Virginia Tech is 23rd, George Mason University is 65th, James Madison University is 72nd, and Virginia Commonwealth University is 83rd. There are 119 private institutions in the state, including Washington and Lee University and the University of Richmond, which are ranked as the country's 11th and 18nd best liberal arts colleges respectively. Virginia Tech and Virginia State University are the state's land-grant universities, and Virginia State is one of five historically black colleges and universities in Virginia. The Virginia Military Institute is the oldest state military college. Virginia also operates 23 community colleges on 40 campuses which enrolled 218,985 degree-seeking students during the 2020–2021 school year. In 2021, the state made community college free for most low- and middle-income students. George Mason University had the largest on-campus enrollment at 38,542 students , though the private Liberty University had the largest total enrollment in the state, with 88,283 online and 15,105 on-campus students in Lynchburg . Health Virginia has a mixed health record. The state was ranked 14th in overall health outcomes and 18th for healthy behaviors by the 2022 United Health Foundation's Health Rankings. Among U.S. states, Virginia has the nineteenth lowest rate of premature deaths, with 7,931 per 100,000, and an infant mortality rate of 5.61 per 1,000 live births. The rate of uninsured Virginians dropped to 6.8% in 2022, following an expansion of Medicare in 2019. Falls Church and Loudoun County were both ranked in the top ten healthiest communities in 2020 by U.S. News & World Report. There are however racial and social health disparities. With high rates of heart disease and diabetes, African Americans in Virginia had an average life expectancy four years lower than whites and twelve years lower than Asian Americans and Latinos in 2017, and were disproportionately affected by COVID-19 during the coronavirus pandemic. African-American mothers are also three times more likely to die while giving birth in the state. Mortality rates among white middle-class Virginians have also been rising, with drug overdose, alcohol poisoning, and suicide as leading causes. Suicides in the state increased by 11% between 2009 and 2021, while deaths from drug overdoses more than doubled in that time. Weight is an issue for many Virginians, and 32.2% of adults and 14.9% of 10- to 17-year-olds are obese . Additionally, 35% of adults are overweight and 23.3% do not exercise regularly. Smoking in bars and restaurants was banned in January