Section 9: Health Insurance Coverage - Compendium (2026)

This section presents statistics on health insurance coverage in the United States. Statistics are first presented on health insurance coverage of people with and without disabilities and the relative ratio (RR) in percentage with health insurance coverage between these two populations. Then, statistics are presented for people with disabilities and the and the relative ratio (RR) in percentage of private health insurance and public health insurance coverage A relative ratio (RR) is a measure that is used to show how much more likely something is observed between two different groups. Public health insurance includes programs such as Medicaid and Medicare, among other government-run health insurance programs. See the full definitions of these terms in the glossary.

While people receiving disability benefits from Social Security are usually eligible for Medicaid and/or Medicare, Medicaid eligibility rules can differ by state.

The principal source of these data is the U.S. Census Bureau’s American Community Survey. Statistics for people with disabilities (disability status) are based on having responded ‘yes’ to a series of questions within the American Community Survey.

For expanded statistics, please go to the Annual Disability Statistics Build Your Own Statistics site.

Tables

Table 9.1: In 2024, 90.4% of individuals with disabilities ages 18 to 64 years living in the community had health insurance coverage. In contrast, 88.6% of individuals without disabilities ages 18-64 years living in the community had health insurance coverage; representing a relative ratio of 1.021 when comparing those with to those without disability. This disparity within states ranges from approximately 0.954 to 1.068 in North Dakota/ND and New Mexico/NM, respectively. Table 9.1 Health Insurance - Civilians Ages 18 to 64 Years Living in the Community for the United States and States, by Disability Status: 2024

Table 9.2: In 2024, 51.2% of individuals with disabilities ages 18 to 64 years living in the community had private health insurance coverage; 49.9% of individuals with disabilities ages 18 to 64 years living in the community had public health insurance coverage; and 9.6% of individuals with disabilities ages 18 to 64 years living in the community did not have health insurance coverage. Massachusetts/MA had the lowest percentage of uninsured people with disabilities (3.4%); while Texas/TX had the highest percentage of uninsured people with disabilities (19.3%). Table 9.2 Health Insurance - Type of Coverage for Civilians with Disabilities Ages 18 to 64 Years Living in the Community for the United States and States: 2024

Table 9.1 Health Insurance - Civilians Ages 18 to 64 Years Living in the Community for the United States and States, by Disability Status: 2024

Table 9.1 Health Insurance - Civilians Ages 18 to 64 Years Living in the Community for the United States and States, by Disability Status: 2024
State
Disability
No Disability
Relative Ratio
# ME# % ME% # ME# % ME%
U.S. 20,410,000 134,000 90.4 0.2 159,535,000 209,000 88.6 0.1 1.021
Alabama 375,000 16,000 88.8 1.4 2,271,000 22,000 87.5 0.6 1.014
Alaska 48,000 7,000 86.1 4.7 316,000 10,000 85.8 1.9 1.003
Arizona 450,000 20,000 89.8 1.3 3,361,000 29,000 85.7 0.6 1.047
Arkansas 251,000 13,000 91.0 1.5 1,305,000 21,000 86.2 1.0 1.056
California 2,071,000 35,000 93.3 0.5 20,111,000 50,000 91.6 0.2 1.019
Colorado 333,000 15,000 91.8 1.4 2,987,000 23,000 89.6 0.6 1.024
Connecticut 186,000 10,000 93.6 1.2 1,839,000 16,000 91.4 0.6 1.024
Delaware 63,000 7,000 95.2 2.9 483,000 10,000 90.3 1.4 1.053
District of Columbia 47,000 8,000 92.3 4.3 399,000 9,000 94.5 1.3 0.977
Florida 1,194,000 34,000 87.4 0.8 10,284,000 54,000 84.3 0.4 1.036
Georgia 620,000 23,000 84.0 1.2 5,008,000 34,000 83.5 0.5 1.005
Hawaii 66,000 6,000 95.8 1.6 686,000 9,000 95.2 0.8 1.006
Idaho 136,000 9,000 89.7 1.9 885,000 15,000 87.8 1.2 1.022
Illinois 696,000 22,000 92.2 0.9 6,206,000 36,000 90.1 0.4 1.024
Indiana 501,000 16,000 92.5 1.0 3,171,000 24,000 89.8 0.5 1.030
Iowa 190,000 12,000 92.7 1.8 1,543,000 14,000 91.8 0.6 1.009
Kansas 173,000 12,000 86.4 1.7 1,336,000 18,000 88.4 0.9 0.977
Kentucky 414,000 15,000 93.3 1.1 2,014,000 21,000 89.9 0.7 1.038
Louisiana 356,000 16,000 93.3 1.0 1,991,000 21,000 87.9 0.6 1.062
Maine 109,000 10,000 94.9 1.5 648,000 12,000 91.5 1.1 1.037
Maryland 353,000 14,000 94.6 1.1 3,063,000 24,000 91.3 0.6 1.036
Massachusetts 431,000 15,000 96.6 0.8 3,826,000 19,000 96.3 0.3 1.003
Michigan 687,000 22,000 93.8 0.9 4,875,000 30,000 92.7 0.3 1.012
Minnesota 326,000 17,000 93.3 1.3 2,859,000 26,000 92.7 0.7 1.007
Mississippi 238,000 12,000 86.5 1.6 1,223,000 18,000 85.9 0.9 1.006
Missouri 443,000 18,000 90.0 1.2 2,833,000 25,000 89.7 0.5 1.004
Montana 69,000 7,000 87.2 3.7 508,000 11,000 88.0 1.4 0.991
Nebraska 108,000 9,000 92.2 2.3 930,000 16,000 89.1 1.1 1.035
Nevada 213,000 11,000 86.9 1.7 1,454,000 19,000 84.2 0.9 1.031
New Hampshire 101,000 8,000 95.9 1.5 696,000 11,000 93.0 1.0 1.031
New Jersey 425,000 17,000 91.8 1.1 4,660,000 32,000 89.0 0.5 1.032
New Mexico 162,000 10,000 90.0 2.7 881,000 14,000 84.3 1.2 1.068
New York 1,189,000 27,000 94.9 0.6 10,006,000 36,000 92.8 0.3 1.023
North Carolina 688,000 24,000 90.6 1.1 5,092,000 35,000 87.8 0.5 1.032
North Dakota 42,000 6,000 88.6 5.7 390,000 10,000 92.9 1.3 0.954
Ohio 797,000 24,000 91.8 0.9 5,527,000 33,000 90.8 0.4 1.012
Oklahoma 318,000 14,000 86.5 1.8 1,688,000 22,000 83.6 0.8 1.035
Oregon 320,000 13,000 94.4 1.0 2,056,000 18,000 92.1 0.5 1.025
Pennsylvania 839,000 29,000 93.1 0.8 6,250,000 39,000 92.0 0.4 1.012
Rhode Island 68,000 8,000 96.1 2.3 568,000 11,000 93.3 1.1 1.030
South Carolina 345,000 16,000 87.2 1.6 2,416,000 21,000 86.9 0.6 1.003
South Dakota 51,000 7,000 87.2 4.1 414,000 10,000 89.4 1.6 0.975
Tennessee 470,000 16,000 87.4 1.1 3,265,000 25,000 86.4 0.5 1.012
Texas 1,637,000 35,000 80.7 0.9 13,179,000 65,000 78.2 0.4 1.032
Utah 180,000 10,000 87.9 2.2 1,716,000 16,000 89.7 0.7 0.980
Vermont 44,000 6,000 95.4 3.2 317,000 7,000 93.5 1.3 1.020
Virginia 508,000 19,000 92.3 1.0 4,204,000 31,000 90.6 0.5 1.019
Washington 525,000 19,000 92.6 0.9 3,873,000 28,000 90.7 0.4 1.022
West Virginia 162,000 9,000 93.6 1.5 759,000 12,000 90.5 1.0 1.035
Wisconsin 361,000 17,000 94.0 1.3 2,899,000 22,000 92.4 0.5 1.017
Wyoming 31,000 5,000 86.9 4.4 261,000 8,000 86.2 1.9 1.008
Puerto Rico 298,000 15,000 95.3 1.1 1,457,000 18,000 90.7 0.7 1.050
Notes: Authors’ calculations using the U.S. Census Bureau, American Community Survey, Public Use Microdata Sample (2024), are subject to sampling variability. Slight differences in percentages may appear due to rounding when compared to populations. The margin of error (ME) is based on a 95% confidence level and is a measure of an estimate’s variability. The larger the margin of error is in relation to the size of the estimate, the less reliable the estimate. The relative ratio is the ratio of the percentage people with disability with coverage over the percentage people without disability with coverage. Therefore, a relative ratio further from 1.000 indicates a greater disparity in coverage percentage.
Citation: Thomas, N., Kingsbury, S., Lansing J., & Houtenville, A. (2026). Annual Disability Statistics Compendium: 2026 (Table 9.1). Durham, NH: University of New Hampshire, Institute on Disability.

Table 9.2 Health Insurance - Type of Coverage for Civilians with Disabilities Ages 18 to 64 Years Living in the Community for the United States and States: 2024

Table 9.2 Health Insurance - Type of Coverage for Civilians with Disabilities Ages 18 to 64 Years Living in the Community for the United States and States: 2024
State
Private Insurance
Public Insurance
No Insurance
# ME# % ME% RR # ME# % ME% RR # ME# % ME% RR
U.S. 11,551,000 101,000 51.2 0.3 0.668 11,265,000 101,000 49.9 0.3 3.295 2,156,000 36,000 9.6 0.2 0.837
Alabama 241,000 15,000 57.1 2.3 0.720 200,000 10,000 47.3 2.0 3.930 47,000 6,000 11.2 1.4 0.900
Alaska 27,000 5,000 48.7 6.8 0.661 28,000 5,000 50.3 6.4 2.716 8,000 3,000 13.9 4.7 0.980
Arizona 263,000 13,000 52.4 1.9 0.710 242,000 14,000 48.1 1.8 3.167 51,000 7,000 10.2 1.3 0.718
Arkansas 117,000 8,000 42.4 2.3 0.581 164,000 12,000 59.4 2.5 3.511 25,000 4,000 9.0 1.5 0.653
California 1,053,000 26,000 47.5 0.9 0.662 1,220,000 27,000 55.0 0.9 2.385 148,000 13,000 6.7 0.5 0.797
Colorado 208,000 12,000 57.4 2.3 0.713 161,000 11,000 44.5 2.4 3.566 30,000 5,000 8.2 1.4 0.793
Connecticut 98,000 8,000 49.2 3.1 0.639 106,000 9,000 53.2 3.6 3.135 13,000 3,000 6.4 1.2 0.744
Delaware 35,000 5,000 52.8 5.3 0.676 34,000 6,000 51.1 5.7 3.346 3,000 2,000 4.8 2.9 0.502
District of Columbia 23,000 5,000 45.7 6.8 0.573 27,000 6,000 52.3 7.2 3.098 4,000 2,000 7.7 4.3 1.384
Florida 757,000 26,000 55.4 1.3 0.720 590,000 24,000 43.2 1.3 4.149 172,000 12,000 12.6 0.8 0.805
Georgia 410,000 20,000 55.6 1.8 0.722 300,000 17,000 40.6 1.7 4.185 118,000 10,000 16.0 1.2 0.973
Hawaii 37,000 5,000 54.4 4.7 0.647 37,000 5,000 53.6 4.2 3.457 3,000 1,000 4.2 1.6 0.882
Idaho 86,000 7,000 56.8 2.8 0.719 67,000 7,000 44.1 3.2 3.564 16,000 3,000 10.3 2.0 0.845
Illinois 395,000 19,000 52.4 1.7 0.669 361,000 16,000 47.9 1.6 3.469 59,000 7,000 7.8 0.9 0.784
Indiana 268,000 11,000 49.5 1.8 0.633 290,000 14,000 53.5 1.8 3.706 41,000 6,000 7.5 1.0 0.738
Iowa 109,000 8,000 52.9 2.8 0.650 100,000 10,000 48.8 3.1 3.583 15,000 4,000 7.3 1.7 0.899
Kansas 117,000 10,000 58.5 3.0 0.700 81,000 9,000 40.3 3.1 5.306 27,000 4,000 13.6 1.7 1.173
Kentucky 189,000 11,000 42.7 2.0 0.584 268,000 13,000 60.4 2.0 2.929 30,000 5,000 6.7 1.1 0.664
Louisiana 169,000 10,000 44.4 1.9 0.646 229,000 13,000 60.1 2.0 2.573 25,000 4,000 6.7 1.0 0.551
Maine 60,000 8,000 52.5 4.5 0.660 62,000 8,000 54.3 4.7 3.569 6,000 2,000 5.1 1.5 0.597
Maryland 212,000 10,000 56.6 2.2 0.707 190,000 12,000 50.9 2.1 3.424 20,000 4,000 5.4 1.1 0.625
Massachusetts 225,000 10,000 50.4 1.8 0.617 250,000 13,000 56.1 1.9 3.157 15,000 4,000 3.4 0.8 0.925
Michigan 347,000 14,000 47.5 1.6 0.608 421,000 19,000 57.5 1.5 3.197 45,000 7,000 6.2 0.9 0.843
Minnesota 177,000 13,000 50.5 2.8 0.621 184,000 14,000 52.5 2.7 3.668 23,000 5,000 6.7 1.3 0.910
Mississippi 137,000 9,000 49.6 2.6 0.658 134,000 9,000 48.7 2.2 3.345 37,000 5,000 13.5 1.6 0.961
Missouri 255,000 14,000 51.7 1.9 0.645 241,000 14,000 48.9 2.1 3.839 49,000 6,000 10.0 1.2 0.969
Montana 39,000 5,000 48.5 4.5 0.627 40,000 5,000 50.5 4.8 3.316 10,000 3,000 12.8 3.7 1.063
Nebraska 68,000 7,000 58.0 3.7 0.718 52,000 6,000 44.7 3.6 4.019 9,000 3,000 7.8 2.3 0.712
Nevada 129,000 9,000 52.6 2.7 0.724 110,000 8,000 44.8 2.5 2.901 32,000 4,000 13.1 1.7 0.833
New Hampshire 63,000 7,000 60.3 4.7 0.694 49,000 7,000 46.3 4.5 4.976 4,000 2,000 4.1 1.5 0.586
New Jersey 261,000 15,000 56.3 2.2 0.716 212,000 13,000 45.7 2.1 3.676 38,000 6,000 8.2 1.1 0.743
New Mexico 74,000 8,000 40.8 3.1 0.670 109,000 8,000 60.4 3.5 2.123 18,000 5,000 10.0 2.7 0.635
New York 562,000 19,000 44.9 1.3 0.618 768,000 24,000 61.3 1.2 2.604 63,000 7,000 5.1 0.6 0.700
North Carolina 396,000 18,000 52.1 1.4 0.672 389,000 16,000 51.2 1.5 3.618 72,000 9,000 9.4 1.1 0.770
North Dakota 27,000 5,000 55.8 7.3 0.641 21,000 5,000 43.0 6.9 4.811 5,000 3,000 11.4 5.7 1.611
Ohio 390,000 16,000 44.9 1.2 0.574 483,000 18,000 55.6 1.4 3.631 71,000 8,000 8.2 0.9 0.885
Oklahoma 185,000 12,000 50.2 2.2 0.699 170,000 10,000 46.3 2.4 3.025 50,000 7,000 13.5 1.8 0.824
Oregon 168,000 11,000 49.5 2.3 0.650 185,000 11,000 54.7 2.1 2.799 19,000 3,000 5.6 1.0 0.708
Pennsylvania 439,000 21,000 48.8 1.6 0.603 499,000 21,000 55.4 1.6 3.851 62,000 8,000 6.9 0.8 0.862
Rhode Island 38,000 6,000 53.7 5.0 0.683 41,000 6,000 57.6 4.4 3.202 3,000 2,000 3.9 2.3 0.582
South Carolina 217,000 13,000 55.0 2.1 0.702 179,000 11,000 45.4 2.1 3.632 51,000 7,000 12.8 1.6 0.982
South Dakota 32,000 5,000 55.0 5.4 0.655 24,000 5,000 39.8 5.7 4.407 8,000 3,000 12.8 4.1 1.211
Tennessee 275,000 13,000 51.2 1.8 0.659 251,000 12,000 46.6 1.7 3.862 67,000 7,000 12.6 1.1 0.925
Texas 1,107,000 26,000 54.5 1.0 0.750 736,000 26,000 36.2 1.0 4.455 392,000 18,000 19.3 0.9 0.886
Utah 132,000 10,000 64.7 2.6 0.765 65,000 6,000 31.9 2.4 4.511 25,000 5,000 12.1 2.2 1.172
Vermont 24,000 5,000 51.6 6.4 0.623 24,000 5,000 53.3 6.9 3.904 2,000 1,200 4.6 3.3 0.710
Virginia 301,000 15,000 54.7 1.8 0.678 282,000 14,000 51.1 1.7 3.573 43,000 6,000 7.7 1.0 0.821
Washington 311,000 17,000 55.0 2.0 0.687 277,000 13,000 48.8 1.7 3.451 42,000 6,000 7.4 0.9 0.790
West Virginia 71,000 7,000 41.3 3.2 0.552 109,000 8,000 62.7 3.1 3.271 11,000 3,000 6.4 1.5 0.668
Wisconsin 204,000 15,000 53.3 2.5 0.642 192,000 12,000 50.0 2.5 4.069 23,000 5,000 6.0 1.3 0.787
Wyoming 22,000 3,000 61.7 5.3 0.762 14,000 3,000 38.2 5.5 4.729 5,000 2,000 13.1 4.4 0.950
Puerto Rico 90,000 9,000 28.7 2.5 0.594 224,000 14,000 71.7 2.5 1.625 15,000 3,000 4.7 1.1 0.509
Notes: Authors’ calculations using the U.S. Census Bureau, American Community Survey, Public Use Microdata Sample (2024), are subject to sampling variability. The margin of error (ME) is based on a 95% confidence level and is a measure of an estimate’s variability. The larger the margin of error is in relation to the size of the estimate, the less reliable the estimate. The relative ratio (RR) is the ratio of the percentage of people with disability with a coverage type over the percentage of people without disability with a coverage type. Therefore, a relative ratio further from 1.000 indicates a greater disparity in coverage type percentage.
Citation: Thomas, N., Kingsbury, S., Lansing J., & Houtenville, A. (2026). Annual Disability Statistics Compendium: 2026 (Table 9.2). Durham, NH: University of New Hampshire, Institute on Disability.

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