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)

Presidio County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2022, at 40.7%. Loving County had the lowest, at 3.2%. The median was 23.1% and the figure for Texas was 22.3%. Source: the U.S. Census Bureau.

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Highest40.7Presidio County
Lowest3.2Loving County
Median23.1254 counties
Texas22.3History

Map of counties, 2022

Anderson County: 21.7 %Andrews County: 27.3 %Angelina County: 23.9 %Aransas County: 23.5 %Archer County: 18.8 %Armstrong County: 13.2 %Atascosa County: 24.4 %Austin County: 22.2 %Bailey County: 33.1 %Bandera County: 22.1 %Bastrop County: 24.6 %Baylor County: 18.9 %Bee County: 19.3 %Bell County: 20.1 %Bexar County: 21.9 %Blanco County: 20.2 %Borden County: 14.7 %Bosque County: 23.4 %Bowie County: 19.2 %Brazoria County: 17.7 %Brazos County: 17.8 %Brewster County: 25.6 %Briscoe County: 25.3 %Brooks County: 23.3 %Brown County: 21 %Burleson County: 24.4 %Burnet County: 22 %Caldwell County: 26.8 %Calhoun County: 19.7 %Callahan County: 20.7 %Cameron County: 32.8 %Camp County: 24.2 %Carson County: 16.6 %Cass County: 20 %Castro County: 30.6 %Chambers County: 16.1 %Cherokee County: 24 %Childress County: 22.3 %Clay County: 18 %Cochran County: 30.3 %Coke County: 20.8 %Coleman County: 26.1 %Collin County: 12.3 %Collingsworth County: 30.6 %Colorado County: 25.8 %Comal County: 15.1 %Comanche County: 25.8 %Concho County: 18.9 %Cooke County: 21.3 %Coryell County: 17.3 %Cottle County: 19.2 %Crane County: 27.3 %Crockett County: 31.1 %Crosby County: 26.5 %Culberson County: 27.5 %Dallam County: 35 %Dallas County: 27.4 %Dawson County: 27.4 %Deaf Smith County: 27.3 %Delta County: 16 %Denton County: 13 %DeWitt County: 22 %Dickens County: 22.3 %Dimmit County: 25.2 %Donley County: 24.8 %Duval County: 22.2 %Eastland County: 23.6 %Ector County: 26.2 %Edwards County: 35.9 %Ellis County: 19.6 %El Paso County: 29 %Erath County: 23.3 %Falls County: 21.5 %Fannin County: 19.7 %Fayette County: 21.5 %Fisher County: 18.4 %Floyd County: 30 %Foard County: 21 %Fort Bend County: 14.8 %Franklin County: 17.1 %Freestone County: 22.5 %Frio County: 26.9 %Gaines County: 38.1 %Galveston County: 18.5 %Garza County: 25.8 %Gillespie County: 27.9 %Glasscock County: 19.5 %Goliad County: 19.1 %Gonzales County: 27.4 %Gray County: 26.2 %Grayson County: 21.4 %Gregg County: 23.6 %Grimes County: 23.1 %Guadalupe County: 15.4 %Hale County: 27.4 %Hall County: 30.4 %Hamilton County: 25.3 %Hansford County: 31.4 %Hardeman County: 23.3 %Hardin County: 18.8 %Harris County: 26.5 %Harrison County: 20.9 %Hartley County: 18.9 %Haskell County: 26.9 %Hays County: 16 %Hemphill County: 24.3 %Henderson County: 26.2 %Hidalgo County: 39.8 %Hill County: 23 %Hockley County: 26.7 %Hood County: 18.7 %Hopkins County: 24 %Houston County: 23.5 %Howard County: 23.5 %Hudspeth County: 31.2 %Hunt County: 23 %Hutchinson County: 19.1 %Irion County: 22.5 %Jack County: 25.9 %Jackson County: 23.4 %Jasper County: 24.1 %Jeff Davis County: 23 %Jefferson County: 24.7 %Jim Hogg County: 26.9 %Jim Wells County: 23.5 %Johnson County: 21.9 %Jones County: 21.1 %Karnes County: 21.5 %Kaufman County: 18.9 %Kendall County: 16.8 %Kenedy County: 39.1 %Kent County: 13.2 %Kerr County: 21.4 %Kimble County: 24.7 %King County: 22 %Kinney County: 15.3 %Kleberg County: 22.4 %Knox County: 25.6 %Lamar County: 21.6 %Lamb County: 28 %Lampasas County: 19.6 %La Salle County: 26.5 %Lavaca County: 17.6 %Lee County: 23.4 %Leon County: 25.4 %Liberty County: 28.4 %Limestone County: 23.5 %Lipscomb County: 24.5 %Live Oak County: 24.5 %Llano County: 21.9 %Loving County: 3.2 %Lubbock County: 19 %Lynn County: 19.6 %McCulloch County: 26 %McLennan County: 21.7 %McMullen County: 17.2 %Madison County: 28.9 %Marion County: 19.3 %Martin County: 24.1 %Mason County: 27 %Matagorda County: 25.7 %Maverick County: 34.4 %Medina County: 19 %Menard County: 30.3 %Midland County: 21.6 %Milam County: 22.7 %Mills County: 24.4 %Mitchell County: 20.2 %Montague County: 24.5 %Montgomery County: 18.5 %Moore County: 30.7 %Morris County: 20.2 %Motley County: 19.3 %Nacogdoches County: 22.8 %Navarro County: 22.9 %Newton County: 23.8 %Nolan County: 22.1 %Nueces County: 23.8 %Ochiltree County: 32.3 %Oldham County: 17.1 %Orange County: 17.4 %Palo Pinto County: 24.4 %Panola County: 21 %Parker County: 17.8 %Parmer County: 28.6 %Pecos County: 26.8 %Polk County: 22.1 %Potter County: 28.6 %Presidio County: 40.7 %Rains County: 24.8 %Randall County: 15.1 %Reagan County: 24.3 %Real County: 24.1 %Red River County: 21.2 %Reeves County: 26.1 %Refugio County: 21.4 %Roberts County: 14.7 %Robertson County: 20.2 %Rockwall County: 12.5 %Runnels County: 23.5 %Rusk County: 22.4 %Sabine County: 21.5 %San Augustine County: 23 %San Jacinto County: 24.1 %San Patricio County: 23.1 %San Saba County: 32.1 %Schleicher County: 26.2 %Scurry County: 24.5 %Shackelford County: 23.4 %Shelby County: 27.7 %Sherman County: 31.4 %Smith County: 22.3 %Somervell County: 18.6 %Starr County: 33 %Stephens County: 24.9 %Sterling County: 16.4 %Stonewall County: 18.2 %Sutton County: 24.1 %Swisher County: 32.8 %Tarrant County: 21.3 %Taylor County: 21.7 %Terrell County: 21 %Terry County: 29.1 %Throckmorton County: 21.9 %Titus County: 28.4 %Tom Green County: 20.2 %Travis County: 14 %Trinity County: 20.5 %Tyler County: 22.6 %Upshur County: 20.7 %Upton County: 23.2 %Uvalde County: 28.4 %Val Verde County: 26.8 %Van Zandt County: 22.3 %Victoria County: 22.9 %Walker County: 21 %Waller County: 21.6 %Ward County: 27.6 %Washington County: 18.4 %Webb County: 35.7 %Wharton County: 24.9 %Wheeler County: 30.4 %Wichita County: 20.5 %Wilbarger County: 24.2 %Willacy County: 27.7 %Williamson County: 11.8 %Wilson County: 17.4 %Winkler County: 23.4 %Wise County: 21.1 %Wood County: 22.4 %Yoakum County: 31.2 %Young County: 24.8 %Zapata County: 31.8 %Zavala County: 21.9 %
  • Under 19
  • 19 to 21
  • 21 to 23
  • 23 to 25
  • 25 to 27
  • 27 and over
%, 2022. 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, 2022

Presidio County: 40.7 %Presidio County40.7Hidalgo County: 39.8 %Hidalgo County39.8Kenedy County: 39.1 %Kenedy County39.1Gaines County: 38.1 %Gaines County38.1Edwards County: 35.9 %Edwards County35.9Webb County: 35.7 %Webb County35.7Dallam County: 35 %Dallam County35Maverick County: 34.4 %Maverick County34.4Bailey County: 33.1 %Bailey County33.1Starr County: 33 %Starr County33Cameron County: 32.8 %Cameron County32.8Swisher County: 32.8 %Swisher County32.8Ochiltree County: 32.3 %Ochiltree County32.3San Saba County: 32.1 %San Saba County32.1Zapata County: 31.8 %Zapata County31.8Hansford County: 31.4 %Hansford County31.4Sherman County: 31.4 %Sherman County31.4Hudspeth County: 31.2 %Hudspeth County31.2Yoakum County: 31.2 %Yoakum County31.2Crockett County: 31.1 %Crockett County31.1Moore County: 30.7 %Moore County30.7Castro County: 30.6 %Castro County30.6Collingsworth County: 30.6 %Collingsworth County30.6Hall County: 30.4 %Hall County30.4Wheeler County: 30.4 %Wheeler County30.4Cochran County: 30.3 %Cochran County30.3Menard County: 30.3 %Menard County30.3Floyd County: 30 %Floyd County30Terry County: 29.1 %Terry County29.1El Paso County: 29 %El Paso County29Madison County: 28.9 %Madison County28.9Parmer County: 28.6 %Parmer County28.6Potter County: 28.6 %Potter County28.6Liberty County: 28.4 %Liberty County28.4Titus County: 28.4 %Titus County28.4Uvalde County: 28.4 %Uvalde County28.4Lamb County: 28 %Lamb County28Gillespie County: 27.9 %Gillespie County27.9Shelby County: 27.7 %Shelby County27.7Willacy County: 27.7 %Willacy County27.7Presidio County: 40.7 %Presidio County40.7Hidalgo County: 39.8 %Hidalgo County39.8Kenedy County: 39.1 %Kenedy County39.1Gaines County: 38.1 %Gaines County38.1Edwards County: 35.9 %Edwards County35.9Webb County: 35.7 %Webb County35.7Dallam County: 35 %Dallam County35Maverick County: 34.4 %Maverick County34.4Bailey County: 33.1 %Bailey County33.1Starr County: 33 %Starr County33Cameron County: 32.8 %Cameron County32.8Swisher County: 32.8 %Swisher County32.8Ochiltree County: 32.3 %Ochiltree County32.3San Saba County: 32.1 %San Saba County32.1Zapata County: 31.8 %Zapata County31.8Hansford County: 31.4 %Hansford County31.4Sherman County: 31.4 %Sherman County31.4Hudspeth County: 31.2 %Hudspeth County31.2Yoakum County: 31.2 %Yoakum County31.2Crockett County: 31.1 %Crockett County31.1Moore County: 30.7 %Moore County30.7Castro County: 30.6 %Castro County30.6Collingsworth County: 30.6 %Collingsworth County30.6Hall County: 30.4 %Hall County30.4Wheeler County: 30.4 %Wheeler County30.4Cochran County: 30.3 %Cochran County30.3Menard County: 30.3 %Menard County30.3Floyd County: 30 %Floyd County30Terry County: 29.1 %Terry County29.1El Paso County: 29 %El Paso County29Madison County: 28.9 %Madison County28.9Parmer County: 28.6 %Parmer County28.6Potter County: 28.6 %Potter County28.6Liberty County: 28.4 %Liberty County28.4Titus County: 28.4 %Titus County28.4Uvalde County: 28.4 %Uvalde County28.4Lamb County: 28 %Lamb County28Gillespie County: 27.9 %Gillespie County27.9Shelby County: 27.7 %Shelby County27.7Willacy County: 27.7 %Willacy County27.7
%. 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

RankCounties2022 (%)Change on 2021
1Presidio County40.7-5.7 pts
2Hidalgo County39.8-3 pts
3Kenedy County39.1-8 pts
4Gaines County38.1-0.6 pts
5Edwards County35.9+2.3 pts
6Webb County35.7-3.6 pts
7Dallam County35-1.6 pts
8Maverick County34.4-2 pts
9Bailey County33.10 pts
10Starr County33-5.4 pts
11Cameron County32.8-5.8 pts
11Swisher County32.8-1.4 pts
13Ochiltree County32.3-4.4 pts
14San Saba County32.1-0.1 pts
15Zapata County31.8-3.9 pts
16Hansford County31.4-1.3 pts
16Sherman County31.4-2.2 pts
18Hudspeth County31.2-2.8 pts
18Yoakum County31.2-2.3 pts
20Crockett County31.1+0.6 pts
21Moore County30.7-5.9 pts
22Castro County30.6-0.8 pts
22Collingsworth County30.6-4.3 pts
24Hall County30.4-3.5 pts
24Wheeler County30.4-1.4 pts
26Cochran County30.3-3.4 pts
26Menard County30.3-2.3 pts
28Floyd County30-0.6 pts
29Terry County29.1-5.2 pts
30El Paso County29-0.6 pts
31Madison County28.9-0.4 pts
32Parmer County28.6-3 pts
32Potter County28.6-1.4 pts
34Liberty County28.4-0.6 pts
34Titus County28.4-2.9 pts
34Uvalde County28.4-0.6 pts
37Lamb County28-3.2 pts
38Gillespie County27.9+2 pts
39Shelby County27.7-4.1 pts
39Willacy County27.7-2.1 pts
41Ward County27.6+0.8 pts
42Culberson County27.5-7.3 pts
43Dallas County27.4-0.7 pts
43Dawson County27.4-1.4 pts
43Gonzales County27.4-4.3 pts
43Hale County27.4-2.1 pts
47Andrews County27.3-1 pts
47Crane County27.3-2 pts
47Deaf Smith County27.3-5.7 pts
50Mason County27-4.2 pts
51Frio County26.9-2.5 pts
51Haskell County26.9-1.2 pts
51Jim Hogg County26.9-0.5 pts
54Caldwell County26.8-2.7 pts
54Pecos County26.8-3 pts
54Val Verde County26.8-3.7 pts
57Hockley County26.7-2.7 pts
58Crosby County26.5-2.4 pts
58Harris County26.5-1.6 pts
58La Salle County26.5+0.2 pts
61Ector County26.2-2.8 pts
61Gray County26.2-4.6 pts
61Henderson County26.2+0.7 pts
61Schleicher County26.2-5.6 pts
65Coleman County26.1-0.4 pts
65Reeves County26.1-1.5 pts
67McCulloch County26-2.5 pts
68Jack County25.9-3.2 pts
69Colorado County25.8-0.6 pts
69Comanche County25.8-1.1 pts
69Garza County25.8-1.2 pts
72Matagorda County25.7-2.3 pts
73Brewster County25.6-1.7 pts
73Knox County25.6-4.4 pts
75Leon County25.4-1 pts
76Briscoe County25.3-4.2 pts
76Hamilton County25.3-0.9 pts
78Dimmit County25.2-2.1 pts
79Stephens County24.9-3.5 pts
79Wharton County24.9-3.2 pts
81Donley County24.8-0.9 pts
81Rains County24.8-2.4 pts
81Young County24.8-0.6 pts
84Jefferson County24.7-2.9 pts
84Kimble County24.7-3.1 pts
86Bastrop County24.6-1.9 pts
87Lipscomb County24.5-6.1 pts
87Live Oak County24.5-2.3 pts
87Montague County24.5-0.8 pts
87Scurry County24.5-1.6 pts
91Atascosa County24.4-2.3 pts
91Burleson County24.4-0.6 pts
91Mills County24.4-6.6 pts
91Palo Pinto County24.4-1.3 pts
95Hemphill County24.3-4 pts
95Reagan County24.3-2 pts
97Camp County24.2-0.4 pts
97Wilbarger County24.2-3.6 pts
99Jasper County24.1+0.8 pts
99Martin County24.1-1.7 pts
99Real County24.1-4.1 pts
99San Jacinto County24.1-2.7 pts
99Sutton County24.1-3.1 pts
104Cherokee County24-5.6 pts
104Hopkins County24-2.5 pts
106Angelina County23.9-3 pts
107Newton County23.8-2.3 pts
107Nueces County23.8-2.1 pts
109Eastland County23.6-3.6 pts
109Gregg County23.6-2.9 pts
111Aransas County23.5-2.5 pts
111Houston County23.5-1.3 pts
111Howard County23.5-0.7 pts
111Jim Wells County23.5-3 pts
111Limestone County23.5-2.4 pts
111Runnels County23.5-1.5 pts
117Bosque County23.4-1.1 pts
117Jackson County23.4-1.2 pts
117Lee County23.4-2.8 pts
117Shackelford County23.4-3.5 pts
117Winkler County23.4-4 pts
122Brooks County23.3-4.3 pts
122Erath County23.3-1.4 pts
122Hardeman County23.3-7.6 pts
125Upton County23.2-2.3 pts
126Grimes County23.1-2.9 pts
126San Patricio County23.1-1.9 pts
128Hill County23-1.9 pts
128Hunt County23-1.8 pts
128Jeff Davis County23-1.9 pts
128San Augustine County23-6.4 pts
132Navarro County22.9-7.4 pts
132Victoria County22.9-1.9 pts
134Nacogdoches County22.8-3.7 pts
135Milam County22.7-1.2 pts
136Tyler County22.6-3.6 pts
137Freestone County22.5-2.3 pts
137Irion County22.5+2.8 pts
139Kleberg County22.4-3.1 pts
139Rusk County22.4-2.1 pts
139Wood County22.4-4 pts
142Childress County22.3-4 pts
142Dickens County22.3-6.3 pts
142Smith County22.3-3.1 pts
142Van Zandt County22.3-1.6 pts
146Austin County22.2-2.3 pts
146Duval County22.2-7.1 pts
148Bandera County22.1-0.9 pts
148Nolan County22.1-3.4 pts
148Polk County22.1-1.4 pts
151Burnet County22-2.5 pts
151DeWitt County22-3 pts
151King County22-6.2 pts
154Bexar County21.9-1.1 pts
154Johnson County21.9-0.4 pts
154Llano County21.9-3.2 pts
154Throckmorton County21.9-4.3 pts
154Zavala County21.9-4.7 pts
159Anderson County21.7-2.6 pts
159McLennan County21.7-1.7 pts
159Taylor County21.7-0.6 pts
162Lamar County21.6-3.5 pts
162Midland County21.6-0.1 pts
162Waller County21.6-5.9 pts
165Falls County21.5-2.8 pts
165Fayette County21.5-0.9 pts
165Karnes County21.5-2.1 pts
165Sabine County21.5-2.8 pts
169Grayson County21.4-1.3 pts
169Kerr County21.4-4.1 pts
169Refugio County21.4-1.8 pts
172Cooke County21.3-4.1 pts
172Tarrant County21.3-2.1 pts
174Red River County21.2-0.1 pts
175Jones County21.1-2.5 pts
175Wise County21.1-3.2 pts
177Brown County21-1 pts
177Foard County21-0.2 pts
177Panola County21-1.9 pts
177Terrell County21-3.8 pts
177Walker County21-2.4 pts
182Harrison County20.9-2 pts
183Coke County20.8-1.8 pts
184Callahan County20.7-0.8 pts
184Upshur County20.7-1.9 pts
186Trinity County20.5-3 pts
186Wichita County20.5-1.2 pts
188Blanco County20.2-0.9 pts
188Mitchell County20.2-0.7 pts
188Morris County20.2-1.3 pts
188Robertson County20.2-2.3 pts
188Tom Green County20.2-3.3 pts
193Bell County20.1+1.3 pts
194Cass County20-1.9 pts
195Calhoun County19.7-3.6 pts
195Fannin County19.7-3.6 pts
197Ellis County19.6-2.1 pts
197Lampasas County19.6-2.8 pts
197Lynn County19.6-5.6 pts
200Glasscock County19.5-6.8 pts
201Bee County19.3-2.3 pts
201Marion County19.3-5.2 pts
201Motley County19.3-0.5 pts
204Bowie County19.2-1.6 pts
204Cottle County19.2-2.7 pts
206Goliad County19.1-3.8 pts
206Hutchinson County19.1-3.8 pts
208Lubbock County19-1.7 pts
208Medina County19-2.9 pts
210Baylor County18.9-1.5 pts
210Concho County18.9-0.2 pts
210Hartley County18.9-3.3 pts
210Kaufman County18.9-2.9 pts
214Archer County18.8-2 pts
214Hardin County18.8-0.4 pts
216Hood County18.7-1.3 pts
217Somervell County18.6-1.6 pts
218Galveston County18.5-0.4 pts
218Montgomery County18.5-3 pts
220Fisher County18.4-1.3 pts
220Washington County18.4-3.9 pts
222Stonewall County18.2-7 pts
223Clay County18-1.1 pts
224Brazos County17.8-2.8 pts
224Parker County17.8-1.7 pts
226Brazoria County17.7-1.2 pts
227Lavaca County17.6-4.2 pts
228Orange County17.4-2 pts
228Wilson County17.4-2.1 pts
230Coryell County17.3-1.4 pts
231McMullen County17.2-5.2 pts
232Franklin County17.1-1.4 pts
232Oldham County17.1+1.4 pts
234Kendall County16.8-0.6 pts
235Carson County16.6-1.8 pts
236Sterling County16.4-6.9 pts
237Chambers County16.1-2.1 pts
238Delta County16-3.9 pts
238Hays County16-3 pts
240Guadalupe County15.4-1.9 pts
241Kinney County15.3-1.9 pts
242Comal County15.1-1.7 pts
242Randall County15.1-3.3 pts
244Fort Bend County14.8-1.4 pts
245Borden County14.7+1.2 pts
245Roberts County14.7-2.3 pts
247Travis County14-3 pts
248Armstrong County13.2-5.1 pts
248Kent County13.2+3.5 pts
250Denton County13-1.2 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2022.
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-2022-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)?

Presidio County, with 40.7% in 2022, 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 3.2% in 2022.

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