Data / Rankings / Uninsured rate, under 19 (US, ACS) / Counties in Texas

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

Kenedy County had the highest uninsured rate, under 19 (US, ACS) of 253 counties in 2024, at 77.3%. King County had the lowest, at 0%. The median was 12.4% and the figure for Texas was 12%. Source: the U.S. Census Bureau.

Highest77.3Kenedy County
Lowest0King County
Median12.4253 counties
Texas12History

Top 40 counties, 2024

Kenedy County: 77.3 %Kenedy County77.3Menard County: 40.3 %Menard County40.3Glasscock County: 39.9 %Glasscock County39.9Gaines County: 35.8 %Gaines County35.8Bailey County: 35.4 %Bailey County35.4Sterling County: 34.6 %Sterling County34.6Ochiltree County: 30.5 %Ochiltree County30.5Oldham County: 30.1 %Oldham County30.1San Saba County: 29.6 %San Saba County29.6Collingsworth County: 29.1 %Collingsworth County29.1Presidio County: 28.5 %Presidio County28.5Yoakum County: 26.4 %Yoakum County26.4Schleicher County: 24.6 %Schleicher County24.6Parmer County: 24.4 %Parmer County24.4Lipscomb County: 23.4 %Lipscomb County23.4Terry County: 23 %Terry County23Clay County: 22.8 %Clay County22.8Hartley County: 22.8 %Hartley County22.8Hudspeth County: 22.3 %Hudspeth County22.3Jones County: 22.1 %Jones County22.1Kinney County: 21.9 %Kinney County21.9Dawson County: 21.9 %Dawson County21.9Ector County: 21.6 %Ector County21.6Dallam County: 21.5 %Dallam County21.5Swisher County: 21.2 %Swisher County21.2Brewster County: 21 %Brewster County21Sabine County: 20.9 %Sabine County20.9Falls County: 20.8 %Falls County20.8Llano County: 20.5 %Llano County20.5Baylor County: 20.5 %Baylor County20.5Reagan County: 20.3 %Reagan County20.3Andrews County: 20.1 %Andrews County20.1Bastrop County: 20 %Bastrop County20Burnet County: 19.9 %Burnet County19.9Kerr County: 19.6 %Kerr County19.6Liberty County: 19.6 %Liberty County19.6Real County: 19.3 %Real County19.3Washington County: 19.3 %Washington County19.3Duval County: 18.9 %Duval County18.9Floyd County: 18.8 %Floyd County18.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Kenedy County77.3+77.3 pts
2Menard County40.3+2.6 pts
3Glasscock County39.9-3 pts
4Gaines County35.8+5.9 pts
5Bailey County35.4-10.1 pts
6Sterling County34.6+0.1 pts
7Ochiltree County30.5+11.1 pts
8Oldham County30.1+21.1 pts
9San Saba County29.6+3.6 pts
10Collingsworth County29.1+0.3 pts
11Presidio County28.5+6.2 pts
12Yoakum County26.4+6.3 pts
13Schleicher County24.6+0.4 pts
14Parmer County24.4-0.8 pts
15Lipscomb County23.4-3.4 pts
16Terry County23+4.5 pts
17Clay County22.8-3 pts
17Hartley County22.8+7 pts
19Hudspeth County22.3-16.6 pts
20Jones County22.1+7.8 pts
21Kinney County21.9+3.8 pts
22Dawson County21.9+3.2 pts
23Ector County21.6+0.9 pts
24Dallam County21.5-20.5 pts
25Swisher County21.2-1.2 pts
26Brewster County21+12.8 pts
27Sabine County20.9+5.8 pts
28Falls County20.8+4.2 pts
29Llano County20.5+5.3 pts
30Baylor County20.5-0.5 pts
31Reagan County20.3+7 pts
32Andrews County20.1+0.4 pts
33Bastrop County20+3.7 pts
34Burnet County19.9+7.2 pts
35Kerr County19.6-2.2 pts
36Liberty County19.6+0.4 pts
37Real County19.3+13.9 pts
38Washington County19.3+1 pts
39Duval County18.90 pts
40Floyd County18.8-0.9 pts
40Runnels County18.8+3.7 pts
42Hardeman County18.5+3.8 pts
43Winkler County18.4+0.5 pts
44Waller County18.20 pts
45Stonewall County18.2-6.7 pts
46Moore County18.1+4.2 pts
47Upton County17.8+5.5 pts
48Starr County17.5-1.4 pts
49Caldwell County17.5-4.8 pts
50Cochran County17.4+3 pts
51Hansford County17.4+2.7 pts
52Shelby County17.2+4.5 pts
53Ward County17.1+6.3 pts
54Martin County17+4.9 pts
55Austin County17+1.7 pts
56Lamb County16.9+0.6 pts
57Lamar County16.8+1.7 pts
58Uvalde County16.8-2.9 pts
59Comanche County16.5+3.1 pts
60Aransas County16.4+3.1 pts
61Titus County16.3-0.1 pts
62Jim Wells County16.1+3 pts
63Mason County15.9+3.8 pts
64McCulloch County15.8+0.4 pts
65Wood County15.7+5 pts
66Van Zandt County15.6+2 pts
67Donley County15.5+2.3 pts
68Castro County15.5+2.8 pts
68Dallas County15.5+0.3 pts
70Scurry County15.4-5.3 pts
71Leon County15.4+0.2 pts
72Grimes County15.3-6.8 pts
73Archer County15.3-1.4 pts
74Dickens County15.2+0.6 pts
75Milam County15.2-0.2 pts
76Briscoe County15.2+10.1 pts
77Live Oak County15.2+1.1 pts
78Hidalgo County15.1-0.7 pts
79Trinity County15-0.1 pts
80Gillespie County14.9-4.1 pts
81Erath County14.7-0.3 pts
82Cameron County14.5-1 pts
83Harris County14.4+0.2 pts
84Ellis County14.4+1.3 pts
84Panola County14.4-0.8 pts
86Hill County14.4+2.3 pts
87Young County14.3-1.5 pts
88Knox County14.2-0.9 pts
89La Salle County14+8.1 pts
90Wheeler County14+3.7 pts
91Red River County13.9+1.6 pts
92Grayson County13.8+0.5 pts
92Jack County13.8-4.4 pts
94Atascosa County13.8-1.4 pts
95Bosque County13.8-0.8 pts
96Sutton County13.7+3.5 pts
97Webb County13.7-2.2 pts
98Harrison County13.6+0.9 pts
99Gray County13.5+0.8 pts
100Anderson County13.5+0.2 pts
101Jasper County13.4+1.4 pts
102Zapata County13.4+1.6 pts
103Angelina County13.4+0.9 pts
104Wharton County13.4-0.1 pts
105Camp County13.3-4.6 pts
106Blanco County13.2-1.1 pts
107Hopkins County13.2+0.7 pts
108Victoria County13.1+0.4 pts
109Jefferson County13.1-0.2 pts
109Tom Green County13.1+1.7 pts
111Hale County13.1-0.4 pts
112Franklin County13-5.8 pts
113Kaufman County13+1.2 pts
114Haskell County12.9+0.5 pts
115Hardin County12.8+0.2 pts
116San Patricio County12.8+1.6 pts
117Matagorda County12.7-1.6 pts
118Jackson County12.7-1.4 pts
119Cherokee County12.6-1.3 pts
120Val Verde County12.6-0.1 pts
121Robertson County12.6+1.8 pts
122Gonzales County12.6+3.9 pts
123El Paso County12.5-0.3 pts
123Willacy County12.5-2.2 pts
125Hood County12.5-3.2 pts
126Crosby County12.4-3 pts
127Childress County12.4+3.9 pts
128Tarrant County12.4+0.8 pts
129Johnson County12.3-0.7 pts
130Pecos County12.3+2.7 pts
131Navarro County12.2-0.3 pts
132Deaf Smith County12.2+1.2 pts
133Bandera County12.2+3.1 pts
134Foard County12+3.7 pts
134Palo Pinto County12-2.5 pts
136Maverick County11.9-1.6 pts
137Bee County11.8+1.9 pts
138DeWitt County11.8-0.4 pts
139Henderson County11.7-0.9 pts
140Smith County11.6+0.6 pts
141Potter County11.5-2.8 pts
142Cooke County11.4-1.2 pts
143Hockley County11.4-1.1 pts
144Midland County11.4-0.7 pts
145Freestone County11.4+1.5 pts
146Eastland County11.1+2.7 pts
147Wise County11.1+1.1 pts
148Walker County11-1.9 pts
149Lubbock County10.9+1.5 pts
150Parker County10.9+0.5 pts
151Concho County10.8+4 pts
152Hunt County10.7+2.2 pts
153Gregg County10.7-1.5 pts
154Montgomery County10.3+1.2 pts
155Fayette County10.3-0.6 pts
156Rusk County10.2+0.4 pts
157Hutchinson County10.1-2.8 pts
158Galveston County10+0.8 pts
159Rains County10+2.7 pts
160Throckmorton County10-4.6 pts
161Wichita County9.9-0 pts
162Bexar County9.9+0.6 pts
163Travis County9.7+0.1 pts
164Colorado County9.7-2.6 pts
165Orange County9.4-1.4 pts
166Tyler County9.3-2.8 pts
167Upshur County9.3+0.7 pts
168Coleman County9.3-15.9 pts
169Motley County9.3+0.5 pts
170Hemphill County9.2-5.2 pts
171Bowie County9.1-0.4 pts
171Nolan County9.1-1.8 pts
173Fannin County9+0.5 pts
174Irion County9+0.8 pts
175Limestone County8.9-0.2 pts
176Polk County8.9-1.6 pts
177Jim Hogg County8.8-8.6 pts
178Medina County8.8+0.5 pts
179McMullen County8.8-11.3 pts
179Zavala County8.8+2.8 pts
181Chambers County8.7+1.8 pts
182Jeff Davis County8.7-1 pts
183Fort Bend County8.7-0.3 pts
184Comal County8.5+0.7 pts
185Brooks County8.5-8.5 pts
186Shackelford County8.5-1.3 pts
187Cass County8.5+0.9 pts
188Refugio County8.4-2.1 pts
189Reeves County8.4-10 pts
190McLennan County8.4+0.5 pts
191Terrell County8.3-0.8 pts
192Denton County8.3-0.3 pts
192San Jacinto County8.3-2.9 pts
194Nueces County8.2+0.5 pts
195Brown County8.1-3.5 pts
196San Augustine County8.1-8.4 pts
197Somervell County8.1+0.6 pts
198Marion County8-4.1 pts
199Randall County7.9+1.6 pts
200Brazoria County7.8+0.3 pts
201Howard County7.7+0.9 pts
202Taylor County7.7-0.4 pts
203Lampasas County7.7-1.1 pts
204Kendall County7.6-1.6 pts
204Lee County7.6-7.5 pts
206Hays County7.6-0.1 pts
207Nacogdoches County7.5+0.2 pts
208Brazos County7.5+0.1 pts
209Rockwall County7.3-1 pts
210Stephens County7.2+0.2 pts
211Morris County7.1+0.6 pts
212Collin County7.1-0.3 pts
213Guadalupe County7+0.3 pts
214Bell County7-0.7 pts
215Garza County7-1.9 pts
216Carson County6.9-3.7 pts
217Houston County6.9-2.2 pts
218Montague County6.8-0.2 pts
219Williamson County6.7+0.4 pts
220Callahan County6.7+0.4 pts
221Burleson County6.5-1.3 pts
222Goliad County6.5-1.6 pts
223Wilson County6.5-0.5 pts
224Newton County6.4-3.9 pts
225Coke County6.4-5.2 pts
226Mills County6.2-1.9 pts
227Hamilton County6-1.6 pts
228Calhoun County5.9-5.6 pts
228Karnes County5.9-2.2 pts
230Fisher County5.7+1.8 pts
231Mitchell County5.5-1.1 pts
232Coryell County5.5-0.4 pts
233Lavaca County5.3-0.3 pts
234Kleberg County5.1-1.8 pts
235Frio County5+1.1 pts
236Madison County5-3.9 pts
237Crane County4.9-6.6 pts
238Culberson County4.7+4.7 pts
239Hall County4.3-2.7 pts
240Lynn County4-3 pts
241Delta County3.6-1.4 pts
242Kimble County3.3-8.8 pts
243Wilbarger County3.2+2.8 pts
244Sherman County3.2-6.4 pts
245Roberts County1.5-0.1 pts
246Dimmit County1.3-3.5 pts
247Kent County1-4.3 pts
248Crockett County0.9-3.1 pts
249Edwards County0.8+0.8 pts
250Armstrong County0.3-0.2 pts

Showing the top 250 of 253. The Excel download has every row.

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. 1 counties with data in other periods have no value for 2024 and are left out rather than filled from another source. 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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-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)?

Kenedy County, with 77.3% in 2024, according to the U.S. Census Bureau.

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

King County, with 0% 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. 1 counties have no value for 2024 and are not ranked.

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

Counties in Texas: more rankings