Over the past decade the number of non-elderly women (ages 19-64) without health insurance has declined, an important milestone due in part to the Affordable Care Act (ACA). In 2013, before the ACA was fully implemented, nearly 1 in 5 (18.6%) adult, non-elderly women were uninsured. Despite success in expanding coverage many women today still lack coverage—in 2024, nearly one in 10 (9.6%) adult, non-elderly women did not have health insurance.  

Uninsurance rates in 2024 were higher for Indigenous women (21.6%), Latinas (19.8%), and Black women (10.3%) in the same age group. One in 16 Asian American, Native Hawaiian and Pacific Islander women (6.2%) and one in 15 white, non-Hispanic women (6.6%) were uninsured. Over a decade earlier, in 2013, 36.4% of Latinas, 32.2% of Native American women, 21.6% of Black women, and 17.3% of AAPI women ages 19-64 were uninsured, compared to 13.3% for white, non-Hispanic women in the same age group. 

The 2024 rates of uninsurance reveal that even 11 years after full implementation of the Affordable Care Act, Latina, Indigenous, and Black women still experience health coverage gaps. Even though coverage rates have improved, these groups continue to experience the highest rates of uninsurance. 

Click on a state below to see its 2024 uninsurance rate for women overall, AANHPI women, Black women, Latinas, Indigenous women, and white, non-Hispanic women. 

Source Note: NWLC calculations based on U.S. Census Bureau, 2013 and 2024 American Community Survey (ACS), 1-year estimates, using IPUMS USA, University of Minnesota, available at www.ipums.org. Figures are for the 19 to 64 age group in order to remain consistent with annual U.S. Census Bureau reports on health insurance coverage. Uninsurance figures capture ACS respondents who indicated that they did not have any of the following forms of health insurance coverage at the time of the interview: employer-provided health insurance, privately purchased insurance, Medicare, Medicaid or other governmental insurance, TRICARE or other military care, or insurance provided by the Veterans’ Administration. Respondents are also considered uninsured if their only form of coverage is provided by the Indian Health Service. ACS respondents self-identify their sex as either male or female. Black women are those who self-identified their race as Black or African American. Latinas are those who self-identified as being of Hispanic, Latino, or Spanish origin. Latinas may be of any race. Asian American, Native Hawaiian and Pacific Islander (AANHPI) women are those who self-identified as Asian or Pacific Islander, and Indigenous women are those who self-identified as American Indian or Alaska Native.