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

Kenedy County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2021, at 47.1%. Loving County had the lowest, at 2.8%. The median was 25.5% and the figure for Texas was 24.1%. Source: the U.S. Census Bureau.

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Highest47.1Kenedy County
Lowest2.8Loving County
Median25.5254 counties
Texas24.1History

Map of counties, 2021

Anderson County: 24.3 %Andrews County: 28.3 %Angelina County: 26.9 %Aransas County: 26 %Archer County: 20.8 %Armstrong County: 18.3 %Atascosa County: 26.7 %Austin County: 24.5 %Bailey County: 33.1 %Bandera County: 23 %Bastrop County: 26.5 %Baylor County: 20.4 %Bee County: 21.6 %Bell County: 18.8 %Bexar County: 23 %Blanco County: 21.1 %Borden County: 13.5 %Bosque County: 24.5 %Bowie County: 20.8 %Brazoria County: 18.9 %Brazos County: 20.6 %Brewster County: 27.3 %Briscoe County: 29.5 %Brooks County: 27.6 %Brown County: 22 %Burleson County: 25 %Burnet County: 24.5 %Caldwell County: 29.5 %Calhoun County: 23.3 %Callahan County: 21.5 %Cameron County: 38.6 %Camp County: 24.6 %Carson County: 18.4 %Cass County: 21.9 %Castro County: 31.4 %Chambers County: 18.2 %Cherokee County: 29.6 %Childress County: 26.3 %Clay County: 19.1 %Cochran County: 33.7 %Coke County: 22.6 %Coleman County: 26.5 %Collin County: 12.7 %Collingsworth County: 34.9 %Colorado County: 26.4 %Comal County: 16.8 %Comanche County: 26.9 %Concho County: 19.1 %Cooke County: 25.4 %Coryell County: 18.7 %Cottle County: 21.9 %Crane County: 29.3 %Crockett County: 30.5 %Crosby County: 28.9 %Culberson County: 34.8 %Dallam County: 36.6 %Dallas County: 28.1 %Dawson County: 28.8 %Deaf Smith County: 33 %Delta County: 19.9 %Denton County: 14.2 %DeWitt County: 25 %Dickens County: 28.6 %Dimmit County: 27.3 %Donley County: 25.7 %Duval County: 29.3 %Eastland County: 27.2 %Ector County: 29 %Edwards County: 33.6 %Ellis County: 21.7 %El Paso County: 29.6 %Erath County: 24.7 %Falls County: 24.3 %Fannin County: 23.3 %Fayette County: 22.4 %Fisher County: 19.7 %Floyd County: 30.6 %Foard County: 21.2 %Fort Bend County: 16.2 %Franklin County: 18.5 %Freestone County: 24.8 %Frio County: 29.4 %Gaines County: 38.7 %Galveston County: 18.9 %Garza County: 27 %Gillespie County: 25.9 %Glasscock County: 26.3 %Goliad County: 22.9 %Gonzales County: 31.7 %Gray County: 30.8 %Grayson County: 22.7 %Gregg County: 26.5 %Grimes County: 26 %Guadalupe County: 17.3 %Hale County: 29.5 %Hall County: 33.9 %Hamilton County: 26.2 %Hansford County: 32.7 %Hardeman County: 30.9 %Hardin County: 19.2 %Harris County: 28.1 %Harrison County: 22.9 %Hartley County: 22.2 %Haskell County: 28.1 %Hays County: 19 %Hemphill County: 28.3 %Henderson County: 25.5 %Hidalgo County: 42.8 %Hill County: 24.9 %Hockley County: 29.4 %Hood County: 20 %Hopkins County: 26.5 %Houston County: 24.8 %Howard County: 24.2 %Hudspeth County: 34 %Hunt County: 24.8 %Hutchinson County: 22.9 %Irion County: 19.7 %Jack County: 29.1 %Jackson County: 24.6 %Jasper County: 23.3 %Jeff Davis County: 24.9 %Jefferson County: 27.6 %Jim Hogg County: 27.4 %Jim Wells County: 26.5 %Johnson County: 22.3 %Jones County: 23.6 %Karnes County: 23.6 %Kaufman County: 21.8 %Kendall County: 17.4 %Kenedy County: 47.1 %Kent County: 9.7 %Kerr County: 25.5 %Kimble County: 27.8 %King County: 28.2 %Kinney County: 17.2 %Kleberg County: 25.5 %Knox County: 30 %Lamar County: 25.1 %Lamb County: 31.2 %Lampasas County: 22.4 %La Salle County: 26.3 %Lavaca County: 21.8 %Lee County: 26.2 %Leon County: 26.4 %Liberty County: 29 %Limestone County: 25.9 %Lipscomb County: 30.6 %Live Oak County: 26.8 %Llano County: 25.1 %Loving County: 2.8 %Lubbock County: 20.7 %Lynn County: 25.2 %McCulloch County: 28.5 %McLennan County: 23.4 %McMullen County: 22.4 %Madison County: 29.3 %Marion County: 24.5 %Martin County: 25.8 %Mason County: 31.2 %Matagorda County: 28 %Maverick County: 36.4 %Medina County: 21.9 %Menard County: 32.6 %Midland County: 21.7 %Milam County: 23.9 %Mills County: 31 %Mitchell County: 20.9 %Montague County: 25.3 %Montgomery County: 21.5 %Moore County: 36.6 %Morris County: 21.5 %Motley County: 19.8 %Nacogdoches County: 26.5 %Navarro County: 30.3 %Newton County: 26.1 %Nolan County: 25.5 %Nueces County: 25.9 %Ochiltree County: 36.7 %Oldham County: 15.7 %Orange County: 19.4 %Palo Pinto County: 25.7 %Panola County: 22.9 %Parker County: 19.5 %Parmer County: 31.6 %Pecos County: 29.8 %Polk County: 23.5 %Potter County: 30 %Presidio County: 46.4 %Rains County: 27.2 %Randall County: 18.4 %Reagan County: 26.3 %Real County: 28.2 %Red River County: 21.3 %Reeves County: 27.6 %Refugio County: 23.2 %Roberts County: 17 %Robertson County: 22.5 %Rockwall County: 14.9 %Runnels County: 25 %Rusk County: 24.5 %Sabine County: 24.3 %San Augustine County: 29.4 %San Jacinto County: 26.8 %San Patricio County: 25 %San Saba County: 32.2 %Schleicher County: 31.8 %Scurry County: 26.1 %Shackelford County: 26.9 %Shelby County: 31.8 %Sherman County: 33.6 %Smith County: 25.4 %Somervell County: 20.2 %Starr County: 38.4 %Stephens County: 28.4 %Sterling County: 23.3 %Stonewall County: 25.2 %Sutton County: 27.2 %Swisher County: 34.2 %Tarrant County: 23.4 %Taylor County: 22.3 %Terrell County: 24.8 %Terry County: 34.3 %Throckmorton County: 26.2 %Titus County: 31.3 %Tom Green County: 23.5 %Travis County: 17 %Trinity County: 23.5 %Tyler County: 26.2 %Upshur County: 22.6 %Upton County: 25.5 %Uvalde County: 29 %Val Verde County: 30.5 %Van Zandt County: 23.9 %Victoria County: 24.8 %Walker County: 23.4 %Waller County: 27.5 %Ward County: 26.8 %Washington County: 22.3 %Webb County: 39.3 %Wharton County: 28.1 %Wheeler County: 31.8 %Wichita County: 21.7 %Wilbarger County: 27.8 %Willacy County: 29.8 %Williamson County: 15.6 %Wilson County: 19.5 %Winkler County: 27.4 %Wise County: 24.3 %Wood County: 26.4 %Yoakum County: 33.5 %Young County: 25.4 %Zapata County: 35.7 %Zavala County: 26.6 %
  • Under 21
  • 21 to 24
  • 24 to 26
  • 26 to 27
  • 27 to 30
  • 30 and over
%, 2021. 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, 2021

Kenedy County: 47.1 %Kenedy County47.1Presidio County: 46.4 %Presidio County46.4Hidalgo County: 42.8 %Hidalgo County42.8Webb County: 39.3 %Webb County39.3Gaines County: 38.7 %Gaines County38.7Cameron County: 38.6 %Cameron County38.6Starr County: 38.4 %Starr County38.4Ochiltree County: 36.7 %Ochiltree County36.7Dallam County: 36.6 %Dallam County36.6Moore County: 36.6 %Moore County36.6Maverick County: 36.4 %Maverick County36.4Zapata County: 35.7 %Zapata County35.7Collingsworth County: 34.9 %Collingsworth County34.9Culberson County: 34.8 %Culberson County34.8Terry County: 34.3 %Terry County34.3Swisher County: 34.2 %Swisher County34.2Hudspeth County: 34 %Hudspeth County34Hall County: 33.9 %Hall County33.9Cochran County: 33.7 %Cochran County33.7Edwards County: 33.6 %Edwards County33.6Sherman County: 33.6 %Sherman County33.6Yoakum County: 33.5 %Yoakum County33.5Bailey County: 33.1 %Bailey County33.1Deaf Smith County: 33 %Deaf Smith County33Hansford County: 32.7 %Hansford County32.7Menard County: 32.6 %Menard County32.6San Saba County: 32.2 %San Saba County32.2Schleicher County: 31.8 %Schleicher County31.8Shelby County: 31.8 %Shelby County31.8Wheeler County: 31.8 %Wheeler County31.8Gonzales County: 31.7 %Gonzales County31.7Parmer County: 31.6 %Parmer County31.6Castro County: 31.4 %Castro County31.4Titus County: 31.3 %Titus County31.3Lamb County: 31.2 %Lamb County31.2Mason County: 31.2 %Mason County31.2Mills County: 31 %Mills County31Hardeman County: 30.9 %Hardeman County30.9Gray County: 30.8 %Gray County30.8Floyd County: 30.6 %Floyd County30.6Kenedy County: 47.1 %Kenedy County47.1Presidio County: 46.4 %Presidio County46.4Hidalgo County: 42.8 %Hidalgo County42.8Webb County: 39.3 %Webb County39.3Gaines County: 38.7 %Gaines County38.7Cameron County: 38.6 %Cameron County38.6Starr County: 38.4 %Starr County38.4Ochiltree County: 36.7 %Ochiltree County36.7Dallam County: 36.6 %Dallam County36.6Moore County: 36.6 %Moore County36.6Maverick County: 36.4 %Maverick County36.4Zapata County: 35.7 %Zapata County35.7Collingsworth County: 34.9 %Collingsworth County34.9Culberson County: 34.8 %Culberson County34.8Terry County: 34.3 %Terry County34.3Swisher County: 34.2 %Swisher County34.2Hudspeth County: 34 %Hudspeth County34Hall County: 33.9 %Hall County33.9Cochran County: 33.7 %Cochran County33.7Edwards County: 33.6 %Edwards County33.6Sherman County: 33.6 %Sherman County33.6Yoakum County: 33.5 %Yoakum County33.5Bailey County: 33.1 %Bailey County33.1Deaf Smith County: 33 %Deaf Smith County33Hansford County: 32.7 %Hansford County32.7Menard County: 32.6 %Menard County32.6San Saba County: 32.2 %San Saba County32.2Schleicher County: 31.8 %Schleicher County31.8Shelby County: 31.8 %Shelby County31.8Wheeler County: 31.8 %Wheeler County31.8Gonzales County: 31.7 %Gonzales County31.7Parmer County: 31.6 %Parmer County31.6Castro County: 31.4 %Castro County31.4Titus County: 31.3 %Titus County31.3Lamb County: 31.2 %Lamb County31.2Mason County: 31.2 %Mason County31.2Mills County: 31 %Mills County31Hardeman County: 30.9 %Hardeman County30.9Gray County: 30.8 %Gray County30.8Floyd County: 30.6 %Floyd County30.6
%. 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

RankCounties2021 (%)Change on 2020
1Kenedy County47.1+5.4 pts
2Presidio County46.4+1.9 pts
3Hidalgo County42.8-0.5 pts
4Webb County39.3-2.5 pts
5Gaines County38.7-0.7 pts
6Cameron County38.6+0.1 pts
7Starr County38.4+1 pts
8Ochiltree County36.7+1.9 pts
9Dallam County36.6-0.4 pts
9Moore County36.6+0.9 pts
11Maverick County36.4-2.3 pts
12Zapata County35.7-2.5 pts
13Collingsworth County34.9+0.5 pts
14Culberson County34.8+1.9 pts
15Terry County34.3+2.6 pts
16Swisher County34.2-0.7 pts
17Hudspeth County34+1.5 pts
18Hall County33.9+3.5 pts
19Cochran County33.7+0.6 pts
20Edwards County33.6+2.2 pts
20Sherman County33.6+2.7 pts
22Yoakum County33.5-0.4 pts
23Bailey County33.1-0.2 pts
24Deaf Smith County33-1.3 pts
25Hansford County32.7-1.8 pts
26Menard County32.6+1.1 pts
27San Saba County32.2-0.3 pts
28Schleicher County31.8+4 pts
28Shelby County31.8+1.7 pts
28Wheeler County31.8+1.2 pts
31Gonzales County31.7+3 pts
32Parmer County31.6+1.1 pts
33Castro County31.4-1.7 pts
34Titus County31.3+0.2 pts
35Lamb County31.2+0.6 pts
35Mason County31.2+1 pts
37Mills County31+1.6 pts
38Hardeman County30.9-0.2 pts
39Gray County30.8+0.3 pts
40Floyd County30.6-2.5 pts
40Lipscomb County30.6+3.6 pts
42Crockett County30.5+2.2 pts
42Val Verde County30.5+0.1 pts
44Navarro County30.3+3 pts
45Knox County30+2.3 pts
45Potter County30-1.1 pts
47Pecos County29.8-0.3 pts
47Willacy County29.8-0.7 pts
49Cherokee County29.6+1.4 pts
49El Paso County29.6+0.5 pts
51Briscoe County29.5+3.2 pts
51Caldwell County29.5+1.9 pts
51Hale County29.5-0.3 pts
54Frio County29.4+2.8 pts
54Hockley County29.4+0.1 pts
54San Augustine County29.4+6.6 pts
57Crane County29.3+3.8 pts
57Duval County29.3+2.9 pts
57Madison County29.3+3.5 pts
60Jack County29.1+4.6 pts
61Ector County29+3.3 pts
61Liberty County29+0.4 pts
61Uvalde County29-1 pts
64Crosby County28.9+1.4 pts
65Dawson County28.8+0.2 pts
66Dickens County28.6+5.1 pts
67McCulloch County28.5+0.6 pts
68Stephens County28.4-0.1 pts
69Andrews County28.3-1 pts
69Hemphill County28.3+1.7 pts
71King County28.2+2.3 pts
71Real County28.2-0.5 pts
73Dallas County28.1+1 pts
73Harris County28.1+1.4 pts
73Haskell County28.1+0.1 pts
73Wharton County28.1-0.6 pts
77Matagorda County28+1 pts
78Kimble County27.8+1.6 pts
78Wilbarger County27.8+0.8 pts
80Brooks County27.60 pts
80Jefferson County27.6-0.5 pts
80Reeves County27.6+1.8 pts
83Waller County27.5-0.4 pts
84Jim Hogg County27.4+0.7 pts
84Winkler County27.4+2 pts
86Brewster County27.3+1.1 pts
86Dimmit County27.3-0.5 pts
88Eastland County27.2+3.4 pts
88Rains County27.2+1.8 pts
88Sutton County27.2+0.5 pts
91Garza County27-1.2 pts
92Angelina County26.9+0.4 pts
92Comanche County26.9+2.4 pts
92Shackelford County26.9+3.5 pts
95Live Oak County26.8+2.8 pts
95San Jacinto County26.8+1.1 pts
95Ward County26.8+0.3 pts
98Atascosa County26.7-0.4 pts
99Zavala County26.6-2.6 pts
100Bastrop County26.5+0.6 pts
100Coleman County26.5+2.5 pts
100Gregg County26.5+0.9 pts
100Hopkins County26.5+2.2 pts
100Jim Wells County26.5+1.7 pts
100Nacogdoches County26.5-0.3 pts
106Colorado County26.4-0.5 pts
106Leon County26.4+0.6 pts
106Wood County26.4+1.3 pts
109Childress County26.3-0.1 pts
109Glasscock County26.3+2.8 pts
109La Salle County26.3-0.1 pts
109Reagan County26.3+1.7 pts
113Hamilton County26.2-0.1 pts
113Lee County26.2+3.7 pts
113Throckmorton County26.2+1.5 pts
113Tyler County26.2+2.7 pts
117Newton County26.1+2.9 pts
117Scurry County26.1+0.8 pts
119Aransas County26-1.7 pts
119Grimes County260 pts
121Gillespie County25.9-0.6 pts
121Limestone County25.9+0.8 pts
121Nueces County25.9+1.5 pts
124Martin County25.8+1.9 pts
125Donley County25.7+0.3 pts
125Palo Pinto County25.7+0.9 pts
127Henderson County25.5+0.9 pts
127Kerr County25.5+0.6 pts
127Kleberg County25.5-0.7 pts
127Nolan County25.5+1.2 pts
127Upton County25.5+0.8 pts
132Cooke County25.4-0.2 pts
132Smith County25.4-0.1 pts
132Young County25.4+0.5 pts
135Montague County25.3+0.8 pts
136Lynn County25.2+0.7 pts
136Stonewall County25.2+1.4 pts
138Lamar County25.1+0.7 pts
138Llano County25.1+2.1 pts
140Burleson County25+2.2 pts
140DeWitt County25+2.4 pts
140Runnels County25-0.6 pts
140San Patricio County25+0.2 pts
144Hill County24.9-2.5 pts
144Jeff Davis County24.9-8 pts
146Freestone County24.8+0.7 pts
146Houston County24.8+2.3 pts
146Hunt County24.8+2.4 pts
146Terrell County24.8+1.2 pts
146Victoria County24.8+0.5 pts
151Erath County24.7+2.7 pts
152Camp County24.6+1.2 pts
152Jackson County24.6-1.2 pts
154Austin County24.5-0.5 pts
154Bosque County24.5-0.7 pts
154Burnet County24.5-0.9 pts
154Marion County24.5+3.3 pts
154Rusk County24.5-0.9 pts
159Anderson County24.3+1.6 pts
159Falls County24.3+1.6 pts
159Sabine County24.3+2.4 pts
159Wise County24.3-0.8 pts
163Howard County24.2+1.3 pts
164Milam County23.9-0.7 pts
164Van Zandt County23.9+0.4 pts
166Jones County23.6+1.1 pts
166Karnes County23.6+2 pts
168Polk County23.5+1.1 pts
168Tom Green County23.5+3.2 pts
168Trinity County23.5+1.4 pts
171McLennan County23.4+0.9 pts
171Tarrant County23.4+0.4 pts
171Walker County23.4+3.3 pts
174Calhoun County23.3-0.2 pts
174Fannin County23.3-0.3 pts
174Jasper County23.3+1.6 pts
174Sterling County23.3+1.2 pts
178Refugio County23.2+1.8 pts
179Bandera County23+2.5 pts
179Bexar County23+0.2 pts
181Goliad County22.9+2.2 pts
181Harrison County22.9+1.4 pts
181Hutchinson County22.9-0.3 pts
181Panola County22.9-0.4 pts
185Grayson County22.7+0.2 pts
186Coke County22.6-0.1 pts
186Upshur County22.6+1.3 pts
188Robertson County22.5+0.6 pts
189Fayette County22.4-1.2 pts
189Lampasas County22.4+0.4 pts
189McMullen County22.4+4.1 pts
192Johnson County22.3+0.2 pts
192Taylor County22.3+1.6 pts
192Washington County22.3+1.5 pts
195Hartley County22.2-1.6 pts
196Brown County22+1 pts
197Cass County21.9-0.8 pts
197Cottle County21.9-2.7 pts
197Medina County21.9+0.8 pts
200Kaufman County21.8+2 pts
200Lavaca County21.8+2.2 pts
202Ellis County21.7-1.2 pts
202Midland County21.7+0.2 pts
202Wichita County21.7-0.2 pts
205Bee County21.6-1.5 pts
206Callahan County21.5-0.6 pts
206Montgomery County21.5+1.7 pts
206Morris County21.5-0.1 pts
209Red River County21.3-1.4 pts
210Foard County21.2-0.4 pts
211Blanco County21.1-1.8 pts
212Mitchell County20.9-1.8 pts
213Archer County20.8-0.1 pts
213Bowie County20.8+1.3 pts
215Lubbock County20.7+0.4 pts
216Brazos County20.6+1.6 pts
217Baylor County20.4+0.7 pts
218Somervell County20.2+0.8 pts
219Hood County20+0.4 pts
220Delta County19.9-0.5 pts
221Motley County19.8-0.8 pts
222Fisher County19.7-0.9 pts
222Irion County19.7+1.9 pts
224Parker County19.5+0.7 pts
224Wilson County19.5+1 pts
226Orange County19.4+0.2 pts
227Hardin County19.2-0.7 pts
228Clay County19.1-0.8 pts
228Concho County19.1-3 pts
230Hays County19+0.8 pts
231Brazoria County18.9+1.6 pts
231Galveston County18.9+0.3 pts
233Bell County18.8-1.9 pts
234Coryell County18.7-1.5 pts
235Franklin County18.5+2.2 pts
236Carson County18.4+2.1 pts
236Randall County18.4+1.9 pts
238Armstrong County18.3-0.9 pts
239Chambers County18.2+2.4 pts
240Kendall County17.4-0.6 pts
241Guadalupe County17.3-0.6 pts
242Kinney County17.2-4.9 pts
243Roberts County17-0.4 pts
243Travis County17+1.6 pts
245Comal County16.8+0.4 pts
246Fort Bend County16.2-1.3 pts
247Oldham County15.7-2.5 pts
248Williamson County15.6+1.1 pts
249Rockwall County14.9+1.3 pts
250Denton County14.2-0.3 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2021.
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-2021-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)?

Kenedy County, with 47.1% in 2021, 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 2.8% in 2021.

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