One of the Patient Protection and Affordable Care Act's central goals is to reduce the number of uninsured Americans. And while the uninsured rate has dropped to a record low of roughly 13.4 percent nationwide, according to Gallup numbers, rates vary dramatically across states.

Wallethub, a personal finance social network, analyzed data from the Kaiser Family Foundation, the Centers for Medicare and Medicaid Services, the Department of Health and Human Services and the U.S. Census Bureau to determine which states have the best and worst uninsured rates following the implementation of PPACA.

The data are an initial projection of uninsured rates post-PPACA for 43 states and the District of Columbia. Seven states were excluded from analysis due to data limitations, analysts said.

Recommended For You

We've already revealed the top 10 states with the lowest uninsured rates post-PPACA. Now here are the top 10 states with the highest uninsured rates following the implementation of the PPACA.

35. Georgia

Pre-PPACA uninsured rate: 21.66 percent

Post-PPACA projected uninsured rate: 18.16 percent

Difference before and after: -3.50 percent

36. Wyoming

Pre-PPACA uninsured rate: 18.92 percent

Post-PPACA projected uninsured rate: 18.29 percent

Difference before and after: -0.63 percent

alaska

37. Oklahoma

Pre-PPACA uninsured rate: 19.76 percent

Post-PPACA projected uninsured rate: 18.33 percent

Difference before and after: -1.43 percent

38. Alaska

Pre-PPACA uninsured rate: 20.48 percent

Post-PPACA projected uninsured rate: 18.96 percent

Difference before and after: -1.52 percent

 

Photo: Matanuska Glacier in Alaska. Credit: freedigitalphotos.net

las vegas

39. Nevada

Pre-PPACA uninsured rate: 26.52 percent

Post-PPACA projected uninsured rate: 19.58 percent

Difference before and after: -6.94 percent

40. New Mexico

Pre-PPACA uninsured rate: 24.29 percent

Post-PPACA projected uninsured rate: 19.59 percent

Difference before and after: -4.69 percent

 

Photo: Joe Cavaretta/The Associated Press

florida

41. Florida

Pre-PPACA uninsured rate: 24.73 percent

Post-PPACA projected uninsured rate: 19.61 percent

Difference before and after: -5.12 percent

42. Louisiana

Pre-PPACA uninsured rate: 22.41 percent

Post-PPACA projected uninsured rate: 20.91 percent

Difference before and after: -1.50 percent

 

Photo: Orlando, Florida. Getty Images.

texas

43. Mississippi

Pre-PPACA uninsured rate: 18.11 percent

Post-PPACA projected uninsured rate: 21.46 percent

Difference before and after: +3.34 percent

44. Texas

Pre-PPACA uninsured rate: 26.80 percent

Post-PPACA projected uninsured rate: 24.81 percent

Difference before and after: -1.99 percent

Photo: Dallas skyline. Credit: freedigitalphotos.net.

NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.