Children's share of Medicaid and CHIP enrollment: U.S. states ranked
Measure: Children's share of Medicaid and CHIP enrollment (%, derived). All 50 states and District of Columbia with data in Medicaid and CHIP enrollment by state, June 2026, ranked from highest to lowest. Reference period: June 2026.
National value: 47.8 (United States).
Small states, hard to see on the map:
- Lowest: 36.6 to 40.5 %
- Group 2: 40.5 to 44.9 %
- Group 3: 44.9 to 48.1 %
- Group 4: 48.1 to 52.4 %
- Highest: 52.4 to 75.5 %
Rank is derived by Quadranac: 1 = highest value; ties share a rank. The ranked value is itself derived; see the source table for the method. Values are as published in the source table.
Note: Monthly enrollment reported by states to CMS; definitions of child and adult enrollment vary somewhat by state.
| 1 | Texas | 75.5 |
|---|---|---|
| 2 | Alabama | 71.7 |
| 3 | Georgia | 69.8 |
| 4 | Kansas | 69.5 |
| 5 | Wyoming | 67.5 |
| 6 | Mississippi | 66.2 |
| 7 | Florida | 64.1 |
| 8 | South Carolina | 62.2 |
| 9 | Tennessee | 59.3 |
| 10 | South Dakota | 54.6 |
| 11 | Minnesota | 52.4 |
| 12 | Arkansas | 51.4 |
| 13 | Nebraska | 51.3 |
| 14 | Oklahoma | 50.6 |
| 15 | Louisiana | 49.9 |
| 15 | New Hampshire | 49.9 |
| 17 | Utah | 49.6 |
| 18 | Iowa | 49.2 |
| 19 | North Dakota | 48.6 |
| 20 | Idaho | 48.4 |
| 21 | North Carolina | 48.1 |
| 22 | Maryland | 48 |
| 23 | Virginia | 47.8 |
| 24 | Wisconsin | 47.6 |
| 25 | Indiana | 47.5 |
| 26 | Pennsylvania | 46.9 |
| 27 | New Jersey | 46.3 |
| 28 | Missouri | 45.5 |
| 28 | Washington | 45.5 |
| 30 | New Mexico | 45.1 |
| 31 | Illinois | 44.9 |
| 32 | Delaware | 44.3 |
| 33 | Colorado | 44.2 |
| 34 | Arizona | 43.7 |
| 35 | Nevada | 43.5 |
| 36 | Kentucky | 43.4 |
| 36 | Montana | 43.4 |
| 38 | Massachusetts | 42.9 |
| 39 | Ohio | 42.5 |
| 40 | Maine | 41.8 |
| 41 | Michigan | 40.5 |
| 41 | Rhode Island | 40.5 |
| 43 | Alaska | 40.3 |
| 44 | Connecticut | 40.2 |
| 45 | Hawaii | 39.7 |
| 46 | West Virginia | 39.5 |
| 47 | District of Columbia | 38.9 |
| 48 | Vermont | 38.6 |
| 49 | California | 38.1 |
| 50 | New York | 38 |
| 51 | Oregon | 36.6 |
Source: Centers for Medicare & Medicaid Services, State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data (Performance Indicator data), reporting period June 2026, updated reports
Source: U.S. Census Bureau, Population Estimates Program, July 1, 2025 resident population (denominator). Reference period: June 2026.
Cite this ranking
U.S. states ranked by children's share of Medicaid and CHIP enrollment (%, derived) (June 2026). Data: Centers for Medicare & Medicaid Services (with Census population), State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data (Performance Indicator data), reporting period June 2026, updated reports; rank derived by Quadranac. Data last updated 2026-11-09. https://quadranac.com/rankings/us-states-by-childrens-share-of-medicaid-and-chip-enrollment/