Counties in California by uninsured rate, under 19 (US, ACS), 2024

Sierra County had the highest uninsured rate, under 19 (US, ACS) of 58 counties in 2024, at 20%. Mariposa County had the lowest, at 1.2%. The median was 3.6% and the figure for California was 3.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest20Sierra County
Median3.658 counties
California3.2History

Map of counties, 2024

Alameda County: 2.3 %Alpine County: 3 %Amador County: 5.3 %Butte County: 3.7 %Calaveras County: 4.6 %Colusa County: 5.9 %Contra Costa County: 2.5 %Del Norte County: 6 %El Dorado County: 2.8 %Fresno County: 2.8 %Glenn County: 4.6 %Humboldt County: 2.1 %Imperial County: 1.7 %Inyo County: 7.6 %Kern County: 4 %Kings County: 4.4 %Lake County: 5.4 %Lassen County: 5.9 %Los Angeles County: 3.4 %Madera County: 2.8 %Marin County: 1.9 %Mariposa County: 1.2 %Mendocino County: 5.6 %Merced County: 3.9 %Modoc County: 16.6 %Mono County: 2.7 %Monterey County: 4 %Napa County: 4 %Nevada County: 3.4 %Orange County: 3.2 %Placer County: 2.5 %Plumas County: 6.7 %Riverside County: 3.9 %Sacramento County: 2.5 %San Benito County: 2.4 %San Bernardino County: 4.3 %San Diego County: 3.8 %San Francisco County: 2.2 %San Joaquin County: 2.8 %San Luis Obispo County: 3.6 %San Mateo County: 2.2 %Santa Barbara County: 4.3 %Santa Clara County: 1.8 %Santa Cruz County: 1.9 %Shasta County: 5.1 %Sierra County: 20 %Siskiyou County: 4.2 %Solano County: 3.5 %Sonoma County: 2.4 %Stanislaus County: 2.3 %Sutter County: 3.2 %Tehama County: 4.3 %Trinity County: 13.3 %Tulare County: 2.5 %Tuolumne County: 3.8 %Ventura County: 3.2 %Yolo County: 2.7 %Yuba County: 4.6 %
  • Under 2.4
  • 2.4 to 2.8
  • 2.8 to 3.6
  • 3.6 to 4.2
  • 4.2 to 5.3
  • 5.3 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2024

Sierra County: 20 %Sierra County20Modoc County: 16.6 %Modoc County16.6Trinity County: 13.3 %Trinity County13.3Inyo County: 7.6 %Inyo County7.6Plumas County: 6.7 %Plumas County6.7Del Norte County: 6 %Del Norte County6Colusa County: 5.9 %Colusa County5.9Lassen County: 5.9 %Lassen County5.9Mendocino County: 5.6 %Mendocino County5.6Lake County: 5.4 %Lake County5.4Amador County: 5.3 %Amador County5.3Shasta County: 5.1 %Shasta County5.1Calaveras County: 4.6 %Calaveras County4.6Yuba County: 4.6 %Yuba County4.6Glenn County: 4.6 %Glenn County4.6Kings County: 4.4 %Kings County4.4Tehama County: 4.3 %Tehama County4.3San Bernardino County: 4.3 %San Bernardino County4.3Santa Barbara County: 4.3 %Santa Barbara County4.3Siskiyou County: 4.2 %Siskiyou County4.2Napa County: 4 %Napa County4Kern County: 4 %Kern County4Monterey County: 4 %Monterey County4Riverside County: 3.9 %Riverside County3.9Merced County: 3.9 %Merced County3.9Tuolumne County: 3.8 %Tuolumne County3.8San Diego County: 3.8 %San Diego County3.8Butte County: 3.7 %Butte County3.7San Luis Obispo County: 3.6 %San Luis Obispo County3.6Solano County: 3.5 %Solano County3.5Nevada County: 3.4 %Nevada County3.4Los Angeles County: 3.4 %Los Angeles County3.4Orange County: 3.2 %Orange County3.2Ventura County: 3.2 %Ventura County3.2Sutter County: 3.2 %Sutter County3.2Alpine County: 3 %Alpine County3El Dorado County: 2.8 %El Dorado County2.8Madera County: 2.8 %Madera County2.8Fresno County: 2.8 %Fresno County2.8San Joaquin County: 2.8 %San Joaquin County2.8Mono County: 2.7 %Mono County2.7Yolo County: 2.7 %Yolo County2.7Contra Costa County: 2.5 %Contra Costa County2.5Tulare County: 2.5 %Tulare County2.5Sacramento County: 2.5 %Sacramento County2.5Placer County: 2.5 %Placer County2.5San Benito County: 2.4 %San Benito County2.4Sonoma County: 2.4 %Sonoma County2.4Alameda County: 2.3 %Alameda County2.3Stanislaus County: 2.3 %Stanislaus County2.3San Francisco County: 2.2 %San Francisco County2.2San Mateo County: 2.2 %San Mateo County2.2Humboldt County: 2.1 %Humboldt County2.1Marin County: 1.9 %Marin County1.9Santa Cruz County: 1.9 %Santa Cruz County1.9Santa Clara County: 1.8 %Santa Clara County1.8Imperial County: 1.7 %Imperial County1.7Mariposa County: 1.2 %Mariposa County1.2Sierra County: 20 %Sierra County20Modoc County: 16.6 %Modoc County16.6Trinity County: 13.3 %Trinity County13.3Inyo County: 7.6 %Inyo County7.6Plumas County: 6.7 %Plumas County6.7Del Norte County: 6 %Del Norte County6Colusa County: 5.9 %Colusa County5.9Lassen County: 5.9 %Lassen County5.9Mendocino County: 5.6 %Mendocino County5.6Lake County: 5.4 %Lake County5.4Amador County: 5.3 %Amador County5.3Shasta County: 5.1 %Shasta County5.1Calaveras County: 4.6 %Calaveras County4.6Yuba County: 4.6 %Yuba County4.6Glenn County: 4.6 %Glenn County4.6Kings County: 4.4 %Kings County4.4Tehama County: 4.3 %Tehama County4.3San Bernardino County: 4.3 %San Bernardino County4.3Santa Barbara County: 4.3 %Santa Barbara County4.3Siskiyou County: 4.2 %Siskiyou County4.2Napa County: 4 %Napa County4Kern County: 4 %Kern County4Monterey County: 4 %Monterey County4Riverside County: 3.9 %Riverside County3.9Merced County: 3.9 %Merced County3.9Tuolumne County: 3.8 %Tuolumne County3.8San Diego County: 3.8 %San Diego County3.8Butte County: 3.7 %Butte County3.7San Luis Obispo County: 3.6 %San Luis Obispo County3.6Solano County: 3.5 %Solano County3.5Nevada County: 3.4 %Nevada County3.4Los Angeles County: 3.4 %Los Angeles County3.4Orange County: 3.2 %Orange County3.2Ventura County: 3.2 %Ventura County3.2Sutter County: 3.2 %Sutter County3.2Alpine County: 3 %Alpine County3El Dorado County: 2.8 %El Dorado County2.8Madera County: 2.8 %Madera County2.8Fresno County: 2.8 %Fresno County2.8San Joaquin County: 2.8 %San Joaquin County2.8Mono County: 2.7 %Mono County2.7Yolo County: 2.7 %Yolo County2.7Contra Costa County: 2.5 %Contra Costa County2.5Tulare County: 2.5 %Tulare County2.5Sacramento County: 2.5 %Sacramento County2.5Placer County: 2.5 %Placer County2.5San Benito County: 2.4 %San Benito County2.4Sonoma County: 2.4 %Sonoma County2.4Alameda County: 2.3 %Alameda County2.3Stanislaus County: 2.3 %Stanislaus County2.3San Francisco County: 2.2 %San Francisco County2.2San Mateo County: 2.2 %San Mateo County2.2Humboldt County: 2.1 %Humboldt County2.1Marin County: 1.9 %Marin County1.9Santa Cruz County: 1.9 %Santa Cruz County1.9Santa Clara County: 1.8 %Santa Clara County1.8Imperial County: 1.7 %Imperial County1.7Mariposa County: 1.2 %Mariposa County1.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Sierra County20+7.1 pts
2Modoc County16.6+4 pts
3Trinity County13.3-0.8 pts
4Inyo County7.6-0.5 pts
5Plumas County6.7+1.9 pts
6Del Norte County6-0.3 pts
7Colusa County5.9+0.4 pts
8Lassen County5.9+0.8 pts
9Mendocino County5.6+0.6 pts
10Lake County5.4+1.9 pts
11Amador County5.3-0.7 pts
12Shasta County5.1+0.2 pts
13Calaveras County4.6+0.8 pts
14Yuba County4.6-0.8 pts
15Glenn County4.6-3.1 pts
16Kings County4.4+0.1 pts
17Tehama County4.3+0.2 pts
18San Bernardino County4.3-0.2 pts
19Santa Barbara County4.3+0.2 pts
20Siskiyou County4.2+0.1 pts
21Napa County4-0.1 pts
22Kern County4+0.3 pts
22Monterey County4+0.5 pts
24Riverside County3.9-0.1 pts
25Merced County3.9-0.3 pts
26Tuolumne County3.8-0.8 pts
27San Diego County3.8-0 pts
28Butte County3.7+0.8 pts
29San Luis Obispo County3.6+0.3 pts
30Solano County3.5+0.5 pts
31Nevada County3.4+0.4 pts
32Los Angeles County3.4-0.2 pts
33Orange County3.2-0.3 pts
34Ventura County3.2-0.4 pts
35Sutter County3.2+0.7 pts
36Alpine County3-0.9 pts
37El Dorado County2.8-0.1 pts
38Madera County2.8+0.3 pts
39Fresno County2.8-0.2 pts
39San Joaquin County2.8-0.2 pts
41Mono County2.7-1.9 pts
42Yolo County2.7+0.4 pts
43Contra Costa County2.5-0.2 pts
44Tulare County2.50 pts
45Sacramento County2.5-0.2 pts
46Placer County2.5-0.3 pts
47San Benito County2.4-0.3 pts
48Sonoma County2.4-0.8 pts
49Alameda County2.3-0.1 pts
50Stanislaus County2.3-0.5 pts
51San Francisco County2.2+0.2 pts
52San Mateo County2.2-0.1 pts
53Humboldt County2.1-0.8 pts
54Marin County1.90 pts
54Santa Cruz County1.9-0.4 pts
56Santa Clara County1.80 pts
57Imperial County1.7-0.6 pts
58Mariposa County1.2-0.8 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 California by uninsured rate, under 19 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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 California by uninsured rate, under 19 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties. 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 California by uninsured rate, under 19 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties.

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 California by uninsured rate, under 19 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_by_2024,
  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 California by uninsured rate, under 19 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties. 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 California by uninsured rate, under 19 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-counties.
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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

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

Sierra County, with 20% in 2024, according to the U.S. Census Bureau.

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

Mariposa County, with 1.2% in 2024.

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 California: more rankings