Ohio Ranks Among Worst States for Black, Hispanic Healthcare Outcomes
New report reveals Ohio ranks 10th-worst for Black residents’ healthcare outcomes and faces warnings that federal budget cuts will worsen racial health disparities.

COLUMBUS, OHIO β Ohio ranks among the worst states in the nation for healthcare outcomes among Black and Hispanic residents, according to a new report that warns recent federal budget cuts will likely worsen existing racial health disparities.
The Commonwealth Fund’s 2026 State Health Disparities Report found Ohio ranking 10th-worst for Black residents and 16th-worst for Hispanic residents among 48 states with sufficient data for analysis. The state performed significantly better for white residents, ranking 33rd overall.
Persistent Disparities Despite Income Controls
The study examined health system performance across four key areas: health outcomes, access to care, quality of care, and use of health services. Researchers found that racial disparities persist even when controlling for income levels and insurance coverage.
“Racial disparities are among the most persistent and well documented in the U.S. health care system,” the Commonwealth Fund report stated. “Studies have shown that racial and ethnic disparities remain even after accounting for insurance coverage, income level, and access to care.”
According to the report, these disparities stem from multiple factors including “the historical and continued consequences of structural racism, the impact of social drivers of health, variations in health coverage, and unequal treatment within health care.”
Federal Cuts Expected to Worsen Conditions
A panel of experts recently warned that congressional Republicans’ budget cuts, signed by President Donald Trump, will likely exacerbate existing health disparities. The experts suggested this may explain why the Trump administration is attempting to make such disparities harder to measure.
The report comes as healthcare advocates have long documented that poorer Americans have less access to quality care and experience worse health outcomes than their wealthier counterparts. However, the Commonwealth Fund study emphasizes that racial and ethnic differences in health outcomes persist even among people with similar income levels.
Ohio’s Healthcare Rankings by Race
The stark differences in Ohio’s healthcare performance by racial group highlight the scope of the problem. While the state’s 33rd-place ranking for white residents indicates room for improvement, the significantly lower rankings for minority populations underscore the severity of racial health disparities within the state.
The Commonwealth Fund analyzed states based on comprehensive health system performance metrics, focusing on measurable outcomes rather than just healthcare infrastructure or spending. The organization’s methodology examined actual health results, care accessibility, treatment quality, and healthcare utilization patterns across different racial and ethnic groups.
Health disparities between racial and ethnic groups have remained stubbornly persistent across the United States, with Ohio’s particularly stark differences between white, Black, and Hispanic residents reflecting broader national patterns of unequal healthcare access and outcomes.


