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

Marshall County had the highest uninsured rate, under 19 (US model-based estimate) of 66 counties in 2017, at 15.1%. Lincoln County had the lowest, at 3.6%. The median was 8.6% and the figure for South Dakota was 6.5%. Source: the U.S. Census Bureau.

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Highest15.1Marshall County
Median8.666 counties
South Dakota6.5History

Map of counties, 2017

Aurora County: 12.2 %Beadle County: 7.2 %Bennett County: 10.2 %Bon Homme County: 8.9 %Brookings County: 5 %Brown County: 6.5 %Brule County: 14.4 %Buffalo County: 7.5 %Butte County: 5.9 %Campbell County: 11.2 %Charles Mix County: 10 %Clark County: 11.3 %Clay County: 6.2 %Codington County: 4.7 %Corson County: 11.2 %Custer County: 8.1 %Davison County: 5.1 %Day County: 11.8 %Deuel County: 7 %Dewey County: 9.3 %Douglas County: 12.2 %Edmunds County: 10.9 %Fall River County: 6.4 %Faulk County: 7.6 %Grant County: 6.7 %Gregory County: 10.8 %Haakon County: 12.9 %Hamlin County: 7.9 %Hand County: 11.2 %Hanson County: 8.4 %Harding County: 9.9 %Hughes County: 6 %Hutchinson County: 9.7 %Hyde County: 10.1 %Jackson County: 13.8 %Jerauld County: 12.3 %Jones County: 13.9 %Kingsbury County: 7.5 %Lake County: 5.5 %Lawrence County: 5.4 %Lincoln County: 3.6 %Lyman County: 11.1 %McCook County: 7.1 %McPherson County: 12.5 %Marshall County: 15.1 %Meade County: 5.5 %Mellette County: 12.2 %Miner County: 8 %Minnehaha County: 5 %Moody County: 12.2 %Oglala Lakota County: 5.7 %Pennington County: 6.2 %Perkins County: 14.9 %Potter County: 8.7 %Roberts County: 13.5 %Sanborn County: 9.8 %Spink County: 8.1 %Stanley County: 7 %Sully County: 11.3 %Todd County: 6.9 %Tripp County: 12.1 %Turner County: 6.9 %Union County: 5.7 %Walworth County: 7.6 %Yankton County: 5.4 %Ziebach County: 12 %
  • Under 5.9
  • 5.9 to 7.1
  • 7.1 to 8.6
  • 8.6 to 11
  • 11 to 12
  • 12 and over
%, 2017. 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, 2017

Marshall County: 15.1 %Marshall County15.1Perkins County: 14.9 %Perkins County14.9Brule County: 14.4 %Brule County14.4Jones County: 13.9 %Jones County13.9Jackson County: 13.8 %Jackson County13.8Roberts County: 13.5 %Roberts County13.5Haakon County: 12.9 %Haakon County12.9McPherson County: 12.5 %McPherson County12.5Jerauld County: 12.3 %Jerauld County12.3Aurora County: 12.2 %Aurora County12.2Douglas County: 12.2 %Douglas County12.2Mellette County: 12.2 %Mellette County12.2Moody County: 12.2 %Moody County12.2Tripp County: 12.1 %Tripp County12.1Ziebach County: 12 %Ziebach County12Day County: 11.8 %Day County11.8Clark County: 11.3 %Clark County11.3Sully County: 11.3 %Sully County11.3Campbell County: 11.2 %Campbell County11.2Corson County: 11.2 %Corson County11.2Hand County: 11.2 %Hand County11.2Lyman County: 11.1 %Lyman County11.1Edmunds County: 10.9 %Edmunds County10.9Gregory County: 10.8 %Gregory County10.8Bennett County: 10.2 %Bennett County10.2Hyde County: 10.1 %Hyde County10.1Charles Mix County: 10 %Charles Mix County10Harding County: 9.9 %Harding County9.9Sanborn County: 9.8 %Sanborn County9.8Hutchinson County: 9.7 %Hutchinson County9.7Dewey County: 9.3 %Dewey County9.3Bon Homme County: 8.9 %Bon Homme County8.9Potter County: 8.7 %Potter County8.7Hanson County: 8.4 %Hanson County8.4Custer County: 8.1 %Custer County8.1Spink County: 8.1 %Spink County8.1Miner County: 8 %Miner County8Hamlin County: 7.9 %Hamlin County7.9Faulk County: 7.6 %Faulk County7.6Walworth County: 7.6 %Walworth County7.6Marshall County: 15.1 %Marshall County15.1Perkins County: 14.9 %Perkins County14.9Brule County: 14.4 %Brule County14.4Jones County: 13.9 %Jones County13.9Jackson County: 13.8 %Jackson County13.8Roberts County: 13.5 %Roberts County13.5Haakon County: 12.9 %Haakon County12.9McPherson County: 12.5 %McPherson County12.5Jerauld County: 12.3 %Jerauld County12.3Aurora County: 12.2 %Aurora County12.2Douglas County: 12.2 %Douglas County12.2Mellette County: 12.2 %Mellette County12.2Moody County: 12.2 %Moody County12.2Tripp County: 12.1 %Tripp County12.1Ziebach County: 12 %Ziebach County12Day County: 11.8 %Day County11.8Clark County: 11.3 %Clark County11.3Sully County: 11.3 %Sully County11.3Campbell County: 11.2 %Campbell County11.2Corson County: 11.2 %Corson County11.2Hand County: 11.2 %Hand County11.2Lyman County: 11.1 %Lyman County11.1Edmunds County: 10.9 %Edmunds County10.9Gregory County: 10.8 %Gregory County10.8Bennett County: 10.2 %Bennett County10.2Hyde County: 10.1 %Hyde County10.1Charles Mix County: 10 %Charles Mix County10Harding County: 9.9 %Harding County9.9Sanborn County: 9.8 %Sanborn County9.8Hutchinson County: 9.7 %Hutchinson County9.7Dewey County: 9.3 %Dewey County9.3Bon Homme County: 8.9 %Bon Homme County8.9Potter County: 8.7 %Potter County8.7Hanson County: 8.4 %Hanson County8.4Custer County: 8.1 %Custer County8.1Spink County: 8.1 %Spink County8.1Miner County: 8 %Miner County8Hamlin County: 7.9 %Hamlin County7.9Faulk County: 7.6 %Faulk County7.6Walworth County: 7.6 %Walworth County7.6
%. 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

RankCounties2017 (%)Change on 2016
1Marshall County15.1+3.3 pts
2Perkins County14.9+5.1 pts
3Brule County14.4+5.4 pts
4Jones County13.9+3.4 pts
5Jackson County13.8+3.8 pts
6Roberts County13.5+3 pts
7Haakon County12.9+3.6 pts
8McPherson County12.5+5.9 pts
9Jerauld County12.3+5.5 pts
10Aurora County12.2+3.9 pts
10Douglas County12.2+4.4 pts
10Mellette County12.2+5.6 pts
10Moody County12.2+3.5 pts
14Tripp County12.1+4.3 pts
15Ziebach County12+5.6 pts
16Day County11.8+1.8 pts
17Clark County11.3+2.3 pts
17Sully County11.3+3.5 pts
19Campbell County11.2+4.3 pts
19Corson County11.2+4.3 pts
19Hand County11.2+5.5 pts
22Lyman County11.1+2 pts
23Edmunds County10.9+4.5 pts
24Gregory County10.8+0.9 pts
25Bennett County10.2+2 pts
26Hyde County10.1+3.8 pts
27Charles Mix County10+0.7 pts
28Harding County9.9+2.7 pts
29Sanborn County9.8+4 pts
30Hutchinson County9.7+2.7 pts
31Dewey County9.3+1.2 pts
32Bon Homme County8.9+2.3 pts
33Potter County8.7+2 pts
34Hanson County8.4+2.9 pts
35Custer County8.1+1.6 pts
35Spink County8.1+2 pts
37Miner County8+2.2 pts
38Hamlin County7.9+2.4 pts
39Faulk County7.6+1.9 pts
39Walworth County7.6+1 pts
41Buffalo County7.5+1.7 pts
41Kingsbury County7.5+2.2 pts
43Beadle County7.2+0.8 pts
44McCook County7.1+0.9 pts
45Deuel County7+0.1 pts
45Stanley County7+2.3 pts
47Todd County6.9+0.7 pts
47Turner County6.9+1.5 pts
49Grant County6.7+0.9 pts
50Brown County6.5+2.1 pts
51Fall River County6.4+1.2 pts
52Clay County6.20 pts
52Pennington County6.2+1.7 pts
54Hughes County6+0.8 pts
55Butte County5.9+0.2 pts
56Oglala Lakota County5.7+0.6 pts
56Union County5.7+2 pts
58Lake County5.5+1.1 pts
58Meade County5.5+1.1 pts
60Lawrence County5.4+0.6 pts
60Yankton County5.4+0.8 pts
62Davison County5.1+0.8 pts
63Brookings County5+0.5 pts
63Minnehaha County5+1.2 pts
65Codington County4.7+0.8 pts
66Lincoln County3.6+1 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-2017-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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017. 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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017.

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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2017,
  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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017. 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-2017-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 South Dakota by uninsured rate, under 19 (US model-based estimate), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-counties?period=2017.
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-2017-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)?

Marshall County, with 15.1% in 2017, according to the U.S. Census Bureau.

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

Lincoln County, with 3.6% in 2017.

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 South Dakota: more rankings