Profile of Virginia’s Uninsured

As part of VHCF’s role as a nonpartisan public-private partnership, we publish the annual Profile of Virginia’s Uninsured as a service to the Commonwealth – this marks our 30th year of publication. Our partners at the Urban Institute analyze the most recent US Census American Community Survey data and CDC Behavioral Risk Factor Surveillance Survey data (from 2024) to provide detailed insights about people under age 65 without health insurance in Virginia.

Profile of Virginia’s Uninsured in Context – Reviewing the Data

We’ve got you covered depending on the level of detail you are looking for!

  • Want to review the highlights? Read through our Profile narrative.
  • Want to explore the key findings in a visual format? Check out our chartbook, which includes:
    • Demographic information on the uninsured – age, income, race/ethnicity, employment status
    • Changes in uninsurance rates year over year
    • Regional data/maps
  • Want to review the data in detail? Check out the detailed data tables.
  • Have questions, or suggestions for next year’s Profile of Virginia’s Uninsured, or need these documents in another format? Email Joanna Fowler, VHCF’s Chief Policy & Strategy Officer, at joanna@vhcf.org.

Key Findings 

  • This year’s Profile of Virginia’s Uninsured shows that the rate of uninsured people in Virginia increased slightly in 2024, from the historic low of 7.6% in 2023 to 8.1% in 2024. This means the number of uninsured Virginians went up from 530,000 in 2023 to 573,000 in 2024.
  • This increase in the uninsured in Virginia between 2023 and 2024 mirrors nationwide trends, as states resumed regular Medicaid/CHIP renewals after they were paused during the COVID-19 pandemic, which kept most people continuously enrolled in Medicaid/CHIP coverage from 2020-2023.
  • This report does not reflect the impact of federal policy changes from 2025/2026, including the expiration of enhanced Marketplace subsidies December 31, 2025. This data will be an important baseline snapshot for Virginia as ongoing major federal policy changes are implemented that will further impact health coverage.
  • In 2024:
  • Adults were 8 times as likely to be uninsured as children (470,000 uninsured adults and 103,000 uninsured children).
  • About half of uninsured children (51.4%) and 38.8% of uninsured adults in Virginia have family incomes that would make them potentially eligible for Medicaid or CHIP (known as “FAMIS” in Virginia).
  • Nonelderly uninsured rates were above 9 percent in three regions of the state: the upper Shenandoah Valley area (11.5%), the Fredericksburg area (10.3%), and Newport News and Hampton (9.8%).