This report uses data from the 2008 American Community Survey to showcase significant variations in health insurance status, both within and across states by age, race/ethnicity and family income. Nationally, older children were more likely to be uninsured, white children were much more likely than non-white or Hispanic children to be insured, and children in the lowest income group were significantly more likely to be uninsured. Yet these patterns did not hold true for all states, even after controlling for employment status, industry and education level of parents.