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

Hamilton County had the highest uninsured rate, under 19 (US model-based estimate) of 62 counties in 2020, at 7.7%. Richmond County had the lowest, at 1.9%. The median was 2.7% and the figure for New York was 2.5%. Source: the U.S. Census Bureau.

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Highest7.7Hamilton County
Median2.762 counties
New York2.5History

Map of counties, 2020

Albany County: 2.3 %Allegany County: 2.9 %Bronx County: 2.5 %Broome County: 2.2 %Cattaraugus County: 3.4 %Cayuga County: 2.8 %Chautauqua County: 3.1 %Chemung County: 2.4 %Chenango County: 2.6 %Clinton County: 2.6 %Columbia County: 3.2 %Cortland County: 2.4 %Delaware County: 3 %Dutchess County: 2.4 %Erie County: 1.9 %Essex County: 2.9 %Franklin County: 3.7 %Fulton County: 3 %Genesee County: 2.7 %Greene County: 3.3 %Hamilton County: 7.7 %Herkimer County: 2.7 %Jefferson County: 2.8 %Kings County: 2.2 %Lewis County: 3.4 %Livingston County: 3.4 %Madison County: 2.9 %Monroe County: 2.3 %Montgomery County: 3.1 %Nassau County: 2.3 %New York County: 2.2 %Niagara County: 2.3 %Oneida County: 2.8 %Onondaga County: 2.6 %Ontario County: 2.2 %Orange County: 2.3 %Orleans County: 2.9 %Oswego County: 2.5 %Otsego County: 3.1 %Putnam County: 2.5 %Queens County: 2.7 %Rensselaer County: 2.4 %Richmond County: 1.9 %Rockland County: 2.4 %St. Lawrence County: 3.5 %Saratoga County: 2 %Schenectady County: 2.3 %Schoharie County: 3.1 %Schuyler County: 3.1 %Seneca County: 4.2 %Steuben County: 4.4 %Suffolk County: 2.8 %Sullivan County: 4.1 %Tioga County: 2.6 %Tompkins County: 2.6 %Ulster County: 2.5 %Warren County: 2.6 %Washington County: 2.7 %Wayne County: 3.6 %Westchester County: 2.5 %Wyoming County: 2.6 %Yates County: 5.5 %
  • Under 2.3
  • 2.3 to 2.5
  • 2.5 to 2.7
  • 2.7 to 2.9
  • 2.9 to 3.4
  • 3.4 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.

Top 40 counties, 2020

Hamilton County: 7.7 %Hamilton County7.7Yates County: 5.5 %Yates County5.5Steuben County: 4.4 %Steuben County4.4Seneca County: 4.2 %Seneca County4.2Sullivan County: 4.1 %Sullivan County4.1Franklin County: 3.7 %Franklin County3.7Wayne County: 3.6 %Wayne County3.6St. Lawrence County: 3.5 %St. Lawrence County3.5Cattaraugus County: 3.4 %Cattaraugus County3.4Lewis County: 3.4 %Lewis County3.4Livingston County: 3.4 %Livingston County3.4Greene County: 3.3 %Greene County3.3Columbia County: 3.2 %Columbia County3.2Chautauqua County: 3.1 %Chautauqua County3.1Montgomery County: 3.1 %Montgomery County3.1Otsego County: 3.1 %Otsego County3.1Schoharie County: 3.1 %Schoharie County3.1Schuyler County: 3.1 %Schuyler County3.1Delaware County: 3 %Delaware County3Fulton County: 3 %Fulton County3Allegany County: 2.9 %Allegany County2.9Essex County: 2.9 %Essex County2.9Madison County: 2.9 %Madison County2.9Orleans County: 2.9 %Orleans County2.9Cayuga County: 2.8 %Cayuga County2.8Jefferson County: 2.8 %Jefferson County2.8Oneida County: 2.8 %Oneida County2.8Suffolk County: 2.8 %Suffolk County2.8Genesee County: 2.7 %Genesee County2.7Herkimer County: 2.7 %Herkimer County2.7Queens County: 2.7 %Queens County2.7Washington County: 2.7 %Washington County2.7Chenango County: 2.6 %Chenango County2.6Clinton County: 2.6 %Clinton County2.6Onondaga County: 2.6 %Onondaga County2.6Tioga County: 2.6 %Tioga County2.6Tompkins County: 2.6 %Tompkins County2.6Warren County: 2.6 %Warren County2.6Wyoming County: 2.6 %Wyoming County2.6Bronx County: 2.5 %Bronx County2.5Hamilton County: 7.7 %Hamilton County7.7Yates County: 5.5 %Yates County5.5Steuben County: 4.4 %Steuben County4.4Seneca County: 4.2 %Seneca County4.2Sullivan County: 4.1 %Sullivan County4.1Franklin County: 3.7 %Franklin County3.7Wayne County: 3.6 %Wayne County3.6St. Lawrence County: 3.5 %St. Lawrence County3.5Cattaraugus County: 3.4 %Cattaraugus County3.4Lewis County: 3.4 %Lewis County3.4Livingston County: 3.4 %Livingston County3.4Greene County: 3.3 %Greene County3.3Columbia County: 3.2 %Columbia County3.2Chautauqua County: 3.1 %Chautauqua County3.1Montgomery County: 3.1 %Montgomery County3.1Otsego County: 3.1 %Otsego County3.1Schoharie County: 3.1 %Schoharie County3.1Schuyler County: 3.1 %Schuyler County3.1Delaware County: 3 %Delaware County3Fulton County: 3 %Fulton County3Allegany County: 2.9 %Allegany County2.9Essex County: 2.9 %Essex County2.9Madison County: 2.9 %Madison County2.9Orleans County: 2.9 %Orleans County2.9Cayuga County: 2.8 %Cayuga County2.8Jefferson County: 2.8 %Jefferson County2.8Oneida County: 2.8 %Oneida County2.8Suffolk County: 2.8 %Suffolk County2.8Genesee County: 2.7 %Genesee County2.7Herkimer County: 2.7 %Herkimer County2.7Queens County: 2.7 %Queens County2.7Washington County: 2.7 %Washington County2.7Chenango County: 2.6 %Chenango County2.6Clinton County: 2.6 %Clinton County2.6Onondaga County: 2.6 %Onondaga County2.6Tioga County: 2.6 %Tioga County2.6Tompkins County: 2.6 %Tompkins County2.6Warren County: 2.6 %Warren County2.6Wyoming County: 2.6 %Wyoming County2.6Bronx County: 2.5 %Bronx County2.5
%. 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
1Hamilton County7.7+3.7 pts
2Yates County5.5+0.5 pts
3Steuben County4.4+1.9 pts
4Seneca County4.2+1.3 pts
5Sullivan County4.1+1.2 pts
6Franklin County3.7+0.2 pts
7Wayne County3.6+1.4 pts
8St. Lawrence County3.5-0.2 pts
9Cattaraugus County3.4-0.3 pts
9Lewis County3.4+1 pts
9Livingston County3.4+1.2 pts
12Greene County3.3+0.9 pts
13Columbia County3.2-0.2 pts
14Chautauqua County3.1+0.8 pts
14Montgomery County3.1+0.7 pts
14Otsego County3.1+0.6 pts
14Schoharie County3.1+0.6 pts
14Schuyler County3.1+0.5 pts
19Delaware County30 pts
19Fulton County3+0.6 pts
21Allegany County2.9-0.7 pts
21Essex County2.90 pts
21Madison County2.9+0.6 pts
21Orleans County2.9+0.3 pts
25Cayuga County2.8+0.5 pts
25Jefferson County2.8+0.8 pts
25Oneida County2.8-0.2 pts
25Suffolk County2.8+0.2 pts
29Genesee County2.7+0.6 pts
29Herkimer County2.7+0.7 pts
29Queens County2.7+0.2 pts
29Washington County2.7+0.3 pts
33Chenango County2.6+0.3 pts
33Clinton County2.6+0.4 pts
33Onondaga County2.6+0.4 pts
33Tioga County2.6+0.5 pts
33Tompkins County2.6-0.1 pts
33Warren County2.6+0.4 pts
33Wyoming County2.6+0.4 pts
40Bronx County2.5+0.3 pts
40Oswego County2.5+0.3 pts
40Putnam County2.5+0.1 pts
40Ulster County2.5-0.2 pts
40Westchester County2.5+0.1 pts
45Chemung County2.4+0.5 pts
45Cortland County2.4+0.3 pts
45Dutchess County2.4-0.3 pts
45Rensselaer County2.4+0.5 pts
45Rockland County2.4-0.1 pts
50Albany County2.3+0.4 pts
50Monroe County2.3+0.4 pts
50Nassau County2.3-0.3 pts
50Niagara County2.3+0.4 pts
50Orange County2.30 pts
50Schenectady County2.3+0.2 pts
56Broome County2.2-0.1 pts
56Kings County2.2+0.3 pts
56New York County2.2-0.8 pts
56Ontario County2.2+0.1 pts
60Saratoga County2+0.2 pts
61Erie County1.9-0.1 pts
61Richmond County1.9-0.2 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-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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/new-york-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)?

Hamilton County, with 7.7% in 2020, according to the U.S. Census Bureau.

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

Richmond County, with 1.9% 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 New York: more rankings