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How Health Insurance Coverage in Maryland Compares to Other States

24/7 Wall St. logo 24/7 Wall St. 9/17/2021 Samuel Stebbins
a person using a laptop computer sitting on top of a wooden table © Provided by 24/7 Wall St. The share of Americans under the age of 65 without health insurance fell every year between 2010, when the Affordable Care Act was signed into law, and 2016, when President Barack Obama left office. Though the U.S. uninsured rate among Americans younger than 65 has inched up over the years since, it remains well below the reported 17%+ figures in the years leading up to the ACA.

Without a universal health care program, most Americans under age 65 -- the age of eligibility for Medicare -- receive employer-based health insurance coverage. Under this system, 10.8% of Americans younger than 65, approximately 29 million people, lacked health insurance in 2019 -- and that was before the COVID-19 pandemic put over 22 million Americans out of work.

While most of those jobs have since been restored, the official uninsured rate for Americans younger than 65 for 2020 will likely be higher than the 2019 rate.

In Maryland, an estimated 347,647 residents lack health insurance coverage -- or 6.9% of the under 65 noninstitutionalized population, the 10th lowest uninsured rate among states.

Across the state, 65.6% of the population under age 65 have employer-based insurance, compared to 60.0% of the same age group nationwide. Another 19.6% of the under 65 population in the state are insured through Medicaid, and 9.3% purchased their own insurance directly -- compared to the national rates of 21.0% and 9.7%, respectively.

The rankings in this story are based on one-year estimates of the percentage of Americans under 65 without health insurance from the U.S. Census Bureau's 2019 American Community Survey.

Rank State Pop. under 65 w/o insurance Pop. under 65 with employer-based insurance Pop. under 65 with directly purchased insurance Pop. under 65 with Medicaid
50 Massachusetts 3.5% 68.1% 10.2% 23.0%
49 Rhode Island 4.8% 66.8% 11.7% 21.6%
48 Hawaii 5.0% 66.9% 9.9% 19.5%
47 Vermont 5.6% 60.6% 10.3% 25.8%
46 Minnesota 5.8% 69.8% 8.4% 18.9%
45 Iowa 6.0% 67.6% 8.5% 21.3%
44 New York 6.1% 60.2% 10.8% 26.9%
43 Wisconsin 6.8% 69.5% 8.8% 17.6%
41 -- tied Maryland 6.9% 65.6% 9.3% 19.6%
41 -- tied Michigan 6.9% 63.7% 8.9% 23.8%
39 -- tied Pennsylvania 7.0% 65.1% 9.2% 22.0%
39 -- tied Connecticut 7.0% 64.2% 8.5% 23.2%
38 New Hampshire 7.6% 68.8% 9.1% 14.6%
36 -- tied Kentucky 7.7% 57.1% 7.3% 28.3%
36 -- tied Washington 7.7% 63.7% 8.3% 21.4%
35 Ohio 7.8% 64.4% 7.3% 22.2%
33 -- tied North Dakota 8.1% 68.3% 13.6% 12.4%
33 -- tied Delaware 8.1% 63.6% 8.3% 23.0%
32 West Virginia 8.3% 57.4% 5.7% 30.0%
30 -- tied Oregon 8.6% 61.4% 9.4% 23.0%
30 -- tied Illinois 8.6% 64.9% 8.3% 19.7%
29 California 8.9% 56.9% 10.4% 26.4%
28 New Jersey 9.2% 66.4% 8.7% 17.4%
26 -- tied Virginia 9.3% 64.4% 9.3% 14.5%
26 -- tied Colorado 9.3% 62.4% 10.5% 18.1%
25 Nebraska 9.8% 67.2% 12.1% 13.4%
24 Maine 10.1% 61.4% 10.5% 20.2%
23 Montana 10.2% 55.0% 13.6% 23.6%
22 Indiana 10.3% 64.4% 7.8% 19.1%
21 Louisiana 10.5% 50.9% 8.4% 31.6%
20 Utah 10.8% 68.8% 12.5% 9.8%
18 -- tied Kansas 10.9% 66.4% 10.1% 14.3%
18 -- tied Arkansas 10.9% 51.4% 9.1% 29.1%
17 Alabama 11.7% 58.2% 9.7% 20.8%
15 -- tied New Mexico 12.0% 46.1% 7.6% 37.0%
15 -- tied Missouri 12.0% 63.3% 9.3% 15.6%
14 Tennessee 12.1% 58.4% 9.6% 21.0%
13 South Dakota 12.2% 61.8% 12.8% 14.2%
12 Idaho 12.8% 58.7% 12.9% 17.3%
11 South Carolina 13.2% 57.0% 10.1% 20.2%
9 -- tied North Carolina 13.4% 56.7% 10.7% 19.2%
9 -- tied Nevada 13.4% 59.4% 8.7% 18.9%
8 Arizona 13.6% 56.2% 8.5% 22.8%
7 Alaska 13.9% 55.0% 6.4% 22.8%
6 Wyoming 14.8% 62.6% 10.8% 12.3%
5 Mississippi 15.4% 50.9% 8.6% 25.1%
4 Georgia 15.5% 58.1% 9.2% 17.5%
3 Florida 16.3% 51.4% 14.2% 18.1%
2 Oklahoma 16.8% 54.8% 9.3% 18.7%
1 Texas 20.8% 54.8% 8.6% 16.2%
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