2023 State of Children's Health in PA

Difference in Uninsured Rates for Children, 2021-2022

Uninsured rates increased, and more children are without health insurance Uninsured rates decreased, and less children are without health insurance

Erie -0.03%

Susquehanna -0.09%

Bradford -0.12%

Warren 2.00%

Tioga -0.12%

McKean -2.89%

Potter -2.89%

Crawford 5.43%

Wayne -3.09%

Forest 1.45%

Wyoming 0.06%

Elk -2.89%

Sullivan -0.12%


Venango 1.45%

Lackawanna -1.38%


Pike -3.09%

Lycoming 1.16%

Mercer 2.84%

Clinton -1.05%

Clarion 1.45%

Jefferson 1.45%

Luzerne -0.97%

Columbia 1.61%

Monroe 1.99%

Lawrence -3.31%

Union 4.39% Snyder 4.39%

Cleareld -2.72%

Butler 0.28%

Centre -1.87%

Carbon 5.04%

Armstrong 1.09%

Beaver 0.40%

Schuylkill -0.60%

Mifin 4.39%

Indiana 1.67%


Lehigh 0.77%


Dauphin 4.79%

Allegheny 0.46%

Blair -4.57%

Cambria -1.83%

Bucks 0.21%

Perry -1.05%

Berks 0.84%

Lebanon 11.13%

Westmoreland 1.90%

Huntingdon -4.20%

Washington 3.52%

Montgomery -0.50%

Cumberland -0.27%

Lancaster 2.21%

Bedford -0.35%

Somerset -3.10%

Chester 2.01%

Philadelphia 1.00%

York 0.35%

Fulton -0.35%

Fayette -1.39%

Franklin -8.39%

Adams 2.68%

Greene 3.67%

Delaware 2.04%

Source: PPC analysis, U.S. Census Bureau, American Community Survey (1-year estimates), 2021 and 2022 Note: Small area regional rates were used for the 28 smallest counties not included in the 1-year ACS—Bedford, Bradford, Cameron, Clarion, Clinton, Columbia, Elk, Forest, Fulton, Greene, Huntingdon, Jefferson, Juniata, McKean, Mifflin, Montour, Perry, Pike, Potter, Snyder, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Wayne, and Wyoming.

Focusing outreach about public health insurance options through Medicaid, CHIP, and Pennie™ to families in these seven counties would reach nearly half of the uninsured population.

County Comparison Comparing the 2022 rates to the prior year, seven counties had notably better rates (Blair, Franklin, Huntingdon, Lawrence, Pike, Somerset, and Wayne) and 11 counties had notably worse rates (Carbon, Crawford, Dauphin, Greene, Juniata, Lebanon, Mifflin, Northumberland, Snyder, Union, and Washington). The vast majority, or three-quarters, of counties had no substantial change to their rates, meaning they had less than a 3% difference from the prior year. Because rates only tell part of the story in locating the uninsured population, it’s important to also look at the number of children without health insurance in each county. Seven counties have at least 5,000 or more uninsured children and, together, account for nearly half of all the uninsured children in the commonwealth. The remaining 74,000 uninsured children are spread across the other 60 counties.

Number of Uninsured Children


Lancaster* Philadelphia

22,100 16,700

Chester Lebanon Allegheny

8,400 7,200 5,800 5,600


Dauphin 5,000 *Lancaster County is home to the largest Amish settlement in the United States and is likely to be a leading factor affecting the uninsured population. iii The Amish and Anabaptists do not participate in traditional health insurance but rather rely on their church support and community structure to pool funds and self-pay their medical expenses.


Health Insurance Trends During the Final Year of the COVID-19 Public Health Emergency

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