Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Alabama

Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024

Henry County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2024, at 6%. Washington County had the lowest, at 2.9%. The median was 4.4% and the figure for Alabama was 4.1%. Source: the U.S. Census Bureau.

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Highest6Henry County
Lowest2.9Washington County
Median4.467 counties
Alabama4.1History

Map of counties, 2024

Autauga County: 3.6 %Baldwin County: 4.4 %Barbour County: 5 %Bibb County: 5.6 %Blount County: 5.6 %Bullock County: 5.6 %Butler County: 3.7 %Calhoun County: 3.9 %Chambers County: 3.6 %Cherokee County: 4.8 %Chilton County: 5 %Choctaw County: 5 %Clarke County: 4.5 %Clay County: 5.4 %Cleburne County: 5.6 %Coffee County: 4 %Colbert County: 4.1 %Conecuh County: 4.4 %Coosa County: 5.2 %Covington County: 4.3 %Crenshaw County: 5.3 %Cullman County: 5.4 %Dale County: 4.6 %Dallas County: 3.2 %DeKalb County: 4.7 %Elmore County: 3.5 %Escambia County: 3.9 %Etowah County: 4.3 %Fayette County: 4.5 %Franklin County: 4.8 %Geneva County: 5.1 %Greene County: 3.7 %Hale County: 4.7 %Henry County: 6 %Houston County: 5.3 %Jackson County: 5 %Jefferson County: 3.9 %Lamar County: 4.4 %Lauderdale County: 3.9 %Lawrence County: 5.3 %Lee County: 4.1 %Limestone County: 3.7 %Lowndes County: 4 %Macon County: 3.6 %Madison County: 3.6 %Marengo County: 4.1 %Marion County: 5 %Marshall County: 4.2 %Mobile County: 3.3 %Monroe County: 3.9 %Montgomery County: 4.8 %Morgan County: 4.8 %Perry County: 3.6 %Pickens County: 4.3 %Pike County: 4 %Randolph County: 5 %Russell County: 4.5 %St. Clair County: 4 %Shelby County: 2.9 %Sumter County: 4.1 %Talladega County: 3.9 %Tallapoosa County: 4.5 %Tuscaloosa County: 3.5 %Walker County: 4.9 %Washington County: 2.9 %Wilcox County: 4.4 %Winston County: 5.3 %
  • Under 3.7
  • 3.7 to 4
  • 4 to 4.4
  • 4.4 to 4.8
  • 4.8 to 5.2
  • 5.2 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Henry County: 6 %Henry County6Bibb County: 5.6 %Bibb County5.6Blount County: 5.6 %Blount County5.6Bullock County: 5.6 %Bullock County5.6Cleburne County: 5.6 %Cleburne County5.6Clay County: 5.4 %Clay County5.4Cullman County: 5.4 %Cullman County5.4Crenshaw County: 5.3 %Crenshaw County5.3Houston County: 5.3 %Houston County5.3Lawrence County: 5.3 %Lawrence County5.3Winston County: 5.3 %Winston County5.3Coosa County: 5.2 %Coosa County5.2Geneva County: 5.1 %Geneva County5.1Barbour County: 5 %Barbour County5Chilton County: 5 %Chilton County5Choctaw County: 5 %Choctaw County5Jackson County: 5 %Jackson County5Marion County: 5 %Marion County5Randolph County: 5 %Randolph County5Walker County: 4.9 %Walker County4.9Cherokee County: 4.8 %Cherokee County4.8Franklin County: 4.8 %Franklin County4.8Montgomery County: 4.8 %Montgomery County4.8Morgan County: 4.8 %Morgan County4.8DeKalb County: 4.7 %DeKalb County4.7Hale County: 4.7 %Hale County4.7Dale County: 4.6 %Dale County4.6Clarke County: 4.5 %Clarke County4.5Fayette County: 4.5 %Fayette County4.5Russell County: 4.5 %Russell County4.5Tallapoosa County: 4.5 %Tallapoosa County4.5Baldwin County: 4.4 %Baldwin County4.4Conecuh County: 4.4 %Conecuh County4.4Lamar County: 4.4 %Lamar County4.4Wilcox County: 4.4 %Wilcox County4.4Covington County: 4.3 %Covington County4.3Etowah County: 4.3 %Etowah County4.3Pickens County: 4.3 %Pickens County4.3Marshall County: 4.2 %Marshall County4.2Colbert County: 4.1 %Colbert County4.1Henry County: 6 %Henry County6Bibb County: 5.6 %Bibb County5.6Blount County: 5.6 %Blount County5.6Bullock County: 5.6 %Bullock County5.6Cleburne County: 5.6 %Cleburne County5.6Clay County: 5.4 %Clay County5.4Cullman County: 5.4 %Cullman County5.4Crenshaw County: 5.3 %Crenshaw County5.3Houston County: 5.3 %Houston County5.3Lawrence County: 5.3 %Lawrence County5.3Winston County: 5.3 %Winston County5.3Coosa County: 5.2 %Coosa County5.2Geneva County: 5.1 %Geneva County5.1Barbour County: 5 %Barbour County5Chilton County: 5 %Chilton County5Choctaw County: 5 %Choctaw County5Jackson County: 5 %Jackson County5Marion County: 5 %Marion County5Randolph County: 5 %Randolph County5Walker County: 4.9 %Walker County4.9Cherokee County: 4.8 %Cherokee County4.8Franklin County: 4.8 %Franklin County4.8Montgomery County: 4.8 %Montgomery County4.8Morgan County: 4.8 %Morgan County4.8DeKalb County: 4.7 %DeKalb County4.7Hale County: 4.7 %Hale County4.7Dale County: 4.6 %Dale County4.6Clarke County: 4.5 %Clarke County4.5Fayette County: 4.5 %Fayette County4.5Russell County: 4.5 %Russell County4.5Tallapoosa County: 4.5 %Tallapoosa County4.5Baldwin County: 4.4 %Baldwin County4.4Conecuh County: 4.4 %Conecuh County4.4Lamar County: 4.4 %Lamar County4.4Wilcox County: 4.4 %Wilcox County4.4Covington County: 4.3 %Covington County4.3Etowah County: 4.3 %Etowah County4.3Pickens County: 4.3 %Pickens County4.3Marshall County: 4.2 %Marshall County4.2Colbert County: 4.1 %Colbert County4.1
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Henry County6+0.7 pts
2Bibb County5.6+0.7 pts
2Blount County5.6+0.7 pts
2Bullock County5.6+0.2 pts
2Cleburne County5.6+0.1 pts
6Clay County5.4+0.7 pts
6Cullman County5.4+1 pts
8Crenshaw County5.3+0.3 pts
8Houston County5.3+1 pts
8Lawrence County5.3+0.9 pts
8Winston County5.3+0.4 pts
12Coosa County5.2+0.6 pts
13Geneva County5.1+0.7 pts
14Barbour County5-0.5 pts
14Chilton County5+0.1 pts
14Choctaw County50 pts
14Jackson County5+1 pts
14Marion County5+0.6 pts
14Randolph County5+0.1 pts
20Walker County4.90 pts
21Cherokee County4.8+0.4 pts
21Franklin County4.8+0.4 pts
21Montgomery County4.8+1 pts
21Morgan County4.8+1 pts
25DeKalb County4.7+0.4 pts
25Hale County4.70 pts
27Dale County4.6+0.1 pts
28Clarke County4.5-0.4 pts
28Fayette County4.5-0.1 pts
28Russell County4.5+0.2 pts
28Tallapoosa County4.5-0.2 pts
32Baldwin County4.4+0.4 pts
32Conecuh County4.40 pts
32Lamar County4.4+0.2 pts
32Wilcox County4.4+0.1 pts
36Covington County4.3+0.2 pts
36Etowah County4.3-0.1 pts
36Pickens County4.3-0.2 pts
39Marshall County4.2-0.8 pts
40Colbert County4.1+0.1 pts
40Lee County4.1+0.1 pts
40Marengo County4.1+0.3 pts
40Sumter County4.1-0.3 pts
44Coffee County4-0.5 pts
44Lowndes County4+0.1 pts
44Pike County4-0.5 pts
44St. Clair County4+0.6 pts
48Calhoun County3.9+0.7 pts
48Escambia County3.9+0.1 pts
48Jefferson County3.9-0.2 pts
48Lauderdale County3.9+0.1 pts
48Monroe County3.9+0.3 pts
48Talladega County3.9-0.6 pts
54Butler County3.7-0.3 pts
54Greene County3.70 pts
54Limestone County3.7+0.5 pts
57Autauga County3.6+0.4 pts
57Chambers County3.6-0.6 pts
57Macon County3.60 pts
57Madison County3.6+0.4 pts
57Perry County3.6-0.3 pts
62Elmore County3.5-0.2 pts
62Tuscaloosa County3.5-0.2 pts
64Mobile County3.3+0.1 pts
65Dallas County3.2-0.7 pts
66Shelby County2.9-0.4 pts
66Washington County2.9+0.1 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

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. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2024
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Henry County, with 6% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

Washington County, with 2.9% 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, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Alabama: more rankings