Counties in Texas by uninsured rate, under 19 (US, ACS)
Bailey County had the highest uninsured rate, under 19 (US, ACS) of 253 counties in 2023, at 45.5%. King County had the lowest, at 0%. The median was 12.2% and the figure for Texas was 11.8%. Source: the U.S. Census Bureau.
Map of counties, 2023
- Under 7.6
- 7.6 to 9.6
- 9.6 to 12
- 12 to 14
- 14 to 18
- 18 and over
- No data
Top 40 counties, 2023
Full ranking
| Rank | Counties | 2023 (%) | Change on 2022 |
|---|---|---|---|
| 1 | Bailey County | 45.5 | +1.1 pts |
| 2 | Glasscock County | 43 | +0.7 pts |
| 3 | Dallam County | 42 | +24.8 pts |
| 4 | Hudspeth County | 38.9 | +4.6 pts |
| 5 | Menard County | 37.7 | -11.6 pts |
| 6 | Sterling County | 34.6 | +4.2 pts |
| 7 | Gaines County | 29.9 | +5.5 pts |
| 8 | Collingsworth County | 28.7 | -4.5 pts |
| 9 | Lipscomb County | 26.8 | +0.2 pts |
| 10 | San Saba County | 26 | +6.8 pts |
| 11 | Clay County | 25.8 | +4.1 pts |
| 12 | Coleman County | 25.2 | +2.6 pts |
| 13 | Parmer County | 25.2 | -2.6 pts |
| 14 | Stonewall County | 24.9 | -6.8 pts |
| 15 | Schleicher County | 24.1 | -3 pts |
| 16 | Swisher County | 22.4 | +3.8 pts |
| 17 | Presidio County | 22.3 | -13.2 pts |
| 18 | Caldwell County | 22.2 | +4 pts |
| 19 | Grimes County | 22.1 | +2 pts |
| 20 | Kerr County | 21.8 | +2.1 pts |
| 21 | Baylor County | 21 | +3.8 pts |
| 22 | Ector County | 20.8 | -0.8 pts |
| 23 | Scurry County | 20.7 | +0.9 pts |
| 24 | Yoakum County | 20.1 | +5 pts |
| 25 | McMullen County | 20 | -5.5 pts |
| 26 | Floyd County | 19.7 | +5.5 pts |
| 27 | Andrews County | 19.7 | -1 pts |
| 28 | Uvalde County | 19.6 | +6.3 pts |
| 29 | Ochiltree County | 19.5 | -2.3 pts |
| 30 | Liberty County | 19.2 | +0.7 pts |
| 31 | Gillespie County | 19 | -3.1 pts |
| 32 | Starr County | 18.9 | -2.4 pts |
| 33 | Duval County | 18.9 | +13 pts |
| 34 | Franklin County | 18.8 | +2.7 pts |
| 35 | Dawson County | 18.7 | +4.1 pts |
| 36 | Terry County | 18.5 | +2.4 pts |
| 37 | Reeves County | 18.4 | +8.6 pts |
| 38 | Washington County | 18.3 | +3.1 pts |
| 39 | Jack County | 18.2 | +4.7 pts |
| 40 | Waller County | 18.2 | +1.1 pts |
| 41 | Kinney County | 18.1 | +18.1 pts |
| 42 | Camp County | 18 | -0.8 pts |
| 43 | Winkler County | 17.9 | -4.1 pts |
| 44 | Jim Hogg County | 17.4 | +4 pts |
| 45 | Brooks County | 17 | -3.4 pts |
| 46 | Archer County | 16.7 | +3.1 pts |
| 47 | Falls County | 16.6 | -2 pts |
| 48 | San Augustine County | 16.5 | -0.4 pts |
| 49 | Titus County | 16.5 | +2.5 pts |
| 50 | Lamb County | 16.3 | +1.5 pts |
| 51 | Bastrop County | 16.3 | +1 pts |
| 52 | Webb County | 15.9 | +0.7 pts |
| 53 | Hartley County | 15.8 | -12.1 pts |
| 54 | Young County | 15.8 | +3.5 pts |
| 55 | Hidalgo County | 15.7 | -0.7 pts |
| 56 | Hood County | 15.7 | +2.9 pts |
| 57 | Cameron County | 15.5 | -0.4 pts |
| 58 | Milam County | 15.4 | +2.5 pts |
| 59 | Crosby County | 15.4 | -0.1 pts |
| 60 | McCulloch County | 15.3 | +1.6 pts |
| 61 | Atascosa County | 15.3 | +3.5 pts |
| 62 | Austin County | 15.2 | +3 pts |
| 63 | Panola County | 15.2 | -1.6 pts |
| 64 | Llano County | 15.2 | +4.4 pts |
| 65 | Dallas County | 15.2 | +0.3 pts |
| 66 | Leon County | 15.2 | -7.1 pts |
| 67 | Sabine County | 15.2 | +3.2 pts |
| 68 | Lamar County | 15.1 | +1.3 pts |
| 69 | Runnels County | 15.1 | +4.2 pts |
| 70 | Lee County | 15.1 | +6.4 pts |
| 71 | Knox County | 15.1 | +8 pts |
| 72 | Trinity County | 15.1 | +1.8 pts |
| 73 | Erath County | 15 | +3.1 pts |
| 74 | Willacy County | 14.7 | +0.3 pts |
| 75 | Hansford County | 14.7 | -0.3 pts |
| 76 | Dickens County | 14.7 | -3.1 pts |
| 77 | Hardeman County | 14.6 | +5.1 pts |
| 78 | Throckmorton County | 14.6 | -9.1 pts |
| 79 | Bosque County | 14.6 | +2.5 pts |
| 80 | Palo Pinto County | 14.5 | -2.4 pts |
| 81 | Cochran County | 14.4 | +6.6 pts |
| 82 | Hemphill County | 14.4 | -1.3 pts |
| 83 | Blanco County | 14.3 | +0.2 pts |
| 84 | Jones County | 14.3 | -0 pts |
| 85 | Matagorda County | 14.3 | -1.5 pts |
| 86 | Potter County | 14.2 | +1.7 pts |
| 87 | Harris County | 14.2 | +0.4 pts |
| 88 | Jackson County | 14.1 | +5.8 pts |
| 88 | Live Oak County | 14.1 | +2.7 pts |
| 90 | Moore County | 14 | -1.3 pts |
| 91 | Cherokee County | 13.9 | +1 pts |
| 92 | Van Zandt County | 13.6 | +1.1 pts |
| 93 | Maverick County | 13.5 | -1.5 pts |
| 93 | Wharton County | 13.5 | -1.9 pts |
| 95 | Hale County | 13.5 | +1.5 pts |
| 96 | Comanche County | 13.3 | +2.4 pts |
| 97 | Grayson County | 13.3 | -0.8 pts |
| 98 | Anderson County | 13.3 | +0.7 pts |
| 98 | Jefferson County | 13.3 | +0.3 pts |
| 100 | Aransas County | 13.3 | -3.4 pts |
| 100 | Reagan County | 13.3 | 0 pts |
| 102 | Donley County | 13.2 | -1.1 pts |
| 103 | Jim Wells County | 13.2 | +0.8 pts |
| 104 | Ellis County | 13.1 | -0.8 pts |
| 105 | Johnson County | 13 | +0.4 pts |
| 106 | Walker County | 12.9 | +1.8 pts |
| 107 | El Paso County | 12.8 | +1.1 pts |
| 108 | Hutchinson County | 12.8 | +1.9 pts |
| 109 | Burnet County | 12.8 | +3.4 pts |
| 110 | Victoria County | 12.7 | +1.5 pts |
| 111 | Shelby County | 12.7 | -2.5 pts |
| 111 | Val Verde County | 12.7 | -1.1 pts |
| 113 | Gray County | 12.7 | +0.8 pts |
| 114 | Castro County | 12.6 | +0.8 pts |
| 115 | Harrison County | 12.6 | -0.6 pts |
| 116 | Cooke County | 12.6 | -0.4 pts |
| 117 | Hardin County | 12.6 | +1.3 pts |
| 118 | Navarro County | 12.5 | +2.8 pts |
| 119 | Henderson County | 12.5 | -0.6 pts |
| 119 | Hopkins County | 12.5 | +0.5 pts |
| 121 | Hockley County | 12.5 | -0.5 pts |
| 122 | Angelina County | 12.4 | -0.2 pts |
| 123 | Haskell County | 12.4 | +1.3 pts |
| 124 | Colorado County | 12.3 | -1.3 pts |
| 125 | Upton County | 12.3 | +2.6 pts |
| 126 | Red River County | 12.3 | -6.4 pts |
| 127 | DeWitt County | 12.2 | +2.8 pts |
| 128 | Tyler County | 12.2 | +1.9 pts |
| 129 | Gregg County | 12.2 | +0.8 pts |
| 130 | Marion County | 12.1 | +5.6 pts |
| 130 | Midland County | 12.1 | +0.3 pts |
| 132 | Martin County | 12.1 | +0.9 pts |
| 132 | Mason County | 12.1 | +2.8 pts |
| 134 | Jasper County | 12.1 | -0.6 pts |
| 134 | Kimble County | 12.1 | -4.2 pts |
| 136 | Hill County | 12 | +0.1 pts |
| 137 | Zapata County | 11.8 | +1.8 pts |
| 138 | Kaufman County | 11.8 | +1.1 pts |
| 139 | Brown County | 11.6 | +0.4 pts |
| 140 | Tarrant County | 11.6 | -0.3 pts |
| 141 | Coke County | 11.6 | +4.9 pts |
| 142 | Calhoun County | 11.5 | +3.7 pts |
| 143 | Crane County | 11.5 | +1.8 pts |
| 144 | Tom Green County | 11.4 | -0.4 pts |
| 145 | San Patricio County | 11.2 | +3.1 pts |
| 146 | San Jacinto County | 11.1 | -4.2 pts |
| 147 | Deaf Smith County | 11 | -2.6 pts |
| 148 | Smith County | 11 | -0.8 pts |
| 149 | Fayette County | 10.9 | -3.7 pts |
| 150 | Orange County | 10.9 | +0.1 pts |
| 151 | Nolan County | 10.9 | -2 pts |
| 152 | Robertson County | 10.8 | -0.5 pts |
| 153 | Wood County | 10.8 | +0.5 pts |
| 154 | Ward County | 10.8 | +4.2 pts |
| 155 | Carson County | 10.6 | -0.4 pts |
| 156 | Refugio County | 10.5 | +2.2 pts |
| 157 | Polk County | 10.5 | -0.7 pts |
| 158 | Parker County | 10.4 | +0.5 pts |
| 159 | Newton County | 10.3 | -8.8 pts |
| 159 | Wheeler County | 10.3 | -8.2 pts |
| 161 | Sutton County | 10.2 | +1.5 pts |
| 162 | Wise County | 10 | -1.4 pts |
| 163 | Bee County | 9.9 | +1.9 pts |
| 163 | Wichita County | 9.9 | +1.8 pts |
| 165 | Freestone County | 9.8 | +3.4 pts |
| 166 | Shackelford County | 9.8 | -0.5 pts |
| 167 | Rusk County | 9.7 | -3.6 pts |
| 168 | Jeff Davis County | 9.7 | -2.8 pts |
| 169 | Pecos County | 9.6 | +0.3 pts |
| 170 | Travis County | 9.6 | +1 pts |
| 171 | Sherman County | 9.6 | -1.1 pts |
| 172 | Bowie County | 9.5 | +0.3 pts |
| 173 | Lubbock County | 9.4 | +0.9 pts |
| 174 | Bexar County | 9.3 | +0.2 pts |
| 175 | Galveston County | 9.3 | -1 pts |
| 176 | Kendall County | 9.2 | -1.1 pts |
| 177 | Terrell County | 9.2 | -1.9 pts |
| 178 | Limestone County | 9.2 | -1 pts |
| 179 | Bandera County | 9.1 | -2.7 pts |
| 180 | Houston County | 9.1 | -1.1 pts |
| 180 | Montgomery County | 9.1 | -0 pts |
| 182 | Fort Bend County | 9 | +0.3 pts |
| 183 | Oldham County | 9 | +2.8 pts |
| 184 | Madison County | 8.9 | -1.5 pts |
| 185 | Garza County | 8.9 | +1.9 pts |
| 186 | Lampasas County | 8.8 | 0 pts |
| 187 | Motley County | 8.8 | +0.3 pts |
| 188 | Gonzales County | 8.7 | -1.6 pts |
| 189 | Upshur County | 8.6 | -4.5 pts |
| 190 | Fannin County | 8.6 | -0.7 pts |
| 191 | Childress County | 8.5 | +2.3 pts |
| 192 | Denton County | 8.5 | +0.7 pts |
| 192 | Hunt County | 8.5 | -0.4 pts |
| 194 | Eastland County | 8.4 | -1.1 pts |
| 195 | Foard County | 8.3 | +1 pts |
| 195 | Rockwall County | 8.3 | -0.1 pts |
| 197 | Medina County | 8.3 | -1.8 pts |
| 198 | Brewster County | 8.2 | +1.2 pts |
| 199 | Irion County | 8.2 | -16.7 pts |
| 200 | Mills County | 8.2 | +3.2 pts |
| 201 | Goliad County | 8.1 | +4.2 pts |
| 202 | Taylor County | 8.1 | -1.1 pts |
| 203 | Karnes County | 8.1 | -2.2 pts |
| 204 | McLennan County | 7.9 | -0.6 pts |
| 205 | Burleson County | 7.9 | +0.5 pts |
| 206 | Comal County | 7.8 | -0.4 pts |
| 207 | Hays County | 7.7 | -1.1 pts |
| 208 | Bell County | 7.7 | +0.2 pts |
| 209 | Nueces County | 7.7 | -0.4 pts |
| 210 | Cass County | 7.6 | -1.9 pts |
| 211 | Hamilton County | 7.6 | -0.4 pts |
| 212 | Brazoria County | 7.5 | -1.3 pts |
| 213 | Somervell County | 7.5 | +0.2 pts |
| 214 | Rains County | 7.4 | -3.5 pts |
| 215 | Nacogdoches County | 7.3 | -1.1 pts |
| 216 | Brazos County | 7.3 | -1.1 pts |
| 216 | Collin County | 7.3 | -0.1 pts |
| 218 | Montague County | 7.1 | -1 pts |
| 219 | Wilson County | 7 | -0.8 pts |
| 220 | Lynn County | 7 | -4.8 pts |
| 221 | Chambers County | 7 | -0.5 pts |
| 222 | Hall County | 6.9 | -2.5 pts |
| 223 | Stephens County | 6.9 | -0.9 pts |
| 224 | Kleberg County | 6.9 | 0 pts |
| 225 | Howard County | 6.8 | -1.3 pts |
| 226 | Concho County | 6.7 | -0.9 pts |
| 227 | Guadalupe County | 6.7 | -0.3 pts |
| 228 | Mitchell County | 6.6 | +1.6 pts |
| 229 | Morris County | 6.5 | +1.9 pts |
| 230 | Williamson County | 6.3 | -0.4 pts |
| 231 | Callahan County | 6.3 | -1.2 pts |
| 232 | Randall County | 6.2 | +1.4 pts |
| 233 | Zavala County | 6 | +2.3 pts |
| 234 | La Salle County | 5.9 | +1.2 pts |
| 235 | Coryell County | 5.9 | -0.1 pts |
| 236 | Lavaca County | 5.6 | 0 pts |
| 237 | Real County | 5.5 | +1.3 pts |
| 238 | Kent County | 5.3 | +0.3 pts |
| 239 | Briscoe County | 5.1 | +1 pts |
| 240 | Delta County | 5 | +0.1 pts |
| 241 | Dimmit County | 4.8 | +2 pts |
| 242 | Crockett County | 4.1 | +1.6 pts |
| 243 | Frio County | 3.9 | +1.3 pts |
| 244 | Fisher County | 3.9 | -1.9 pts |
| 245 | Roberts County | 1.7 | -0.4 pts |
| 246 | Armstrong County | 0.5 | 0 pts |
| 247 | Wilbarger County | 0.4 | +0.2 pts |
| 248 | Borden County | 0 | 0 pts |
| 248 | Cottle County | 0 | -2.4 pts |
| 248 | Culberson County | 0 | 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. 1 counties with data in other periods have no value for 2023 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/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
Citation styles
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), 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2023 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties?period=2023
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/texas-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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19_acs","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_19_acs&level=province&within=Texas&limit=10
Questions
Which county has the highest uninsured rate, under 19 (US, ACS)?
Bailey County, with 45.5% in 2023, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 19 (US, ACS)?
King 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. 1 counties have no value for 2023 and are not ranked.
Uninsured rate, under 19 (US, ACS): other rankings
- Counties in Nevada
- Counties in New Hampshire
- Counties in South Carolina
- Cities in Nevada
- Cities in Maryland
- Cities in Illinois
Counties in Texas: more rankings
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- COPD in adults, local model estimate
- Traffic fatality rate
- Net domestic migration rate, July to June
- Female population share
- High school graduate or higher, population 25 and over
- Net international migration, July to June