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)

Barbour County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2023, at 5.5%. Washington County had the lowest, at 2.8%. The median was 4.3% and the figure for Alabama was 3.9%. Source: the U.S. Census Bureau.

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Highest5.5Barbour County
Lowest2.8Washington County
Median4.367 counties
Alabama3.9History

Map of counties, 2023

Autauga County: 3.2 %Baldwin County: 4 %Barbour County: 5.5 %Bibb County: 4.9 %Blount County: 4.9 %Bullock County: 5.4 %Butler County: 4 %Calhoun County: 3.2 %Chambers County: 4.2 %Cherokee County: 4.4 %Chilton County: 4.9 %Choctaw County: 5 %Clarke County: 4.9 %Clay County: 4.7 %Cleburne County: 5.5 %Coffee County: 4.5 %Colbert County: 4 %Conecuh County: 4.4 %Coosa County: 4.6 %Covington County: 4.1 %Crenshaw County: 5 %Cullman County: 4.4 %Dale County: 4.5 %Dallas County: 3.9 %DeKalb County: 4.3 %Elmore County: 3.7 %Escambia County: 3.8 %Etowah County: 4.4 %Fayette County: 4.6 %Franklin County: 4.4 %Geneva County: 4.4 %Greene County: 3.7 %Hale County: 4.7 %Henry County: 5.3 %Houston County: 4.3 %Jackson County: 4 %Jefferson County: 4.1 %Lamar County: 4.2 %Lauderdale County: 3.8 %Lawrence County: 4.4 %Lee County: 4 %Limestone County: 3.2 %Lowndes County: 3.9 %Macon County: 3.6 %Madison County: 3.2 %Marengo County: 3.8 %Marion County: 4.4 %Marshall County: 5 %Mobile County: 3.2 %Monroe County: 3.6 %Montgomery County: 3.8 %Morgan County: 3.8 %Perry County: 3.9 %Pickens County: 4.5 %Pike County: 4.5 %Randolph County: 4.9 %Russell County: 4.3 %St. Clair County: 3.4 %Shelby County: 3.3 %Sumter County: 4.4 %Talladega County: 4.5 %Tallapoosa County: 4.7 %Tuscaloosa County: 3.7 %Walker County: 4.9 %Washington County: 2.8 %Wilcox County: 4.3 %Winston County: 4.9 %
  • Under 3.7
  • 3.7 to 4
  • 4 to 4.3
  • 4.3 to 4.5
  • 4.5 to 4.9
  • 4.9 and over
%, 2023. 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, 2023

Barbour County: 5.5 %Barbour County5.5Cleburne County: 5.5 %Cleburne County5.5Bullock County: 5.4 %Bullock County5.4Henry County: 5.3 %Henry County5.3Choctaw County: 5 %Choctaw County5Crenshaw County: 5 %Crenshaw County5Marshall County: 5 %Marshall County5Bibb County: 4.9 %Bibb County4.9Blount County: 4.9 %Blount County4.9Chilton County: 4.9 %Chilton County4.9Clarke County: 4.9 %Clarke County4.9Randolph County: 4.9 %Randolph County4.9Walker County: 4.9 %Walker County4.9Winston County: 4.9 %Winston County4.9Clay County: 4.7 %Clay County4.7Hale County: 4.7 %Hale County4.7Tallapoosa County: 4.7 %Tallapoosa County4.7Coosa County: 4.6 %Coosa County4.6Fayette County: 4.6 %Fayette County4.6Coffee County: 4.5 %Coffee County4.5Dale County: 4.5 %Dale County4.5Pickens County: 4.5 %Pickens County4.5Pike County: 4.5 %Pike County4.5Talladega County: 4.5 %Talladega County4.5Cherokee County: 4.4 %Cherokee County4.4Conecuh County: 4.4 %Conecuh County4.4Cullman County: 4.4 %Cullman County4.4Etowah County: 4.4 %Etowah County4.4Franklin County: 4.4 %Franklin County4.4Geneva County: 4.4 %Geneva County4.4Lawrence County: 4.4 %Lawrence County4.4Marion County: 4.4 %Marion County4.4Sumter County: 4.4 %Sumter County4.4DeKalb County: 4.3 %DeKalb County4.3Houston County: 4.3 %Houston County4.3Russell County: 4.3 %Russell County4.3Wilcox County: 4.3 %Wilcox County4.3Chambers County: 4.2 %Chambers County4.2Lamar County: 4.2 %Lamar County4.2Covington County: 4.1 %Covington County4.1Barbour County: 5.5 %Barbour County5.5Cleburne County: 5.5 %Cleburne County5.5Bullock County: 5.4 %Bullock County5.4Henry County: 5.3 %Henry County5.3Choctaw County: 5 %Choctaw County5Crenshaw County: 5 %Crenshaw County5Marshall County: 5 %Marshall County5Bibb County: 4.9 %Bibb County4.9Blount County: 4.9 %Blount County4.9Chilton County: 4.9 %Chilton County4.9Clarke County: 4.9 %Clarke County4.9Randolph County: 4.9 %Randolph County4.9Walker County: 4.9 %Walker County4.9Winston County: 4.9 %Winston County4.9Clay County: 4.7 %Clay County4.7Hale County: 4.7 %Hale County4.7Tallapoosa County: 4.7 %Tallapoosa County4.7Coosa County: 4.6 %Coosa County4.6Fayette County: 4.6 %Fayette County4.6Coffee County: 4.5 %Coffee County4.5Dale County: 4.5 %Dale County4.5Pickens County: 4.5 %Pickens County4.5Pike County: 4.5 %Pike County4.5Talladega County: 4.5 %Talladega County4.5Cherokee County: 4.4 %Cherokee County4.4Conecuh County: 4.4 %Conecuh County4.4Cullman County: 4.4 %Cullman County4.4Etowah County: 4.4 %Etowah County4.4Franklin County: 4.4 %Franklin County4.4Geneva County: 4.4 %Geneva County4.4Lawrence County: 4.4 %Lawrence County4.4Marion County: 4.4 %Marion County4.4Sumter County: 4.4 %Sumter County4.4DeKalb County: 4.3 %DeKalb County4.3Houston County: 4.3 %Houston County4.3Russell County: 4.3 %Russell County4.3Wilcox County: 4.3 %Wilcox County4.3Chambers County: 4.2 %Chambers County4.2Lamar County: 4.2 %Lamar County4.2Covington County: 4.1 %Covington 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

RankCounties2023 (%)Change on 2022
1Barbour County5.5+2.4 pts
1Cleburne County5.5+1.5 pts
3Bullock County5.4+2.4 pts
4Henry County5.3+1.2 pts
5Choctaw County5+1.3 pts
5Crenshaw County5+0.5 pts
5Marshall County5+1.4 pts
8Bibb County4.9+1.4 pts
8Blount County4.9+1.6 pts
8Chilton County4.9+1 pts
8Clarke County4.9+1.2 pts
8Randolph County4.9+1 pts
8Walker County4.9+1.1 pts
8Winston County4.9+1.3 pts
15Clay County4.7+1.3 pts
15Hale County4.7+0.8 pts
15Tallapoosa County4.7+0.4 pts
18Coosa County4.6+1.7 pts
18Fayette County4.6+1 pts
20Coffee County4.5+1.3 pts
20Dale County4.5+1.4 pts
20Pickens County4.5+1.3 pts
20Pike County4.5+1.6 pts
20Talladega County4.5+1.7 pts
25Cherokee County4.4+0.9 pts
25Conecuh County4.4+1.2 pts
25Cullman County4.4+1 pts
25Etowah County4.4+1.4 pts
25Franklin County4.4+0.3 pts
25Geneva County4.4+1.1 pts
25Lawrence County4.4+0.9 pts
25Marion County4.4+0.7 pts
25Sumter County4.4+1.6 pts
34DeKalb County4.3+1.1 pts
34Houston County4.3+1.5 pts
34Russell County4.3+1.1 pts
34Wilcox County4.3+0.9 pts
38Chambers County4.2+1 pts
38Lamar County4.2+0.9 pts
40Covington County4.1+0.6 pts
40Jefferson County4.1+1.6 pts
42Baldwin County4+0.5 pts
42Butler County4+1 pts
42Colbert County4+0.4 pts
42Jackson County4+0.8 pts
42Lee County4+0.8 pts
47Dallas County3.9+1.1 pts
47Lowndes County3.9+1.4 pts
47Perry County3.9+1.1 pts
50Escambia County3.8+0.8 pts
50Lauderdale County3.8+0.6 pts
50Marengo County3.8+0.6 pts
50Montgomery County3.8+0.7 pts
50Morgan County3.8+0.5 pts
55Elmore County3.7+0.7 pts
55Greene County3.7+0.9 pts
55Tuscaloosa County3.7+0.8 pts
58Macon County3.6+1.2 pts
58Monroe County3.6+0.6 pts
60St. Clair County3.4-0.1 pts
61Shelby County3.3+0.7 pts
62Autauga County3.2+0.5 pts
62Calhoun County3.2-0.6 pts
62Limestone County3.2-0.2 pts
62Madison County3.2+0.8 pts
62Mobile County3.2+0.1 pts
67Washington County2.8+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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2023.
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-2023-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)?

Barbour County, with 5.5% in 2023, according to the U.S. Census Bureau.

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

Washington County, with 2.8% 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, 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