The need for health reform in California is more urgent, more acute, and in some ways different, than in many other states: THE UNINSURED: Californians are more likely to be uninsured than residents of all but six states.1 California has 6.5 million uninsured. California has more uninsured (6.5 million) than Massachusetts has people (6.3 million). More than one in seven uninsured Americans lives in California. Most uninsured Californians are in working families (80%) and in low- or moderate-income families (80%) earning less than 300 percent of the Federal Poverty Level (FPL).2 California’s uninsured are disproportionately persons of color (70%).