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The Scorecard assesses the 50 states and the District of Columbia on 92 outcome and policy measures. These measures are grouped into five issue areas: Financial Assets & Income, Businesses & Jobs, Housing & Homeownership, Health Care, and Education. All the data is collected from the latest available data sources and compiled by CFED. For more on the methodology, click here.


Health Care

Is there broad access to health insurance as protection against income interruption and asset depletion from medical bills?

There is no greater threat to a family’s financial security than the expenses of a major medical emergency or treatment of a chronic illness. Access to health care provides individuals and families with a safety net that complements their asset ownership. Yet today, 45 million Americans do not have health insurance. While federal solutions have been debated for decades, states have and will continue to have a role in widening access to those who have trouble finding coverage.

Outcome Measures

Policy Measures


Uninsured Rate
Uninsured by Race
Uninsured by Income
Uninsured by Gender
Uninsured Low-Income Children
Uninsured Low-Income Parents
Employees Insured by Employer
Employee Share of Premium
Out-of-Pocket Medical Expenses

Trend Indicators
Change in Uninsured Low-Income Children

Policy Priorities
Access to Health Insurance

Additional Policies
Insuring High Risk Individuals
COBRA Coverage of Small-Business Employees