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)

Crenshaw County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2022, at 4.5%. Madison County had the lowest, at 2.4%. The median was 3.2% and the figure for Alabama was 3.1%. Source: the U.S. Census Bureau.

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Highest4.5Crenshaw County
Lowest2.4Madison County
Median3.267 counties
Alabama3.1History

Map of counties, 2022

Autauga County: 2.7 %Baldwin County: 3.5 %Barbour County: 3.1 %Bibb County: 3.5 %Blount County: 3.3 %Bullock County: 3 %Butler County: 3 %Calhoun County: 3.8 %Chambers County: 3.2 %Cherokee County: 3.5 %Chilton County: 3.9 %Choctaw County: 3.7 %Clarke County: 3.7 %Clay County: 3.4 %Cleburne County: 4 %Coffee County: 3.2 %Colbert County: 3.6 %Conecuh County: 3.2 %Coosa County: 2.9 %Covington County: 3.5 %Crenshaw County: 4.5 %Cullman County: 3.4 %Dale County: 3.1 %Dallas County: 2.8 %DeKalb County: 3.2 %Elmore County: 3 %Escambia County: 3 %Etowah County: 3 %Fayette County: 3.6 %Franklin County: 4.1 %Geneva County: 3.3 %Greene County: 2.8 %Hale County: 3.9 %Henry County: 4.1 %Houston County: 2.8 %Jackson County: 3.2 %Jefferson County: 2.5 %Lamar County: 3.3 %Lauderdale County: 3.2 %Lawrence County: 3.5 %Lee County: 3.2 %Limestone County: 3.4 %Lowndes County: 2.5 %Macon County: 2.4 %Madison County: 2.4 %Marengo County: 3.2 %Marion County: 3.7 %Marshall County: 3.6 %Mobile County: 3.1 %Monroe County: 3 %Montgomery County: 3.1 %Morgan County: 3.3 %Perry County: 2.8 %Pickens County: 3.2 %Pike County: 2.9 %Randolph County: 3.9 %Russell County: 3.2 %St. Clair County: 3.5 %Shelby County: 2.6 %Sumter County: 2.8 %Talladega County: 2.8 %Tallapoosa County: 4.3 %Tuscaloosa County: 2.9 %Walker County: 3.8 %Washington County: 2.6 %Wilcox County: 3.4 %Winston County: 3.6 %
  • Under 2.8
  • 2.8 to 3.1
  • 3.1 to 3.2
  • 3.2 to 3.5
  • 3.5 to 3.7
  • 3.7 and over
%, 2022. 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, 2022

Crenshaw County: 4.5 %Crenshaw County4.5Tallapoosa County: 4.3 %Tallapoosa County4.3Franklin County: 4.1 %Franklin County4.1Henry County: 4.1 %Henry County4.1Cleburne County: 4 %Cleburne County4Chilton County: 3.9 %Chilton County3.9Hale County: 3.9 %Hale County3.9Randolph County: 3.9 %Randolph County3.9Calhoun County: 3.8 %Calhoun County3.8Walker County: 3.8 %Walker County3.8Choctaw County: 3.7 %Choctaw County3.7Clarke County: 3.7 %Clarke County3.7Marion County: 3.7 %Marion County3.7Colbert County: 3.6 %Colbert County3.6Fayette County: 3.6 %Fayette County3.6Marshall County: 3.6 %Marshall County3.6Winston County: 3.6 %Winston County3.6Baldwin County: 3.5 %Baldwin County3.5Bibb County: 3.5 %Bibb County3.5Cherokee County: 3.5 %Cherokee County3.5Covington County: 3.5 %Covington County3.5Lawrence County: 3.5 %Lawrence County3.5St. Clair County: 3.5 %St. Clair County3.5Clay County: 3.4 %Clay County3.4Cullman County: 3.4 %Cullman County3.4Limestone County: 3.4 %Limestone County3.4Wilcox County: 3.4 %Wilcox County3.4Blount County: 3.3 %Blount County3.3Geneva County: 3.3 %Geneva County3.3Lamar County: 3.3 %Lamar County3.3Morgan County: 3.3 %Morgan County3.3Chambers County: 3.2 %Chambers County3.2Coffee County: 3.2 %Coffee County3.2Conecuh County: 3.2 %Conecuh County3.2DeKalb County: 3.2 %DeKalb County3.2Jackson County: 3.2 %Jackson County3.2Lauderdale County: 3.2 %Lauderdale County3.2Lee County: 3.2 %Lee County3.2Marengo County: 3.2 %Marengo County3.2Pickens County: 3.2 %Pickens County3.2Crenshaw County: 4.5 %Crenshaw County4.5Tallapoosa County: 4.3 %Tallapoosa County4.3Franklin County: 4.1 %Franklin County4.1Henry County: 4.1 %Henry County4.1Cleburne County: 4 %Cleburne County4Chilton County: 3.9 %Chilton County3.9Hale County: 3.9 %Hale County3.9Randolph County: 3.9 %Randolph County3.9Calhoun County: 3.8 %Calhoun County3.8Walker County: 3.8 %Walker County3.8Choctaw County: 3.7 %Choctaw County3.7Clarke County: 3.7 %Clarke County3.7Marion County: 3.7 %Marion County3.7Colbert County: 3.6 %Colbert County3.6Fayette County: 3.6 %Fayette County3.6Marshall County: 3.6 %Marshall County3.6Winston County: 3.6 %Winston County3.6Baldwin County: 3.5 %Baldwin County3.5Bibb County: 3.5 %Bibb County3.5Cherokee County: 3.5 %Cherokee County3.5Covington County: 3.5 %Covington County3.5Lawrence County: 3.5 %Lawrence County3.5St. Clair County: 3.5 %St. Clair County3.5Clay County: 3.4 %Clay County3.4Cullman County: 3.4 %Cullman County3.4Limestone County: 3.4 %Limestone County3.4Wilcox County: 3.4 %Wilcox County3.4Blount County: 3.3 %Blount County3.3Geneva County: 3.3 %Geneva County3.3Lamar County: 3.3 %Lamar County3.3Morgan County: 3.3 %Morgan County3.3Chambers County: 3.2 %Chambers County3.2Coffee County: 3.2 %Coffee County3.2Conecuh County: 3.2 %Conecuh County3.2DeKalb County: 3.2 %DeKalb County3.2Jackson County: 3.2 %Jackson County3.2Lauderdale County: 3.2 %Lauderdale County3.2Lee County: 3.2 %Lee County3.2Marengo County: 3.2 %Marengo County3.2Pickens County: 3.2 %Pickens County3.2
%. 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

RankCounties2022 (%)Change on 2021
1Crenshaw County4.5-1.3 pts
2Tallapoosa County4.3-0.7 pts
3Franklin County4.1-2.1 pts
3Henry County4.1-1.2 pts
5Cleburne County4-1.4 pts
6Chilton County3.9-1.5 pts
6Hale County3.9-0.7 pts
6Randolph County3.9-0.6 pts
9Calhoun County3.8-0.5 pts
9Walker County3.8-0.5 pts
11Choctaw County3.7-1.4 pts
11Clarke County3.7-0.8 pts
11Marion County3.7-0.4 pts
14Colbert County3.6-0.5 pts
14Fayette County3.6-0.5 pts
14Marshall County3.6-0.8 pts
14Winston County3.6-1.4 pts
18Baldwin County3.5-1.4 pts
18Bibb County3.5-0.4 pts
18Cherokee County3.5-1 pts
18Covington County3.5-1.7 pts
18Lawrence County3.5-1.8 pts
18St. Clair County3.5-0.3 pts
24Clay County3.4-2 pts
24Cullman County3.4-1.4 pts
24Limestone County3.4-1.1 pts
24Wilcox County3.4-0.8 pts
28Blount County3.3-1.4 pts
28Geneva County3.3-1.4 pts
28Lamar County3.3-1.5 pts
28Morgan County3.3-1.8 pts
32Chambers County3.2-0.7 pts
32Coffee County3.2-2.3 pts
32Conecuh County3.2-0.8 pts
32DeKalb County3.2-2.7 pts
32Jackson County3.2-1.6 pts
32Lauderdale County3.2-1.1 pts
32Lee County3.2-0.7 pts
32Marengo County3.2-0.7 pts
32Pickens County3.2-1.5 pts
32Russell County3.2-0.2 pts
42Barbour County3.1-0.8 pts
42Dale County3.1-0.7 pts
42Mobile County3.1-0.4 pts
42Montgomery County3.1-0.7 pts
46Bullock County30 pts
46Butler County3-0.9 pts
46Elmore County3-1.3 pts
46Escambia County3-1.6 pts
46Etowah County3-1.2 pts
46Monroe County3-0.6 pts
52Coosa County2.9-1.6 pts
52Pike County2.9-1.5 pts
52Tuscaloosa County2.9-0.5 pts
55Dallas County2.8-0.5 pts
55Greene County2.8-0.4 pts
55Houston County2.8-1 pts
55Perry County2.8-1 pts
55Sumter County2.8-1 pts
55Talladega County2.8-0.8 pts
61Autauga County2.7-1.3 pts
62Shelby County2.6-0.7 pts
62Washington County2.6-1.5 pts
64Jefferson County2.5-1.1 pts
64Lowndes County2.5-1.4 pts
66Macon County2.4-0.6 pts
66Madison County2.4-1.8 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2022.
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-2022-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)?

Crenshaw County, with 4.5% in 2022, according to the U.S. Census Bureau.

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

Madison County, with 2.4% in 2022.

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