Counties in Alabama by uninsured rate, under 19 (US, ACS)

Franklin County had the highest uninsured rate, under 19 (US, ACS) of 67 counties in 2022, at 11.2%. Perry County had the lowest, at 0%. The median was 2.8% and the figure for Alabama was 3.3%. Source: the U.S. Census Bureau.

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Highest11.2Franklin County
Median2.867 counties
Alabama3.3History

Map of counties, 2022

Autauga County: 1.9 %Baldwin County: 5.6 %Barbour County: 2.6 %Bibb County: 1.8 %Blount County: 2.5 %Bullock County: 1.7 %Butler County: 4.9 %Calhoun County: 4 %Chambers County: 4 %Cherokee County: 1.3 %Chilton County: 2.1 %Choctaw County: 1.3 %Clarke County: 1.4 %Clay County: 0.7 %Cleburne County: 1.2 %Coffee County: 4.1 %Colbert County: 2.3 %Conecuh County: 4.1 %Coosa County: 5.5 %Covington County: 6.8 %Crenshaw County: 5.3 %Cullman County: 3.3 %Dale County: 2.3 %Dallas County: 1.8 %DeKalb County: 3.8 %Elmore County: 3.4 %Escambia County: 6.5 %Etowah County: 3.5 %Fayette County: 2.6 %Franklin County: 11.2 %Geneva County: 3.1 %Greene County: 9.6 %Hale County: 2.9 %Henry County: 3.3 %Houston County: 2.3 %Jackson County: 2.6 %Jefferson County: 3.6 %Lamar County: 0.7 %Lauderdale County: 4.6 %Lawrence County: 1.5 %Lee County: 2.9 %Limestone County: 2.8 %Lowndes County: 1.2 %Macon County: 5.4 %Madison County: 2.8 %Marengo County: 0.7 %Marion County: 3.5 %Marshall County: 2.5 %Mobile County: 3.2 %Monroe County: 2.4 %Montgomery County: 3.3 %Morgan County: 4.1 %Perry County: 0 %Pickens County: 3.6 %Pike County: 3.7 %Randolph County: 2.6 %Russell County: 2.1 %St. Clair County: 3.1 %Shelby County: 2.6 %Sumter County: 1.6 %Talladega County: 2.9 %Tallapoosa County: 2.8 %Tuscaloosa County: 2 %Walker County: 9 %Washington County: 1.9 %Wilcox County: 0.1 %Winston County: 6.4 %
  • Under 1.6
  • 1.6 to 2.3
  • 2.3 to 2.8
  • 2.8 to 3.5
  • 3.5 to 4.6
  • 4.6 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Franklin County: 11.2 %Franklin County11.2Greene County: 9.6 %Greene County9.6Walker County: 9 %Walker County9Covington County: 6.8 %Covington County6.8Escambia County: 6.5 %Escambia County6.5Winston County: 6.4 %Winston County6.4Baldwin County: 5.6 %Baldwin County5.6Coosa County: 5.5 %Coosa County5.5Macon County: 5.4 %Macon County5.4Crenshaw County: 5.3 %Crenshaw County5.3Butler County: 4.9 %Butler County4.9Lauderdale County: 4.6 %Lauderdale County4.6Coffee County: 4.1 %Coffee County4.1Morgan County: 4.1 %Morgan County4.1Conecuh County: 4.1 %Conecuh County4.1Calhoun County: 4 %Calhoun County4Chambers County: 4 %Chambers County4DeKalb County: 3.8 %DeKalb County3.8Pike County: 3.7 %Pike County3.7Jefferson County: 3.6 %Jefferson County3.6Pickens County: 3.6 %Pickens County3.6Etowah County: 3.5 %Etowah County3.5Marion County: 3.5 %Marion County3.5Elmore County: 3.4 %Elmore County3.4Cullman County: 3.3 %Cullman County3.3Montgomery County: 3.3 %Montgomery County3.3Henry County: 3.3 %Henry County3.3Mobile County: 3.2 %Mobile County3.2Geneva County: 3.1 %Geneva County3.1St. Clair County: 3.1 %St. Clair County3.1Talladega County: 2.9 %Talladega County2.9Hale County: 2.9 %Hale County2.9Lee County: 2.9 %Lee County2.9Madison County: 2.8 %Madison County2.8Tallapoosa County: 2.8 %Tallapoosa County2.8Limestone County: 2.8 %Limestone County2.8Jackson County: 2.6 %Jackson County2.6Barbour County: 2.6 %Barbour County2.6Randolph County: 2.6 %Randolph County2.6Shelby County: 2.6 %Shelby County2.6Franklin County: 11.2 %Franklin County11.2Greene County: 9.6 %Greene County9.6Walker County: 9 %Walker County9Covington County: 6.8 %Covington County6.8Escambia County: 6.5 %Escambia County6.5Winston County: 6.4 %Winston County6.4Baldwin County: 5.6 %Baldwin County5.6Coosa County: 5.5 %Coosa County5.5Macon County: 5.4 %Macon County5.4Crenshaw County: 5.3 %Crenshaw County5.3Butler County: 4.9 %Butler County4.9Lauderdale County: 4.6 %Lauderdale County4.6Coffee County: 4.1 %Coffee County4.1Morgan County: 4.1 %Morgan County4.1Conecuh County: 4.1 %Conecuh County4.1Calhoun County: 4 %Calhoun County4Chambers County: 4 %Chambers County4DeKalb County: 3.8 %DeKalb County3.8Pike County: 3.7 %Pike County3.7Jefferson County: 3.6 %Jefferson County3.6Pickens County: 3.6 %Pickens County3.6Etowah County: 3.5 %Etowah County3.5Marion County: 3.5 %Marion County3.5Elmore County: 3.4 %Elmore County3.4Cullman County: 3.3 %Cullman County3.3Montgomery County: 3.3 %Montgomery County3.3Henry County: 3.3 %Henry County3.3Mobile County: 3.2 %Mobile County3.2Geneva County: 3.1 %Geneva County3.1St. Clair County: 3.1 %St. Clair County3.1Talladega County: 2.9 %Talladega County2.9Hale County: 2.9 %Hale County2.9Lee County: 2.9 %Lee County2.9Madison County: 2.8 %Madison County2.8Tallapoosa County: 2.8 %Tallapoosa County2.8Limestone County: 2.8 %Limestone County2.8Jackson County: 2.6 %Jackson County2.6Barbour County: 2.6 %Barbour County2.6Randolph County: 2.6 %Randolph County2.6Shelby County: 2.6 %Shelby County2.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Franklin County11.2+1.1 pts
2Greene County9.6-3 pts
3Walker County9+0.8 pts
4Covington County6.8-1.2 pts
5Escambia County6.5-0.2 pts
6Winston County6.4+0.7 pts
7Baldwin County5.6-0.3 pts
8Coosa County5.5-0.6 pts
9Macon County5.4+0.8 pts
10Crenshaw County5.3+3.5 pts
11Butler County4.9+0.1 pts
12Lauderdale County4.6+0.8 pts
13Coffee County4.1-1.5 pts
13Morgan County4.1-0.4 pts
15Conecuh County4.1+0.7 pts
16Calhoun County4+1 pts
17Chambers County4+0.6 pts
18DeKalb County3.8+0.2 pts
19Pike County3.7-0.3 pts
20Jefferson County3.6-0.3 pts
21Pickens County3.6-0 pts
22Etowah County3.5-0.2 pts
23Marion County3.5-1.3 pts
24Elmore County3.4-0.2 pts
25Cullman County3.3-0.7 pts
26Montgomery County3.3+0.2 pts
27Henry County3.3+0.8 pts
28Mobile County3.2-0 pts
29Geneva County3.1+0.6 pts
30St. Clair County3.1+1.6 pts
31Talladega County2.9-0.4 pts
32Hale County2.9+1 pts
32Lee County2.9+0.2 pts
34Madison County2.8-0.6 pts
35Tallapoosa County2.8-0.1 pts
36Limestone County2.8+0.4 pts
37Jackson County2.6-0.2 pts
38Barbour County2.6-0.1 pts
39Randolph County2.6-0.8 pts
40Shelby County2.6-0.1 pts
41Fayette County2.6-0.3 pts
42Marshall County2.5+0.3 pts
43Blount County2.5-0.9 pts
44Monroe County2.4-0.9 pts
45Dale County2.3-0.2 pts
46Colbert County2.3+0.4 pts
47Houston County2.3+0.1 pts
48Chilton County2.1-1.2 pts
49Russell County2.1+0.4 pts
50Tuscaloosa County2-0.2 pts
51Autauga County1.9-0.2 pts
52Washington County1.9-0.7 pts
53Dallas County1.8+0.1 pts
54Bibb County1.8-0.2 pts
55Bullock County1.7+1.2 pts
56Sumter County1.6-0.5 pts
57Lawrence County1.5-0.8 pts
58Clarke County1.40 pts
59Cherokee County1.3-0.5 pts
60Choctaw County1.3-0.2 pts
61Cleburne County1.2-3.2 pts
62Lowndes County1.2-0.4 pts
63Clay County0.7+0.2 pts
63Lamar County0.7-0.3 pts
65Marengo County0.7+0.1 pts
66Wilcox County0.1-0 pts
67Perry County00 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

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. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs (Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2022,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Alabama by uninsured rate, under 19 (US, ACS), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Alabama by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, under 19 (US, ACS)?

Franklin County, with 11.2% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US, ACS)?

Perry County, with 0% 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, American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Counties in Alabama: more rankings