Kentucky has the second greatest reduction in the rate of uninsured people among the states, according to the Gallup Healthways Well- Being Index released Tuesday.

The survey said Kentucky’s uninsured rate is now 9.8 percent—down from 20.4 percent in 2013.

Kentucky is behind Arkansas, which has an uninsured rate of 11.4 percent compared to 22.5 percent in 2013.

Of the 11 states with the greatest reductions, 10 expanded Medicaid and established a state-based marketplace exchange or state-federal partnership, according to the report.

As WFPL previously reported, Kentucky’s Medicaid Expansion Report, showed a total of 310,887 people enrolled in Medicaid in 2014.

Massachusetts has the lowest uninsured rate for the seventh consecutive year at 4.6 percent. Texas has the highest uninsured rate at 24.4 percent.