Adult Ranking 2024
Adult Ranking
States that are ranked 1-13 have a lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have a higher prevalence of mental illness and lower rates of access to care.
The seven measures that make up the Adult Ranking include:
- Adults with Any Mental Illness (AMI)
- Adults with Substance Use Disorder in the Past Year
- Adults with Serious Thoughts of Suicide
- Adults with SUD Who Needed But Did Not Receive Treatment
- Adults with AMI Who are Uninsured
- Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
- Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems
| Rank Sort descending | State |
|---|---|
| 01 | New York |
| 02 | New Jersey |
| 03 | Massachusetts |
| 04 | Hawaii |
| 05 | Maine |
| 06 | Maryland |
| 07 | Pennsylvania |
| 08 | Connecticut |
| 09 | Virginia |
| 10 | New Hampshire |
| 11 | Delaware |
| 12 | Kentucky |
| 13 | Rhode Island |
| 14 | Wisconsin |
| 15 | Michigan |
| 16 | Indiana |
| 17 | Ohio |
| 18 | Florida |
| 19 | Vermont |
| 20 | Arkansas |
| 21 | Iowa |
| 22 | California |
| 23 | Tennessee |
| 24 | Kansas |
| 25 | South Carolina |
| 26 | South Dakota |
| 27 | District of Columbia |
| 28 | Minnesota |
| 29 | Illinois |
| 30 | New Mexico |
| 31 | Washington |
| 32 | North Carolina |
| 33 | West Virginia |
| 34 | Arizona |
| 35 | Oregon |
| 36 | Alabama |
| 37 | Louisiana |
| 38 | Missouri |
| 39 | Georgia |
| 40 | Colorado |
| 41 | Nebraska |
| 42 | Idaho |
| 43 | Alaska |
| 44 | Texas |
| 45 | Mississippi |
| 46 | Utah |
| 47 | Oklahoma |
| 48 | Nevada |
| 49 | North Dakota |
| 50 | Montana |
| 51 | Wyoming |
Adult Prevalence of Any Mental Illness (AMI) 2024
Adult Prevalence of Mental Illness - Adults with Any Mental Illness (AMI)
23.08% of adults experienced a mental illness in the past year,equivalent to nearly 60 million Americans.
5.86% experienced a severe mental illness.
The state prevalence of adult mental illness ranges from 19.38% in New Jersey to 29.19% in Utah.
According to SAMHSA, “Any Mental Illness (AMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These estimates are based on indicators of AMI rather than direct measures of diagnostic status.”
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | New Jersey | 19.38% | 1,389,000 |
| 02 | Florida | 20.45% | 3,563,000 |
| 03 | Delaware | 20.93% | 165,000 |
| 04 | Connecticut | 21.05% | 599,000 |
| 05 | New York | 21.11% | 3,273,000 |
| 06 | Hawaii | 21.47% | 234,000 |
| 07 | Texas | 21.94% | 4,797,000 |
| 08 | Illinois | 22.01% | 2,136,000 |
| 09 | Mississippi | 22.16% | 487,000 |
| 10 | California | 22.19% | 6,665,000 |
| 11 | North Carolina | 22.19% | 1,804,000 |
| 12 | Virginia | 22.28% | 1,470,000 |
| 13 | South Carolina | 22.35% | 902,000 |
| 14 | Maryland | 22.37% | 1,056,000 |
| 15 | Georgia | 22.52% | 1,836,000 |
| 16 | Michigan | 22.89% | 1,789,000 |
| 17 | New Hampshire | 23.06% | 259,000 |
| 18 | Massachusetts | 23.18% | 1,292,000 |
| 19 | Pennsylvania | 23.18% | 2,352,000 |
| 20 | Arizona | 23.26% | 1,308,000 |
| 21 | Wisconsin | 23.66% | 1,082,000 |
| 22 | Kentucky | 23.77% | 813,000 |
| 23 | Arkansas | 23.86% | 546,000 |
| 24 | Maine | 24.07% | 268,000 |
| 25 | Alabama | 24.09% | 931,000 |
| 26 | Louisiana | 24.34% | 838,000 |
| 27 | Kansas | 24.41% | 532,000 |
| 28 | Indiana | 24.44% | 1,260,000 |
| 29 | Ohio | 24.52% | 2,214,000 |
| 30 | Nevada | 24.65% | 600,000 |
| 31 | Rhode Island | 24.67% | 216,000 |
| 32 | Minnesota | 24.74% | 1,077,000 |
| 33 | South Dakota | 24.89% | 166,000 |
| 34 | Alaska | 24.96% | 132,000 |
| 35 | Tennessee | 25.47% | 1,370,000 |
| 36 | New Mexico | 25.67% | 414,000 |
| 37 | Nebraska | 25.71% | 376,000 |
| 38 | Oklahoma | 25.88% | 768,000 |
| 39 | North Dakota | 25.95% | 150,000 |
| 40 | West Virginia | 26.28% | 367,000 |
| 41 | Colorado | 26.30% | 1,186,000 |
| 42 | Missouri | 26.50% | 1,248,000 |
| 43 | District of Columbia | 26.63% | 143,000 |
| 44 | Iowa | 26.71% | 649,000 |
| 45 | Vermont | 26.80% | 141,000 |
| 46 | Montana | 27.12% | 234,000 |
| 47 | Washington | 27.14% | 1,629,000 |
| 48 | Wyoming | 27.44% | 121,000 |
| 49 | Oregon | 27.48% | 922,000 |
| 50 | Idaho | 28.02% | 402,000 |
| 51 | Utah | 29.19% | 700,000 |
| 52 | National | 23.08% | 58,867,000 |
Adults with Substance Use Disorder 2024
Adults with Substance Use Disorder in the Past Year
17.82% of adults in the U.S. had a substance use disorder in the past year, totaling over 45 million people.
9.41% of adults in America had a drug use disorder in the past year.
11.28% of adults in America had an alcohol use disorder in the past year.
The state prevalence of adults with substance use disorder ranges from 14.15% in Utah to 24.30% in Alaska.
According to SAMHSA, “Substance Use Disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. Beginning with the 2021 National Survey on Drug Use and Health, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs.”
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Utah | 14.15% | 340,000 |
| 02 | Alabama | 15.19% | 587,000 |
| 03 | Florida | 15.30% | 2,665,000 |
| 04 | South Carolina | 15.42% | 622,000 |
| 05 | Texas | 15.45% | 3,380,000 |
| 06 | North Carolina | 15.71% | 1,277,000 |
| 07 | Arkansas | 15.76% | 361,000 |
| 08 | New Jersey | 16.34% | 1,171,000 |
| 09 | Hawaii | 16.35% | 178,000 |
| 10 | Tennessee | 16.49% | 887,000 |
| 11 | Mississippi | 16.82% | 370,000 |
| 12 | Georgia | 16.99% | 1,385,000 |
| 13 | New Hampshire | 17.37% | 195,000 |
| 14 | Kentucky | 17.41% | 596,000 |
| 15 | Nebraska | 17.58% | 257,000 |
| 16 | Kansas | 17.69% | 386,000 |
| 17 | Maryland | 17.73% | 837,000 |
| 18 | Virginia | 17.79% | 1,173,000 |
| 19 | New York | 17.81% | 2,762,000 |
| 20 | Illinois | 17.86% | 1,733,000 |
| 21 | Arizona | 17.97% | 1,011,000 |
| 22 | Pennsylvania | 18.01% | 1,827,000 |
| 23 | California | 18.04% | 5,418,000 |
| 24 | Idaho | 18.17% | 260,000 |
| 25 | South Dakota | 18.24% | 121,000 |
| 26 | Connecticut | 18.39% | 523,000 |
| 27 | Michigan | 18.42% | 1,440,000 |
| 28 | Wisconsin | 18.44% | 844,000 |
| 29 | West Virginia | 18.68% | 261,000 |
| 30 | Maine | 18.80% | 209,000 |
| 31 | Delaware | 18.81% | 148,000 |
| 32 | Missouri | 18.89% | 889,000 |
| 33 | Indiana | 19.08% | 983,000 |
| 34 | Massachusetts | 19.16% | 1,068,000 |
| 35 | Ohio | 19.19% | 1,733,000 |
| 36 | Iowa | 19.32% | 469,000 |
| 37 | Oklahoma | 19.66% | 584,000 |
| 38 | Wyoming | 20.21% | 89,000 |
| 39 | Washington | 20.23% | 1,214,000 |
| 40 | Minnesota | 20.43% | 890,000 |
| 41 | Louisiana | 20.62% | 710,000 |
| 42 | North Dakota | 20.80% | 120,000 |
| 43 | Montana | 21.00% | 181,000 |
| 44 | Nevada | 21.60% | 525,000 |
| 45 | Rhode Island | 22.61% | 198,000 |
| 46 | Oregon | 22.71% | 762,000 |
| 47 | Vermont | 22.79% | 120,000 |
| 48 | Colorado | 23.08% | 1,040,000 |
| 49 | New Mexico | 23.55% | 380,000 |
| 50 | District of Columbia | 24.22% | 130,000 |
| 51 | Alaska | 24.30% | 128,000 |
| 52 | National | 17.82% | 45,438,000 |
Adults with Serious Thoughts of Suicide 2024
Adults with Serious Thoughts of Suicide
5.04% of adults reported experiencing serious thoughts of suicide. The estimated number of adults with serious suicidal thoughts in the U.S. is over 12.8 million.
After slight decreases in suicide deaths in 2019 and 2020, the number of individuals who died by suicide in 2022 was the highest number ever recorded in the U.S.
The state prevalence of adults with serious thoughts of suicide ranges from 4.16% in Connecticut to 7.12% in Utah.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Connecticut | 4.16% | 118,000 |
| 02 | New York | 4.29% | 665,000 |
| 03 | Massachusetts | 4.36% | 243,000 |
| 04 | New Jersey | 4.37% | 313,000 |
| 05 | Maryland | 4.41% | 208,000 |
| 06 | Maine | 4.56% | 51,000 |
| 07 | Hawaii | 4.64% | 50,000 |
| 08 | South Carolina | 4.67% | 188,000 |
| 09 | North Carolina | 4.70% | 382,000 |
| 10 | Rhode Island | 4.74% | 41,000 |
| 11 | Pennsylvania | 4.74% | 481,000 |
| 12 | Delaware | 4.75% | 37,000 |
| 13 | Virginia | 4.76% | 314,000 |
| 14 | Florida | 4.80% | 836,000 |
| 15 | New Hampshire | 4.87% | 55,000 |
| 16 | Mississippi | 4.94% | 109,000 |
| 17 | California | 4.97% | 1,491,000 |
| 18 | Texas | 4.98% | 1,090,000 |
| 19 | Georgia | 5.02% | 410,000 |
| 20 | Minnesota | 5.07% | 221,000 |
| 21 | Tennessee | 5.11% | 275,000 |
| 22 | Arizona | 5.15% | 290,000 |
| 23 | Wisconsin | 5.16% | 236,000 |
| 24 | Ohio | 5.21% | 470,000 |
| 25 | Arkansas | 5.23% | 120,000 |
| 26 | District of Columbia | 5.25% | 28,000 |
| 27 | Illinois | 5.26% | 511,000 |
| 28 | Kansas | 5.31% | 116,000 |
| 29 | Vermont | 5.35% | 28,000 |
| 30 | Kentucky | 5.41% | 185,000 |
| 31 | Michigan | 5.42% | 424,000 |
| 32 | Alabama | 5.44% | 210,000 |
| 33 | Oklahoma | 5.47% | 162,000 |
| 34 | Alaska | 5.47% | 29,000 |
| 35 | Louisiana | 5.51% | 190,000 |
| 36 | Iowa | 5.51% | 134,000 |
| 37 | Washington | 5.51% | 331,000 |
| 38 | New Mexico | 5.55% | 90,000 |
| 39 | Indiana | 5.56% | 287,000 |
| 40 | South Dakota | 5.59% | 37,000 |
| 41 | Missouri | 5.61% | 264,000 |
| 42 | Oregon | 5.61% | 188,000 |
| 43 | North Dakota | 5.68% | 33,000 |
| 44 | West Virginia | 5.71% | 80,000 |
| 45 | Nevada | 5.75% | 140,000 |
| 46 | Wyoming | 5.84% | 26,000 |
| 47 | Colorado | 5.91% | 266,000 |
| 48 | Montana | 6.02% | 52,000 |
| 49 | Nebraska | 6.15% | 90,000 |
| 50 | Idaho | 6.68% | 96,000 |
| 51 | Utah | 7.12% | 171,000 |
| 52 | National | 5.04% | 12,860,000 |
Adults with AMI Who Are Uninsured 2024
Adults with AMI Who Are Uninsured
10.1% of adults (over 5.9 million people) with a mental illness are uninsured, compared to 9.3% of adults without a mental illness.
In 2022, 64% of adults who were uninsured said that they did not have health insurance because they could not afford it.
The state prevalence of uninsured adults with mental illness ranges from 2.60% in the District of Columbia to 22.90% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 2.60% | 4,000 |
| 02 | Vermont | 3.40% | 5,000 |
| 03 | Oregon | 4.40% | 43,000 |
| 04 | Maine | 4.50% | 12,000 |
| 05 | Rhode Island | 4.50% | 11,000 |
| 06 | Hawaii | 4.60% | 12,000 |
| 07 | Wisconsin | 4.70% | 48,000 |
| 08 | Maryland | 4.90% | 55,000 |
| 09 | New Hampshire | 4.90% | 13,000 |
| 10 | New York | 5.00% | 162,000 |
| 11 | New Mexico | 5.20% | 22,000 |
| 12 | Massachusetts | 5.30% | 68,000 |
| 13 | Virginia | 5.40% | 80,000 |
| 14 | Kentucky | 5.60% | 44,000 |
| 15 | Pennsylvania | 5.80% | 133,000 |
| 16 | Iowa | 6.40% | 45,000 |
| 17 | New Jersey | 6.40% | 84,000 |
| 18 | Idaho | 6.50% | 27,000 |
| 19 | Michigan | 6.50% | 115,000 |
| 20 | Indiana | 6.60% | 84,000 |
| 21 | Delaware | 7.10% | 11,000 |
| 22 | Colorado | 7.20% | 88,000 |
| 23 | Connecticut | 7.50% | 42,000 |
| 24 | Louisiana | 7.50% | 64,000 |
| 25 | Ohio | 7.50% | 164,000 |
| 26 | Arkansas | 7.80% | 40,000 |
| 27 | California | 7.80% | 522,000 |
| 28 | Alaska | 7.90% | 10,000 |
| 29 | Washington | 7.90% | 137,000 |
| 30 | Nevada | 8.70% | 55,000 |
| 31 | Utah | 8.70% | 64,000 |
| 32 | Minnesota | 9.10% | 100,000 |
| 33 | Illinois | 9.30% | 197,000 |
| 34 | Nebraska | 9.40% | 33,000 |
| 35 | Missouri | 9.50% | 127,000 |
| 36 | West Virginia | 10.50% | 41,000 |
| 37 | Arizona | 10.60% | 132,000 |
| 38 | Montana | 11.80% | 27,000 |
| 39 | South Dakota | 12.40% | 19,000 |
| 40 | Tennessee | 12.80% | 182,000 |
| 41 | North Dakota | 12.90% | 18,000 |
| 42 | Kansas | 13.50% | 70,000 |
| 43 | South Carolina | 13.60% | 111,000 |
| 44 | Alabama | 14.40% | 132,000 |
| 45 | Florida | 14.90% | 516,000 |
| 46 | North Carolina | 15.50% | 271,000 |
| 47 | Oklahoma | 16.10% | 121,000 |
| 48 | Georgia | 18.70% | 351,000 |
| 49 | Wyoming | 19.70% | 24,000 |
| 50 | Mississippi | 22.80% | 111,000 |
| 51 | Texas | 22.90% | 1,068,000 |
| 52 | National | 10.10% | 5,916,000 |
Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems 2024
Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems
10.2% of adults who experienced a mental illness in the past year had private health insurance that did not cover mental or emotional problems.
The state prevalence of adults with AMI whose private insurance did not cover mental or emotional problems ranges from 3.60% in Vermont to 24.70% in Mississippi.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 3.60% | 3,000 |
| 02 | Washington | 3.70% | 30,000 |
| 03 | Rhode Island | 3.80% | 5,000 |
| 04 | Ohio | 5.80% | 65,000 |
| 05 | Maryland | 6.10% | 35,000 |
| 06 | New York | 6.10% | 100,000 |
| 07 | District of Columbia | 6.60% | 6,000 |
| 08 | Virginia | 6.60% | 54,000 |
| 09 | Massachusetts | 6.70% | 47,000 |
| 10 | Oregon | 6.90% | 36,000 |
| 11 | Iowa | 7.00% | 25,000 |
| 12 | Alaska | 7.20% | 4,000 |
| 13 | Maine | 7.40% | 9,000 |
| 14 | Indiana | 8.00% | 51,000 |
| 15 | Wisconsin | 8.00% | 49,000 |
| 16 | Colorado | 8.10% | 57,000 |
| 17 | Delaware | 8.80% | 7,000 |
| 18 | New Hampshire | 8.80% | 14,000 |
| 19 | Georgia | 8.90% | 75,000 |
| 20 | Illinois | 9.30% | 98,000 |
| 21 | Kansas | 9.40% | 26,000 |
| 22 | Michigan | 9.40% | 80,000 |
| 23 | Kentucky | 9.50% | 31,000 |
| 24 | New Jersey | 9.50% | 78,000 |
| 25 | South Dakota | 9.60% | 8,000 |
| 26 | California | 10.30% | 316,000 |
| 27 | Nevada | 10.30% | 30,000 |
| 28 | Connecticut | 10.80% | 35,000 |
| 29 | New Mexico | 11.00% | 20,000 |
| 30 | Hawaii | 11.10% | 13,000 |
| 31 | Tennessee | 11.10% | 69,000 |
| 32 | Minnesota | 11.30% | 66,000 |
| 33 | Missouri | 11.30% | 73,000 |
| 34 | Pennsylvania | 11.40% | 135,000 |
| 35 | Florida | 11.80% | 194,000 |
| 36 | Idaho | 11.80% | 28,000 |
| 37 | Louisiana | 12.00% | 33,000 |
| 38 | Utah | 12.70% | 62,000 |
| 39 | Arkansas | 12.90% | 27,000 |
| 40 | Wyoming | 13.10% | 7,000 |
| 41 | Oklahoma | 13.20% | 41,000 |
| 42 | North Carolina | 13.40% | 109,000 |
| 43 | Arizona | 13.80% | 76,000 |
| 44 | Alabama | 15.80% | 66,000 |
| 45 | North Dakota | 15.90% | 13,000 |
| 46 | Texas | 16.50% | 350,000 |
| 47 | Montana | 16.70% | 14,000 |
| 48 | South Carolina | 16.80% | 58,000 |
| 49 | Nebraska | 17.60% | 39,000 |
| 50 | West Virginia | 20.00% | 23,000 |
| 51 | Mississippi | 24.70% | 42,000 |
| 52 | National | 10.20% | 2,929,000 |
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs 2024
Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
24.58% of adults who reported experiencing 14 or more mentally unhealthy days each month were not able to see a doctor due to costs. This was a 2% increase over last year’s report.
High costs of mental health care are a critical barrier to access. In 2022, 58.9% of adults with a mental illness in the past year who sought or thought they should receive mental health care said the reason they did not receive it was because they thought it would cost too much.
The prevalence of adults with 14+ mentally unhealthy days a month who could not see a doctor due to cost ranges from 12.88% in Hawaii to 34.95% in Georgia.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Hawaii | 12.88% | 16,793 |
| 02 | Rhode Island | 13.90% | 18,748 |
| 03 | Vermont | 15.04% | 12,752 |
| 04 | Massachusetts | 15.84% | 127,266 |
| 05 | Oregon | 17.44% | 103,696 |
| 06 | Connecticut | 18.34% | 75,156 |
| 07 | Delaware | 18.37% | 20,855 |
| 08 | New Mexico | 18.49% | 48,170 |
| 09 | Pennsylvania | 18.66% | 283,014 |
| 10 | Wisconsin | 18.84% | 138,097 |
| 11 | Maine | 18.85% | 33,832 |
| 12 | Iowa | 19.10% | 63,036 |
| 13 | New Hampshire | 19.41% | 36,583 |
| 14 | Michigan | 19.45% | 253,407 |
| 15 | Maryland | 19.48% | 134,072 |
| 16 | Minnesota | 19.55% | 125,782 |
| 17 | New York | 20.25% | 480,099 |
| 18 | California | 20.26% | 855,786 |
| 19 | New Jersey | 20.75% | 204,236 |
| 20 | District of Columbia | 20.87% | 15,247 |
| 21 | West Virginia | 21.17% | 62,187 |
| 22 | Virginia | 21.25% | 232,815 |
| 23 | Washington | 21.35% | 213,394 |
| 24 | Indiana | 21.90% | 190,222 |
| 25 | Colorado | 22.16% | 161,822 |
| 26 | North Dakota | 22.27% | 18,476 |
| 27 | Ohio | 22.76% | 375,207 |
| 28 | South Dakota | 22.90% | 19,731 |
| 29 | Montana | 23.00% | 32,700 |
| 30 | Nebraska | 23.52% | 42,413 |
| 31 | Illinois | 24.54% | 327,839 |
| 32 | Alaska | 25.15% | 20,818 |
| 33 | Kentucky | 25.28% | 141,765 |
| 34 | Idaho | 26.02% | 56,813 |
| 35 | Louisiana | 26.14% | 181,572 |
| 36 | Arizona | 26.25% | 245,891 |
| 37 | Utah | 27.74% | 110,845 |
| 38 | Kansas | 27.83% | 97,880 |
| 39 | Florida | 27.91% | 733,717 |
| 40 | Tennessee | 28.19% | 309,054 |
| 41 | Missouri | 29.17% | 236,191 |
| 42 | South Carolina | 29.22% | 186,625 |
| 43 | Oklahoma | 29.71% | 159,026 |
| 44 | Arkansas | 30.37% | 142,055 |
| 45 | North Carolina | 30.71% | 387,402 |
| 46 | Mississippi | 31.15% | 108,393 |
| 47 | Nevada | 32.26% | 115,706 |
| 48 | Wyoming | 32.97% | 21,562 |
| 49 | Alabama | 33.24% | 233,201 |
| 50 | Texas | 34.38% | 1,223,117 |
| 51 | Georgia | 34.95% | 462,803 |
| 52 | National | 24.58% | 9,897,868 |
Adults with SUD who needed but did not receive treatment 2024
Adults with SUD Who Needed But Did Not Receive Treatment
Over three-quarters (76.9%) of all adults with a substance use disorder did not receive the treatment they needed.
Most adults with SUD who sought or thought about receiving treatment reported they didn’t because they thought they should have been able to handle their drug or alcohol use on their own (75.4%).
This was followed by: Not ready to start treatment (58.6%), not ready to stop or cut back using alcohol or drugs (48.4%), thought it would cost too much (47.7%), and did not know how or where to get treatment (47.3%).
The state prevalence of adults with SUD with unmet treatment needs ranges from 67.24% in West Virginia to 83.99% in Illinois.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | West Virginia | 67.24% | 224,000 |
| 02 | Kentucky | 69.57% | 500,000 |
| 03 | Wyoming | 70.11% | 71,000 |
| 04 | Arkansas | 70.51% | 324,000 |
| 05 | Maine | 70.55% | 165,000 |
| 06 | Tennessee | 71.39% | 765,000 |
| 07 | Indiana | 71.49% | 688,000 |
| 08 | Kansas | 71.54% | 299,000 |
| 09 | Mississippi | 71.62% | 299,000 |
| 10 | Alabama | 72.15% | 510,000 |
| 11 | New York | 72.59% | 2,331,000 |
| 12 | South Dakota | 72.88% | 100,000 |
| 13 | Pennsylvania | 72.90% | 1,505,000 |
| 14 | Montana | 73.01% | 149,000 |
| 15 | Missouri | 73.11% | 766,000 |
| 16 | Iowa | 73.30% | 356,000 |
| 17 | Utah | 73.67% | 300,000 |
| 18 | Idaho | 73.74% | 225,000 |
| 19 | Massachusetts | 73.87% | 873,000 |
| 20 | New Mexico | 74.15% | 278,000 |
| 21 | Oklahoma | 74.44% | 479,000 |
| 22 | Ohio | 74.57% | 1,542,000 |
| 23 | New Jersey | 74.91% | 1,008,000 |
| 24 | Michigan | 74.98% | 1,251,000 |
| 25 | District of Columbia | 75.02% | 124,000 |
| 26 | Nebraska | 75.19% | 213,000 |
| 27 | South Carolina | 75.64% | 585,000 |
| 28 | Vermont | 75.70% | 92,000 |
| 29 | Florida | 75.97% | 2,329,000 |
| 30 | New Hampshire | 76.54% | 175,000 |
| 31 | Louisiana | 77.15% | 615,000 |
| 32 | Virginia | 77.45% | 1,006,000 |
| 33 | North Dakota | 77.62% | 94,000 |
| 34 | Wisconsin | 77.65% | 723,000 |
| 35 | Colorado | 78.36% | 907,000 |
| 36 | Minnesota | 78.40% | 757,000 |
| 37 | Hawaii | 78.52% | 151,000 |
| 38 | Texas | 78.54% | 3,099,000 |
| 39 | Connecticut | 79.14% | 478,000 |
| 40 | Rhode Island | 79.32% | 190,000 |
| 41 | Delaware | 79.32% | 129,000 |
| 42 | Nevada | 79.33% | 470,000 |
| 43 | Washington | 79.53% | 1,116,000 |
| 44 | North Carolina | 79.56% | 1,217,000 |
| 45 | Arizona | 79.59% | 894,000 |
| 46 | Oregon | 79.91% | 691,000 |
| 47 | Maryland | 80.01% | 691,000 |
| 48 | Georgia | 80.36% | 1,245,000 |
| 49 | Alaska | 81.51% | 109,000 |
| 50 | California | 82.77% | 4,963,000 |
| 51 | Illinois | 83.99% | 1,624,000 |
| 52 | National | 76.90% | 39,692,000 |