota
18.1
25. Delaware
0.6
26. Kentucky
5.4
25. Virginia
6.9
26. Utah
18.6
25. Nebraska
0.6
27. North Carolina
5.6
27. Arkansas
7.0
27. Illinois
18.8
25. North Carolina
0.6
28. Washington
5.7
28. Louisiana
7.2
28. Indiana
18.9
25. Oklahoma
0.6
29. Virginia
5.8
29. Missouri
7.3
29. Alabama
19.5
29. Alaska
0.7
30. Missouri
5.9
30. Washington
7.4
30. Kentucky
19.9
29. Connecticut
0.7
31. North Dakota
6.2
31. South Dakota
7.8
31. Colorado
20.0
29. District of Columbia
0.7
32. South Dakota
6.8
32. Kansas
8.7
31. Wyoming
20.0
29. Idaho
0.7
33. California
7.0
32. North Carolina
8.7
33. West Virginia
20.2
29. Utah
0.7
United States
7.0
United States
9.0
34. Tennessee
20.3
29. Virginia
0.7
34. Idaho
7.2
34. Indiana
9.1
United States
20.3
35. Hawaii
0.8
35. Kansas
7.4
35. Wyoming
9.3
35. North Carolina
22.0
35. Louisiana
0.8
36. Wyoming
8.1
36. California
10.0
36. Arizona
22.6
35. Maryland
0.8
37. Colorado
8.2
37. South Carolina
10.5
36. Oregon
22.6
35. Michigan
0.8
38. Indiana
8.3
38. Colorado
10.6
36. South Carolina
22.6
35. Oregon
0.8
38. New Mexico
8.3
38. Utah
10.6
39. Idaho
23.0
35. Washington
0.8
40. Mississippi
8.7
40. Mississippi
10.9
40. California
24.1
United States
0.9
41. Oregon
8.8
40. Oregon
10.9
40. Montana
24.1
41. Colorado
1.0
42. Utah
9.0
42. Georgia
11.6
42. Mississippi
24.2
41. New York
1.0
43. South Carolina
9.1
43. Oklahoma
11.7
43. Arkansas
24.6
43. Georgia
1.2
44. Georgia
9.2
44. Idaho
11.8
44. Louisiana
24.8
44. Arizona
1.3
45. Arizona
10.0
45. New Mexico
12.3
45. Georgia
25.1
44. Florida
1.3
46. Oklahoma
10.3
46. Arizona
12.7
46. Oklahoma
25.4
44. Illinois
1.3
47. Florida
12.1
47. Montana
13.1
47. Alaska
26.0
44. New Mexico
1.3
CRS-19

---

Age 21 Through 64 (lowest to
Under Age 6 (lowest to highest)
Under Age 19 (lowest to highest)b
highest)
Age 65 and Over (lowest to highest)
Ranking/Statea Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%) Ranking/State Percent
(%)
48. Texas
12.5
48. Alaska
14.6
48. Nevada
26.4
48. New Jersey
1.4
49. Montana
12.7
49. Florida
15.3
49. New Mexico
26.8
49. California
1.8
50. Alaska
13.7
50. Texas
16.9
50. Florida
28.3
49. Texas
1.8
51. Nevada
16.8
51. Nevada
18.4
51. Texas
30.3
51. Nevada
1.9
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All rankings are for the civilian non-institutionalized population. While the rankings are based on the point estimates, there is a confidence interval around each
estimate and therefore the rankings should be interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available.
Columns sorted initially by percent uninsured and then alphabetically. Ties are not indicated.
b. Under age 19 is includes those under age 6 (i.e., the first two columns are not mutually exclusive). See footnote 23 for the justification for these age categories.

CRS-20

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The Uninsured by State and Congressional District

Table 7. Percentage Uninsured, by Income by State, 2009
Between 133% - 400%
Greater than 400% of
Statea
Under 133% of the FPL
of the FPL
the FPL
United States
27.7 17.6
5.4
Alabama 26.3
13.5 3.9
Alaska 33.9
27.4
11.7
Arizona 28.0
19.2 7.2
Arkansas 28.1
17.0 5.9
California 29.8
22.7
6.7
Colorado 33.6
18.8
5.2
Connecticut
18.8
13.0
3.7
Delaware 17.1
13.5
4.7
District of Columbia
8.3
11.0
4.0
Florida 35.0
23.4 7.6
Georgia 34.8
20.8 6.1
Hawai 15.1
7.7 3.3
Idaho 30.5
18.0 5.8
Illinois 25.5
15.8 5.2
Indiana 27.9
15.3 4.4
Iowa 19.2
9.4
2.6
Kansas 28.0
14.2 3.8
Kentucky 26.5
14.8 3.7
Louisiana 28.0
19.0 7.1
Maine 15.2
12.9 4.8
Maryland 24.4
15.6 4.8
Massachusetts 7.6 6.2
1.9
Michigan 22.1
13.2 4.4
Minnesota 18.1 11.4
3.5
Mississippi 27.4 17.6
6.6
Missouri 25.6
14.0 4.4
Montana 29.5
20.2 7.5
Nebraska 25.6
12.9 3.3
Nevada 41.8
24.3 7.8
New Hampshire
23.0
13.2
4.5
New Jersey
25.7
18.4
5.4
New Mexico
31.1
21.3
7.3
New York
17.5
15.0
5.4
North Carolina
29.8
17.4
4.7
Congressional Research Service
21

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The Uninsured by State and Congressional District

Between 133% - 400%
Greater than 400% of
Statea
Under 133% of the FPL
of the FPL
the FPL
North Dakota
22.0
10.5
3.4
Ohio 23.4
13.1
4.1
Oklahoma 31.7 19.7
7.0
Oregon 31.8
18.9 5.9
Pennsylvania 18.6 11.7
3.9
Rhode Island
19.7
14.3
5.5
South Carolina
28.7
18.2
5.6
South Dakota
27.3
13.4
3.6
Tennessee 24.8 14.9
4.8
Texas 39.7
26.8 7.9
Utah 30.1
15.0
5.6
Vermont 12.2
11.2 4.6
Virginia 26.5
15.6 3.9
Washington 25.7 16.8
4.9
West Virginia
23.5
14.1
5.5
Wisconsin
19.8
10.1
3.4
Wyoming 29.1
17.8
7.0
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population – all ages. Each value in the table is an estimate
and there is a confidence interval around the estimate. While the intervals at the 90% confidence level are
not presented, they are available.
Congressional Research Service
22

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The Uninsured by State and Congressional District

Table 8. Ranking of States by Percentage Uninsured by Income, 2009
(lowest to highest)
Between 133% - 400% of the
Under 133% of the FPLa
FPL
Greater than 400% of the FPL
Percent
Percent
Percent
Ranking/State
(%)
Ranking/State
(%)
Ranking/State
(%)
1. Massachusetts
7.6
1. Massachusetts
6.2
1. Massachusetts
1.9
2. District of Columbia
8.3
2. Hawai
7.7
2. Iowa
2.6
3. Vermont
12.2
3. Iowa
9.4
3. Hawai
3.3
4. Hawai
15.1
4. Wisconsin
10.1
3. Nebraska
3.3
5. Maine
15.2
5. North Dakota
10.5
5. North Dakota
3.4
6. Delaware
17.1
6. District of
11.0 5.
Wisconsin
3.4
Columbia
7. New York
17.5
7. Vermont
11.2
7. Minnesota
3.5
8. Minnesota
18.1
8. Minnesota
11.4
8. South Dakota
3.6
9. Pennsylvania
18.6
9. Pennsylvania
11.7
9. Connecticut
3.7
10. Connecticut
18.8
10. Maine
12.9
9. Kentucky
3.7
11. Iowa
19.2
10. Nebraska
12.9
11. Kansas
3.8
12. Rhode Island
19.7
12. Connecticut
13.0
12. Alabama
3.9
13. Wisconsin
19.8
13. Ohio
13.1
12. Pennsylvania
3.9
14. North Dakota
22.0
14. Michigan
13.2
12. Virginia
3.9
15. Michigan
22.1
14. New Hampshire
13.2
15. District of Columbia
4.0
16. New Hampshire
23.0
16. South Dakota
13.4
16. Ohio
4.1
17. Ohio
23.4
17. Alabama
13.5
17. Indiana
4.4
18. West Virginia
23.5
17. Delaware
13.5
17. Michigan
4.4
19. Maryland
24.4
19. Missouri
14.0
17. Missouri
4.4
20. Tennessee
24.8
20. West Virginia
14.1
20. New Hampshire
4.5
21. Illinois
25.5
21. Kansas
14.2
21. Vermont
4.6
22. Missouri
25.6
22. Rhode Island
14.3
22. Delaware
4.7
22. Nebraska
25.6
23. Kentucky
14.8
22. North Carolina
4.7
24. New Jersey
25.7
24. Tennessee
14.9
24. Maine
4.8
24. Washington
25.7
25. New York
15.0
24. Maryland
4.8
26. Alabama
26.3
25. Utah
15.0
24. Tennessee
4.8
27. Kentucky
26.5
27. Indiana
15.3
27. Washington
4.9
27. Virginia
26.5
28. Maryland
15.6
28. Colorado
5.2
29. South Dakota
27.3
28. Virginia
15.6
28. Illinois
5.2
30. Mississippi
27.4
30. Illinois
15.8
30. New Jersey
5.4
United States
27.7
31. Washington
16.8
30. New York
5.4
31. Indiana
27.9
32. Arkansas
17.0
United States
5.4
Congressional Research Service
23

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The Uninsured by State and Congressional District

Between 133% - 400% of the
Under 133% of the FPLa
FPL
Greater than 400% of the FPL
Percent
Percent
Percent
Ranking/State
(%)
Ranking/State
(%)
Ranking/State
(%)
32. Arizona
28.0
33. North Carolina
17.4
32. Rhode Island
5.5
32. Kansas
28.0
34. Mississippi
17.6
32. West Virginia
5.5
32. Louisiana
28.0
United States
17.6
34. South Carolina
5.6
35. Arkansas
28.1
35. Wyoming
17.8
34. Utah
5.6
36. South Carolina
28.7
36. Idaho
18.0
36. Idaho
5.8
37. Wyoming
29.1
37. South Carolina
18.2
37. Arkansas
5.9
38. Montana
29.5
38. New Jersey
18.4
37. Oregon
5.9
39. California
29.8
39. Colorado
18.8
39. Georgia
6.1
39. North Carolina
29.8
40. Oregon
18.9
40. Mississippi
6.6
41. Utah
30.1
41. Louisiana
19.0
41. California
6.7
42. Idaho
30.5
42. Arizona
19.2
42. Oklahoma
7.0
43. New Mexico
31.1
43. Oklahoma
19.7
42. Wyoming
7.0
44. Oklahoma
31.7
44. Montana
20.2
44. Louisiana
7.1
45. Oregon
31.8
45. Georgia
20.8
45. Arizona
7.2
46. Colorado
33.6
46. New Mexico
21.3
46. New Mexico
7.3
47. Alaska
33.9
47. California
22.7
47. Montana
7.5
48. Georgia
34.8
48. Florida
23.4
48. Florida
7.6
49. Florida
35.0
49. Nevada
24.3
49. Nevada
7.8
50. Texas
39.7
50. Texas
26.8
50. Texas
7.9
51. Nevada
41.8
51. Alaska
27.4
51. Alaska
11.7
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. Rankings are for the civilian non-institutionalized population. While rankings are based on the point
estimates, there is a confidence interval around each estimate and therefore the rankings should be
interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are
available. Columns sorted initially by percent uninsured and then alphabetically.
Table 9. Percentage Uninsured by Marital and Employment Status by State, 2009
Employed Full
Employed Part
Statea Single Married Timeb
Time
United States
28.2 13.6 14.3 26.5
Alabama
28.5 11.9 12.3 27.1
Alaska
38.3 15.1 18.0 33.4
Arizona
29.5 16.8 17.3 29.0
Arkansas 34.6 17.5 17.1 36.2
California 30.8 18.0 17.3 30.3
Colorado 28.6 13.4 14.1 26.8
Congressional Research Service
24

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The Uninsured by State and Congressional District

Employed Full
Employed Part
Statea Single Married Timeb
Time
Connecticut

18.6 6.8 7.8 16.9
Delaware 19.8 8.7
10.4
19.7
District of Columbia
10.8
4.6
6.8
11.5
Florida
37.0 20.1 21.6 36.1
Georgia
34.4 17.0 17.2 33.3
Hawai
15.3 5.7 5.4 14.7
Idaho
33.6 16.8 15.8 32.8
Illinois
27.2 11.4 12.5 23.0
Indiana
28.2 11.7 12.1 25.1
Iowa
19.9 6.3 8.4 16.0
Kansas
26.4 10.8 12.3 24.9
Kentucky 29.5 13.3 12.8 28.1
Louisiana 34.5 15.1 19.0 32.0
Maine 21.7
8.4
11.2
21.0
Maryland 22.0 9.0 9.8 21.6
Massachusetts
8.9 2.8 4.0 8.0
Michigan 25.8
9.8
11.0
22.2
Minnesota 18.8 6.0 8.2 15.9
Mississippi 33.3 15.9 16.6 34.2
Missouri
26.8 10.9 12.2 24.2
Montana
33.7 15.4 19.2 28.5
Nebraska 25.8 9.4
17.4
21.9
Nevada
36.1 19.0 17.4 35.8
New
Hampshire
21.7 7.9 8.9 20.9
New
Jersey 25.4 10.3 12.2 21.5
New
Mexico 34.6 19.8 21.8 32.1
New
York 21.2 10.2 12.1 20.6
North
Carolina
31.1 14.5 15.0 30.7
North
Dakota
21.9 6.6 9.3 17.8
Ohio 25.6
8.7
10.3
21.8
Oklahoma 35.2 18.0 18.7 35.3
Oregon
32.1 14.5 14.7 29.0
Pennsylvania
20.6 7.4 8.8 18.4
Rhode Island
22.3
8.5
10.8
17.7
South
Carolina
32.2 14.2 15.0 30.7
South
Dakota
27.3 10.7 13.2 24.5
Tennessee 29.3 12.5 13.3 26.3
Texas
38.4 24.3 23.0 41.2
Congressional Research Service
25

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The Uninsured by State and Congressional District

Employed Full
Employed Part
Statea Single Married Timeb
Time
Utah
26.9 13.5 13.4 23.7
Vermont 19.2 6.0 9.9 17.0
Virginia 23.2
9.7
10.6
23.0
Washington 26.3 11.2 11.2 24.8
West
Virginia
30.5 12.8 15.5 29.3
Wisconsin
21.0 6.1 8.5 16.0
Wyoming 30.0 13.7 14.1 30.4
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
a. All figures are for the civilian non-institutionalized population. Each value in the table is an estimate and
there is a confidence interval around the estimate. While the intervals at the 90% confidence level are not
presented, they are available.
b. Ful time is defined as working 30 or more hours a week for 50 or more weeks and part-time is defined as
working fewer than 30 hours a week or less than 50 weeks per year.
Table 10. Ranking of States by Percentage Uninsured by Marital Status, 2009
(lowest to highest)
Single
Married
Percent
Percent
Rank State
Uninsured (%)
Rank
State
Uninsured (%)
1. Massachusetts
8.9
1. Massachusetts
2.8
2.
District of Columbia
10.8
2.
District of Columbia
4.6
3. Hawai
15.3
3. Hawai
5.7
4. Connecticut

18.6
4. Minnesota
6.0
5. Minnesota
18.8
4 Vermont
6.0
6. Vermont
19.2
6. Wisconsin

6.1
7.
Delaware
19.8
7.
Iowa
6.3
8. Iowa
19.9
8. North
Dakota
6.6
9. Pennsylvania
20.6
9. Connecticut

6.8
10 Wisconsin

21.0
10 Pennsylvania
7.4
11.
New York
21.2
11.
New Hampshire
7.9
12. Maine
21.7
12. Maine
8.4
12.
New Hampshire
21.7
13.
Rhode Island
8.5
14. North
Dakota
21.9
14. Delaware
8.7
15. Maryland
22.0
14. Ohio
8.7
16. Rhode
Island
22.3
16. Maryland
9.0
17.
Virginia
23.2
17.
Nebraska
9.4
18. New
Jersey
25.4
18. Virginia
9.7
19. Ohio
25.6
19. Michigan
9.8
Congressional Research Service
26

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The Uninsured by State and Congressional District

Single
Married
Percent
Percent
Rank State
Uninsured (%)
Rank State
Uninsured (%)
20. Michigan
25.8
20 New
York
10.2
20. Nebraska
25.8
21. New
Jersey
10.3
22. Washington
26.3
22. South
Dakota
10.7
23. Kansas
26.4
23. Kansas
10.8
24. Missouri
26.8
24. Missouri
10.9
25. Utah
26.9
25. Washington
11.2
26. Illinois
27.2
26. Illinois
11.4
27.
South Dakota
27.3
27.
Indiana
11.7

United States
28.2 28.
Alabama
11.9
28. Indiana
28.2
29. Tennessee
12.5
29 Alabama
28.5
30. West
Virginia
12.8
30. Colorado
28.6
31. Kentucky
13.3
31. Tennessee
29.3
32. Colorado
13.4
32. Arizona
29.5
33. Utah
13.5
32.
Kentucky
29.5

United States
13.6
34. Wyoming
30.0
34. Wyoming
13.7
35.
West Virginia
30.5
35.
South Carolina
14.2
36.
California
30.8
36.
North Carolina
14.5
37. North
Carolina
31.1
36. Oregon
14.5
38. Oregon
32.1
38. Louisiana
15.1
39 South
Carolina
32.2
38 Alaska
15.1
40. Mississippi
33.3
40. Montana
15.4
41. Idaho
33.6
41. Mississippi
15.9
42. Montana
33.7
42. Arizona
16.8
43. Georgia
34.4
42. Idaho
16.8
44. Louisiana
34.5
44. Georgia
17.0
45. Arkansas
34.6
45. Arkansas
17.5
45.
New Mexico
34.6
46.
California
18.0
47. Oklahoma
35.2
46. Oklahoma
18.0
48. Nevada
36.1
48. Nevada
19.0
49 Florida
37.0
49 New
Mexico
19.8
50. Alaska
38.3
50. Florida
20.1
51. Texas
38.4
51. Texas
24.3
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
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The Uninsured by State and Congressional District

Notes: Rankings are for the civilian non-institutionalized population age 18-64. While rankings are based on the
point estimates, there is a confidence interval around each estimate and therefore the rankings should be
interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available.
Columns sorted initially by percent uninsured and then alphabetically.
Table 11. Ranking of States by Percentage Uninsured by Employment Status, 2009
(lowest to highest)
Employed Full Time
Employed Part Time
Percent
Uninsured
Percent
Rank State
(%) Rank
State
Uninsured (%)
1.
Massachusetts
4.0
1.
Massachusetts
8.0
2.
Hawai
5.4
2.
District of Columbia
11.5
3.
District of Columbia
6.8
3.
Hawai
14.7
4.
Connecticut
7.8
4.
Minnesota
15.9
5.
Minnesota
8.2
5.
Iowa
16.0
6.
Iowa
8.4
5.
Wisconsin
16.0
7.
Wisconsin
8.5
7.
Connecticut
16.9
8.
Pennsylvania
8.8
8.
Vermont
17.0
9.
New Hampshire
8.9
9.
Rhode Island
17.7
10
North Dakota
9.3
10
North Dakota
17.8
11.
Maryland
9.8
11.
Pennsylvania
18.4
12.
Vermont
9.9
12.
Delaware
19.7
13.
Ohio
10.3
13.
New York
20.6
14.
Delaware
10.4
14.
New Hampshire
20.9
15.
Virginia
10.6
15.
Maine
21.0
16.
Rhode Island
10.8
16.
New Jersey
21.5
17.
Michigan
11.0
17.
Maryland
21.6
18.
Maine
11.2
18.
Ohio
21.8
18.
Washington
11.2
19.
Nebraska
21.9
20
Indiana
12.1
20
Michigan
22.2
20.
New York
12.1
21.
Illinois
23.0
22.
Missouri
12.2
21.
Virginia
23.0
22.
New Jersey
12.2
23.
Utah
23.7
24.
Alabama
12.3
24.
Missouri
24.2
24.
Kansas
12.3
25.
South Dakota
24.5
26.
Illinois
12.5
26.
Washington
24.8
27.
Kentucky
12.8
27.
Kansas
24.9
28.
South Dakota
13.2
28.
Indiana
25.1
29.
Tennessee
13.3
29.
Tennessee
26.3
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The Uninsured by State and Congressional District

Employed Full Time
Employed Part Time
Percent
Uninsured
Percent
Rank State
(%)
Rank State Uninsured (%)
30. Utah

13.4
United States
26.5
31.
Colorado
14.1
30.
Colorado
26.8
31.
Wyoming
14.1
31.
Alabama
27.1

United States
14.3 32.
Kentucky

28.1
33.
Oregon
14.7
33.
Montana
28.5
34.
North Carolina
15.0
34.
Arizona
29.0
34.
South Carolina
15.0
34.
Oregon
29.0
36.
West Virginia
15.5
36.
West Virginia
29.3
37.
Idaho
15.8
37.
California
30.3
38.
Mississippi
16.6
38.
Wyoming
30.4
39
Arkansas
17.1
39
North Carolina
30.7
40.
Georgia
17.2
39.
South Carolina
30.7
41.
Arizona
17.3
41.
Louisiana
32.0
41.
California
17.3
42.
New Mexico
32.1
43.
Nebraska
17.4
43.
Idaho
32.8
43.
Nevada
17.4
44.
Georgia
33.3
45.
Alaska
18.0
45.
Alaska
33.4
46.
Oklahoma
18.7
46.
Mississippi
34.2
47.
Louisiana
19.0
47.
Oklahoma
35.3
48.
Montana
19.2
48.
Nevada
35.8
49
Florida
21.6
49
Florida
36.1
50.
New Mexico
21.8
50.
Arkansas
36.2
51.
Texas
23.0
51.
Texas
41.2
Source: CRS analysis of data from 2009 American Community Survey, U.S. Census Bureau.
Notes: Rankings are for the civilian non-institutionalized population age 18-64. While rankings are based on the
point estimates, there is a confidence interval around each estimate and therefore the rankings should be
interpreted as indicative. Although the intervals at the 90% confidence level are not presented, they are available.
Columns sorted initially by percent uninsured and then alphabetically.
The Uninsured: Characteristics by Congressional
District (111th Congress)
Of the 435 congressional districts, 245 had fewer uninsureds in 2009, as a proportion of their
population, than the national average of 15.1% and more than 80 congressional districts had
fewer then 10% of their populations uninsured in 2009. Of the 10 congressional districts with the
lowest proportion of uninsureds, nine were in Massachusetts. The 4th congressional district in
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The Uninsured by State and Congressional District

Massachusetts, an area west and south of Boston, had the lowest proportion of uninsureds in the
country with just 3.2% of its population uninsured. The fifth congressional district in Wisconsin,
north and west of Milwaukee, was the only non-Massachusetts district among the ten districts
with the lowest proportion of uninsureds.
There were 12 congressional districts in 2009 where more than 30% of their populations were
uninsured: six in Texas (32, 18, 28, 30, 9, and 29), three in California (47, 34, and 31), two in
Florida (23 and 17) and one in Arizona (4). California’s 31st congressional district, covering parts
of Los Angeles, had the highest proportion of uninsureds of any congressional district with 38.5%
uninsured.
In the appendix that follows, two tables are presented for each state and the District of Columbia.
The first table presents the proportion uninsured in 2009 by gender, age, income, and marital and
employment status. The second table presents the proportion of uninsured, estimated by the
Census Bureau, for each congressional district in 2009. Both sets of estimates were generated by
the Census Bureau based on the 2009 American Community Survey.
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The Uninsured by State and Congressional District

Appendix. State and Congressional District
Data Tables
Alabama
Table A-1. Alabama: Characteristics of the Uninsured, 2009
Above (+), At
Number
(x), or Below (-)
Total Populationa
Uninsured (in
Percent
National

(in thousands)
thousands)
Uninsured
Averageb
Total Population 4,616
637
13.8
-
Male 2,400
301
12.5
-
Female 2,216
336 15.2 -
Under Age 6
373
17
4.5
-
Under Age 19
1,194
74
6.2
-
Under Age 26
1,640
216
13.2
-
Age 19 through 21
206
64
31.0
x
Age 21 through 64
2,660
518
19.5
-
Age 65 and over
624
3
0.5
-
Poverty Status
4,570


≤133% FPL
1,140
300
26.3
-
>133 to <400% FPL
2,067
279
13.5
-
≥400% + FPL
1,363
53
3.9
-
Total Population
2,868


Age 18-64
Singlec 1,360
388
28.5
x
Married 1,508
179 11.9 -
Employed Ful Timed 1,448
178
12.3
-
Employed Part Timee 431
117
27.1
x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significant higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-2. Alabama: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Alabama 4,616
637
13.8

Congressional District 1
684
107
15.6
+
Congressional District 2
661
91
13.7
-
Congressional District 3
661
97
14.6
-
Congressional District 4
652
100
15.4
+
Congressional District 5
703
90
12.8
-
Congressional District 6
735
68
9.2
-
Congressional District 7
612
97
15.9
+
Source: U.S. Census Bureau, 2009 American Community Survey (ACS).
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Alaska
Table A-3. Alaska: Characteristics of the Uninsured, 2009
Above (+), At
Number
(x), or Below (-)
Total Populationa
Uninsured (in
Percent
National

(in thousands)
thousands)
Uninsured
Averageb
Total Population
678 143 21.1 +
Male 334
63
19.0
+
Female 344
80
23.1
+
Under Age 6
64
9
13.7
+
Under Age 19
198
29
14.6
+
Under Age 26
273
58
21.2
+
Age 19 through 21
34
12
36.5
+
Age 21 through 64
406
105
26.0
+
Age 65 and over
51
0.4
0.7
x
Poverty Status
669


≤133% FPL
91
31
33.9
+
>133 to <400% FPL
276
76
27.4
+
≥400% + FPL
303
35
11.7
+
Total Population
444


Age 18-64
Singlec
219
84
38.3
+
Married
225
34
15.1
x
Employed Ful Timed 212
38
18.0
+
Employed Part Timee
105
35
33.4
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-4. Alaska: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Population
Uninsured (in
Percent
National
District
(in thousands)a
thousands)
Uninsured
Averageb
Alaska
678
143
21.1

At Large Alaska
678
143
21.1
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Arizona
Table A-5. Arizona: Characteristics of the Uninsured, 2009
Above (+), At
Number
(x), or Below (-)
Total Populationa
Uninsured (in
Percent
National

(in thousands)
thousands)
Uninsured
Averageb
Total Population
6,502 1,127 17.3 +
Male 3,269
497
15.2
+
Female 3,233
629
19.5
+
Under Age 6
616
62
10.0
+
Under Age 19
1,821
232
12.7
+
Under Age 26
2,428
437
18.0
+
Age 19 through 21
260
88
33.9
+
Age 21 through 64
3,653
827
22.6
+
Age 65 and over
854
11
1.3
+
Poverty Status
6,459

≤133% FPL
1,519
425
28.0
x
>133 to <400% FPL
2,853
547
19.2
+
≥400% + FPL
2,087
150
7.2
+
Total Population
3,918

Age 18-64
Singlec
1,964
579
29.5
+
Married
1,953
329
16.8
+
Employed Ful Timed
2,006
348
17.3
+
Employed Part Timee
651
189
29.0
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-6. Arizona: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Congressional
Total Population
Uninsured (in
Percent
National
District
(in thousands)a
thousands)
Uninsured
Averageb
Arizona 6,502
1,127
17.3

Congressional District 1
758
130
17.1
+
Congressional District 2
957
144
15.0
-
Congressional District 3
758
121
16.0
+
Congressional District 4
761
234
30.7
+
Congressional District 5
726
107
14.7
-
Congressional District 6
974
137
14.1
-
Congressional District 7
892
187
20.9
+
Congressional District 8
768
84
10.9
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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Arkansas
Table A-7. Arkansas: Characteristics of the Uninsured, 2009
Above (+), At
Number
(x), or Below (-)
Total Populationa
Uninsured (in
Percent
National

(in thousands)
thousands)
Uninsured
Averageb
Total Population
2,833 483 17.0 +
Male 1,457
233
16.0
+
Female 1,376
250 18.1
+
Under Age 6
242
12
5.1
-
Under Age 19
750
53
7.0
-
Under Age 26
1,017
158
15.5
x
Age 19 through 21
121
46
38.4
+
Age 21 through 64
1,611
396
24.6
+
Age 65 and over
392
2
0.5
-
Poverty Status
2,798


≤133% FPL
758
213
28.1
x
>133 to <400% FPL
1,308
222
17.0
x
≥400% + FPL
732
43
5.9
x
Total Population
1,735


Age 18-64
Singlec
776
269
34.6
+
Married
959
168
17.5
+
Employed Ful Timed
901
154
17.1
+
Employed Part Timee
276
100
36.2
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-8. Arkansas: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Arkansas 2,833
483
17.0

Congressional District 1
679
115
16.9
+
Congressional District 2
737
108
14.7
-
Congressional District 3
819
150
18.3
+
Congressional District 4
655
120
18.3
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

California
Table A-9.California: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
36,377 6,559
18.0 +
Male 18,305
2,914
15.9
+
Female 18,072
3,645
20.2
+
Under Age 6
3,246
228
7.0
x
Under Age 19
9,985
997
10.0
+
Under Age 26
13,603
2,311
17.0
+
Age 19 through 21
1,591
544
34.2
+
Age 21 through 64
21,300
5,137
24.1
+
Age 65 and over
4,024
73
1.8
+
Poverty Status
36,089


≤133% FPL
7,542
2,249
29.8
+
>133 to <400% FPL
14,788
3,360
22.7
+
≥400% + FPL
13,759
924
6.7
+
Total Population Age 18-64
22,930


Singlec
11,435
3,523
30.8
+
Married
11,495
2,073
18.0
+
Employed Ful Timed
11,503
1,992
17.3
+
Employed Part Timee
4,249
1,286
30.3
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-10.California: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
California 36,377
6,559 18.0

Congressional District 1
695
104
14.9
-
Congressional District 2
713
117
16.4
+
Congressional District 3
760
90
11.8
-
Congressional District 4
769
81
10.5
-
Congressional District 5
703
112
15.9
+
Congressional District 6
649
79
12.1
-
Congressional District 7
672
106
15.7
+
Congressional District 8
675
85
12.6
-
Congressional District 9
649
94
14.5
-
Congressional District 10
703
74
10.5
-
Congressional District 11
760
89
11.7
-
Congressional District 12
644
59
9.1
-
Congressional District 13
650
82
12.6
-
Congressional District 14
656
68
10.3
-
Congressional District 15
681
74
10.8
-
Congressional District 16
686
106
15.5
+
Congressional District 17
653
127
19.4
+
Congressional District 18
714
149
20.9
+
Congressional District 19
751
133
17.7
+
Congressional District 20
724
187
25.8
+
Congressional District 21
767
150
19.6
+
Congressional District 22
763
116
15.2
+
Congressional District 23
662
130
19.6
+
Congressional District 24
677
89
13.2
-
Congressional District 25
819
134
16.4
+
Congressional District 26
700
97
13.8
-
Congressional District 27
674
138
20.4
+
Congressional District 28
669
182
27.2
+
Congressional District 29
658
115
17.5
+
Congressional District 30
644
63
9.8
-
Congressional District 31
630
242
38.5
+
Congressional District 32
645
152
23.6
+
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The Uninsured by State and Congressional District

Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Congressional District 33
644
183
28.4
+
Congressional District 34
646
223
34.5
+
Congressional District 35
673
179
26.6
+
Congressional District 36
677
116
17.2
+
Congressional District 37
644
146
22.6
+
Congressional District 38
639
161
25.2
+
Congressional District 39
657
156
23.8
+
Congressional District 49
676
129
19.1
+
Congressional District 41
783
131
16.7
+
Congressional District 42
668
77
11.5
-
Congressional District 43
721
195
27.0
+
Congressional District 44
825
151
18.3
+
Congressional District 45
898
198
22.0
+
Congressional District 46
656
84
12.8
-
Congressional District 47
639
213
33.3
+
Congressional District 48
724
76
10.5
-
Congressional District 49
777
148
19.0
+
Congressional District 50
752
99
13.2
-
Congressional District 51
732
169
23.1
+
Congressional District 52
674
86
12.7
-
Congressional District 53
638
126
19.7
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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Colorado
Table A-11.Colorado: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
4,930 778 15.8 +
Male 2,473
339
13.7
x
Female 2,457
439
17.8
+
Under Age 6
433
35
8.2
+
Under Age 19
1,299
138
10.6
+
Under Age 26
1,781
292
16.4
+
Age 19 through 21
206
60
29.1
x
Age 21 through 64
2,979
596
20.0
x
Age 65 and over
517
5
1.0
x
Poverty Status
4,892

≤133% FPL
889
298
33.6
-
>133 to <400% FPL
1,978
372
18.8
+
≥400% + FPL
2,025
105
5.2
x
Total Population Age 18-64
3,188

Singlec
1,453
415
28.6
x
Married
1,735
233
13.4
x
Employed Ful Timed
11,503
248
14.1
x
Employed Part Timee
4,249
161
26.8
x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-12.Colorado: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Congressional
Total Population
Uninsured (in
Percent
National
District
(in thousands)a
thousands)
Uninsured
Averageb
Colorado 4,930
778
15.8

Congressional District 1
671
133
19.9
+
Congressional District 2
732
105
14.4
-
Congressional District 3
700
139
19.8
+
Congressional District 4
731
117
16
+
Congressional District 5
708
100
14.1
-
Congressional District 6
808
63
7.8
-
Congressional District 7
676
136
20.1
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Connecticut
Table A-13.Connecticut: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
3,457 305 8.8 -
Male 1,778
125
7.0
-
Female 1,679
180
10.7
-
Under Age 6
250
9
3.7
-
Under Age 19
860
35
4.0
-
Under Age 26
1,181
101
8.6
-
Age 19 through 21
154
27
17.8
-
Age 21 through 64
2,030
249
12.3
-
Age 65 and over
460
3
0.7
-
Poverty Status
3,404


≤133% FPL
438
83
18.8
-
>133 to <400% FPL
1,191
155
13.0
-
≥400% + FPL
1,774
66
3.7
-
Total Population Age 18-64
2,190


Singlec
1,034
193
18.6
-
Married
1,156
79
6.8
-
Employed Ful Timed
1,207
94
7.8
-
Employed Part Timee
423
71
16.9
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-14.Connecticut: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Congressional
Total Population
Uninsured (in
Percent
National
District
(in thousands)a
thousands)
Uninsured
Averageb
Connecticut
3,457
305
8.8

Congressional District 1
698
59
8.5
-
Congressional District 2
721
50
6.9
-
Congressional District 3
698
62
8.9
-
Congressional District 4
696
76
10.9
-
Congressional District 5
705
63
9.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Delaware
Table A-15.Delaware: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
869 89 10.2 -
Male 451
38
8.5
x
Female
418 51 12.1 -
Under Age 6
70
3
4.6
-
Under Age 19
222
12
5.6
-
Under Age 26
298
31
10.3
-
Age 19 through 21
34
7
21.8
-
Age 21 through 64
504
71
14.2
-
Age 65 and over
121
1
0.6
x
Poverty Status
856


≤133%
FPL
137 24 17.1 -
>133 to <400% FPL
357
48
13.5
-
≥400% + FPL
362
17
4.7
x
Total Population Age 18-64
541


Singlec

269 53 19.8 -
Married
272
24
8.7
-
Employed Ful Timed
298 31 10.4 -
Employed Part Timee
94 19 19.7 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-16.Delaware: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)1
thousands)
Uninsured
Averageb
Delaware 869 89 10.2

At Large Delaware
869
89
10.2
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

District of Columbia
Table A-17.District of Columbia: Characteristics of the Uninsured, 2009
Number
Above (+), At
Total
Uninsured
(x), or Below
Populationa (in
Percent
(-) National

thousands)
(in thousands)
Uninsured
Averageb
Total Population
589 41 7.0 -
Male 314
17
5.3
-
Female 276
25
9.0
-
Under Age 6
43
1
1.7
-
Under Age 19
126
4
3.4
-
Under Age 26
200
13
6.8
-
Age 19 through 21
32
3
9.7
-
Age 21 through 64
373
35
9.4
-
Age 65 and over
66
0
0.7
x
Poverty Status
568


≤133% FPL
131
11
8.3
-
>133 to <400% FPL
180
20
11.0
-
≥400% + FPL
257
10
4.0
-
Total Population Age 18-64
410


Singlec 306
33
10.8
-
Married 104
5
4.6
-
Employed Ful Timed 221 15 6.8 -
Employed Part Timee 58 7 11.5
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-18.District of Columbia; Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
District of
589 41 7.0

Columbia
At Large District of
589 41 7.0 -
Columbia
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Florida
Table A-19.Florida: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
18,193 3,795
20.9 +
Male 9,336
1,750
18.7
+
Female 8,857
2,045
23.1
+
Under Age 6
1,364
165
12.1
+
Under Age 19
4,294
659
15.3
+
Under Age 26
5,924
1,321
22.3
+
Age 19 through 21
730
292
40.0
+
Age 21 through 64
10,299
2,910
28.3
+
Age 65 and over
3,118
40
1.3
+
Poverty Status
18,070

≤133% FPL
3,950
1,382
35.0
+
>133 to <400% FPL
8,389
1,964
23.4
+
≥400% + FPL
5,731
435
7.6
+
Total Population Age 18-64
11,024

Singlec 5,561
2,056
37.0
+
Married
5,463
1,099
20.1
+
Employed Ful Timed 5,759 1,241
21.6 +
Employed Part Timee 1,775 641
36.1 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-20.Florida: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Florida 18,193
3,795
20.9

Congressional District 1
697
127
18.2
+
Congressional District 2
717
123
17.2
+
Congressional District 3
648
169
26.1
+
Congressional District 4
736
121
16.4
+
Congressional District 5
926
155
16.7
+
Congressional District 6
810
126
15.6
+
Congressional District 7
805
143
17.8
+
Congressional District 8
789
162
20.5
+
Congressional District 9
754
123
16.3
+
Congressional District 10
629
112
17.8
+
Congressional District 11
672
155
23.0
+
Congressional District 12
789
147
18.7
+
Congressional District 13
750
134
17.8
+
Congressional District 14
829
162
19.6
+
Congressional District 15
795
160
20.1
+
Congressional District 16
773
149
19.3
+
Congressional District 17
650
212
32.6
+
Congressional District 18
713
202
28.3
+
Congressional District 19
724
141
19.4
+
Congressional District 20
687
138
20.1
+
Congressional District 21
671
190
28.4
+
Congressional District 22
708
140
19.8
+
Congressional District 23
673
207
30.8
+
Congressional District 24
767
130
17.0
+
Congressional District 25
826
240
29.0
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Georgia
Table A-21.Georgia: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
9,594 1,836
19.1 +
Male 4,950
853
17.2
+
Female 4,644
984
21.2
+
Under Age 6
885
81
9.2
+
Under Age 19
2,735
316
11.6
+
Under Age 26
3,671
685
18.7
+
Age 19 through 21
421
157
37.3
+
Age 21 through 64
5,592
1,401
25.1
+
Age 65 and over
975
12
1.2
+
Poverty Status
9,485

≤133% FPL
2,233
778
34.8
+
>133 to <400% FPL
4,101
853
20.8
+
≥400% + FPL
3,152
194
6.1
+
Total Population Age 18-64
6,044

Singlec 2,954
1,936
34.4
+
Married
3,089
526
17.0
+
Employed Ful Timed 3,180 548 17.2 +
Employed Part Timee 943
314 33.3 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-22.Georgia: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Georgia 9,594
1,836
19.1

Congressional District 1
693
147
21.2
+
Congressional District 2
639
123
19.3
+
Congressional District 3
799
109
13.6
-
Congressional District 4
703
191
27.2
+
Congressional District 5
765
161
21.1
+
Congressional District 6
754
109
14.5
-
Congressional District 7
925
179
19.4
+
Congressional District 8
698
115
16.5
+
Congressional District 9
817
158
19.4
+
Congressional District 10
731
125
17.1
+
Congressional District 11
809
139
17.2
+
Congressional District 12
690
136
19.7
+
Congressional District 13
806
189
23.4
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Hawaii
Table A-23. Hawaii: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,232 86 7.0 -
Male 626
36
5.8
-
Female 606
50
8.2
-
Under Age 6
103
1
1.4
-
Under Age 19
306
9
2.9
-
Under Age 26
411
27
6.6
-
Age 19 through 21
39
6
15.3
-
Age 21 through 64
718
72
10.0
-
Age 65 and over
181
1
0.8
x
Poverty Status
1,223

≤133% FPL
185
28
15.1
-
>133 to <400% FPL
517
40
7.7
-
≥400% + FPL
521
17
3.3
-
Total Population Age 18-64
763

Singlec
353
54
15.3
-
Married
410
23
5.7
-
Employed Ful Timed
433
23
5.4
-
Employed Part Timee
137
20
14.7
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-24. Hawaii: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Hawaii 1,232
86
7.0

Congressional District 1
641
37
5.7
-
Congressional District 2
654
54
8.2
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Idaho
Table A-25.Idaho: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,521 264 17.4 +
Male 761
122
16.0
+
Female 760
143
18.8
+
Under Age 6
148
11
7.2
x
Under Age 19
444
53
11.8
+
Under Age 26
600
103
17.2
+
Age 19 through 21
64
21
32.8
x
Age 21 through 64
856
197
23.0
+
Age 65 and over
178
1
0.7
x
Poverty Status
1,507


≤133% FPL
334
102
30.5
+
>133 to <400% FPL
764
138
18.0
x
≥400% + FPL
409
24
5.8
x
Total Population Age 18-64
924


Singlec 363
122
33.6
+
Married

561 94 16.8 +
Employed Ful Timed 458 72 15.8 +
Employed Part Timee
190 62 32.8 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-26.Idaho: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Idaho 1,521
264
17.4

Congressional District 1
825
141
17.1
+
Congressional District 2
721
128
17.7
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Illinois
Table A-27.Illinois: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
12,720 1,694
13.3
-
Male 6,477
740
11.4
-
Female 6,242
954
15.3
-
Under Age 6
1,056
36
3.4
-
Under Age 19
3,363
166
4.9
-
Under Age 26
4,626
546
11.8
-
Age 19 through 21
561
160
28.5
-
Age 21 through 64
7,460
1,404
18.8
-
Age 65 and over
1,517
19
1.3
+
Poverty Status
12,559

≤133% FPL
2,397
611
25.5
-
>133 to <400% FPL
5,133
810
15.8
-
≥400% + FPL
5,029
263
5.2
x
Total Population Age 18-64
8,034

Singlec 3,919
1,065
27.2
-
Married
4,115
468
11.4
-
Employed Ful Timed 4,269 534
12.5 -
Employed Part Timee 1,440 331
23.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-28.Illinois: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Illinois 12,720
1,694
13.3

Congressional District 1
616
103
16.8
+
Congressional District 2
618
112
18.2
+
Congressional District 3
667
103
15.4
+
Congressional District 4
607
158
26.1
+
Congressional District 5
693
116
16.7
+
Congressional District 6
651
73
11.2
-
Congressional District 7
631
108
17.2
+
Congressional District 8
734
81
11.1
-
Congressional District 9
646
106
16.4
+
Congressional District 10
666
68
10.2
-
Congressional District 11
777
88
11.3
-
Congressional District 12
659
80
12.1
-
Congressional District 13
769
67
8.7
-
Congressional District 14
831
107
12.9
-
Congressional District 15
667
63
9.4
-
Congressional District 16
733
92
12.5
-
Congressional District 17
621
71
11.4
-
Congressional District 18
659
59
8.9
-
Congressional District 19
666
62
9.3
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Indiana
Table A-29.Indiana: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
6,316 901 14.3 -
Male 3,216
410
12.7
-
Female 3,100
491
15.8
-
Under Age 6
528
44
8.3
+
Under Age 19
1,677
153
9.1
x
Under Age 26
2,303
343
14.9
x
Age 19 through 21
284
76
26.6
-
Age 21 through 64
3,663
693
18.9
-
Age 65 and over
784
3
0.4
-
Poverty Status
6,222


≤133% FPL
1,262
352
27.9
x
>133 to <400% FPL
2,958
454
15.3
-
≥400% + FPL
2,002
89
4.4
-
Total Population Age 18-64
3,949


Singlec 1,793
506
28.2
x
Married
2,156
252
11.7
-
Employed Ful Timed 2,048 249 12.1 -
Employed Part Timee 727
182 25.1 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-30.Indiana: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Indiana 6,316
901
14.3

Congressional District 1
703
93
13.2
-
Congressional District 2
678
102
15.0
-
Congressional District 3
723
121
16.8
+
Congressional District 4
794
94
11.9
-
Congressional District 5
797
88
11.1
-
Congressional District 6
673
97
14.4
-
Congressional District 7
669
128
19.1
+
Congressional District 8
680
96
14.1
-
Congressional District 9
707
98
13.8
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Iowa
Table A-31.Iowa: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
2,957 255 8.6 -
Male 1,497
114
7.6
-
Female 1,460
140
9.6
-
Under Age 6
236
10
4.1
-
Under Age 19
754
37
4.9
-
Under Age 26
1,063
99
9.3
-
Age 19 through 21
142
26
18.4
-
Age 21 through 64
1,690
201
11.9
-
Age 65 and over
415
0
0.1
-
Poverty Status
2,902

≤133% FPL
508
98
19.2
-
>133 to <400% FPL
1,369
128
9.4
-
≥400% + FPL
1,025
26
2.6
-
Total Population Age 18-64
1,835

Singlec 785
156
19.9
-
Married
1,051
66
6.3
-
Employed Ful Timed 1,100 92
8.4 -
Employed Part Timee 350 56 16.0 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-32.Iowa: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)1
thousands)
Uninsured
Averageb
Iowa 2,957
255
8.6

Congressional District 1
594
49
8.3
-
Congressional District 2
617
59
9.5
-
Congressional District 3
637
50
7.9
-
Congressional District 4
594
45
7.5
-
Congressional District 5
566
57
10.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Kansas
Table A-33.Kansas: Characteristics of the Uninsured, 2009
Number
Above (+), At
Total
Uninsured
(x), or Below (-)
Populationa (in
Percent
National

thousands)
(in thousands)
Uninsured
Averageb
Total Population
2,757 363 13.2 -
Male 1,397
168
12.0
-
Female 1,360
194
14.3
-
Under Age 6
240
18
7.4
x
Under Age 19
744
65
8.7
x
Under Age 26
1,041
144
13.9
-
Age 19 through 21
128
31
23.8
-
Age 21 through 64
1,587
275
17.3
-
Age 65 and over
342
2
0.5
-
Poverty Status
2,717

≤133% FPL
529
148
28.0
x
>133 to <400% FPL
1,222
174
14.2
-
≥400% + FPL
966
37
3.8
-
Total Population Age 18-64
1,714

Singlec 758
200
26.4
-
Married
956
103
10.8
-
Employed Ful Timed 991 121 12.3 -
Employed Part Timee 304 76 24.9 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-34.Kansas: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Population (in
Uninsured (in
Percent
National
Congressional District
thousands)a
thousands)
Uninsured
Averageb
Kansas 2,757
363
13.2
Congressional District 1
644
89
13.8
-
Congressional District 2
702
84
12.0
-
Congressional District 3
768
100
13.0
-
Congressional District 4
705
97
13.8
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Kentucky
Table A-35.Kentucky: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
4,225 613 14.5 -
Male 2,174
293
13.5
x
Female 2,051
320
15.6
-
Under Age 6
343
18
5.4
-
Under Age 19
1,075
74
6.9
-
Under Age 26
1,472
210
14.3
-
Age 19 through 21
180
64
35.5
+
Age 21 through 64
2,482
493
19.9
x
Age 65 and over
544
3
0.5
-
Poverty Status
4,173

≤133% FPL
1,065
282
26.5
-
>133 to <400% FPL
1,899
280
14.8
-
≥400% + FPL
1,209
45
3.7
-
Total Population Age 18-64
2,666

Singlec 1,176
347
29.5
+
Married
1,490
199
13.3
x
Employed Ful Timed 1,316 169
12.8 -
Employed Part Timee 433 122 28.1 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-36.Kentucky: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Kentucky 4,225
613
14.5
Congressional District 1
686
103
15.0
-
Congressional District 2
746
110
14.7
-
Congressional District 3
705
85
12.0
-
Congressional District 4
733
98
13.4
-
Congressional District 5
681
124
18.2
+
Congressional District 6
764
107
14.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Louisiana
Table A-37.Louisiana: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
4,392 762 17.4 +
Male 2,280
379
16.6
+
Female 2,111
383
18.2
+
Under Age 6
384
18
4.8
-
Under Age 19
1,191
85
7.2
-
Under Age 26
1,647
246
15.0
x
Age 19 through 21
204
67
32.8
+
Age 21 through 64
2,537
629
24.8
+
Age 65 and over
527
4
0.8
x
Poverty Status
4,352

≤133% FPL
1,078
302
28.0
x
>133 to <400% FPL
1,887
358
19.0
+
≥400% + FPL
1,388
99
7.1
+
Total Population Age 18-64
2,745

Singlec 1,398
483
34.5
+
Married
1,346
203
15.1
+
Employed Ful Timed 1,459 277
19.0 +
Employed Part Timee 430 138 32.0 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-38.Louisiana: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Louisiana 4,392
762
17.4

Congressional District 1
685
107
15.6
+
Congressional District 2
511
123
24.0
+
Congressional District 3
631
101
16.0
+
Congressional District 4
652
113
17.3
+
Congressional District 5
638
129
20.2
+
Congressional District 6
710
107
15.1
x
Congressional District 7
665
101
15.2
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Maine
Table A-39.Maine: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,301 137 10.5 -
Male 668
58
8.7
-
Female 633
79
12.5
-
Under Age 6
85
4
5.0
-
Under Age 19
290
17
5.8
-
Under Age 26
404
46
11.5
-
Age 19 through 21
56
12
20.7
-
Age 21 through 64
777
114
14.6
-
Age 65 and over
197
0
0.2
-
Poverty Status
1,278

≤133% FPL
241
37
15.2
-
>133 to <400% FPL
614
79
12.9
-
≥400% + FPL
423
20
4.8
x
Total Population Age 18-64
834

Singlec 385
84
21.7
-
Married
449
38
8.4
-
Employed Ful Timed 443
50 11.2 -
Employed Part Timee 168 35 21.0 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-40.Maine: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Maine 1,301
137
10.5

Congressional District 1
673
65
9.7
-
Congressional District 2
646
74
11.4
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Maryland
Table A-41.Maryland: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
5,590 621 11.1 -
Male 2,899
273
9.4
-
Female 2,691
348
12.9
-
Under Age 6
449
14
3.1
-
Under Age 19
1,433
73
5.1
-
Under Age 26
1,960
205
10.5
-
Age 19 through 21
227
52
22.7
-
Age 21 through 64
3,335
511
15.3
-
Age 65 and over
667
6
0.8
x
Poverty Status
5,527


≤133% FPL
715
175
24.4
-
>133 to <400% FPL
1,946
304
15.6
-
≥400% + FPL
2,867
137
4.8
-
Total Population Age 18-64
3,574


Singlec 1,759
387
22.0
-
Married
1,815
164
9.0
-
Employed Ful Timed 2,102 206
9.8 -
Employed Part Timee 599 129 21.6 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-42.Maryland: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Maryland 5,590
621
11.1

Congressional District 1
726
68
9.4
-
Congressional District 2
703
82
11.6
-
Congressional District 3
717
79
11.0
-
Congressional District 4
695
99
14.2
-
Congressional District 5
755
74
9.8
-
Congressional District 6
730
64
8.7
-
Congressional District 7
649
73
11.2
-
Congressional District 8
725
96
13.3
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Massachusetts
Table A-43.Massachusetts: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
6,496 271 4.2 -
Male 3,345
104
3.1
-
Female 3,151
168
5.3
-
Under Age 6
464
5
1.2
-
Under Age 19
1,540
23
1.5
-
Under Age 26
2,184
85
3.9
-
Age 19 through 21
299
22
7.4
-
Age 21 through 64
3,913
233
5.9
-
Age 65 and over
842
2
0.2
-
Poverty Status
6,359

≤133% FPL
924
70
7.6
-
>133 to <400% FPL
2,211
137
6.2
-
≥400% + FPL
3,224
61
1.9
-
Total Population Age 18-64
4,224

Singlec 2,158
192
8.9
-
Married
2,066
57
2.8
-
Employed Ful Timed 2,102 91
4.0 -
Employed Part Timee 599 66 8.0 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-44.Massachusetts: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Massachusetts 6,496 271
4.2

Congressional District 1
646
25
3.9
-
Congressional District 2
668
25
3.7
-
Congressional District 3
667
25
3.8
-
Congressional District 4
651
21
3.2
-
Congressional District 5
654
25
3.8
-
Congressional District 6
660
23
3.5
-
Congressional District 7
647
34
5.3
-
Congressional District 8
684
45
6.6
-
Congressional District 9
660
23
3.5
-
Congressional District 10
658
29
4.4
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Michigan
Table A-45.Michigan: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
9,835 1,203
12.2
-
Male 5,024
527
10.5
-
Female 4,811
675
14.0
-
Under Age 6
739
28
3.7
-
Under Age 19
2,500
128
5.1
-
Under Age 26
3,450
402
11.6
-
Age 19 through 21
450
118
26.3
-
Age 21 through 64
5,741
997
17.4
-
Age 65 and over
1,289
6
0.5
-
Poverty Status
9,729

≤133% FPL
2,172
481
22.1
-
>133 to <400% FPL
4,345
573
13.2
-
≥400% + FPL
3,211
142
4.4
-
Total Population Age 18-64
6,203

Singlec 2,996
774
25.8
-
Married
3,207
316
9.8
-
Employed Ful Timed 2,840 312 11.0 -
Employed Part Timee 1,199 266 22.2 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-46.Michigan: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Michigan 9,835
1,203
12.2

Congressional District 1
646
81
12.6
-
Congressional District 2
695
80
11.5
-
Congressional District 3
701
81
11.5
-
Congressional District 4
674
81
12.0
-
Congressional District 5
637
71
11.2
-
Congressional District 6
676
89
13.2
-
Congressional District 7
680
78
11.5
-
Congressional District 8
705
68
9.6
-
Congressional District 9
654
67
10.3
-
Congressional District 10
716
80
11.2
-
Congressional District 11
656
68
10.4
-
Congressional District 12
638
85
13.4
-
Congressional District 13
624
110
17.7
+
Congressional District 14
613
101
16.5
+
Congressional District 15
656
76
11.6
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Minnesota
Table A-47.Minnesota: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
5,197 473 9.1 -
Male 2,618
205
7.8
-
Female 2,579
268
10.4
-
Under Age 6
430
23
5.3
-
Under Age 19
1,336
90
6.7
-
Under Age 26
1,844
198
10.7
-
Age 19 through 21
218
44
20.1
-
Age 21 through 64
3,085
351
11.4
-
Age 65 and over
629
2
0.3
-
Poverty Status
5,129

≤133% FPL
812
147
18.1
-
>133 to <400% FPL
2,156
246
11.4
-
≥400% + FPL
2,161
75
3.5
-
Total Population Age 18-64
3,312

Singlec 1,474
277
18.8
-
Married
1,838
110
6.0
-
Employed Ful Timed 1,906 157
8.2 -
Employed Part Timee 657 104 15.9 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-48.Minnesota: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Minnesota 5,197
473
9.1

Congressional District 1
635
50
7.9
-
Congressional District 2
731
62
8.5
-
Congressional District 3
652
46
7.1
-
Congressional District 4
614
64
10.5
-
Congressional District 5
619
74
12.0
-
Congressional District 6
749
56
7.5
-
Congressional District 7
615
59
9.6
-
Congressional District 8
651
66
10.2
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Mississippi
Table A-49.Mississippi: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
2,880 514 17.9 +
Male 1,493
243
16.3
+
Female 1,387
271
19.5
+
Under Age 6
261
23
8.7
+
Under Age 19
817
89
10.9
+
Under Age 26
1,111
198
17.8
+
Age 19 through 21
144
52
36.2
+
Age 21 through 64
1,609
389
24.2
+
Age 65 and over
357
1
0.2
-
Poverty Status
2,835


≤133% FPL
856
234
27.4
x
>133 to <400% FPL
1,288
226
17.6
x
≥400% + FPL
691
46
6.6
+
Total Population Age 18-64
1,759


Singlec 888
296
33.3
+
Married
871
139
15.9
+
Employed Ful Timed 876 145 16.6 +
Employed Part Timee 262 90 34.2 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-50.Mississippi: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Total Populationa
Uninsured (in
Percent
National
Congressional District
(in thousands)
thousands)
Uninsured
Averageb
Mississippi 2,880
514 17.9

Congressional District 1
778
132
16.9
+
Congressional District 2
670
127
18.9
+
Congressional District 3
764
125
16.3
+
Congressional District 4
740
145
19.6
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Missouri
Table A-51.Missouri: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
5,871 774 13.2 -
Male 3,014
361
12.0
-
Female 2,857
413
14.5
-
Under Age 6
480
28
5.9
-
Under Age 19
1,515
111
7.3
-
Under Age 26
2,083
273
13.1
-
Age 19 through 21
247
72
29.3
x
Age 21 through 64
3,412
614
18.0
-
Age 65 and over
781
3
0.4
-
Poverty Status
5,805

≤133% FPL
1,217
312
25.6
-
>133 to <400% FPL
2,684
374
14.0
-
≥400% + FPL
1,904
83
4.4
-
Total Population Age 18-64
3,664

Singlec 1,713
460
26.8
-
Married
1,951
212
10.9
-
Employed Ful Timed 1,987 243 12.2 -
Employed Part Timee 633
154 24.2 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-52.Missouri: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Number
(x), or Below (-)
Total Population
Uninsured (in
Percent
National
Congressional District
(in thousands)a
thousands)
Uninsured
Averageb
Missouri 5,871
774
13.2

Congressional District 1
598
84
14.1
-
Congressional District 2
698
45
6.4
-
Congressional District 3
655
78
11.9
-
Congressional District 4
661
98
14.8
-
Congressional District 5
667
116
17.4
+
Congressional District 6
698
76
10.9
-
Congressional District 7
708
113
15.9
+
Congressional District 8
634
103
16.2
+
Congressional District 9
670
78
11.6
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Montana
Table A-53.Montana: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
958 174 18.2 +
Male
482 83 17.2 +
Female
475 92 19.3 +
Under Age 6
72
9
12.7
+
Under Age 19
238
31
13.1
+
Under Age 26
336
65
19.2
+
Age 19 through 21
45
14
31.9
x
Age 21 through 64
555
134
24.1
+
Age 65 and over
134
0
0.3
-
Poverty Status
943

≤133%
FPL
209 62 29.5 x
>133 to <400% FPL
447
90
20.2
+
≥400% + FPL
287
21
7.5
+
Total Population Age 18-64
603

Singlec
287 97 33.7 +
Married

315 49 15.4 +
Employed Ful Timed 310 59 19.2 +
Employed Part Timee 123 35 28.5 x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-54.Montana: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
Montana 958
174 18.2

At Large Montana
958
174
18.2
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Nebraska
Table A-55. .Nebraska: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,763 210 11.9 -
Male
890 97 10.9 -
Female 873
114
13.0
-
Under Age 6
161
8
5.2
-
Under Age 19
473
31
6.6
-
Under Age 26
661
83
12.6
-
Age 19 through 21
81
22
26.7
-
Age 21 through 64
1,010
164
16.2
-
Age 65 and over
227
1
0.6
-
Poverty Status
1,733

≤133%
FPL
324 83 25.6 -
>133 to <400% FPL
826
107
12.9
-
≥400% + FPL
584
19
3.3
-
Total Population Age 18-64
1,091

Singlec 480
124
25.8
-
Married
611
57
9.4
-
Employed Ful Timed 665 156 17.4 -
Employed Part Timee
202 44 21.9 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-56.Nebraska: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Nebraska 1,763
210 11.9

Congressional District 1
611
64
10.4
-
Congressional District 2
632
84
13.3
-
Congressional District 3
553
66
12.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Nevada
Table A-57.Nevada: Characteristics of the Uninsured, 2009
Number
Above (+), At
Total
Uninsured
(x), or Below (-)
Populationa (in
Percent
National

thousands)
(in thousands)
Uninsured
Averageb
Total Population
2,610 572 21.9 +
Male 1,289
263
20.4
+
Female 1,321
309
23.4
+
Under Age 6
239
40
16.8
+
Under Age 19
717
132
18.4
+
Under Age 26
946
234
24.8
+
Age 19 through 21
93
46
49.0
+
Age 21 through 64
1,529
403
26.4
+
Age 65 and over
303
6
1.9
+
Poverty Status
2,597

≤133% FPL
488
204
41.8
+
>133 to <400% FPL
1,214
295
24.3
+
≥400% + FPL
894
70
7.8
+
Total Population Age 18-64
1,625

Singlec 796
287
36.1
+
Married
829
158
19.0
+
Employed Ful Timed 898 156 17.4 +
Employed Part Timee 255 92 35.8 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-58.Nevada: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Nevada 2,610
572
21.9

Congressional District 1
810
211
26.1
+
Congressional District 2
831
176
21.2
+
Congressional District 3
1002
191
19.1
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

New Hampshire
Table A-59.New Hampshire: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population 1,309 134 10.2 -
Male 663
60
9.0
-
Female 646
74
11.5
-
Under Age 6
88
3
3.1
-
Under Age 19
310
15
4.9
-
Under Age 26
436
44
10.1
-
Age 19 through 21
58
13
22.3
-
Age 21 through 64
789
110
13.9
-
Age 65 and over
169
0
0.3
-
Poverty Status
1,284


≤133% FPL
153
35
23.0
-
>133 to <400% FPL
542
71
13.2
-
≥400% + FPL
589
26
4.5
-
Total Population Age 18-64
851


Singlec 382
37
21.7
-
Married
469
83
7.9
-
Employed Ful Timed 479 43 8.9 -
Employed Part Timee 170
36 20.9 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-60.New Hampshire: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Congressional
Populationa (in
Uninsured (in
Percent
National
District
thousands)
thousands)
Uninsured
Averageb
New Hampshire
1,309
134
10.2

Congressional District 1
667
67
10.1
-
Congressional District 2
658
68
10.3
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

New Jersey
Table A-61.New Jersey: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
8,583 1,084
12.6
-
Male 4,397
481
10.9
-
Female 4,186
603
14.4
-
Under Age 6
669
32
4.8
-
Under Age 19
2,164
145
6.7
-
Under Age 26
2,902
368
12.7
-
Age 19 through 21
319
85
26.7
-
Age 21 through 64
5,078
869
17.1
-
Age 65 and over
1,125
16
1.4
+
Poverty Status
8,518

≤133% FPL
1,152
296
25.7
-
>133 to <400% FPL
2,970
547
18.4
+
≥400% + FPL
4,397
237
5.4
x
Total Population Age 18-64
5,413

Singlec 2,525
641
25.4
-
Married
2,888
298
10.3
-
Employed Ful Timed 3,010 367
12.2 -
Employed Part Timee 936 201 21.5 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-62.New Jersey: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
New Jersey
8,583
1,084
12.6

Congressional District 1
671
79
11.8
-
Congressional District 2
696
88
12.6
-
Congressional District 3
692
57
8.2
-
Congressional District 4
707
76
10.7
-
Congressional District 5
666
51
7.6
-
Congressional District 6
659
96
14.5
-
Congressional District 7
671
52
7.7
-
Congressional District 8
638
99
15.6
+
Congressional District 9
651
104
16.0
+
Congressional District 10
630
125
19.9
+
Congressional District 11
664
47
7.1
-
Congressional District 12
699
57
8.1
-
Congressional District 13
663
170
25.7
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

New Mexico
Table A-63.New Mexico: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,976 390 19.7 +
Male 1,012
180
17.8
+
Female 964
210
21.8
+
Under Age 6
177
15
8.3
+
Under Age 19
549
67
12.3
+
Under Age 26
743
142
19.1
+
Age 19 through 21
79
31
39.8
+
Age 21 through 64
1,115
299
26.8
+
Age 65 and over
258
3
1.3
x
Poverty Status
1,960


≤133% FPL
506
157
31.1
+
>133 to <400% FPL
884
189
21.3
+
≥400% + FPL
569
41
7.3
+
Total Population Age 18-64
1,203


Singlec 604
209
34.6
+
Married
599
119
19.8
+
Employed Ful Timed 635 139 21.8 +
Employed Part Timee 188 60 32.1 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-64.New Mexico: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Congressional
Populationa (in
Uninsured (in
Percent
National
District
thousands)
thousands)
Uninsured
Averageb
New Mexico
1,976
390
19.7

Congressional District 1
679
119
17.5
+
Congressional District 2
651
128
19.6
+
Congressional District 3
679
149
22.0
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

New York
Table A-65.New York: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
19,264 2,195
11.4
-
Male 9,948
918
9.2
-
Female 9,316
1,277
13.7
-
Under Age 6
1,457
60
4.1
-
Under Age 19
4,705
232
4.9
-
Under Age 26
6,592
713
10.8
-
Age 19 through 21
848
184
21.7
-
Age 21 through 64
11,464
1,817
15.9
-
Age 65 and over
2,513
26
1.0
x
Poverty Status
18,995

≤133% FPL
3,735
655
17.5
-
>133 to <400% FPL
7,361
1,101
15.0
-
≥400% + FPL
7,898
425
5.4
x
Total Population Age 18-64
12,338

Singlec 6,444
1,365
21.2
-
Married
5,894
598
10.2
-
Employed Ful Timed 6,556 791 12.1 -
Employed Part Timee 2,085 429
20.6
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-66.New York: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
New York
19,264
2,195
11.4

Congressional District 1
719
68
9.4
-
Congressional District 2
694
76
10.9
-
Congressional District 3
659
47
7.2
-
Congressional District 4
663
75
11.3
-
Congressional District 5
705
130
18.5
+
Congressional District 6
660
92
13.9
-
Congressional District 7
679
111
16.4
+
Congressional District 8
701
66
9.4
-
Congressional District 9
697
74
10.6
-
Congressional District 10
687
83
12.1
-
Congressional District 11
674
96
14.3
-
Congressional District 12
694
135
19.4
+
Congressional District 13
705
62
8.8
-
Congressional District 14
672
63
9.4
-
Congressional District 15
667
111
16.6
+
Congressional District 16
690
129
18.7
+
Congressional District 17
675
86
12.7
-
Congressional District 18
675
74
11.0
-
Congressional District 19
716
62
8.7
-
Congressional District 20
681
60
8.8
-
Congressional District 21
666
55
8.3
-
Congressional District 22
668
76
11.4
-
Congressional District 23
658
64
9.7
-
Congressional District 24
639
57
9.0
-
Congressional District 25
652
55
8.5
-
Congressional District 26
652
44
6.8
-
Congressional District 27
630
53
8.4
-
Congressional District 28
610
61
10.0
-
Congressional District 29
653
56
8.6
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

North Carolina
Table A-67.North Carolina: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
9,149 1,471
16.1 +
Male 4,742
669
14.1
+
Female 4,407
801
18.2
+
Under Age 6
778
43
5.6
-
Under Age 19
2,414
209
8.7
x
Under Age 26
3,278
495
15.1
x
Age 19 through 21
391
123
31.3
+
Age 21 through 64
5,325
1,170
22.0
+
Age 65 and over
1,139
7
0.6
-
Poverty Status
9,030

≤133% FPL
2,102
626
29.8
+
>133 to <400% FPL
4,014
700
17.4
x
≥400% + FPL
2,915
136
4.7
-
Total Population Age 18-64
5,739

Singlec 2,680
834
31.1
+
Married
3,059
444
14.5
+
Employed Ful Timed 2,956 443 15.0 +
Employed Part Timee 982 302 30.7 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-68.North Carolina: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
North Carolina
9,149
1,471
16.1

Congressional District 1
609
105
17.3
+
Congressional District 2
743
126
17.0
+
Congressional District 3
702
110
15.6
+
Congressional District 4
821
89
10.9
-
Congressional District 5
681
91
13.4
-
Congressional District 6
717
113
15.7
+
Congressional District 7
719
131
18.2
+
Congressional District 8
702
123
17.5
+
Congressional District 9
863
117
13.5
-
Congressional District 10
690
124
17.9
+
Congressional District 11
678
111
16.4
+
Congressional District 12
703
141
20.0
+
Congressional District 13
753
129
17.1
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

North Dakota
Table A-69.North Dakota: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
630 61 9.7 -
Male 316
28
9.0
-
Female 314
32
10.3
-
Under Age 6
50
3
6.2
x
Under Age 19
153
9
5.7
-
Under Age 26
234
24
10.1
-
Age 19 through 21
34
5
15.5
-
Age 21 through 64
367
49
13.4
-
Age 65 and over
88
0
0.4
-
Poverty Status
616

≤133% FPL
103
23
22.0
-
>133 to <400% FPL
285
30
10.5
-
≥400% + FPL
228
8
3.4
-
Total Population Age 18-64
401

Singlec 171
37
21.9
-
Married
230
15
6.6
-
Employed Ful Timed 241 22 9.3 -
Employed Part Timee 82 15 17.8 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-70.North Dakota: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
North Dakota
630
61
9.7

At Large North
630 61 9.7 -
Dakota
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Ohio
Table A-71.Ohio: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
11,352 1,383
12.2
-
Male 5,832
619
10.6
-
Female 5,520
764
13.8
-
Under Age 6
879
45
5.2
-
Under Age 19
2,889
193
6.7
-
Under Age 26
3,927
480
12.2
-
Age 19 through 21
469
121
25.7
-
Age 21 through 64
6,626
1,105
16.7
-
Age 65 and over
1,520
7
0.4
-
Poverty Status
11,210

≤133% FPL
2,374
556
23.4
-
>133 to <400% FPL
5,065
666
13.1
-
≥400% + FPL
3,771
154
4.1
-
Total Population Age 18-64
7,122

Singlec 3,445
884
25.6
-
Married
3,677
320
8.7
-
Employed Ful Timed 3,715
384 10.3 -
Employed Part Timee 1,257
273 21.8 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-72.Ohio: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Ohio 11,352
1,383
12.2

Congressional District 1
628
85
13.6
-
Congressional District 2
687
71
10.3
-
Congressional District 3
638
75
11.7
-
Congressional District 4
630
78
12.3
-
Congressional District 5
625
66
10.5
-
Congressional District 6
610
65
10.6
-
Congressional District 7
675
76
11.2
-
Congressional District 8
656
82
12.5
-
Congressional District 9
643
87
13.6
-
Congressional District 10
598
71
11.9
-
Congressional District 11
539
77
14.3
-
Congressional District 12
736
89
12.1
-
Congressional District 13
640
70
11.0
-
Congressional District 14
655
69
10.5
-
Congressional District 15
679
93
13.7
-
Congressional District 16
653
74
11.4
-
Congressional District 17
611
74
12.1
-
Congressional District 18
639
106
16.6
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Oklahoma
Table A-73.Oklahoma: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
3,590 672 18.7 +
Male 1,843
322
17.5
+
Female 1,747
350
20.0
+
Under Age 6
322
33
10.3
+
Under Age 19
975
114
11.7
+
Under Age 26
1,347
257
19.1
+
Age 19 through 21
158
56
35.2
+
Age 21 through 64
2,037
518
25.4
+
Age 65 and over
474
3
0.6
-
Poverty Status
3,548

≤133% FPL
837
266
31.7
+
>133 to <400% FPL
1,669
328
19.7
+
≥400% + FPL
1,041
73
7.0
+
Total Population Age 18-64
2,198

Singlec 990
348
35.2
+
Married
1,208
217
18.0
+
Employed Ful Timed 1,204 225 18.7 +
Employed Part Timee 350 123 35.3 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-74.Oklahoma: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Oklahoma 3,590
672 18.7

Congressional District 1
753
140
18.6
+
Congressional District 2
720
157
21.8
+
Congressional District 3
719
122
17.0
+
Congressional District 4
751
119
15.8
+
Congressional District 5
745
152
20.4
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Oregon
Table A-75.Oregon: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
3,780 643 17.0 +
Male 1,918
296
15.4
+
Female 1,862
347
18.7
+
Under Age 6
290
26
8.8
+
Under Age 19
928
101
10.9
+
Under Age 26
1,284
227
17.7
+
Age 19 through 21
152
45
30.0
x
Age 21 through 64
2,250
509
22.6
+
Age 65 and over
503
4
0.8
x
Poverty Status
3,744

≤133% FPL
772
245
31.8
+
>133 to <400% FPL
1,699
320
18.9
+
≥400% + FPL
1,273
74
5.9
x
Total Population Age 18-64
2,406

Singlec 1,134
364
32.1
+
Married
1,272
184
14.5
+
Employed Ful Timed 1,167 171 14.7 x
Employed Part Timee 494
143 29.0 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-76.Oregon: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Oregon 3,780
643
17.0

Congressional District 1
804
119
14.8
-
Congressional District 2
760
141
18.5
+
Congressional District 3
766
132
17.3
+
Congressional District 4
730
131
17.9
+
Congressional District 5
766
129
16.8
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Pennsylvania
Table A-77.Pennsylvania: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
12,366 1,220
9.9
-
Male 6,377
529
8.3
-
Female 5,989
691
11.5
-
Under Age 6
888
45
5.0
-
Under Age 19
2,961
165
5.6
-
Under Age 26
4,124
445
10.8
-
Age 19 through 21
555
112
20.3
-
Age 21 through 64
7,185
978
13.6
-
Age 65 and over
1,842
9
0.5
-
Poverty Status
12,153


≤133% FPL
2,181
406
18.6
-
>133 to <400% FPL
5,320
621
11.7
-
≥400% + FPL
4,651
182
3.9
-
Total Population Age 18-64
7,758


Singlec 3,711
766
20.6
-
Married
4,047
298
7.4
-
Employed Ful Timed 4,145 365 8.8 -
Employed Part Timee 1,373 252 18.4 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-78.Pennsylvania: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Pennsylvania 12,366
1,220 9.9

Congressional District 1
651
109
16.8
+
Congressional District 2
643
82
12.7
-
Congressional District 3
643
65
10.1
-
Congressional District 4
642
42
6.6
-
Congressional District 5
634
66
10.4
-
Congressional District 6
731
58
8.0
-
Congressional District 7
664
46
6.9
-
Congressional District 8
672
40
5.9
-
Congressional District 9
658
85
12.9
-
Congressional District 10
654
69
10.6
-
Congressional District 11
674
68
10.1
-
Congressional District 12
616
61
9.9
-
Congressional District 13
687
66
9.6
-
Congressional District 14
583
62
10.7
-
Congressional District 15
711
66
9.3
-
Congressional District 16
704
95
13.5
-
Congressional District 17
665
65
9.7
-
Congressional District 18
653
46
7.1
-
Congressional District 19
720
52
7.2
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Rhode Island
Table A-79.Rhode Island: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,035 117 11.3 -
Male 534
51
9.5
-
Female
502 66 13.2 -
Under Age 6
71
3
4.9
-
Under Age 19
244
14
5.7
-
Under Age 26
350
41
11.7
-
Age 19 through 21
55
13
23.9
-
Age 21 through 64
610
95
15.5
-
Age 65 and over
143
1
0.5
-
Poverty Status
1,012

≤133%
FPL
174 34 19.7 -
>133 to <400% FPL
398
57
14.3
-
≥400% + FPL
440
24
5.5
x
Total Population Age 18-64
666

Singlec
342 76 22.3 -
Married
324
28
8.5
-
Employed Ful Timed 351 38 10.8 -
Employed Part Timee
132 23 17.7 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-80.Rhode Island: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Rhode Island
1,035
117
11.3

Congressional District 1
517
55
10.6
-
Congressional District 2
536
64
11.9
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

South Carolina
Table A-81.South Carolina: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population 4,454
750
16.8
+
Male 2,315
356
15.4
+
Female 2,139
394
18.4
+
Under Age 6
371
34
9.1
+
Under Age 19
1,150
121
10.5
+
Under Age 26
1,570
272
17.3
+
Age 19 through 21
196
66
33.8
+
Age 21 through 64
2,572
582
22.6
+
Age 65 and over
599
2
0.4
-
Poverty Status
4,395

≤133% FPL
1,067
306
28.7
x
>133 to <400% FPL
1,994
363
18.2
x
≥400% + FPL
1,335
75
5.6
x
Total Population Age 18-64
2,778

Singlec 1,367
440
32.2
+
Married
1,411
200
14.2
x
Employed Ful Timed 1,423 214 15.0 +
Employed Part Timee 433 133 30.7 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-82.South Carolina: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
South Carolina
4,454
750
16.8

Congressional District 1
842
151
17.9
+
Congressional District 2
805
113
14.1
-
Congressional District 3
713
109
15.3
+
Congressional District 4
772
141
18.2
+
Congressional District 5
762
124
16.3
+
Congressional District 6
667
129
19.3
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

South Dakota
Table A-83.South Dakota: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
793 104 13.1 -
Male 399
48
11.9
-
Female 394
56
14.3
-
Under Age 6
69
5
6.8
x
Under Age 19
209
16
7.8
-
Under Age 26
293
40
13.6
-
Age 19 through 21
39
9
24.5
-
Age 21 through 64
448
81
18.1
-
Age 65 and over
109
0
0.4
-
Poverty Status
780


≤133% FPL
161
44
27.3
x
>133 to <400% FPL
380
51
13.4
-
≥400% + FPL
239
9
3.6
-
Total Population Age 18-64
490


Singlec 218
60
27.3
x
Married
271
29
10.7
-
Employed Ful Timed 296 39 13.2 x
Employed Part Timee 88 22 24.5 x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-84.South Dakota: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
South Dakota
793
104
13.1

At Large South Dakota
793
104
13.1
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Tennessee
Table A-85.Tennessee: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
6,188 883 14.3 -
Male 3,188
391
12.3
-
Female 3,000
492
16.4
-
Under Age 6
503
25
4.9
-
Under Age 19
1,581
102
6.4
-
Under Age 26
2,153
276
12.8
-
Age 19 through 21
245
64
26.1
-
Age 21 through 64
3,642
738
20.3
x
Age 65 and over
801
3
0.4
-
Poverty Status
6,120

≤133% FPL
1,490
369
24.8
-
>133 to <400% FPL
2,844
422
14.9
-
≥400% + FPL
1,786
85
4.8
-
Total Population Age 18-64
3,899

Singlec 1,820
532
29.3
+
Married
2,079
260
12.5
-
Employed Ful Timed 1,975 263 13.3 -
Employed Part Timee 649 171 26.3 x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-86.Tennessee: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Tennessee 6,188
883
14.3

Congressional District 1
676
102
15.1
x
Congressional District 2
728
87
11.9
-
Congressional District 3
688
99
14.4
-
Congressional District 4
679
102
15.0
-
Congressional District 5
712
112
15.7
+
Congressional District 6
781
110
14.1
-
Congressional District 7
770
76
9.9
-
Congressional District 8
649
97
15.0
-
Congressional District 9
613
113
18.5
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Texas
Table A-87.Texas: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
24,292 5,783
23.8 +
Male 12,294
2,760
22.5
+
Female 11,998
3,023
25.2
+
Under Age 6
2,454
308
12.5
+
Under Age 19
7,249
1,227
16.9
+
Under Age 26
9,682
2,284
23.6
+
Age 19 through 21
1,062
456
42.9
+
Age 21 through 64
13,893
4,210
30.3
+
Age 65 and over
2,439
45
1.8
+
Poverty Status
24,099

≤133% FPL
5,987
2,375
39.7
+
>133 to <400% FPL
10,270
2,750
26.8
+
≥400% + FPL
7,842
622
7.9
+
Total Population Age 18-64
14,975

Singlec 6,949
2,670
38.4
+
Married
8,026
1,948
24.3
+
Employed Ful Timed 8,319
1,913 23.0 +
Employed Part Timee 2,357 972 41.2 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-88.Texas: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Texas 24,292
5,783
23.8

Congressional District 1
710
155
21.8
+
Congressional District 2
750
147
19.6
+
Congressional District 3
873
193
22.1
+
Congressional District 4
818
163
19.9
+
Congressional District 5
723
166
22.9
+
Congressional District 6
805
176
21.9
+
Congressional District 7
787
142
18.0
+
Congressional District 8
809
165
20.4
+
Congressional District 9
738
266
36.0
+
Congressional District 10
943
198
21.0
+
Congressional District 11
693
162
23.3
+
Congressional District 12
820
197
24.0
+
Congressional District 13
657
143
21.7
+
Congressional District 14
760
157
20.6
+
Congressional District 15
769
230
29.9
+
Congressional District 16
713
197
27.6
+
Congressional District 17
750
145
19.4
+
Congressional District 18
741
233
31.4
+
Congressional District 19
680
145
21.3
+
Congressional District 20
701
177
25.3
+
Congressional District 21
838
124
14.8
-
Congressional District 22
895
163
18.2
+
Congressional District 23
805
183
22.7
+
Congressional District 24
792
173
21.9
+
Congressional District 25
810
197
24.3
+
Congressional District 26
907
180
19.8
+
Congressional District 27
714
209
29.2
+
Congressional District 28
817
265
32.4
+
Congressional District 29
675
258
38.2
+
Congressional District 30
753
257
34.1
+
Congressional District 31
858
125
14.6
-
Congressional District 32
677
207
30.5
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Utah
Table A-89.Utah: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
2,755 401 14.6 x
Male 1,372
185
13.5
x
Female 1,383
216
15.6
-
Under Age 6
323
29
9.0
+
Under Age 19
919
97
10.6
+
Under Age 26
1,253
180
14.4
x
Age 19 through 21
141
33
23.1
-
Age 21 through 64
1,501
280
18.6
-
Age 65 and over
245
2
0.7
x
Poverty Status
2,734

≤133% FPL
473
142
30.1
+
>133 to <400% FPL
1,389
208
15.0
-
≥400% + FPL
873
49
5.6
x
Total Population Age 18-64
1,642

Singlec 664
179
26.9
-
Married
978
132
13.5
x
Employed Ful Timed 852
114 13.4 -
Employed Part Timee 353 84 23.7 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-90.Utah: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Utah 2,755
401
14.6

Congressional District 1
897
129
14.4
-
Congressional District 2
898
122
13.6
-
Congressional District 3
989
154
15.6
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Vermont
Table A-91.Vermont: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
615 53 8.6 -
Male 312
19
6.2
-
Female 303
34
11.1
-
Under Age 6
38
1
2.0
-
Under Age 19
138
5
3.5
-
Under Age 26
204
21
10.4
-
Age 19 through 21
34
7
20.6
-
Age 21 through 64
368
44
11.8
-
Age 65 and over
85
0
0.1
-
Poverty Status
600

≤133% FPL
97
12
12.2
-
>133 to <400% FPL
275
31
11.2
-
≥400% + FPL
227
10
4.6
-
Total Population Age 18-64
403

Singlec 189
36
19.2
-
Married
215
13
6.0
-
Employed Ful Timed 219 22 9.9
-
Employed Part Timee 84
14
17.0
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-92.Vermont: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
Vermont 615 53 8.6

At Large Vermont
615
53
8.6
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Virginia
Table A-93.Virginia: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
7,644 908 11.9 -
Male 3,949
416
10.5
-
Female 3,695
492
13.3
-
Under Age 6
631
37
5.8
-
Under Age 19
1,977
136
6.9
-
Under Age 26
2,736
337
12.3
-
Age 19 through 21
332
77
23.1
-
Age 21 through 64
4,520
714
15.8
-
Age 65 and over
919
7
0.7
-
Poverty Status
7,515

≤133% FPL
1,156
307
26.5
-
>133 to <400% FPL
2,966
461
15.6
-
≥400% + FPL
3,393
134
3.9
-
Total Population Age 18-64
4,882

Singlec 2,270
526
23.2
-
Married
2,612
253
9.7
-
Employed Ful Timed 2,785 297
10.6 -
Employed Part Timee 790 182 23.0 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-94.Virginia: Number and Percentage of People Without Health Insurance,
by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Virginia 7,644
908
11.9

Congressional District 1
784
78
9.9
-
Congressional District 2
634
75
11.9
-
Congressional District 3
680
111
16.3
+
Congressional District 4
729
93
12.8
-
Congressional District 5
668
83
12.4
-
Congressional District 6
696
83
11.9
-
Congressional District 7
744
76
10.2
-
Congressional District 8
690
84
12.2
-
Congressional District 9
648
86
13.2
-
Congressional District 10
838
88
10.5
-
Congressional District 11
770
81
10.5
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Washington
Table A-95.Washington: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
6,546 878 13.4 -
Male 3,308
387
11.7
-
Female 3,238
490
15.1
-
Under Age 6
533
30
5.7
-
Under Age 19
1,666
123
7.4
-
Under Age 26
2,283
311
13.6
-
Age 19 through 21
267
78
29.4
-
Age 21 through 64
3,919
696
17.8
x
Age 65 and over
781
7
0.8
x
Poverty Status
6,488

≤133% FPL
1,147
294
25.7
-
>133 to <400% FPL
2,639
445
16.8
-
≥400% + FPL
2,702
134
4.9
-
Total Population Age 18-64
4,195

Singlec 1,945
511
26.3
-
Married
2,250
253
11.2
-
Employed Ful Timed 2,162
243 11.2 -
Employed Part Timee 804
199 24.8 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-96.Washington: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Washington 6,546 878 13.4

Congressional District 1
725
72
9.9
-
Congressional District 2
748
98
13.1
-
Congressional District 3
780
101
13.0
-
Congressional District 4
757
149
19.7
+
Congressional District 5
717
98
13.7
-
Congressional District 6
704
107
15.2
+
Congressional District 7
711
84
11.8
-
Congressional District 8
792
76
9.6
-
Congressional District 9
730
110
15.1
x
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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127

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The Uninsured by State and Congressional District

West Virginia
Table A-97.West Virginia: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
1,793 254 14.2 -
Male 915
126
13.8
x
Female 878
128
14.6
-
Under Age 6
129
6
4.5
-
Under Age 19
410
25
6.0
-
Under Age 26
571
81
14.2
-
Age 19 through 21
72
23
32.5
x
Age 21 through 64
1,058
213
20.2
x
Age 65 and over
276
0
0.1
-
Poverty Status
1,770

≤133% FPL
445
105
23.5
-
>133 to <400% FPL
853
120
14.1
-
≥400% + FPL
472
26
5.5
x
Total Population Age 18-64
1,134

Singlec 495
151
30.5
+
Married

640 82 12.8 x
Employed Ful Timed 557 86 15.5 +
Employed Part Timee
168 49 29.3 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-98.West Virginia: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
West Virginia
1,793
254
14.2

Congressional District 1
598
76
12.7
-
Congressional District 2
637
87
13.6
-
Congressional District 3
585
95
16.3
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
Congressional Research Service
129

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The Uninsured by State and Congressional District

Wisconsin
Table A-99.Wisconsin: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below
Populationa (in
Uninsured (in
Percent
(-) National

thousands)
thousands)
Uninsured
Averageb
Total Population
5,566 521 9.4 -
Male 2,812
212
7.5
-
Female 2,754
309
11.2
-
Under Age 6
430
17
3.9
-
Under Age 19
1,386
73
5.3
-
Under Age 26
1,948
201
10.3
-
Age 19 through 21
256
58
22.7
-
Age 21 through 64
3,279
406
12.4
-
Age 65 and over
726
3
0.4
-
Poverty Status
5,490


≤133% FPL
981
195
19.8
-
>133 to <400% FPL
2,495
253
10.1
-
≥400% + FPL
2,014
69
3.4
-
Total Population Age 18-64
3,537


Singlec 1,593
334
21.0
-
Married
1,944
119
6.1
-
Employed Ful Timed 1,984 169
8.5 -
Employed Part Timee 716 114 16.0 -
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-100.Wisconsin: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National
Congressional District
thousands)
thousands)
Uninsured
Averageb
Wisconsin 5,566
521
9.4

Congressional District 1
728
71
9.7
-
Congressional District 2
748
58
7.7
-
Congressional District 3
719
73
10.1
-
Congressional District 4
679
103
15.2
+
Congressional District 5
704
39
5.6
-
Congressional District 6
691
55
7.9
-
Congressional District 7
682
66
9.7
-
Congressional District 8
704
65
9.2
-
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.
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The Uninsured by State and Congressional District

Wyoming
Table A-101.Wyoming: Characteristics of the Uninsured, 2009
Above (+), At
Total
Number
(x), or Below (-)
Populationa (in
Uninsured (in
Percent
National

thousands)
thousands)
Uninsured
Averageb
Total Population
534 81 15.2 x
Male 262
40
15.3
+
Female 272
41
15.0
-
Under Age 6
48
4
8.1
x
Under Age 19
136
13
9.3
x
Under Age 26
191
29
15.2
x
Age 19 through 21
24
7
28.1
x
Age 21 through 64
316
63
20.0
x
Age 65 and over
64
0
0.5
-
Poverty Status
527


≤133% FPL
80
23
29.1
x
>133 to <400% FPL
238
42
17.8
x
≥400% + FPL
209
15
7.0
+
Total Population Age 18-64
341


Singlec 137
41
30.0
x
Married
204
28
13.7
x
Employed Ful Timed 197 28 14.1 x
Employed Part Timee 65 20 30.4 +
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate with an associated confidence interval around it. While the confidence intervals are not presented,
they are available.
b. Above (below) the national level means that subgroup at the state level, has, with a 90% confidence level, a
statistical y significantly higher (lower) likelihood of being uninsured than the same subgroup at the national
level. If a subgroup is at the national level, there is no statistical difference between the proportion of
individuals uninsured in the subgroup at the state level as compared to the subgroup at the national level.
c. Never married, separated, divorced, or widowed.
d. Working 30 or more hours for 50 or more weeks a year.
e. Working fewer than 30 hours a week for fewer than 50 weeks a year.
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The Uninsured by State and Congressional District

Table A-102.Wyoming: Number and Percentage of People Without Health
Insurance, by State and Congressional District (111th), 2009
Above (+), At (x),
Number
or Below (-)
Congressional
Total Populationa
Uninsured (in
Percent
National
District
(in thousands)
thousands)
Uninsured
Averageb
Wyoming 534 81 15.2

At Large Wyoming
534
81
15.2
+
Source: U.S. Census Bureau, 2009 American Community Survey.
a. Total population figures are for the civilian non-institutionalized population. Each value in the table is an
estimate and there is a confidence interval around the estimate. While the intervals at the 90% confidence
level are not presented, they are available.
b. No statistical test of this difference was performed.

Author Contact Information

(name redacted)

Specialist in Health Care Financing
[redacted]@crs.loc.gov, 7-....

Acknowledgments
Evelyn Baumrucker, (name redacted), and Liza Herz commented extensively on the design and content of the
report, and Scott Talaga, a CRS intern, assisted in generating the report.

Congressional Research Service
133

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