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)

Washington County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2019, at 5.1%. Bullock County had the lowest, at 2.4%. The median was 3.4% and the figure for Alabama was 3.3%. Source: the U.S. Census Bureau.

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Highest5.1Washington County
Lowest2.4Bullock County
Median3.467 counties
Alabama3.3History

Map of counties, 2019

Autauga County: 2.7 %Baldwin County: 3.4 %Barbour County: 3.6 %Bibb County: 3.1 %Blount County: 4.7 %Bullock County: 2.4 %Butler County: 3.4 %Calhoun County: 3 %Chambers County: 2.8 %Cherokee County: 3.7 %Chilton County: 4.3 %Choctaw County: 4.3 %Clarke County: 3.4 %Clay County: 4.4 %Cleburne County: 4.7 %Coffee County: 3.8 %Colbert County: 3.1 %Conecuh County: 3.5 %Coosa County: 3.9 %Covington County: 3.7 %Crenshaw County: 4.5 %Cullman County: 3.4 %Dale County: 3.2 %Dallas County: 2.7 %DeKalb County: 5 %Elmore County: 3.2 %Escambia County: 3.6 %Etowah County: 3.7 %Fayette County: 3.7 %Franklin County: 4.8 %Geneva County: 3.6 %Greene County: 3.2 %Hale County: 3.3 %Henry County: 4.1 %Houston County: 3.1 %Jackson County: 3.4 %Jefferson County: 2.7 %Lamar County: 3.9 %Lauderdale County: 3.4 %Lawrence County: 4.7 %Lee County: 3.6 %Limestone County: 3.7 %Lowndes County: 3.3 %Macon County: 2.5 %Madison County: 3.2 %Marengo County: 3.3 %Marion County: 3.3 %Marshall County: 3.6 %Mobile County: 2.7 %Monroe County: 3.4 %Montgomery County: 3.1 %Morgan County: 4.1 %Perry County: 3.2 %Pickens County: 4.1 %Pike County: 3.9 %Randolph County: 3.3 %Russell County: 2.5 %St. Clair County: 2.8 %Shelby County: 3 %Sumter County: 4 %Talladega County: 2.8 %Tallapoosa County: 3.5 %Tuscaloosa County: 3.2 %Walker County: 4.5 %Washington County: 5.1 %Wilcox County: 3.4 %Winston County: 3.7 %
  • Under 3
  • 3 to 3.3
  • 3.3 to 3.4
  • 3.4 to 3.7
  • 3.7 to 4.1
  • 4.1 and over
%, 2019. 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, 2019

Washington County: 5.1 %Washington County5.1DeKalb County: 5 %DeKalb County5Franklin County: 4.8 %Franklin County4.8Blount County: 4.7 %Blount County4.7Cleburne County: 4.7 %Cleburne County4.7Lawrence County: 4.7 %Lawrence County4.7Crenshaw County: 4.5 %Crenshaw County4.5Walker County: 4.5 %Walker County4.5Clay County: 4.4 %Clay County4.4Chilton County: 4.3 %Chilton County4.3Choctaw County: 4.3 %Choctaw County4.3Henry County: 4.1 %Henry County4.1Morgan County: 4.1 %Morgan County4.1Pickens County: 4.1 %Pickens County4.1Sumter County: 4 %Sumter County4Coosa County: 3.9 %Coosa County3.9Lamar County: 3.9 %Lamar County3.9Pike County: 3.9 %Pike County3.9Coffee County: 3.8 %Coffee County3.8Cherokee County: 3.7 %Cherokee County3.7Covington County: 3.7 %Covington County3.7Etowah County: 3.7 %Etowah County3.7Fayette County: 3.7 %Fayette County3.7Limestone County: 3.7 %Limestone County3.7Winston County: 3.7 %Winston County3.7Barbour County: 3.6 %Barbour County3.6Escambia County: 3.6 %Escambia County3.6Geneva County: 3.6 %Geneva County3.6Lee County: 3.6 %Lee County3.6Marshall County: 3.6 %Marshall County3.6Conecuh County: 3.5 %Conecuh County3.5Tallapoosa County: 3.5 %Tallapoosa County3.5Baldwin County: 3.4 %Baldwin County3.4Butler County: 3.4 %Butler County3.4Clarke County: 3.4 %Clarke County3.4Cullman County: 3.4 %Cullman County3.4Jackson County: 3.4 %Jackson County3.4Lauderdale County: 3.4 %Lauderdale County3.4Monroe County: 3.4 %Monroe County3.4Wilcox County: 3.4 %Wilcox County3.4Washington County: 5.1 %Washington County5.1DeKalb County: 5 %DeKalb County5Franklin County: 4.8 %Franklin County4.8Blount County: 4.7 %Blount County4.7Cleburne County: 4.7 %Cleburne County4.7Lawrence County: 4.7 %Lawrence County4.7Crenshaw County: 4.5 %Crenshaw County4.5Walker County: 4.5 %Walker County4.5Clay County: 4.4 %Clay County4.4Chilton County: 4.3 %Chilton County4.3Choctaw County: 4.3 %Choctaw County4.3Henry County: 4.1 %Henry County4.1Morgan County: 4.1 %Morgan County4.1Pickens County: 4.1 %Pickens County4.1Sumter County: 4 %Sumter County4Coosa County: 3.9 %Coosa County3.9Lamar County: 3.9 %Lamar County3.9Pike County: 3.9 %Pike County3.9Coffee County: 3.8 %Coffee County3.8Cherokee County: 3.7 %Cherokee County3.7Covington County: 3.7 %Covington County3.7Etowah County: 3.7 %Etowah County3.7Fayette County: 3.7 %Fayette County3.7Limestone County: 3.7 %Limestone County3.7Winston County: 3.7 %Winston County3.7Barbour County: 3.6 %Barbour County3.6Escambia County: 3.6 %Escambia County3.6Geneva County: 3.6 %Geneva County3.6Lee County: 3.6 %Lee County3.6Marshall County: 3.6 %Marshall County3.6Conecuh County: 3.5 %Conecuh County3.5Tallapoosa County: 3.5 %Tallapoosa County3.5Baldwin County: 3.4 %Baldwin County3.4Butler County: 3.4 %Butler County3.4Clarke County: 3.4 %Clarke County3.4Cullman County: 3.4 %Cullman County3.4Jackson County: 3.4 %Jackson County3.4Lauderdale County: 3.4 %Lauderdale County3.4Monroe County: 3.4 %Monroe County3.4Wilcox County: 3.4 %Wilcox County3.4
%. 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

RankCounties2019 (%)Change on 2018
1Washington County5.1+0.5 pts
2DeKalb County50 pts
3Franklin County4.8-0.3 pts
4Blount County4.7+0.2 pts
4Cleburne County4.7+0.6 pts
4Lawrence County4.7+0.8 pts
7Crenshaw County4.5+0.1 pts
7Walker County4.5+1 pts
9Clay County4.4-0.2 pts
10Chilton County4.3-0.2 pts
10Choctaw County4.3+0.2 pts
12Henry County4.1+0.1 pts
12Morgan County4.1+0.4 pts
12Pickens County4.1+0.2 pts
15Sumter County4+0.6 pts
16Coosa County3.9-0.5 pts
16Lamar County3.9-0.1 pts
16Pike County3.9+0.6 pts
19Coffee County3.8+0.4 pts
20Cherokee County3.7+0.1 pts
20Covington County3.7+0.1 pts
20Etowah County3.7+0.8 pts
20Fayette County3.7+0.2 pts
20Limestone County3.7+0.2 pts
20Winston County3.7-0.4 pts
26Barbour County3.6+0.2 pts
26Escambia County3.6-0.3 pts
26Geneva County3.60 pts
26Lee County3.6+0.3 pts
26Marshall County3.6-0.3 pts
31Conecuh County3.5+0.1 pts
31Tallapoosa County3.5-0.1 pts
33Baldwin County3.4-0.4 pts
33Butler County3.4+0.5 pts
33Clarke County3.4+0.3 pts
33Cullman County3.4-0.4 pts
33Jackson County3.4-0.2 pts
33Lauderdale County3.4+0.2 pts
33Monroe County3.4+0.2 pts
33Wilcox County3.40 pts
41Hale County3.3+0.2 pts
41Lowndes County3.3+0.6 pts
41Marengo County3.3+0.2 pts
41Marion County3.3-0.1 pts
41Randolph County3.3-0.1 pts
46Dale County3.2+0.4 pts
46Elmore County3.2+0.2 pts
46Greene County3.20 pts
46Madison County3.2+0.1 pts
46Perry County3.2+0.5 pts
46Tuscaloosa County3.2+0.2 pts
52Bibb County3.1+0.2 pts
52Colbert County3.1+0.2 pts
52Houston County3.1+0.7 pts
52Montgomery County3.10 pts
56Calhoun County3+0.1 pts
56Shelby County3+0.5 pts
58Chambers County2.8+0.1 pts
58St. Clair County2.8-0.2 pts
58Talladega County2.8-0.1 pts
61Autauga County2.7+0.2 pts
61Dallas County2.7+0.2 pts
61Jefferson County2.7-0.2 pts
61Mobile County2.7-0.2 pts
65Macon County2.5+0.1 pts
65Russell County2.5-0.2 pts
67Bullock County2.4-0.2 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2019.
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-2019-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)?

Washington County, with 5.1% in 2019, according to the U.S. Census Bureau.

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

Bullock County, with 2.4% in 2019.

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