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JULY 31, 2025 — The rate of individuals in the United States under the age of 65 without health insurance decreased in 194 counties and increased in 85 counties between 2022 and 2023, according to Small Area Health Insurance Estimates (SAHIE) released today by the U.S. Census Bureau.
SAHIE is the only source for single-year estimates of people under age 65 with health insurance in each of the nation’s 3,143 counties. The county statistics are provided by sex and age groups and at income levels reflecting thresholds for state and federal assistance programs, such as Medicaid eligibility. State estimates also include health coverage by race and Hispanic origin.
According to SAHIE, 1,455 or 46.3% of U.S. counties had an estimated uninsured rate below 10% in 2023, up from 45.2% of counties in 2022 and 39.2% in 2021.
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About the Census Bureau
We serve as the nation’s leading provider of quality data about its people and economy. The Census Bureau is the federal government's largest statistical agency. As the world’s premier statistical agency, we are dedicated to making our nation a better place. Policy-makers, businesses, and the public use our data to make informed decisions.
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