An average of 16.9 percent of all adults reported lacking health insurance last year, similar to the 17.1 percent in 2011, but still much higher than the 14.8 percent in 2008, according to Gallup-Healthways Well Being Index.

Nationwide, the most significant change Gallup has found in health insurance trends since the passage of the Patient Protection and Affordable Care Act is that more young adults have gained coverage. But Gallup notes it's unclear what impact health reform will really have on uninsured rates, as the bulk of the law goes into effect beginning 2014.

Here are the nation's top five states with the highest uninsured rates.

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