Profile of Virginia’s Uninsured

The Virginia Health Care Foundation’s Profile of Virginia’s Uninsured provides a detailed picture of the Commonwealth’s uninsured and describes uninsured who are income-eligible for Virginia’s Cardinal Care [Medicaid and Virginia’s children’s health insurance program (CHIP) also known as FAMIS].

The 2025 Profile, which draws from the 2023 US Census American Community Survey (ACS), shows the lowest uninsured rate in Virginia since the Virginia Health Care Foundation (VHCF) began tracking them in 1996:  7.6% or 530,000 of nonelderly Virginians. 

For a thorough examination of Virginia’s uninsured demographics, see:

  • A summary of key findings and maps (PowerPoint)
  • The report (Adobe)
  • The accompanying tables (Adobe)

2025 Profile Highlights

  • 7.6% or 530,000 of all nonelderly Virginians had no health insurance in 2023.
    • 8.7% of Virginians, ages 19 to 64, had no health insurance — 439,000 non-elderly adult Virginians.
    • 4.6% of Virginians birth through age 18 had no health insurance – 92,000 children.
  • Most nonelderly uninsured Virginians are income-eligible for Medicaid/CHIP or a financial subsidy on the Health Insurance Marketplace (children: 79.7%; nonelderly adults: 84.7%).
    • 163,000 nonelderly adults are income-eligible for adult Medicaid. This is about a third uninsured Virginians, ages 19 – 64 (37.1%).
    • 46,000 uninsured children are income-eligible for Medicaid/CHIP, representing half of uninsured Virginia children (49.7%).
  • The majority of uninsured Virginians under age 65 were part of working families (83.9%, 445,000) — most with at least one full time worker (73.6%, 390,000).

Policies Leading to the Lowest Number of Uninsured Virginians:

  • Allowing young adults to stay on their parents’ health insurance plan until age 26 beginning in 2010 under the Affordable Care Act (ACA).
  • Subsidized coverage through Health Insurance Marketplaces beginning in 2014 under the ACA.
  • Virginia’s 2019 expansion of Medicaid to cover low-income nonelderly adults.
  • The federal continuous coverage provisions during the COVID-19 pandemic (2020-2023).
  • The state’s extension of post-partum Medicaid coverage to 12 months in 2022.
  • Expanded Marketplace subsidies under the American Rescue Plan Act and Inflation Reduction Act (2021-2025).

Notes:

2025 Profile data do not include additional Urban Institute adjustments for potential misreporting of Medicaid/CHIP coverage. Also, uninsured estimates using Census data collected 2021-2025 cannot be compared to estimates in pre-2021 Profiles of Virginia’s Uninsured due to the COVID-10 pandemic and related continuous coverage period.

Please cite the Virginia Health Care Foundation and Urban Institute when using data from the 2025 Profile of Virginia’s Uninsured. When using PowerPoint slides from the Profile, please use the complete slide using notes and citations from the Urban Institute.

The Profile of Virginia’s Uninsured was prepared for the Virginia Health Care Foundation by the Urban Institute and completed in March 2025. For more information on the study, methodology or results, contact VHCF at 804/828-5804 or dkonrad@vhcf.org.

Last Updated on February 10, 2026