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)

Gaines County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2023, at 38.6%. Loving County had the lowest, at 3%. The median was 22% and the figure for Texas was 21.6%. Source: the U.S. Census Bureau.

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Highest38.6Gaines County
Lowest3Loving County
Median22254 counties
Texas21.6History

Map of counties, 2023

Anderson County: 22.7 %Andrews County: 24.4 %Angelina County: 22.4 %Aransas County: 19.5 %Archer County: 18.1 %Armstrong County: 9.4 %Atascosa County: 21.4 %Austin County: 22 %Bailey County: 31 %Bandera County: 20.1 %Bastrop County: 25.1 %Baylor County: 17.7 %Bee County: 17 %Bell County: 18.3 %Bexar County: 19.8 %Blanco County: 20.2 %Borden County: 12 %Bosque County: 21.4 %Bowie County: 16.7 %Brazoria County: 17.2 %Brazos County: 18.9 %Brewster County: 21.7 %Briscoe County: 23.5 %Brooks County: 22.1 %Brown County: 20 %Burleson County: 22.6 %Burnet County: 22.2 %Caldwell County: 26.1 %Calhoun County: 20 %Callahan County: 17.5 %Cameron County: 32.5 %Camp County: 24.8 %Carson County: 14.7 %Cass County: 18.5 %Castro County: 26.9 %Chambers County: 16.1 %Cherokee County: 25.5 %Childress County: 20.4 %Clay County: 16.5 %Cochran County: 30.9 %Coke County: 19.1 %Coleman County: 22.9 %Collin County: 12.5 %Collingsworth County: 26.1 %Colorado County: 24.3 %Comal County: 14.3 %Comanche County: 26.4 %Concho County: 16.2 %Cooke County: 23.2 %Coryell County: 15.3 %Cottle County: 18.1 %Crane County: 23.3 %Crockett County: 27.4 %Crosby County: 23.9 %Culberson County: 19.1 %Dallam County: 31.6 %Dallas County: 26.7 %Dawson County: 26.9 %Deaf Smith County: 28.5 %Delta County: 15.3 %Denton County: 13 %DeWitt County: 19.6 %Dickens County: 19.8 %Dimmit County: 21.3 %Donley County: 23 %Duval County: 19.6 %Eastland County: 23.2 %Ector County: 26.1 %Edwards County: 33.4 %Ellis County: 17.9 %El Paso County: 28.1 %Erath County: 23.8 %Falls County: 21 %Fannin County: 20.2 %Fayette County: 20.4 %Fisher County: 17.8 %Floyd County: 26.3 %Foard County: 21.6 %Fort Bend County: 15.3 %Franklin County: 18.3 %Freestone County: 23.5 %Frio County: 25.6 %Gaines County: 38.6 %Galveston County: 19 %Garza County: 20.5 %Gillespie County: 23.5 %Glasscock County: 14.3 %Goliad County: 20 %Gonzales County: 27.9 %Gray County: 26.1 %Grayson County: 21.6 %Gregg County: 23.4 %Grimes County: 23.3 %Guadalupe County: 15 %Hale County: 28.3 %Hall County: 29.3 %Hamilton County: 24.2 %Hansford County: 31.1 %Hardeman County: 23.1 %Hardin County: 16.4 %Harris County: 25.8 %Harrison County: 17.7 %Hartley County: 17 %Haskell County: 24.8 %Hays County: 15.9 %Hemphill County: 20.7 %Henderson County: 24 %Hidalgo County: 35.7 %Hill County: 23.3 %Hockley County: 24 %Hood County: 18.1 %Hopkins County: 25.1 %Houston County: 22.8 %Howard County: 19.6 %Hudspeth County: 28.8 %Hunt County: 22.7 %Hutchinson County: 18.8 %Irion County: 18.6 %Jack County: 25.3 %Jackson County: 22.6 %Jasper County: 18.2 %Jeff Davis County: 13.8 %Jefferson County: 25.9 %Jim Hogg County: 22.7 %Jim Wells County: 22.7 %Johnson County: 21.1 %Jones County: 20.9 %Karnes County: 20.3 %Kaufman County: 20.5 %Kendall County: 16.8 %Kenedy County: 31.5 %Kent County: 10.9 %Kerr County: 23.1 %Kimble County: 22.6 %King County: 24.3 %Kinney County: 14.2 %Kleberg County: 21.7 %Knox County: 27.3 %Lamar County: 21.6 %Lamb County: 27.2 %Lampasas County: 21.2 %La Salle County: 26.9 %Lavaca County: 19.8 %Lee County: 23.6 %Leon County: 24.2 %Liberty County: 29.4 %Limestone County: 22.4 %Lipscomb County: 24.5 %Live Oak County: 23.3 %Llano County: 20.4 %Loving County: 3 %Lubbock County: 18.1 %Lynn County: 17.8 %McCulloch County: 24.7 %McLennan County: 20.5 %McMullen County: 18.3 %Madison County: 26.1 %Marion County: 20.2 %Martin County: 18.8 %Mason County: 22.8 %Matagorda County: 24.7 %Maverick County: 29.9 %Medina County: 19.2 %Menard County: 25.9 %Midland County: 18.1 %Milam County: 20.6 %Mills County: 22 %Mitchell County: 17.4 %Montague County: 23.1 %Montgomery County: 20.3 %Moore County: 30.6 %Morris County: 20.6 %Motley County: 17.4 %Nacogdoches County: 25.2 %Navarro County: 26.9 %Newton County: 22.4 %Nolan County: 20.2 %Nueces County: 21.9 %Ochiltree County: 30.3 %Oldham County: 19.1 %Orange County: 17.7 %Palo Pinto County: 25 %Panola County: 20.1 %Parker County: 17 %Parmer County: 30.3 %Pecos County: 24.5 %Polk County: 21.6 %Potter County: 28 %Presidio County: 35 %Rains County: 22.6 %Randall County: 15.6 %Reagan County: 20.2 %Real County: 22 %Red River County: 23.6 %Reeves County: 24.7 %Refugio County: 19.9 %Roberts County: 15.6 %Robertson County: 21 %Rockwall County: 12.9 %Runnels County: 22.9 %Rusk County: 21 %Sabine County: 20.5 %San Augustine County: 23.3 %San Jacinto County: 23.8 %San Patricio County: 21 %San Saba County: 28.4 %Schleicher County: 22.9 %Scurry County: 21.3 %Shackelford County: 18.1 %Shelby County: 25.9 %Sherman County: 29.5 %Smith County: 22 %Somervell County: 16.7 %Starr County: 32.6 %Stephens County: 22.7 %Sterling County: 18.1 %Stonewall County: 19.4 %Sutton County: 24.1 %Swisher County: 26.8 %Tarrant County: 20.6 %Taylor County: 19.1 %Terrell County: 13.1 %Terry County: 30 %Throckmorton County: 21 %Titus County: 28.6 %Tom Green County: 20.9 %Travis County: 14.4 %Trinity County: 20.2 %Tyler County: 21.3 %Upshur County: 17.9 %Upton County: 20.7 %Uvalde County: 26.7 %Val Verde County: 22.5 %Van Zandt County: 23.8 %Victoria County: 21.6 %Walker County: 20.6 %Waller County: 24 %Ward County: 22.7 %Washington County: 19.6 %Webb County: 35.5 %Wharton County: 24.1 %Wheeler County: 28.6 %Wichita County: 19.7 %Wilbarger County: 23.1 %Willacy County: 26.8 %Williamson County: 13 %Wilson County: 15.2 %Winkler County: 22.1 %Wise County: 20.9 %Wood County: 23.2 %Yoakum County: 28.3 %Young County: 23.6 %Zapata County: 33.2 %Zavala County: 21.4 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 24
  • 24 to 26
  • 26 and over
%, 2023. 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, 2023

Gaines County: 38.6 %Gaines County38.6Hidalgo County: 35.7 %Hidalgo County35.7Webb County: 35.5 %Webb County35.5Presidio County: 35 %Presidio County35Edwards County: 33.4 %Edwards County33.4Zapata County: 33.2 %Zapata County33.2Starr County: 32.6 %Starr County32.6Cameron County: 32.5 %Cameron County32.5Dallam County: 31.6 %Dallam County31.6Kenedy County: 31.5 %Kenedy County31.5Hansford County: 31.1 %Hansford County31.1Bailey County: 31 %Bailey County31Cochran County: 30.9 %Cochran County30.9Moore County: 30.6 %Moore County30.6Ochiltree County: 30.3 %Ochiltree County30.3Parmer County: 30.3 %Parmer County30.3Terry County: 30 %Terry County30Maverick County: 29.9 %Maverick County29.9Sherman County: 29.5 %Sherman County29.5Liberty County: 29.4 %Liberty County29.4Hall County: 29.3 %Hall County29.3Hudspeth County: 28.8 %Hudspeth County28.8Titus County: 28.6 %Titus County28.6Wheeler County: 28.6 %Wheeler County28.6Deaf Smith County: 28.5 %Deaf Smith County28.5San Saba County: 28.4 %San Saba County28.4Hale County: 28.3 %Hale County28.3Yoakum County: 28.3 %Yoakum County28.3El Paso County: 28.1 %El Paso County28.1Potter County: 28 %Potter County28Gonzales County: 27.9 %Gonzales County27.9Crockett County: 27.4 %Crockett County27.4Knox County: 27.3 %Knox County27.3Lamb County: 27.2 %Lamb County27.2Castro County: 26.9 %Castro County26.9Dawson County: 26.9 %Dawson County26.9La Salle County: 26.9 %La Salle County26.9Navarro County: 26.9 %Navarro County26.9Swisher County: 26.8 %Swisher County26.8Willacy County: 26.8 %Willacy County26.8Gaines County: 38.6 %Gaines County38.6Hidalgo County: 35.7 %Hidalgo County35.7Webb County: 35.5 %Webb County35.5Presidio County: 35 %Presidio County35Edwards County: 33.4 %Edwards County33.4Zapata County: 33.2 %Zapata County33.2Starr County: 32.6 %Starr County32.6Cameron County: 32.5 %Cameron County32.5Dallam County: 31.6 %Dallam County31.6Kenedy County: 31.5 %Kenedy County31.5Hansford County: 31.1 %Hansford County31.1Bailey County: 31 %Bailey County31Cochran County: 30.9 %Cochran County30.9Moore County: 30.6 %Moore County30.6Ochiltree County: 30.3 %Ochiltree County30.3Parmer County: 30.3 %Parmer County30.3Terry County: 30 %Terry County30Maverick County: 29.9 %Maverick County29.9Sherman County: 29.5 %Sherman County29.5Liberty County: 29.4 %Liberty County29.4Hall County: 29.3 %Hall County29.3Hudspeth County: 28.8 %Hudspeth County28.8Titus County: 28.6 %Titus County28.6Wheeler County: 28.6 %Wheeler County28.6Deaf Smith County: 28.5 %Deaf Smith County28.5San Saba County: 28.4 %San Saba County28.4Hale County: 28.3 %Hale County28.3Yoakum County: 28.3 %Yoakum County28.3El Paso County: 28.1 %El Paso County28.1Potter County: 28 %Potter County28Gonzales County: 27.9 %Gonzales County27.9Crockett County: 27.4 %Crockett County27.4Knox County: 27.3 %Knox County27.3Lamb County: 27.2 %Lamb County27.2Castro County: 26.9 %Castro County26.9Dawson County: 26.9 %Dawson County26.9La Salle County: 26.9 %La Salle County26.9Navarro County: 26.9 %Navarro County26.9Swisher County: 26.8 %Swisher County26.8Willacy County: 26.8 %Willacy 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

RankCounties2023 (%)Change on 2022
1Gaines County38.6+0.5 pts
2Hidalgo County35.7-4.1 pts
3Webb County35.5-0.2 pts
4Presidio County35-5.7 pts
5Edwards County33.4-2.5 pts
6Zapata County33.2+1.4 pts
7Starr County32.6-0.4 pts
8Cameron County32.5-0.3 pts
9Dallam County31.6-3.4 pts
10Kenedy County31.5-7.6 pts
11Hansford County31.1-0.3 pts
12Bailey County31-2.1 pts
13Cochran County30.9+0.6 pts
14Moore County30.6-0.1 pts
15Ochiltree County30.3-2 pts
15Parmer County30.3+1.7 pts
17Terry County30+0.9 pts
18Maverick County29.9-4.5 pts
19Sherman County29.5-1.9 pts
20Liberty County29.4+1 pts
21Hall County29.3-1.1 pts
22Hudspeth County28.8-2.4 pts
23Titus County28.6+0.2 pts
23Wheeler County28.6-1.8 pts
25Deaf Smith County28.5+1.2 pts
26San Saba County28.4-3.7 pts
27Hale County28.3+0.9 pts
27Yoakum County28.3-2.9 pts
29El Paso County28.1-0.9 pts
30Potter County28-0.6 pts
31Gonzales County27.9+0.5 pts
32Crockett County27.4-3.7 pts
33Knox County27.3+1.7 pts
34Lamb County27.2-0.8 pts
35Castro County26.9-3.7 pts
35Dawson County26.9-0.5 pts
35La Salle County26.9+0.4 pts
35Navarro County26.9+4 pts
39Swisher County26.8-6 pts
39Willacy County26.8-0.9 pts
41Dallas County26.7-0.7 pts
41Uvalde County26.7-1.7 pts
43Comanche County26.4+0.6 pts
44Floyd County26.3-3.7 pts
45Caldwell County26.1-0.7 pts
45Collingsworth County26.1-4.5 pts
45Ector County26.1-0.1 pts
45Gray County26.1-0.1 pts
45Madison County26.1-2.8 pts
50Jefferson County25.9+1.2 pts
50Menard County25.9-4.4 pts
50Shelby County25.9-1.8 pts
53Harris County25.8-0.7 pts
54Frio County25.6-1.3 pts
55Cherokee County25.5+1.5 pts
56Jack County25.3-0.6 pts
57Nacogdoches County25.2+2.4 pts
58Bastrop County25.1+0.5 pts
58Hopkins County25.1+1.1 pts
60Palo Pinto County25+0.6 pts
61Camp County24.8+0.6 pts
61Haskell County24.8-2.1 pts
63Matagorda County24.7-1 pts
63McCulloch County24.7-1.3 pts
63Reeves County24.7-1.4 pts
66Lipscomb County24.50 pts
66Pecos County24.5-2.3 pts
68Andrews County24.4-2.9 pts
69Colorado County24.3-1.5 pts
69King County24.3+2.3 pts
71Hamilton County24.2-1.1 pts
71Leon County24.2-1.2 pts
73Sutton County24.10 pts
73Wharton County24.1-0.8 pts
75Henderson County24-2.2 pts
75Hockley County24-2.7 pts
75Waller County24+2.4 pts
78Crosby County23.9-2.6 pts
79Erath County23.8+0.5 pts
79San Jacinto County23.8-0.3 pts
79Van Zandt County23.8+1.5 pts
82Lee County23.6+0.2 pts
82Red River County23.6+2.4 pts
82Young County23.6-1.2 pts
85Briscoe County23.5-1.8 pts
85Freestone County23.5+1 pts
85Gillespie County23.5-4.4 pts
88Gregg County23.4-0.2 pts
89Crane County23.3-4 pts
89Grimes County23.3+0.2 pts
89Hill County23.3+0.3 pts
89Live Oak County23.3-1.2 pts
89San Augustine County23.3+0.3 pts
94Cooke County23.2+1.9 pts
94Eastland County23.2-0.4 pts
94Wood County23.2+0.8 pts
97Hardeman County23.1-0.2 pts
97Kerr County23.1+1.7 pts
97Montague County23.1-1.4 pts
97Wilbarger County23.1-1.1 pts
101Donley County23-1.8 pts
102Coleman County22.9-3.2 pts
102Runnels County22.9-0.6 pts
102Schleicher County22.9-3.3 pts
105Houston County22.8-0.7 pts
105Mason County22.8-4.2 pts
107Anderson County22.7+1 pts
107Hunt County22.7-0.3 pts
107Jim Hogg County22.7-4.2 pts
107Jim Wells County22.7-0.8 pts
107Stephens County22.7-2.2 pts
107Ward County22.7-4.9 pts
113Burleson County22.6-1.8 pts
113Jackson County22.6-0.8 pts
113Kimble County22.6-2.1 pts
113Rains County22.6-2.2 pts
117Val Verde County22.5-4.3 pts
118Angelina County22.4-1.5 pts
118Limestone County22.4-1.1 pts
118Newton County22.4-1.4 pts
121Burnet County22.2+0.2 pts
122Brooks County22.1-1.2 pts
122Winkler County22.1-1.3 pts
124Austin County22-0.2 pts
124Mills County22-2.4 pts
124Real County22-2.1 pts
124Smith County22-0.3 pts
128Nueces County21.9-1.9 pts
129Brewster County21.7-3.9 pts
129Kleberg County21.7-0.7 pts
131Foard County21.6+0.6 pts
131Grayson County21.6+0.2 pts
131Lamar County21.60 pts
131Polk County21.6-0.5 pts
131Victoria County21.6-1.3 pts
136Atascosa County21.4-3 pts
136Bosque County21.4-2 pts
136Zavala County21.4-0.5 pts
139Dimmit County21.3-3.9 pts
139Scurry County21.3-3.2 pts
139Tyler County21.3-1.3 pts
142Lampasas County21.2+1.6 pts
143Johnson County21.1-0.8 pts
144Falls County21-0.5 pts
144Robertson County21+0.8 pts
144Rusk County21-1.4 pts
144San Patricio County21-2.1 pts
144Throckmorton County21-0.9 pts
149Jones County20.9-0.2 pts
149Tom Green County20.9+0.7 pts
149Wise County20.9-0.2 pts
152Hemphill County20.7-3.6 pts
152Upton County20.7-2.5 pts
154Milam County20.6-2.1 pts
154Morris County20.6+0.4 pts
154Tarrant County20.6-0.7 pts
154Walker County20.6-0.4 pts
158Garza County20.5-5.3 pts
158Kaufman County20.5+1.6 pts
158McLennan County20.5-1.2 pts
158Sabine County20.5-1 pts
162Childress County20.4-1.9 pts
162Fayette County20.4-1.1 pts
162Llano County20.4-1.5 pts
165Karnes County20.3-1.2 pts
165Montgomery County20.3+1.8 pts
167Blanco County20.20 pts
167Fannin County20.2+0.5 pts
167Marion County20.2+0.9 pts
167Nolan County20.2-1.9 pts
167Reagan County20.2-4.1 pts
167Trinity County20.2-0.3 pts
173Bandera County20.1-2 pts
173Panola County20.1-0.9 pts
175Brown County20-1 pts
175Calhoun County20+0.3 pts
175Goliad County20+0.9 pts
178Refugio County19.9-1.5 pts
179Bexar County19.8-2.1 pts
179Dickens County19.8-2.5 pts
179Lavaca County19.8+2.2 pts
182Wichita County19.7-0.8 pts
183DeWitt County19.6-2.4 pts
183Duval County19.6-2.6 pts
183Howard County19.6-3.9 pts
183Washington County19.6+1.2 pts
187Aransas County19.5-4 pts
188Stonewall County19.4+1.2 pts
189Medina County19.2+0.2 pts
190Coke County19.1-1.7 pts
190Culberson County19.1-8.4 pts
190Oldham County19.1+2 pts
190Taylor County19.1-2.6 pts
194Galveston County19+0.5 pts
195Brazos County18.9+1.1 pts
196Hutchinson County18.8-0.3 pts
196Martin County18.8-5.3 pts
198Irion County18.6-3.9 pts
199Cass County18.5-1.5 pts
200Bell County18.3-1.8 pts
200Franklin County18.3+1.2 pts
200McMullen County18.3+1.1 pts
203Jasper County18.2-5.9 pts
204Archer County18.1-0.7 pts
204Cottle County18.1-1.1 pts
204Hood County18.1-0.6 pts
204Lubbock County18.1-0.9 pts
204Midland County18.1-3.5 pts
204Shackelford County18.1-5.3 pts
204Sterling County18.1+1.7 pts
211Ellis County17.9-1.7 pts
211Upshur County17.9-2.8 pts
213Fisher County17.8-0.6 pts
213Lynn County17.8-1.8 pts
215Baylor County17.7-1.2 pts
215Harrison County17.7-3.2 pts
215Orange County17.7+0.3 pts
218Callahan County17.5-3.2 pts
219Mitchell County17.4-2.8 pts
219Motley County17.4-1.9 pts
221Brazoria County17.2-0.5 pts
222Bee County17-2.3 pts
222Hartley County17-1.9 pts
222Parker County17-0.8 pts
225Kendall County16.80 pts
226Bowie County16.7-2.5 pts
226Somervell County16.7-1.9 pts
228Clay County16.5-1.5 pts
229Hardin County16.4-2.4 pts
230Concho County16.2-2.7 pts
231Chambers County16.10 pts
232Hays County15.9-0.1 pts
233Randall County15.6+0.5 pts
233Roberts County15.6+0.9 pts
235Coryell County15.3-2 pts
235Delta County15.3-0.7 pts
235Fort Bend County15.3+0.5 pts
238Wilson County15.2-2.2 pts
239Guadalupe County15-0.4 pts
240Carson County14.7-1.9 pts
241Travis County14.4+0.4 pts
242Comal County14.3-0.8 pts
242Glasscock County14.3-5.2 pts
244Kinney County14.2-1.1 pts
245Jeff Davis County13.8-9.2 pts
246Terrell County13.1-7.9 pts
247Denton County130 pts
247Williamson County13+1.2 pts
249Rockwall County12.9+0.4 pts
250Collin County12.5+0.2 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2023.
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-2023-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 38.6% in 2023, 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% in 2023.

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