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Health Insurance Coverage

More South Dakotans Gained Health Insurance Coverage in 2016

More South Dakotans gained health insurance coverage in 2016, according to federal data. The state's overall uninsured rate dropped from 12.0 percent in 2015 to 10.3 percent in 2016. This places the Rushmore State near the national uninsured rate of 10.0 percent, down from 10.9 percent in 2015.

For health insurance coverage, South Dakota ranked 33rd among the 50 states, behind first-place Massachusetts at 2.9 percent and ahead of last-place Texas at 18.6 percent. Regionally, South Dakota outranked No. 44 Wyoming with a 13.4 percent uninsured rate. No. 4 Minnesota led the region with just 4.8 percent of its population under 65 without insurance. The table below provides additional information on health insurance coverage in the region:

 State Percent Uninsured National Rank
 Minnesota 4.8% 4th
 Iowa 5.0% 5th
 North Dakota 8.1% 8th
Montana 9.8%  28th
Nebraska 9.9% 30th
South Dakota 10.3% 33rd
Wyoming 13.4% 44th

For those under 18, South Dakota ranked 33rd, up seven places from 44th in 2015. Just 4.5 percent of individuals under 18 were without health insurance in 2016—the same rate as the national rate. Massachusetts ranked first in this category at 0.9 percent in 2016. Alaska was last, at 10.0 percent.

South Dakotans between the ages of 25 and 34 experienced an uninsured rate of 17.9 percent. Overall, however, the highest uninsured rate of 23.4 percent was found in the group of South Dakotans living in poverty, compared to 8.3 percent rate for those not living in poverty.

Of the Rushmore State’s metropolitan areas, the Rapid City metro area’s uninsured rate dropped to an eight-year low of 10.3 percent from 15.1 percent in 2015. By comparison, the Sioux Falls metro area dipped to 8.1 percent from 8.7 percent, and the Sioux City metro area fell to 6.8 percent from 8.1 percent.

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