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

Trinity County had the highest uninsured rate, under 19 (US, ACS) of 58 counties in 2023, at 14.1%. Santa Clara County had the lowest, at 1.8%. The median was 3.5% and the figure for California was 3.4%. Source: the U.S. Census Bureau.

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Highest14.1Trinity County
Median3.558 counties
California3.4History

Map of counties, 2023

Alameda County: 2.4 %Alpine County: 4 %Amador County: 5.9 %Butte County: 2.9 %Calaveras County: 3.8 %Colusa County: 5.5 %Contra Costa County: 2.7 %Del Norte County: 6.2 %El Dorado County: 3 %Fresno County: 3 %Glenn County: 7.7 %Humboldt County: 2.9 %Imperial County: 2.3 %Inyo County: 8.2 %Kern County: 3.7 %Kings County: 4.2 %Lake County: 3.4 %Lassen County: 5.1 %Los Angeles County: 3.5 %Madera County: 2.5 %Marin County: 1.9 %Mariposa County: 1.9 %Mendocino County: 5 %Merced County: 4.2 %Modoc County: 12.6 %Mono County: 4.6 %Monterey County: 3.5 %Napa County: 4.1 %Nevada County: 3.1 %Orange County: 3.5 %Placer County: 2.7 %Plumas County: 4.8 %Riverside County: 4 %Sacramento County: 2.7 %San Benito County: 2.7 %San Bernardino County: 4.5 %San Diego County: 3.8 %San Francisco County: 2 %San Joaquin County: 3 %San Luis Obispo County: 3.3 %San Mateo County: 2.3 %Santa Barbara County: 4.1 %Santa Clara County: 1.8 %Santa Cruz County: 2.3 %Shasta County: 4.9 %Sierra County: 12.9 %Siskiyou County: 4.2 %Solano County: 3 %Sonoma County: 3.2 %Stanislaus County: 2.8 %Sutter County: 2.5 %Tehama County: 4.1 %Trinity County: 14.1 %Tulare County: 2.5 %Tuolumne County: 4.7 %Ventura County: 3.6 %Yolo County: 2.3 %Yuba County: 5.4 %
  • Under 2.5
  • 2.5 to 3
  • 3 to 3.5
  • 3.5 to 4.1
  • 4.1 to 5
  • 5 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2023

Trinity County: 14.1 %Trinity County14.1Sierra County: 12.9 %Sierra County12.9Modoc County: 12.6 %Modoc County12.6Inyo County: 8.2 %Inyo County8.2Glenn County: 7.7 %Glenn County7.7Del Norte County: 6.2 %Del Norte County6.2Amador County: 5.9 %Amador County5.9Colusa County: 5.5 %Colusa County5.5Yuba County: 5.4 %Yuba County5.4Lassen County: 5.1 %Lassen County5.1Mendocino County: 5 %Mendocino County5Shasta County: 4.9 %Shasta County4.9Plumas County: 4.8 %Plumas County4.8Tuolumne County: 4.7 %Tuolumne County4.7Mono County: 4.6 %Mono County4.6San Bernardino County: 4.5 %San Bernardino County4.5Kings County: 4.2 %Kings County4.2Merced County: 4.2 %Merced County4.2Siskiyou County: 4.2 %Siskiyou County4.2Tehama County: 4.1 %Tehama County4.1Santa Barbara County: 4.1 %Santa Barbara County4.1Napa County: 4.1 %Napa County4.1Riverside County: 4 %Riverside County4Alpine County: 4 %Alpine County4San Diego County: 3.8 %San Diego County3.8Calaveras County: 3.8 %Calaveras County3.8Kern County: 3.7 %Kern County3.7Ventura County: 3.6 %Ventura County3.6Orange County: 3.5 %Orange County3.5Los Angeles County: 3.5 %Los Angeles County3.5Monterey County: 3.5 %Monterey County3.5Lake County: 3.4 %Lake County3.4San Luis Obispo County: 3.3 %San Luis Obispo County3.3Sonoma County: 3.2 %Sonoma County3.2Nevada County: 3.1 %Nevada County3.1Fresno County: 3 %Fresno County3San Joaquin County: 3 %San Joaquin County3Solano County: 3 %Solano County3El Dorado County: 3 %El Dorado County3Butte County: 2.9 %Butte County2.9Humboldt County: 2.9 %Humboldt County2.9Stanislaus County: 2.8 %Stanislaus County2.8Contra Costa County: 2.7 %Contra Costa County2.7Placer County: 2.7 %Placer County2.7San Benito County: 2.7 %San Benito County2.7Sacramento County: 2.7 %Sacramento County2.7Madera County: 2.5 %Madera County2.5Sutter County: 2.5 %Sutter County2.5Tulare County: 2.5 %Tulare County2.5Alameda County: 2.4 %Alameda County2.4Imperial County: 2.3 %Imperial County2.3San Mateo County: 2.3 %San Mateo County2.3Yolo County: 2.3 %Yolo County2.3Santa Cruz County: 2.3 %Santa Cruz County2.3San Francisco County: 2 %San Francisco County2Mariposa County: 1.9 %Mariposa County1.9Marin County: 1.9 %Marin County1.9Santa Clara County: 1.8 %Santa Clara County1.8Trinity County: 14.1 %Trinity County14.1Sierra County: 12.9 %Sierra County12.9Modoc County: 12.6 %Modoc County12.6Inyo County: 8.2 %Inyo County8.2Glenn County: 7.7 %Glenn County7.7Del Norte County: 6.2 %Del Norte County6.2Amador County: 5.9 %Amador County5.9Colusa County: 5.5 %Colusa County5.5Yuba County: 5.4 %Yuba County5.4Lassen County: 5.1 %Lassen County5.1Mendocino County: 5 %Mendocino County5Shasta County: 4.9 %Shasta County4.9Plumas County: 4.8 %Plumas County4.8Tuolumne County: 4.7 %Tuolumne County4.7Mono County: 4.6 %Mono County4.6San Bernardino County: 4.5 %San Bernardino County4.5Kings County: 4.2 %Kings County4.2Merced County: 4.2 %Merced County4.2Siskiyou County: 4.2 %Siskiyou County4.2Tehama County: 4.1 %Tehama County4.1Santa Barbara County: 4.1 %Santa Barbara County4.1Napa County: 4.1 %Napa County4.1Riverside County: 4 %Riverside County4Alpine County: 4 %Alpine County4San Diego County: 3.8 %San Diego County3.8Calaveras County: 3.8 %Calaveras County3.8Kern County: 3.7 %Kern County3.7Ventura County: 3.6 %Ventura County3.6Orange County: 3.5 %Orange County3.5Los Angeles County: 3.5 %Los Angeles County3.5Monterey County: 3.5 %Monterey County3.5Lake County: 3.4 %Lake County3.4San Luis Obispo County: 3.3 %San Luis Obispo County3.3Sonoma County: 3.2 %Sonoma County3.2Nevada County: 3.1 %Nevada County3.1Fresno County: 3 %Fresno County3San Joaquin County: 3 %San Joaquin County3Solano County: 3 %Solano County3El Dorado County: 3 %El Dorado County3Butte County: 2.9 %Butte County2.9Humboldt County: 2.9 %Humboldt County2.9Stanislaus County: 2.8 %Stanislaus County2.8Contra Costa County: 2.7 %Contra Costa County2.7Placer County: 2.7 %Placer County2.7San Benito County: 2.7 %San Benito County2.7Sacramento County: 2.7 %Sacramento County2.7Madera County: 2.5 %Madera County2.5Sutter County: 2.5 %Sutter County2.5Tulare County: 2.5 %Tulare County2.5Alameda County: 2.4 %Alameda County2.4Imperial County: 2.3 %Imperial County2.3San Mateo County: 2.3 %San Mateo County2.3Yolo County: 2.3 %Yolo County2.3Santa Cruz County: 2.3 %Santa Cruz County2.3San Francisco County: 2 %San Francisco County2Mariposa County: 1.9 %Mariposa County1.9Marin County: 1.9 %Marin County1.9Santa Clara County: 1.8 %Santa Clara County1.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Trinity County14.1+5.9 pts
2Sierra County12.9+2.8 pts
3Modoc County12.6-1.1 pts
4Inyo County8.2+0.2 pts
5Glenn County7.7-1.6 pts
6Del Norte County6.2-0.5 pts
7Amador County5.9+2.5 pts
8Colusa County5.5+1.1 pts
9Yuba County5.4+0.2 pts
10Lassen County5.1-1.2 pts
11Mendocino County5-1 pts
12Shasta County4.90 pts
13Plumas County4.8+0.5 pts
14Tuolumne County4.7-0.8 pts
15Mono County4.6-3.7 pts
16San Bernardino County4.5+0.1 pts
17Kings County4.2+0.3 pts
18Merced County4.2-0.2 pts
19Siskiyou County4.2-1 pts
20Tehama County4.1-0.3 pts
21Santa Barbara County4.1-0.3 pts
22Napa County4.1+0.3 pts
23Riverside County40 pts
24Alpine County4+0.3 pts
25San Diego County3.8-0.2 pts
26Calaveras County3.8-0.2 pts
27Kern County3.7+0.1 pts
28Ventura County3.6+0.1 pts
29Orange County3.5+0.1 pts
30Los Angeles County3.5-0.1 pts
31Monterey County3.5+0.1 pts
32Lake County3.4+0.5 pts
33San Luis Obispo County3.3-0.5 pts
34Sonoma County3.2-0.1 pts
35Nevada County3.1-0.3 pts
36Fresno County3+0.2 pts
36San Joaquin County3+0.4 pts
38Solano County30 pts
39El Dorado County3+0.2 pts
40Butte County2.9+0.1 pts
41Humboldt County2.9-0.7 pts
42Stanislaus County2.8-0.1 pts
43Contra Costa County2.70 pts
44Placer County2.70 pts
44San Benito County2.7+0.7 pts
46Sacramento County2.7+0.1 pts
47Madera County2.5-0.8 pts
48Sutter County2.5-0.2 pts
48Tulare County2.50 pts
50Alameda County2.40 pts
51Imperial County2.3-0.2 pts
52San Mateo County2.3+0.3 pts
53Yolo County2.3+0.2 pts
54Santa Cruz County2.3-0.1 pts
55San Francisco County2+0.1 pts
56Mariposa County1.9-0.2 pts
57Marin County1.9+0.1 pts
58Santa Clara County1.8-0 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/california-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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Questions

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

Trinity County, with 14.1% in 2023, according to the U.S. Census Bureau.

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

Santa Clara County, with 1.8% 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 California: more rankings