Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in South Dakota

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

Douglas County had the highest uninsured rate, under 19 (US model-based estimate) of 66 counties in 2022, at 12.3%. Ziebach County had the lowest, at 3.7%. The median was 8% and the figure for South Dakota was 6.6%. Source: the U.S. Census Bureau.

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Highest12.3Douglas County
Lowest3.7Ziebach County
Median866 counties
South Dakota6.6History

Map of counties, 2022

Aurora County: 8 %Beadle County: 7.9 %Bennett County: 6.8 %Bon Homme County: 7.1 %Brookings County: 5.6 %Brown County: 7 %Brule County: 9.5 %Buffalo County: 5.5 %Butte County: 9.5 %Campbell County: 8 %Charles Mix County: 11.8 %Clark County: 7 %Clay County: 6.5 %Codington County: 7.5 %Corson County: 3.8 %Custer County: 9.8 %Davison County: 8.5 %Day County: 8.6 %Deuel County: 7.4 %Dewey County: 9.2 %Douglas County: 12.3 %Edmunds County: 8 %Fall River County: 9.2 %Faulk County: 9.8 %Grant County: 8.1 %Gregory County: 9.8 %Haakon County: 7.9 %Hamlin County: 10.5 %Hand County: 8.7 %Hanson County: 7.9 %Harding County: 8.1 %Hughes County: 5.6 %Hutchinson County: 7.5 %Hyde County: 5.9 %Jackson County: 9.1 %Jerauld County: 5.8 %Jones County: 8.1 %Kingsbury County: 8.5 %Lake County: 8.3 %Lawrence County: 8.1 %Lincoln County: 4.7 %Lyman County: 8.2 %McCook County: 9.1 %McPherson County: 6.8 %Marshall County: 7.3 %Meade County: 5.8 %Mellette County: 6.3 %Miner County: 9.3 %Minnehaha County: 4.9 %Moody County: 9.1 %Oglala Lakota County: 5.9 %Pennington County: 6.4 %Perkins County: 9.5 %Potter County: 7.5 %Roberts County: 10.3 %Sanborn County: 8.1 %Spink County: 9.4 %Stanley County: 7.9 %Sully County: 4.8 %Todd County: 5.2 %Tripp County: 10.1 %Turner County: 8.8 %Union County: 6.5 %Walworth County: 8.4 %Yankton County: 8 %Ziebach County: 3.7 %
  • Under 5.9
  • 5.9 to 7.2
  • 7.2 to 8
  • 8 to 8.5
  • 8.5 to 9.4
  • 9.4 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

Douglas County: 12.3 %Douglas County12.3Charles Mix County: 11.8 %Charles Mix County11.8Hamlin County: 10.5 %Hamlin County10.5Roberts County: 10.3 %Roberts County10.3Tripp County: 10.1 %Tripp County10.1Custer County: 9.8 %Custer County9.8Faulk County: 9.8 %Faulk County9.8Gregory County: 9.8 %Gregory County9.8Brule County: 9.5 %Brule County9.5Butte County: 9.5 %Butte County9.5Perkins County: 9.5 %Perkins County9.5Spink County: 9.4 %Spink County9.4Miner County: 9.3 %Miner County9.3Dewey County: 9.2 %Dewey County9.2Fall River County: 9.2 %Fall River County9.2Jackson County: 9.1 %Jackson County9.1McCook County: 9.1 %McCook County9.1Moody County: 9.1 %Moody County9.1Turner County: 8.8 %Turner County8.8Hand County: 8.7 %Hand County8.7Day County: 8.6 %Day County8.6Davison County: 8.5 %Davison County8.5Kingsbury County: 8.5 %Kingsbury County8.5Walworth County: 8.4 %Walworth County8.4Lake County: 8.3 %Lake County8.3Lyman County: 8.2 %Lyman County8.2Grant County: 8.1 %Grant County8.1Harding County: 8.1 %Harding County8.1Jones County: 8.1 %Jones County8.1Lawrence County: 8.1 %Lawrence County8.1Sanborn County: 8.1 %Sanborn County8.1Aurora County: 8 %Aurora County8Campbell County: 8 %Campbell County8Edmunds County: 8 %Edmunds County8Yankton County: 8 %Yankton County8Beadle County: 7.9 %Beadle County7.9Haakon County: 7.9 %Haakon County7.9Hanson County: 7.9 %Hanson County7.9Stanley County: 7.9 %Stanley County7.9Codington County: 7.5 %Codington County7.5Douglas County: 12.3 %Douglas County12.3Charles Mix County: 11.8 %Charles Mix County11.8Hamlin County: 10.5 %Hamlin County10.5Roberts County: 10.3 %Roberts County10.3Tripp County: 10.1 %Tripp County10.1Custer County: 9.8 %Custer County9.8Faulk County: 9.8 %Faulk County9.8Gregory County: 9.8 %Gregory County9.8Brule County: 9.5 %Brule County9.5Butte County: 9.5 %Butte County9.5Perkins County: 9.5 %Perkins County9.5Spink County: 9.4 %Spink County9.4Miner County: 9.3 %Miner County9.3Dewey County: 9.2 %Dewey County9.2Fall River County: 9.2 %Fall River County9.2Jackson County: 9.1 %Jackson County9.1McCook County: 9.1 %McCook County9.1Moody County: 9.1 %Moody County9.1Turner County: 8.8 %Turner County8.8Hand County: 8.7 %Hand County8.7Day County: 8.6 %Day County8.6Davison County: 8.5 %Davison County8.5Kingsbury County: 8.5 %Kingsbury County8.5Walworth County: 8.4 %Walworth County8.4Lake County: 8.3 %Lake County8.3Lyman County: 8.2 %Lyman County8.2Grant County: 8.1 %Grant County8.1Harding County: 8.1 %Harding County8.1Jones County: 8.1 %Jones County8.1Lawrence County: 8.1 %Lawrence County8.1Sanborn County: 8.1 %Sanborn County8.1Aurora County: 8 %Aurora County8Campbell County: 8 %Campbell County8Edmunds County: 8 %Edmunds County8Yankton County: 8 %Yankton County8Beadle County: 7.9 %Beadle County7.9Haakon County: 7.9 %Haakon County7.9Hanson County: 7.9 %Hanson County7.9Stanley County: 7.9 %Stanley County7.9Codington County: 7.5 %Codington County7.5
%. 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

RankCounties2022 (%)Change on 2021
1Douglas County12.3-0.5 pts
2Charles Mix County11.8+0.5 pts
3Hamlin County10.5-0.6 pts
4Roberts County10.3-0.8 pts
5Tripp County10.1-0.1 pts
6Custer County9.8-2.2 pts
6Faulk County9.8-0.4 pts
6Gregory County9.8-2.1 pts
9Brule County9.5-2 pts
9Butte County9.50 pts
9Perkins County9.5+1.7 pts
12Spink County9.4-0.4 pts
13Miner County9.3-1.9 pts
14Dewey County9.2-0.7 pts
14Fall River County9.2+0.2 pts
16Jackson County9.1+0.6 pts
16McCook County9.1-1.8 pts
16Moody County9.1-1.3 pts
19Turner County8.8-0.6 pts
20Hand County8.7+0.7 pts
21Day County8.6-2.9 pts
22Davison County8.5+1.1 pts
22Kingsbury County8.5-1.7 pts
24Walworth County8.4-0.4 pts
25Lake County8.3-0.3 pts
26Lyman County8.2-3.3 pts
27Grant County8.1-1.9 pts
27Harding County8.1-1.6 pts
27Jones County8.1-1.1 pts
27Lawrence County8.10 pts
27Sanborn County8.1-1.2 pts
32Aurora County8-3.2 pts
32Campbell County8+0.7 pts
32Edmunds County8-1.8 pts
32Yankton County8-0.5 pts
36Beadle County7.9-2.6 pts
36Haakon County7.9-1.8 pts
36Hanson County7.9-2.8 pts
36Stanley County7.90 pts
40Codington County7.5-0.7 pts
40Hutchinson County7.5-2.3 pts
40Potter County7.5-0.2 pts
43Deuel County7.4-1.2 pts
44Marshall County7.3-2.4 pts
45Bon Homme County7.1-3.3 pts
46Brown County70 pts
46Clark County7-3.1 pts
48Bennett County6.8-1.7 pts
48McPherson County6.8-1.3 pts
50Clay County6.5-1.3 pts
50Union County6.5+0.3 pts
52Pennington County6.4-1.5 pts
53Mellette County6.3-0.6 pts
54Hyde County5.9-3.3 pts
54Oglala Lakota County5.9-0.2 pts
56Jerauld County5.8-2.4 pts
56Meade County5.8-0.6 pts
58Brookings County5.6+0.1 pts
58Hughes County5.6-1 pts
60Buffalo County5.5-2.8 pts
61Todd County5.2-0.7 pts
62Minnehaha County4.9-1.2 pts
63Sully County4.8-0.7 pts
64Lincoln County4.7-1 pts
65Corson County3.8-1.5 pts
66Ziebach County3.7-4.4 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-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 South Dakota 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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/south-dakota-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)?

Douglas County, with 12.3% in 2022, according to the U.S. Census Bureau.

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

Ziebach County, with 3.7% 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 South Dakota: more rankings