Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in Texas

Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Gaines County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2024, at 42.5%. Loving County had the lowest, at 5.7%. The median was 21.9% and the figure for Texas was 21.6%. Source: the U.S. Census Bureau.

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Highest42.5Gaines County
Lowest5.7Loving County
Median21.9254 counties
Texas21.6History

Map of counties, 2024

Anderson County: 20.7 %Andrews County: 23.5 %Angelina County: 23.5 %Aransas County: 19.3 %Archer County: 18.2 %Armstrong County: 15.7 %Atascosa County: 21.8 %Austin County: 24.1 %Bailey County: 30.1 %Bandera County: 22 %Bastrop County: 26 %Baylor County: 19.3 %Bee County: 17.7 %Bell County: 18 %Bexar County: 20.7 %Blanco County: 18.9 %Borden County: 13.2 %Bosque County: 23.5 %Bowie County: 18.5 %Brazoria County: 17.4 %Brazos County: 19 %Brewster County: 19.7 %Briscoe County: 22.4 %Brooks County: 21.9 %Brown County: 20.5 %Burleson County: 23.8 %Burnet County: 24.4 %Caldwell County: 27.3 %Calhoun County: 20.6 %Callahan County: 19.3 %Cameron County: 32.9 %Camp County: 25.9 %Carson County: 13.9 %Cass County: 19.8 %Castro County: 27 %Chambers County: 16.2 %Cherokee County: 25.4 %Childress County: 14 %Clay County: 17.7 %Cochran County: 28.6 %Coke County: 18.8 %Coleman County: 22.6 %Collin County: 12.1 %Collingsworth County: 27.8 %Colorado County: 22.9 %Comal County: 13.7 %Comanche County: 27.8 %Concho County: 19.2 %Cooke County: 23 %Coryell County: 16.1 %Cottle County: 18.1 %Crane County: 23.4 %Crockett County: 30.4 %Crosby County: 25.4 %Culberson County: 17.8 %Dallam County: 29.6 %Dallas County: 26.5 %Dawson County: 25.1 %Deaf Smith County: 30 %Delta County: 16.4 %Denton County: 12.8 %DeWitt County: 20.2 %Dickens County: 21.2 %Dimmit County: 19.7 %Donley County: 23.1 %Duval County: 19.9 %Eastland County: 25.7 %Ector County: 27.2 %Edwards County: 31.4 %Ellis County: 17.3 %El Paso County: 27.9 %Erath County: 23.2 %Falls County: 20 %Fannin County: 21 %Fayette County: 21 %Fisher County: 16.5 %Floyd County: 27.9 %Foard County: 19.7 %Fort Bend County: 15.6 %Franklin County: 20.5 %Freestone County: 22.6 %Frio County: 25.4 %Gaines County: 42.5 %Galveston County: 17 %Garza County: 21.3 %Gillespie County: 23.6 %Glasscock County: 13.4 %Goliad County: 19.5 %Gonzales County: 28.9 %Gray County: 25.8 %Grayson County: 21.2 %Gregg County: 22 %Grimes County: 23.1 %Guadalupe County: 15.9 %Hale County: 25.7 %Hall County: 26.2 %Hamilton County: 25.6 %Hansford County: 27.5 %Hardeman County: 22.8 %Hardin County: 17.1 %Harris County: 25.7 %Harrison County: 19.7 %Hartley County: 19.3 %Haskell County: 25.1 %Hays County: 16.3 %Hemphill County: 21.6 %Henderson County: 22.4 %Hidalgo County: 33.2 %Hill County: 21.9 %Hockley County: 23.4 %Hood County: 18.4 %Hopkins County: 26.6 %Houston County: 22.4 %Howard County: 20.4 %Hudspeth County: 26.6 %Hunt County: 22.1 %Hutchinson County: 18.9 %Irion County: 16.9 %Jack County: 25.7 %Jackson County: 21.6 %Jasper County: 20.5 %Jeff Davis County: 15.9 %Jefferson County: 23.8 %Jim Hogg County: 22.9 %Jim Wells County: 22.8 %Johnson County: 21.9 %Jones County: 20.3 %Karnes County: 17 %Kaufman County: 20.4 %Kendall County: 16.6 %Kenedy County: 24.4 %Kent County: 14 %Kerr County: 22.2 %Kimble County: 26.8 %King County: 26.7 %Kinney County: 13.1 %Kleberg County: 20.6 %Knox County: 23.6 %Lamar County: 20.8 %Lamb County: 27.3 %Lampasas County: 20.8 %La Salle County: 23.8 %Lavaca County: 20.4 %Lee County: 26.8 %Leon County: 25 %Liberty County: 29.7 %Limestone County: 24.4 %Lipscomb County: 25.3 %Live Oak County: 24.9 %Llano County: 20.3 %Loving County: 5.7 %Lubbock County: 18.3 %Lynn County: 21.1 %McCulloch County: 24.5 %McLennan County: 21.1 %McMullen County: 15.3 %Madison County: 28.2 %Marion County: 19.7 %Martin County: 20.6 %Mason County: 27 %Matagorda County: 23.3 %Maverick County: 30.1 %Medina County: 18.4 %Menard County: 26.1 %Midland County: 18.6 %Milam County: 20.9 %Mills County: 20.4 %Mitchell County: 18.1 %Montague County: 24.5 %Montgomery County: 18.9 %Moore County: 33.4 %Morris County: 20.8 %Motley County: 19.5 %Nacogdoches County: 25.6 %Navarro County: 27.1 %Newton County: 23.6 %Nolan County: 19.2 %Nueces County: 22.3 %Ochiltree County: 29.8 %Oldham County: 16.3 %Orange County: 15.2 %Palo Pinto County: 24.1 %Panola County: 19.9 %Parker County: 17.8 %Parmer County: 30.3 %Pecos County: 22.8 %Polk County: 23.3 %Potter County: 27.9 %Presidio County: 34 %Rains County: 22.9 %Randall County: 15.7 %Reagan County: 17.6 %Real County: 24.8 %Red River County: 23.7 %Reeves County: 24.6 %Refugio County: 18.6 %Roberts County: 12.7 %Robertson County: 22.6 %Rockwall County: 13.1 %Runnels County: 22.1 %Rusk County: 20.8 %Sabine County: 20.2 %San Augustine County: 23.5 %San Jacinto County: 25.4 %San Patricio County: 20.8 %San Saba County: 29.1 %Schleicher County: 21.3 %Scurry County: 20.4 %Shackelford County: 17.8 %Shelby County: 27.1 %Sherman County: 26.2 %Smith County: 23.5 %Somervell County: 18.1 %Starr County: 34 %Stephens County: 23.5 %Sterling County: 14 %Stonewall County: 18.8 %Sutton County: 22 %Swisher County: 26.8 %Tarrant County: 20.7 %Taylor County: 18.5 %Terrell County: 11.8 %Terry County: 29.3 %Throckmorton County: 20 %Titus County: 29.4 %Tom Green County: 20.5 %Travis County: 15.7 %Trinity County: 20.9 %Tyler County: 22.5 %Upshur County: 19.8 %Upton County: 18.7 %Uvalde County: 26 %Val Verde County: 24.4 %Van Zandt County: 23.5 %Victoria County: 21.8 %Walker County: 21.7 %Waller County: 23.8 %Ward County: 21.2 %Washington County: 18.5 %Webb County: 33.6 %Wharton County: 23.5 %Wheeler County: 28 %Wichita County: 20.2 %Wilbarger County: 23.3 %Willacy County: 26.7 %Williamson County: 12.4 %Wilson County: 16.5 %Winkler County: 21.9 %Wise County: 21 %Wood County: 26 %Yoakum County: 26.1 %Young County: 20.6 %Zapata County: 33.8 %Zavala County: 20.8 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 24
  • 24 to 27
  • 27 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Gaines County: 42.5 %Gaines County42.5Presidio County: 34 %Presidio County34Starr County: 34 %Starr County34Zapata County: 33.8 %Zapata County33.8Webb County: 33.6 %Webb County33.6Moore County: 33.4 %Moore County33.4Hidalgo County: 33.2 %Hidalgo County33.2Cameron County: 32.9 %Cameron County32.9Edwards County: 31.4 %Edwards County31.4Crockett County: 30.4 %Crockett County30.4Parmer County: 30.3 %Parmer County30.3Bailey County: 30.1 %Bailey County30.1Maverick County: 30.1 %Maverick County30.1Deaf Smith County: 30 %Deaf Smith County30Ochiltree County: 29.8 %Ochiltree County29.8Liberty County: 29.7 %Liberty County29.7Dallam County: 29.6 %Dallam County29.6Titus County: 29.4 %Titus County29.4Terry County: 29.3 %Terry County29.3San Saba County: 29.1 %San Saba County29.1Gonzales County: 28.9 %Gonzales County28.9Cochran County: 28.6 %Cochran County28.6Madison County: 28.2 %Madison County28.2Wheeler County: 28 %Wheeler County28El Paso County: 27.9 %El Paso County27.9Floyd County: 27.9 %Floyd County27.9Potter County: 27.9 %Potter County27.9Collingsworth County: 27.8 %Collingsworth County27.8Comanche County: 27.8 %Comanche County27.8Hansford County: 27.5 %Hansford County27.5Caldwell County: 27.3 %Caldwell County27.3Lamb County: 27.3 %Lamb County27.3Ector County: 27.2 %Ector County27.2Navarro County: 27.1 %Navarro County27.1Shelby County: 27.1 %Shelby County27.1Castro County: 27 %Castro County27Mason County: 27 %Mason County27Kimble County: 26.8 %Kimble County26.8Lee County: 26.8 %Lee County26.8Swisher County: 26.8 %Swisher County26.8Gaines County: 42.5 %Gaines County42.5Presidio County: 34 %Presidio County34Starr County: 34 %Starr County34Zapata County: 33.8 %Zapata County33.8Webb County: 33.6 %Webb County33.6Moore County: 33.4 %Moore County33.4Hidalgo County: 33.2 %Hidalgo County33.2Cameron County: 32.9 %Cameron County32.9Edwards County: 31.4 %Edwards County31.4Crockett County: 30.4 %Crockett County30.4Parmer County: 30.3 %Parmer County30.3Bailey County: 30.1 %Bailey County30.1Maverick County: 30.1 %Maverick County30.1Deaf Smith County: 30 %Deaf Smith County30Ochiltree County: 29.8 %Ochiltree County29.8Liberty County: 29.7 %Liberty County29.7Dallam County: 29.6 %Dallam County29.6Titus County: 29.4 %Titus County29.4Terry County: 29.3 %Terry County29.3San Saba County: 29.1 %San Saba County29.1Gonzales County: 28.9 %Gonzales County28.9Cochran County: 28.6 %Cochran County28.6Madison County: 28.2 %Madison County28.2Wheeler County: 28 %Wheeler County28El Paso County: 27.9 %El Paso County27.9Floyd County: 27.9 %Floyd County27.9Potter County: 27.9 %Potter County27.9Collingsworth County: 27.8 %Collingsworth County27.8Comanche County: 27.8 %Comanche County27.8Hansford County: 27.5 %Hansford County27.5Caldwell County: 27.3 %Caldwell County27.3Lamb County: 27.3 %Lamb County27.3Ector County: 27.2 %Ector County27.2Navarro County: 27.1 %Navarro County27.1Shelby County: 27.1 %Shelby County27.1Castro County: 27 %Castro County27Mason County: 27 %Mason County27Kimble County: 26.8 %Kimble County26.8Lee County: 26.8 %Lee County26.8Swisher County: 26.8 %Swisher County26.8
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Gaines County42.5+3.9 pts
2Presidio County34-1 pts
2Starr County34+1.4 pts
4Zapata County33.8+0.6 pts
5Webb County33.6-1.9 pts
6Moore County33.4+2.8 pts
7Hidalgo County33.2-2.5 pts
8Cameron County32.9+0.4 pts
9Edwards County31.4-2 pts
10Crockett County30.4+3 pts
11Parmer County30.30 pts
12Bailey County30.1-0.9 pts
12Maverick County30.1+0.2 pts
14Deaf Smith County30+1.5 pts
15Ochiltree County29.8-0.5 pts
16Liberty County29.7+0.3 pts
17Dallam County29.6-2 pts
18Titus County29.4+0.8 pts
19Terry County29.3-0.7 pts
20San Saba County29.1+0.7 pts
21Gonzales County28.9+1 pts
22Cochran County28.6-2.3 pts
23Madison County28.2+2.1 pts
24Wheeler County28-0.6 pts
25El Paso County27.9-0.2 pts
25Floyd County27.9+1.6 pts
25Potter County27.9-0.1 pts
28Collingsworth County27.8+1.7 pts
28Comanche County27.8+1.4 pts
30Hansford County27.5-3.6 pts
31Caldwell County27.3+1.2 pts
31Lamb County27.3+0.1 pts
33Ector County27.2+1.1 pts
34Navarro County27.1+0.2 pts
34Shelby County27.1+1.2 pts
36Castro County27+0.1 pts
36Mason County27+4.2 pts
38Kimble County26.8+4.2 pts
38Lee County26.8+3.2 pts
38Swisher County26.80 pts
41King County26.7+2.4 pts
41Willacy County26.7-0.1 pts
43Hopkins County26.6+1.5 pts
43Hudspeth County26.6-2.2 pts
45Dallas County26.5-0.2 pts
46Hall County26.2-3.1 pts
46Sherman County26.2-3.3 pts
48Menard County26.1+0.2 pts
48Yoakum County26.1-2.2 pts
50Bastrop County26+0.9 pts
50Uvalde County26-0.7 pts
50Wood County26+2.8 pts
53Camp County25.9+1.1 pts
54Gray County25.8-0.3 pts
55Eastland County25.7+2.5 pts
55Hale County25.7-2.6 pts
55Harris County25.7-0.1 pts
55Jack County25.7+0.4 pts
59Hamilton County25.6+1.4 pts
59Nacogdoches County25.6+0.4 pts
61Cherokee County25.4-0.1 pts
61Crosby County25.4+1.5 pts
61Frio County25.4-0.2 pts
61San Jacinto County25.4+1.6 pts
65Lipscomb County25.3+0.8 pts
66Dawson County25.1-1.8 pts
66Haskell County25.1+0.3 pts
68Leon County25+0.8 pts
69Live Oak County24.9+1.6 pts
70Real County24.8+2.8 pts
71Reeves County24.6-0.1 pts
72McCulloch County24.5-0.2 pts
72Montague County24.5+1.4 pts
74Burnet County24.4+2.2 pts
74Kenedy County24.4-7.1 pts
74Limestone County24.4+2 pts
74Val Verde County24.4+1.9 pts
78Austin County24.1+2.1 pts
78Palo Pinto County24.1-0.9 pts
80Burleson County23.8+1.2 pts
80Jefferson County23.8-2.1 pts
80La Salle County23.8-3.1 pts
80Waller County23.8-0.2 pts
84Red River County23.7+0.1 pts
85Gillespie County23.6+0.1 pts
85Knox County23.6-3.7 pts
85Newton County23.6+1.2 pts
88Andrews County23.5-0.9 pts
88Angelina County23.5+1.1 pts
88Bosque County23.5+2.1 pts
88San Augustine County23.5+0.2 pts
88Smith County23.5+1.5 pts
88Stephens County23.5+0.8 pts
88Van Zandt County23.5-0.3 pts
88Wharton County23.5-0.6 pts
96Crane County23.4+0.1 pts
96Hockley County23.4-0.6 pts
98Matagorda County23.3-1.4 pts
98Polk County23.3+1.7 pts
98Wilbarger County23.3+0.2 pts
101Erath County23.2-0.6 pts
102Donley County23.1+0.1 pts
102Grimes County23.1-0.2 pts
104Cooke County23-0.2 pts
105Colorado County22.9-1.4 pts
105Jim Hogg County22.9+0.2 pts
105Rains County22.9+0.3 pts
108Hardeman County22.8-0.3 pts
108Jim Wells County22.8+0.1 pts
108Pecos County22.8-1.7 pts
111Coleman County22.6-0.3 pts
111Freestone County22.6-0.9 pts
111Robertson County22.6+1.6 pts
114Tyler County22.5+1.2 pts
115Briscoe County22.4-1.1 pts
115Henderson County22.4-1.6 pts
115Houston County22.4-0.4 pts
118Nueces County22.3+0.4 pts
119Kerr County22.2-0.9 pts
120Hunt County22.1-0.6 pts
120Runnels County22.1-0.8 pts
122Bandera County22+1.9 pts
122Gregg County22-1.4 pts
122Sutton County22-2.1 pts
125Brooks County21.9-0.2 pts
125Hill County21.9-1.4 pts
125Johnson County21.9+0.8 pts
125Winkler County21.9-0.2 pts
129Atascosa County21.8+0.4 pts
129Victoria County21.8+0.2 pts
131Walker County21.7+1.1 pts
132Hemphill County21.6+0.9 pts
132Jackson County21.6-1 pts
134Garza County21.3+0.8 pts
134Schleicher County21.3-1.6 pts
136Dickens County21.2+1.4 pts
136Grayson County21.2-0.4 pts
136Ward County21.2-1.5 pts
139Lynn County21.1+3.3 pts
139McLennan County21.1+0.6 pts
141Fannin County21+0.8 pts
141Fayette County21+0.6 pts
141Wise County21+0.1 pts
144Milam County20.9+0.3 pts
144Trinity County20.9+0.7 pts
146Lamar County20.8-0.8 pts
146Lampasas County20.8-0.4 pts
146Morris County20.8+0.2 pts
146Rusk County20.8-0.2 pts
146San Patricio County20.8-0.2 pts
146Zavala County20.8-0.6 pts
152Anderson County20.7-2 pts
152Bexar County20.7+0.9 pts
152Tarrant County20.7+0.1 pts
155Calhoun County20.6+0.6 pts
155Kleberg County20.6-1.1 pts
155Martin County20.6+1.8 pts
155Young County20.6-3 pts
159Brown County20.5+0.5 pts
159Franklin County20.5+2.2 pts
159Jasper County20.5+2.3 pts
159Tom Green County20.5-0.4 pts
163Howard County20.4+0.8 pts
163Kaufman County20.4-0.1 pts
163Lavaca County20.4+0.6 pts
163Mills County20.4-1.6 pts
163Scurry County20.4-0.9 pts
168Jones County20.3-0.6 pts
168Llano County20.3-0.1 pts
170DeWitt County20.2+0.6 pts
170Sabine County20.2-0.3 pts
170Wichita County20.2+0.5 pts
173Falls County20-1 pts
173Throckmorton County20-1 pts
175Duval County19.9+0.3 pts
175Panola County19.9-0.2 pts
177Cass County19.8+1.3 pts
177Upshur County19.8+1.9 pts
179Brewster County19.7-2 pts
179Dimmit County19.7-1.6 pts
179Foard County19.7-1.9 pts
179Harrison County19.7+2 pts
179Marion County19.7-0.5 pts
184Goliad County19.5-0.5 pts
184Motley County19.5+2.1 pts
186Aransas County19.3-0.2 pts
186Baylor County19.3+1.6 pts
186Callahan County19.3+1.8 pts
186Hartley County19.3+2.3 pts
190Concho County19.2+3 pts
190Nolan County19.2-1 pts
192Brazos County19+0.1 pts
193Blanco County18.9-1.3 pts
193Hutchinson County18.9+0.1 pts
193Montgomery County18.9-1.4 pts
196Coke County18.8-0.3 pts
196Stonewall County18.8-0.6 pts
198Upton County18.7-2 pts
199Midland County18.6+0.5 pts
199Refugio County18.6-1.3 pts
201Bowie County18.5+1.8 pts
201Taylor County18.5-0.6 pts
201Washington County18.5-1.1 pts
204Hood County18.4+0.3 pts
204Medina County18.4-0.8 pts
206Lubbock County18.3+0.2 pts
207Archer County18.2+0.1 pts
208Cottle County18.10 pts
208Mitchell County18.1+0.7 pts
208Somervell County18.1+1.4 pts
211Bell County18-0.3 pts
212Culberson County17.8-1.3 pts
212Parker County17.8+0.8 pts
212Shackelford County17.8-0.3 pts
215Bee County17.7+0.7 pts
215Clay County17.7+1.2 pts
217Reagan County17.6-2.6 pts
218Brazoria County17.4+0.2 pts
219Ellis County17.3-0.6 pts
220Hardin County17.1+0.7 pts
221Galveston County17-2 pts
221Karnes County17-3.3 pts
223Irion County16.9-1.7 pts
224Kendall County16.6-0.2 pts
225Fisher County16.5-1.3 pts
225Wilson County16.5+1.3 pts
227Delta County16.4+1.1 pts
228Hays County16.3+0.4 pts
228Oldham County16.3-2.8 pts
230Chambers County16.2+0.1 pts
231Coryell County16.1+0.8 pts
232Guadalupe County15.9+0.9 pts
232Jeff Davis County15.9+2.1 pts
234Armstrong County15.7+6.3 pts
234Randall County15.7+0.1 pts
234Travis County15.7+1.3 pts
237Fort Bend County15.6+0.3 pts
238McMullen County15.3-3 pts
239Orange County15.2-2.5 pts
240Childress County14-6.4 pts
240Kent County14+3.1 pts
240Sterling County14-4.1 pts
243Carson County13.9-0.8 pts
244Comal County13.7-0.6 pts
245Glasscock County13.4-0.9 pts
246Borden County13.2+1.2 pts
247Kinney County13.1-1.1 pts
247Rockwall County13.1+0.2 pts
249Denton County12.8-0.2 pts
250Roberts County12.7-2.9 pts

Showing the top 250 of 254. The Excel download has every row.

Other periods

About this ranking

People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  -
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Rank Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Texas&limit=10

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Questions

Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?

Gaines County, with 42.5% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Loving County, with 5.7% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, ages 18 to 64 (US model-based estimate): other rankings

Counties in Texas: more rankings