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

Greene County had the highest uninsured rate, under 19 (US, ACS) of 67 counties in 2023, at 10.1%. Lamar County had the lowest, at 0%. The median was 3.2% and the figure for Alabama was 3.5%. Source: the U.S. Census Bureau.

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Highest10.1Greene County
Median3.267 counties
Alabama3.5History

Map of counties, 2023

Autauga County: 2.7 %Baldwin County: 4.9 %Barbour County: 4.7 %Bibb County: 1.5 %Blount County: 2.2 %Bullock County: 1.4 %Butler County: 6.2 %Calhoun County: 3.4 %Chambers County: 4.6 %Cherokee County: 1.4 %Chilton County: 2.4 %Choctaw County: 3.5 %Clarke County: 1.1 %Clay County: 0 %Cleburne County: 1.4 %Coffee County: 4.7 %Colbert County: 2.8 %Conecuh County: 3.4 %Coosa County: 6.1 %Covington County: 6 %Crenshaw County: 7.4 %Cullman County: 3.6 %Dale County: 2.4 %Dallas County: 1.9 %DeKalb County: 3.8 %Elmore County: 3.2 %Escambia County: 6 %Etowah County: 4.8 %Fayette County: 1.2 %Franklin County: 9 %Geneva County: 2.8 %Greene County: 10.1 %Hale County: 3.2 %Henry County: 4.7 %Houston County: 3.1 %Jackson County: 2.8 %Jefferson County: 4 %Lamar County: 0 %Lauderdale County: 5 %Lawrence County: 2 %Lee County: 2.9 %Limestone County: 2.9 %Lowndes County: 2.1 %Macon County: 4.7 %Madison County: 2.8 %Marengo County: 1.7 %Marion County: 1.7 %Marshall County: 4.1 %Mobile County: 3 %Monroe County: 2.9 %Montgomery County: 3.6 %Morgan County: 4.4 %Perry County: 0.4 %Pickens County: 3.2 %Pike County: 4.3 %Randolph County: 3.3 %Russell County: 3.6 %St. Clair County: 2.4 %Shelby County: 3.3 %Sumter County: 3.8 %Talladega County: 3.8 %Tallapoosa County: 2.2 %Tuscaloosa County: 2.1 %Walker County: 8.6 %Washington County: 1 %Wilcox County: 0.1 %Winston County: 2.9 %
  • Under 1.7
  • 1.7 to 2.7
  • 2.7 to 3.2
  • 3.2 to 3.8
  • 3.8 to 4.7
  • 4.7 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Greene County: 10.1 %Greene County10.1Franklin County: 9 %Franklin County9Walker County: 8.6 %Walker County8.6Crenshaw County: 7.4 %Crenshaw County7.4Butler County: 6.2 %Butler County6.2Coosa County: 6.1 %Coosa County6.1Covington County: 6 %Covington County6Escambia County: 6 %Escambia County6Lauderdale County: 5 %Lauderdale County5Baldwin County: 4.9 %Baldwin County4.9Etowah County: 4.8 %Etowah County4.8Coffee County: 4.7 %Coffee County4.7Macon County: 4.7 %Macon County4.7Barbour County: 4.7 %Barbour County4.7Henry County: 4.7 %Henry County4.7Chambers County: 4.6 %Chambers County4.6Morgan County: 4.4 %Morgan County4.4Pike County: 4.3 %Pike County4.3Marshall County: 4.1 %Marshall County4.1Jefferson County: 4 %Jefferson County4Sumter County: 3.8 %Sumter County3.8Talladega County: 3.8 %Talladega County3.8DeKalb County: 3.8 %DeKalb County3.8Montgomery County: 3.6 %Montgomery County3.6Russell County: 3.6 %Russell County3.6Cullman County: 3.6 %Cullman County3.6Choctaw County: 3.5 %Choctaw County3.5Calhoun County: 3.4 %Calhoun County3.4Conecuh County: 3.4 %Conecuh County3.4Shelby County: 3.3 %Shelby County3.3Randolph County: 3.3 %Randolph County3.3Hale County: 3.2 %Hale County3.2Elmore County: 3.2 %Elmore County3.2Pickens County: 3.2 %Pickens County3.2Houston County: 3.1 %Houston County3.1Mobile County: 3 %Mobile County3Limestone County: 2.9 %Limestone County2.9Lee County: 2.9 %Lee County2.9Monroe County: 2.9 %Monroe County2.9Winston County: 2.9 %Winston County2.9Greene County: 10.1 %Greene County10.1Franklin County: 9 %Franklin County9Walker County: 8.6 %Walker County8.6Crenshaw County: 7.4 %Crenshaw County7.4Butler County: 6.2 %Butler County6.2Coosa County: 6.1 %Coosa County6.1Covington County: 6 %Covington County6Escambia County: 6 %Escambia County6Lauderdale County: 5 %Lauderdale County5Baldwin County: 4.9 %Baldwin County4.9Etowah County: 4.8 %Etowah County4.8Coffee County: 4.7 %Coffee County4.7Macon County: 4.7 %Macon County4.7Barbour County: 4.7 %Barbour County4.7Henry County: 4.7 %Henry County4.7Chambers County: 4.6 %Chambers County4.6Morgan County: 4.4 %Morgan County4.4Pike County: 4.3 %Pike County4.3Marshall County: 4.1 %Marshall County4.1Jefferson County: 4 %Jefferson County4Sumter County: 3.8 %Sumter County3.8Talladega County: 3.8 %Talladega County3.8DeKalb County: 3.8 %DeKalb County3.8Montgomery County: 3.6 %Montgomery County3.6Russell County: 3.6 %Russell County3.6Cullman County: 3.6 %Cullman County3.6Choctaw County: 3.5 %Choctaw County3.5Calhoun County: 3.4 %Calhoun County3.4Conecuh County: 3.4 %Conecuh County3.4Shelby County: 3.3 %Shelby County3.3Randolph County: 3.3 %Randolph County3.3Hale County: 3.2 %Hale County3.2Elmore County: 3.2 %Elmore County3.2Pickens County: 3.2 %Pickens County3.2Houston County: 3.1 %Houston County3.1Mobile County: 3 %Mobile County3Limestone County: 2.9 %Limestone County2.9Lee County: 2.9 %Lee County2.9Monroe County: 2.9 %Monroe County2.9Winston County: 2.9 %Winston County2.9
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Greene County10.1+0.5 pts
2Franklin County9-2.2 pts
3Walker County8.6-0.4 pts
4Crenshaw County7.4+2.1 pts
5Butler County6.2+1.3 pts
6Coosa County6.1+0.5 pts
7Covington County6-0.7 pts
8Escambia County6-0.5 pts
9Lauderdale County5+0.5 pts
10Baldwin County4.9-0.7 pts
11Etowah County4.8+1.3 pts
12Coffee County4.7+0.6 pts
12Macon County4.7-0.6 pts
14Barbour County4.7+2.1 pts
15Henry County4.7+1.4 pts
16Chambers County4.6+0.6 pts
17Morgan County4.4+0.3 pts
18Pike County4.3+0.7 pts
19Marshall County4.1+1.5 pts
20Jefferson County4+0.4 pts
21Sumter County3.8+2.2 pts
22Talladega County3.8+0.8 pts
23DeKalb County3.8-0 pts
24Montgomery County3.6+0.4 pts
25Russell County3.6+1.5 pts
26Cullman County3.6+0.3 pts
27Choctaw County3.5+2.3 pts
28Calhoun County3.4-0.6 pts
29Conecuh County3.4-0.7 pts
30Shelby County3.3+0.7 pts
31Randolph County3.3+0.7 pts
32Hale County3.2+0.3 pts
33Elmore County3.2-0.2 pts
34Pickens County3.2-0.4 pts
35Houston County3.1+0.8 pts
36Mobile County3-0.2 pts
37Limestone County2.9+0.2 pts
38Lee County2.90 pts
39Monroe County2.9+0.5 pts
39Winston County2.9-3.5 pts
41Jackson County2.8+0.2 pts
42Madison County2.80 pts
43Colbert County2.8+0.5 pts
44Geneva County2.8-0.4 pts
45Autauga County2.7+0.8 pts
46St. Clair County2.4-0.6 pts
47Chilton County2.4+0.2 pts
48Dale County2.40 pts
49Blount County2.2-0.3 pts
50Tallapoosa County2.2-0.6 pts
51Tuscaloosa County2.1+0.1 pts
52Lowndes County2.1+0.9 pts
53Lawrence County2+0.5 pts
54Dallas County1.9+0.1 pts
55Marion County1.7-1.7 pts
56Marengo County1.7+1 pts
57Bibb County1.5-0.3 pts
58Cleburne County1.4+0.2 pts
59Cherokee County1.40 pts
60Bullock County1.4-0.3 pts
61Fayette County1.2-1.4 pts
62Clarke County1.1-0.3 pts
63Washington County1-0.9 pts
64Perry County0.4+0.4 pts
65Wilcox County0.10 pts
66Clay County0-0.7 pts
66Lamar County0-0.7 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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)?

Greene County, with 10.1% in 2023, according to the U.S. Census Bureau.

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

Lamar County, with 0% 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, 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