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

Alpine County had the highest uninsured rate, under 19 (US model-based estimate) of 58 counties in 2020, at 7.1%. Lassen County had the lowest, at 2.1%. The median was 3.6% and the figure for California was 3.4%. Source: the U.S. Census Bureau.

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Highest7.1Alpine County
Lowest2.1Lassen County
Median3.658 counties
California3.4History

Map of counties, 2020

Alameda County: 2.5 %Alpine County: 7.1 %Amador County: 3.3 %Butte County: 2.9 %Calaveras County: 3.8 %Colusa County: 7.1 %Contra Costa County: 2.6 %Del Norte County: 3.1 %El Dorado County: 3.1 %Fresno County: 3.2 %Glenn County: 5.9 %Humboldt County: 3.1 %Imperial County: 3.2 %Inyo County: 6.9 %Kern County: 3.9 %Kings County: 3.7 %Lake County: 3.7 %Lassen County: 2.1 %Los Angeles County: 3.4 %Madera County: 4.2 %Marin County: 2.6 %Mariposa County: 4.9 %Mendocino County: 5.2 %Merced County: 4.3 %Modoc County: 4.3 %Mono County: 6.9 %Monterey County: 5.8 %Napa County: 4.9 %Nevada County: 3.3 %Orange County: 3.1 %Placer County: 2.5 %Plumas County: 3.5 %Riverside County: 3.9 %Sacramento County: 2.6 %San Benito County: 4.7 %San Bernardino County: 4 %San Diego County: 4 %San Francisco County: 2.5 %San Joaquin County: 3 %San Luis Obispo County: 3.3 %San Mateo County: 2.4 %Santa Barbara County: 5.2 %Santa Clara County: 2.2 %Santa Cruz County: 4.2 %Shasta County: 3.5 %Sierra County: 5.8 %Siskiyou County: 3.2 %Solano County: 3.2 %Sonoma County: 3.7 %Stanislaus County: 3.3 %Sutter County: 4.2 %Tehama County: 4.2 %Trinity County: 4.7 %Tulare County: 3.9 %Tuolumne County: 3 %Ventura County: 3.5 %Yolo County: 3.2 %Yuba County: 4.8 %
  • Under 3
  • 3 to 3.2
  • 3.2 to 3.6
  • 3.6 to 4.2
  • 4.2 to 4.9
  • 4.9 and over
%, 2020. 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.

All counties, 2020

Alpine County: 7.1 %Alpine County7.1Colusa County: 7.1 %Colusa County7.1Inyo County: 6.9 %Inyo County6.9Mono County: 6.9 %Mono County6.9Glenn County: 5.9 %Glenn County5.9Monterey County: 5.8 %Monterey County5.8Sierra County: 5.8 %Sierra County5.8Mendocino County: 5.2 %Mendocino County5.2Santa Barbara County: 5.2 %Santa Barbara County5.2Mariposa County: 4.9 %Mariposa County4.9Napa County: 4.9 %Napa County4.9Yuba County: 4.8 %Yuba County4.8San Benito County: 4.7 %San Benito County4.7Trinity County: 4.7 %Trinity County4.7Merced County: 4.3 %Merced County4.3Modoc County: 4.3 %Modoc County4.3Madera County: 4.2 %Madera County4.2Santa Cruz County: 4.2 %Santa Cruz County4.2Sutter County: 4.2 %Sutter County4.2Tehama County: 4.2 %Tehama County4.2San Bernardino County: 4 %San Bernardino County4San Diego County: 4 %San Diego County4Kern County: 3.9 %Kern County3.9Riverside County: 3.9 %Riverside County3.9Tulare County: 3.9 %Tulare County3.9Calaveras County: 3.8 %Calaveras County3.8Kings County: 3.7 %Kings County3.7Lake County: 3.7 %Lake County3.7Sonoma County: 3.7 %Sonoma County3.7Plumas County: 3.5 %Plumas County3.5Shasta County: 3.5 %Shasta County3.5Ventura County: 3.5 %Ventura County3.5Los Angeles County: 3.4 %Los Angeles County3.4Amador County: 3.3 %Amador County3.3Nevada County: 3.3 %Nevada County3.3San Luis Obispo County: 3.3 %San Luis Obispo County3.3Stanislaus County: 3.3 %Stanislaus County3.3Fresno County: 3.2 %Fresno County3.2Imperial County: 3.2 %Imperial County3.2Siskiyou County: 3.2 %Siskiyou County3.2Solano County: 3.2 %Solano County3.2Yolo County: 3.2 %Yolo County3.2Del Norte County: 3.1 %Del Norte County3.1El Dorado County: 3.1 %El Dorado County3.1Humboldt County: 3.1 %Humboldt County3.1Orange County: 3.1 %Orange County3.1San Joaquin County: 3 %San Joaquin County3Tuolumne County: 3 %Tuolumne County3Butte County: 2.9 %Butte County2.9Contra Costa County: 2.6 %Contra Costa County2.6Marin County: 2.6 %Marin County2.6Sacramento County: 2.6 %Sacramento County2.6Alameda County: 2.5 %Alameda County2.5Placer County: 2.5 %Placer County2.5San Francisco County: 2.5 %San Francisco County2.5San Mateo County: 2.4 %San Mateo County2.4Santa Clara County: 2.2 %Santa Clara County2.2Lassen County: 2.1 %Lassen County2.1Alpine County: 7.1 %Alpine County7.1Colusa County: 7.1 %Colusa County7.1Inyo County: 6.9 %Inyo County6.9Mono County: 6.9 %Mono County6.9Glenn County: 5.9 %Glenn County5.9Monterey County: 5.8 %Monterey County5.8Sierra County: 5.8 %Sierra County5.8Mendocino County: 5.2 %Mendocino County5.2Santa Barbara County: 5.2 %Santa Barbara County5.2Mariposa County: 4.9 %Mariposa County4.9Napa County: 4.9 %Napa County4.9Yuba County: 4.8 %Yuba County4.8San Benito County: 4.7 %San Benito County4.7Trinity County: 4.7 %Trinity County4.7Merced County: 4.3 %Merced County4.3Modoc County: 4.3 %Modoc County4.3Madera County: 4.2 %Madera County4.2Santa Cruz County: 4.2 %Santa Cruz County4.2Sutter County: 4.2 %Sutter County4.2Tehama County: 4.2 %Tehama County4.2San Bernardino County: 4 %San Bernardino County4San Diego County: 4 %San Diego County4Kern County: 3.9 %Kern County3.9Riverside County: 3.9 %Riverside County3.9Tulare County: 3.9 %Tulare County3.9Calaveras County: 3.8 %Calaveras County3.8Kings County: 3.7 %Kings County3.7Lake County: 3.7 %Lake County3.7Sonoma County: 3.7 %Sonoma County3.7Plumas County: 3.5 %Plumas County3.5Shasta County: 3.5 %Shasta County3.5Ventura County: 3.5 %Ventura County3.5Los Angeles County: 3.4 %Los Angeles County3.4Amador County: 3.3 %Amador County3.3Nevada County: 3.3 %Nevada County3.3San Luis Obispo County: 3.3 %San Luis Obispo County3.3Stanislaus County: 3.3 %Stanislaus County3.3Fresno County: 3.2 %Fresno County3.2Imperial County: 3.2 %Imperial County3.2Siskiyou County: 3.2 %Siskiyou County3.2Solano County: 3.2 %Solano County3.2Yolo County: 3.2 %Yolo County3.2Del Norte County: 3.1 %Del Norte County3.1El Dorado County: 3.1 %El Dorado County3.1Humboldt County: 3.1 %Humboldt County3.1Orange County: 3.1 %Orange County3.1San Joaquin County: 3 %San Joaquin County3Tuolumne County: 3 %Tuolumne County3Butte County: 2.9 %Butte County2.9Contra Costa County: 2.6 %Contra Costa County2.6Marin County: 2.6 %Marin County2.6Sacramento County: 2.6 %Sacramento County2.6Alameda County: 2.5 %Alameda County2.5Placer County: 2.5 %Placer County2.5San Francisco County: 2.5 %San Francisco County2.5San Mateo County: 2.4 %San Mateo County2.4Santa Clara County: 2.2 %Santa Clara County2.2Lassen County: 2.1 %Lassen County2.1
%. 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

RankCounties2020 (%)Change on 2019
1Alpine County7.1+1.4 pts
1Colusa County7.1+1.5 pts
3Inyo County6.9+1.9 pts
3Mono County6.9+1.1 pts
5Glenn County5.9+0.1 pts
6Monterey County5.8+1.8 pts
6Sierra County5.8+1.5 pts
8Mendocino County5.2+0.3 pts
8Santa Barbara County5.2+0.8 pts
10Mariposa County4.9-0.8 pts
10Napa County4.9+0.3 pts
12Yuba County4.8+1.2 pts
13San Benito County4.7+0.3 pts
13Trinity County4.7-0.6 pts
15Merced County4.3+0.7 pts
15Modoc County4.3-1.1 pts
17Madera County4.2+0.3 pts
17Santa Cruz County4.2+0.2 pts
17Sutter County4.2+0.3 pts
17Tehama County4.2+0.6 pts
21San Bernardino County4+0.2 pts
21San Diego County4+0.3 pts
23Kern County3.9+0.5 pts
23Riverside County3.9+0.4 pts
23Tulare County3.9+0.8 pts
26Calaveras County3.8-0.5 pts
27Kings County3.7+0.2 pts
27Lake County3.7-0.5 pts
27Sonoma County3.7-0.6 pts
30Plumas County3.5-0.5 pts
30Shasta County3.5+0.4 pts
30Ventura County3.5-0.5 pts
33Los Angeles County3.4-0.5 pts
34Amador County3.3-0.8 pts
34Nevada County3.3-0.7 pts
34San Luis Obispo County3.3-0.6 pts
34Stanislaus County3.3-0.2 pts
38Fresno County3.2-0.3 pts
38Imperial County3.2-0.2 pts
38Siskiyou County3.2-1.2 pts
38Solano County3.2+0.4 pts
38Yolo County3.2+0.2 pts
43Del Norte County3.1-0.7 pts
43El Dorado County3.1-0.3 pts
43Humboldt County3.1-1.1 pts
43Orange County3.1-0.7 pts
47San Joaquin County3-0.3 pts
47Tuolumne County3-0.9 pts
49Butte County2.9+0.1 pts
50Contra Costa County2.6-0.4 pts
50Marin County2.6-0.5 pts
50Sacramento County2.6-0.3 pts
53Alameda County2.5-0.2 pts
53Placer County2.5-0.1 pts
53San Francisco County2.50 pts
56San Mateo County2.4-0.7 pts
57Santa Clara County2.2-0.4 pts
58Lassen County2.1-0.4 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-2020-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 California by uninsured rate, under 19 (US model-based estimate), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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 California by uninsured rate, under 19 (US model-based estimate), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020. 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 California by uninsured rate, under 19 (US model-based estimate), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020.

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 California by uninsured rate, under 19 (US model-based estimate), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_by_2020,
  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 California by uninsured rate, under 19 (US model-based estimate), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020. 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-2020-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 California by uninsured rate, under 19 (US model-based estimate), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/california-counties?period=2020.
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-2020-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)?

Alpine County, with 7.1% in 2020, according to the U.S. Census Bureau.

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

Lassen County, with 2.1% in 2020.

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 California: more rankings