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

Menard County had the highest uninsured rate, under 19 (US, ACS) of 254 counties in 2021, at 51.7%. Loving County had the lowest, at 0%. The median was 11.5% and the figure for Texas was 11.5%. Source: the U.S. Census Bureau.

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Highest51.7Menard County
Median11.5254 counties
Texas11.5History

Map of counties, 2021

Anderson County: 12 %Andrews County: 20 %Angelina County: 12.4 %Aransas County: 7.1 %Archer County: 15 %Armstrong County: 0.2 %Atascosa County: 10.5 %Austin County: 13.9 %Bailey County: 42 %Bandera County: 14.1 %Bastrop County: 14.6 %Baylor County: 15.5 %Bee County: 5.7 %Bell County: 6.8 %Bexar County: 8.9 %Blanco County: 13.3 %Borden County: 4.2 %Bosque County: 11.3 %Bowie County: 7.7 %Brazoria County: 9.2 %Brazos County: 8.2 %Brewster County: 6 %Briscoe County: 8.1 %Brooks County: 15.9 %Brown County: 10.4 %Burleson County: 7.2 %Burnet County: 9.5 %Caldwell County: 16.3 %Calhoun County: 14 %Callahan County: 7.9 %Cameron County: 17.1 %Camp County: 16.3 %Carson County: 9.8 %Cass County: 8.5 %Castro County: 11.5 %Chambers County: 5.1 %Cherokee County: 13.7 %Childress County: 5.9 %Clay County: 15.4 %Cochran County: 13.7 %Coke County: 7.3 %Coleman County: 23.5 %Collin County: 7.7 %Collingsworth County: 24.3 %Colorado County: 14.7 %Comal County: 7.7 %Comanche County: 10.2 %Concho County: 4 %Cooke County: 13.3 %Coryell County: 6.1 %Cottle County: 1.1 %Crane County: 5.6 %Crockett County: 5.4 %Crosby County: 15.4 %Culberson County: 5.7 %Dallam County: 30.6 %Dallas County: 14.7 %Dawson County: 9.8 %Deaf Smith County: 12.6 %Delta County: 8.3 %Denton County: 7.5 %DeWitt County: 8.1 %Dickens County: 16.1 %Dimmit County: 0.9 %Donley County: 13.9 %Duval County: 7.2 %Eastland County: 10.5 %Ector County: 21.7 %Edwards County: 11 %Ellis County: 13.5 %El Paso County: 10.8 %Erath County: 12.7 %Falls County: 7.7 %Fannin County: 11 %Fayette County: 18.2 %Fisher County: 7.6 %Floyd County: 16.4 %Foard County: 24.2 %Fort Bend County: 9.5 %Franklin County: 12.3 %Freestone County: 6.7 %Frio County: 6.4 %Gaines County: 28.1 %Galveston County: 8.7 %Garza County: 6.5 %Gillespie County: 24.9 %Glasscock County: 30.3 %Goliad County: 5.7 %Gonzales County: 13 %Gray County: 11.8 %Grayson County: 14.7 %Gregg County: 11.4 %Grimes County: 16.9 %Guadalupe County: 6.9 %Hale County: 11.5 %Hall County: 7.3 %Hamilton County: 6.6 %Hansford County: 11.6 %Hardeman County: 8.1 %Hardin County: 10.5 %Harris County: 13.6 %Harrison County: 11.5 %Hartley County: 16.4 %Haskell County: 6.8 %Hays County: 10 %Hemphill County: 16.2 %Henderson County: 12.2 %Hidalgo County: 15.6 %Hill County: 10.5 %Hockley County: 10.3 %Hood County: 11.6 %Hopkins County: 12.5 %Houston County: 9.3 %Howard County: 10.6 %Hudspeth County: 25.6 %Hunt County: 9.7 %Hutchinson County: 13.3 %Irion County: 12.5 %Jack County: 14 %Jackson County: 9.1 %Jasper County: 10.1 %Jeff Davis County: 29.9 %Jefferson County: 12.7 %Jim Hogg County: 15.9 %Jim Wells County: 12.7 %Johnson County: 12.8 %Jones County: 11.5 %Karnes County: 10.1 %Kaufman County: 10.6 %Kendall County: 13 %Kenedy County: 0 %Kent County: 2.7 %Kerr County: 19.5 %Kimble County: 14.3 %King County: 1.8 %Kinney County: 0 %Kleberg County: 4.3 %Knox County: 12.2 %Lamar County: 12 %Lamb County: 13.1 %Lampasas County: 8.8 %La Salle County: 9 %Lavaca County: 7.4 %Lee County: 11.2 %Leon County: 16.7 %Liberty County: 18.6 %Limestone County: 8.8 %Lipscomb County: 21.7 %Live Oak County: 4.5 %Llano County: 10.3 %Loving County: 0 %Lubbock County: 8.4 %Lynn County: 12.8 %McCulloch County: 15.6 %McLennan County: 8.2 %McMullen County: 28 %Madison County: 10.1 %Marion County: 6.1 %Martin County: 8.7 %Mason County: 8.2 %Matagorda County: 13.4 %Maverick County: 16.7 %Medina County: 12.1 %Menard County: 51.7 %Midland County: 13.1 %Milam County: 12.2 %Mills County: 9.1 %Mitchell County: 6.6 %Montague County: 9.4 %Montgomery County: 9.6 %Moore County: 12.6 %Morris County: 5.7 %Motley County: 7.3 %Nacogdoches County: 8.8 %Navarro County: 11.8 %Newton County: 17.8 %Nolan County: 10 %Nueces County: 9.3 %Ochiltree County: 13.7 %Oldham County: 4.9 %Orange County: 10.7 %Palo Pinto County: 17.8 %Panola County: 14.8 %Parker County: 11 %Parmer County: 21.1 %Pecos County: 11.6 %Polk County: 11.9 %Potter County: 13 %Presidio County: 31.2 %Rains County: 9.7 %Randall County: 5 %Reagan County: 13.1 %Real County: 13 %Red River County: 5.5 %Reeves County: 7.5 %Refugio County: 11.8 %Roberts County: 3.8 %Robertson County: 12.4 %Rockwall County: 6.8 %Runnels County: 5.2 %Rusk County: 10.5 %Sabine County: 10 %San Augustine County: 13 %San Jacinto County: 15.5 %San Patricio County: 8.2 %San Saba County: 21.1 %Schleicher County: 25.9 %Scurry County: 21.7 %Shackelford County: 6 %Shelby County: 12.7 %Sherman County: 12.9 %Smith County: 11.7 %Somervell County: 17.2 %Starr County: 20.8 %Stephens County: 11.5 %Sterling County: 34.8 %Stonewall County: 22.2 %Sutton County: 7.4 %Swisher County: 16.6 %Tarrant County: 11.7 %Taylor County: 7.9 %Terrell County: 4.7 %Terry County: 14.2 %Throckmorton County: 17.9 %Titus County: 11.7 %Tom Green County: 10.4 %Travis County: 7.8 %Trinity County: 13.1 %Tyler County: 10.1 %Upshur County: 11.9 %Upton County: 4.9 %Uvalde County: 14.1 %Val Verde County: 13.5 %Van Zandt County: 12.2 %Victoria County: 13.5 %Walker County: 10.2 %Waller County: 16.5 %Ward County: 11.2 %Washington County: 14.8 %Webb County: 15 %Wharton County: 17 %Wheeler County: 16.6 %Wichita County: 8.4 %Wilbarger County: 2.9 %Willacy County: 14.2 %Williamson County: 6.4 %Wilson County: 8.7 %Winkler County: 24.6 %Wise County: 13.5 %Wood County: 10.9 %Yoakum County: 22.1 %Young County: 11.9 %Zapata County: 9.6 %Zavala County: 2.8 %
  • Under 7
  • 7 to 9.3
  • 9.3 to 12
  • 12 to 13
  • 13 to 16
  • 16 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Menard County: 51.7 %Menard County51.7Bailey County: 42 %Bailey County42Sterling County: 34.8 %Sterling County34.8Presidio County: 31.2 %Presidio County31.2Dallam County: 30.6 %Dallam County30.6Glasscock County: 30.3 %Glasscock County30.3Jeff Davis County: 29.9 %Jeff Davis County29.9Gaines County: 28.1 %Gaines County28.1McMullen County: 28 %McMullen County28Schleicher County: 25.9 %Schleicher County25.9Hudspeth County: 25.6 %Hudspeth County25.6Gillespie County: 24.9 %Gillespie County24.9Winkler County: 24.6 %Winkler County24.6Collingsworth County: 24.3 %Collingsworth County24.3Foard County: 24.2 %Foard County24.2Coleman County: 23.5 %Coleman County23.5Stonewall County: 22.2 %Stonewall County22.2Yoakum County: 22.1 %Yoakum County22.1Ector County: 21.7 %Ector County21.7Lipscomb County: 21.7 %Lipscomb County21.7Scurry County: 21.7 %Scurry County21.7San Saba County: 21.1 %San Saba County21.1Parmer County: 21.1 %Parmer County21.1Starr County: 20.8 %Starr County20.8Andrews County: 20 %Andrews County20Kerr County: 19.5 %Kerr County19.5Liberty County: 18.6 %Liberty County18.6Fayette County: 18.2 %Fayette County18.2Throckmorton County: 17.9 %Throckmorton County17.9Palo Pinto County: 17.8 %Palo Pinto County17.8Newton County: 17.8 %Newton County17.8Somervell County: 17.2 %Somervell County17.2Cameron County: 17.1 %Cameron County17.1Wharton County: 17 %Wharton County17Grimes County: 16.9 %Grimes County16.9Maverick County: 16.7 %Maverick County16.7Leon County: 16.7 %Leon County16.7Wheeler County: 16.6 %Wheeler County16.6Swisher County: 16.6 %Swisher County16.6Waller County: 16.5 %Waller County16.5Menard County: 51.7 %Menard County51.7Bailey County: 42 %Bailey County42Sterling County: 34.8 %Sterling County34.8Presidio County: 31.2 %Presidio County31.2Dallam County: 30.6 %Dallam County30.6Glasscock County: 30.3 %Glasscock County30.3Jeff Davis County: 29.9 %Jeff Davis County29.9Gaines County: 28.1 %Gaines County28.1McMullen County: 28 %McMullen County28Schleicher County: 25.9 %Schleicher County25.9Hudspeth County: 25.6 %Hudspeth County25.6Gillespie County: 24.9 %Gillespie County24.9Winkler County: 24.6 %Winkler County24.6Collingsworth County: 24.3 %Collingsworth County24.3Foard County: 24.2 %Foard County24.2Coleman County: 23.5 %Coleman County23.5Stonewall County: 22.2 %Stonewall County22.2Yoakum County: 22.1 %Yoakum County22.1Ector County: 21.7 %Ector County21.7Lipscomb County: 21.7 %Lipscomb County21.7Scurry County: 21.7 %Scurry County21.7San Saba County: 21.1 %San Saba County21.1Parmer County: 21.1 %Parmer County21.1Starr County: 20.8 %Starr County20.8Andrews County: 20 %Andrews County20Kerr County: 19.5 %Kerr County19.5Liberty County: 18.6 %Liberty County18.6Fayette County: 18.2 %Fayette County18.2Throckmorton County: 17.9 %Throckmorton County17.9Palo Pinto County: 17.8 %Palo Pinto County17.8Newton County: 17.8 %Newton County17.8Somervell County: 17.2 %Somervell County17.2Cameron County: 17.1 %Cameron County17.1Wharton County: 17 %Wharton County17Grimes County: 16.9 %Grimes County16.9Maverick County: 16.7 %Maverick County16.7Leon County: 16.7 %Leon County16.7Wheeler County: 16.6 %Wheeler County16.6Swisher County: 16.6 %Swisher County16.6Waller County: 16.5 %Waller County16.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Menard County51.7
2Bailey County42
3Sterling County34.8
4Presidio County31.2
5Dallam County30.6
6Glasscock County30.3
7Jeff Davis County29.9
8Gaines County28.1
9McMullen County28
10Schleicher County25.9
11Hudspeth County25.6
12Gillespie County24.9
13Winkler County24.6
14Collingsworth County24.3
15Foard County24.2
16Coleman County23.5
17Stonewall County22.2
18Yoakum County22.1
19Ector County21.7
20Lipscomb County21.7
21Scurry County21.7
22San Saba County21.1
23Parmer County21.1
24Starr County20.8
25Andrews County20
26Kerr County19.5
27Liberty County18.6
28Fayette County18.2
29Throckmorton County17.9
30Palo Pinto County17.8
31Newton County17.8
32Somervell County17.2
33Cameron County17.1
34Wharton County17
35Grimes County16.9
36Maverick County16.7
37Leon County16.7
38Wheeler County16.6
39Swisher County16.6
40Waller County16.5
41Floyd County16.4
42Hartley County16.4
43Caldwell County16.3
44Camp County16.3
45Hemphill County16.2
46Dickens County16.1
47Jim Hogg County15.9
48Brooks County15.9
49McCulloch County15.6
50Hidalgo County15.6
51Baylor County15.5
52San Jacinto County15.5
53Clay County15.4
54Crosby County15.4
55Archer County15
56Webb County15
57Washington County14.8
58Panola County14.8
59Colorado County14.7
60Grayson County14.7
61Dallas County14.7
62Bastrop County14.6
63Kimble County14.3
64Terry County14.2
65Willacy County14.2
66Uvalde County14.1
67Bandera County14.1
68Calhoun County14
69Jack County14
70Donley County13.9
71Austin County13.9
72Ochiltree County13.7
73Cherokee County13.7
74Cochran County13.7
75Harris County13.6
76Val Verde County13.5
76Victoria County13.5
78Ellis County13.5
78Wise County13.5
80Matagorda County13.4
81Hutchinson County13.3
82Cooke County13.3
83Blanco County13.3
84Lamb County13.1
84Trinity County13.1
86Reagan County13.1
87Midland County13.1
88San Augustine County13
89Gonzales County13
90Potter County13
91Real County13
92Kendall County13
93Sherman County12.9
94Johnson County12.8
94Lynn County12.8
96Erath County12.7
96Jefferson County12.7
98Jim Wells County12.7
99Shelby County12.7
100Deaf Smith County12.6
101Moore County12.6
102Hopkins County12.5
102Irion County12.5
104Angelina County12.4
105Robertson County12.4
106Franklin County12.3
107Henderson County12.2
108Milam County12.2
109Van Zandt County12.2
110Knox County12.2
111Medina County12.1
112Anderson County12
113Lamar County12
114Polk County11.9
115Young County11.9
116Upshur County11.9
117Navarro County11.8
118Gray County11.8
118Refugio County11.8
120Smith County11.7
120Titus County11.7
122Tarrant County11.7
123Pecos County11.6
124Hansford County11.6
125Hood County11.6
126Hale County11.5
127Jones County11.5
128Harrison County11.5
128Stephens County11.5
130Castro County11.5
131Gregg County11.4
132Bosque County11.3
133Lee County11.2
134Ward County11.2
135Fannin County11
136Edwards County11
137Parker County11
138Wood County10.9
139El Paso County10.8
140Orange County10.7
141Kaufman County10.6
142Howard County10.6
143Hill County10.5
144Hardin County10.5
145Atascosa County10.5
145Eastland County10.5
147Rusk County10.5
148Tom Green County10.4
149Brown County10.4
150Llano County10.3
151Hockley County10.3
152Walker County10.2
153Comanche County10.2
154Karnes County10.1
155Madison County10.1
155Tyler County10.1
157Jasper County10.1
158Sabine County10
159Nolan County10
160Hays County10
161Dawson County9.8
162Carson County9.8
163Rains County9.7
164Hunt County9.7
165Zapata County9.6
166Montgomery County9.6
167Fort Bend County9.5
168Burnet County9.5
169Montague County9.4
170Houston County9.3
171Nueces County9.3
172Brazoria County9.2
173Jackson County9.1
174Mills County9.1
175La Salle County9
176Bexar County8.9
177Limestone County8.8
178Lampasas County8.8
178Nacogdoches County8.8
180Galveston County8.7
180Martin County8.7
182Wilson County8.7
183Cass County8.5
184Lubbock County8.4
184Wichita County8.4
186Delta County8.3
187San Patricio County8.2
188McLennan County8.2
189Mason County8.2
190Brazos County8.2
191DeWitt County8.1
192Briscoe County8.1
193Hardeman County8.1
194Callahan County7.9
194Taylor County7.9
196Travis County7.8
197Falls County7.7
198Bowie County7.7
198Collin County7.7
200Comal County7.7
201Fisher County7.6
202Denton County7.5
203Reeves County7.5
204Lavaca County7.4
204Sutton County7.4
206Motley County7.3
207Hall County7.3
208Coke County7.3
209Burleson County7.2
210Duval County7.2
211Aransas County7.1
212Guadalupe County6.9
213Haskell County6.8
214Bell County6.8
214Rockwall County6.8
216Freestone County6.7
217Hamilton County6.6
218Mitchell County6.6
219Garza County6.5
220Frio County6.4
221Williamson County6.4
222Marion County6.1
223Coryell County6.1
224Brewster County6
225Shackelford County6
226Childress County5.9
227Bee County5.7
228Goliad County5.7
229Culberson County5.7
230Morris County5.7
231Crane County5.6
232Red River County5.5
233Crockett County5.4
234Runnels County5.2
235Chambers County5.1
236Randall County5
237Upton County4.9
238Oldham County4.9
239Terrell County4.7
240Live Oak County4.5
241Kleberg County4.3
242Borden County4.2
243Concho County4
244Roberts County3.8
245Wilbarger County2.9
246Zavala County2.8
247Kent County2.7
248King County1.8
249Cottle County1.1
250Dimmit County0.9

Showing the top 250 of 254. 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. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Texas 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)?

Menard County, with 51.7% in 2021, according to the U.S. Census Bureau.

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

Loving County, with 0% in 2021.

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 Texas: more rankings