Counties in Texas by uninsured rate, under 19 (US model-based estimate), 2024
Gaines County had the highest uninsured rate, under 19 (US model-based estimate) of 254 counties in 2024, at 32.2%. Loving County had the lowest, at 0%. The median was 14% and the figure for Texas was 13.5%. Source: the U.S. Census Bureau.
Map of counties, 2024
- Under 12
- 12 to 13
- 13 to 14
- 14 to 15
- 15 to 17
- 17 and over
Top 40 counties, 2024
Full ranking
| Rank | Counties | 2024 (%) | Change on 2023 |
|---|---|---|---|
| 1 | Gaines County | 32.2 | +6.1 pts |
| 2 | King County | 24.1 | +1 pts |
| 3 | Ochiltree County | 22.9 | +1.7 pts |
| 4 | Mason County | 22 | +3.9 pts |
| 5 | Hansford County | 21.8 | -3.2 pts |
| 6 | Collingsworth County | 21.5 | +5.3 pts |
| 7 | Dallam County | 21.3 | +1.9 pts |
| 8 | Presidio County | 21 | +1.1 pts |
| 9 | Parmer County | 20.8 | +1.6 pts |
| 10 | San Saba County | 20.7 | +1.9 pts |
| 11 | Lipscomb County | 20.2 | +3.6 pts |
| 12 | Moore County | 19.7 | +2.4 pts |
| 13 | Ector County | 19.1 | +2.9 pts |
| 14 | Donley County | 19 | +2.9 pts |
| 15 | Terry County | 18.9 | +4.2 pts |
| 16 | Menard County | 18.8 | 0 pts |
| 16 | Sherman County | 18.8 | -2.1 pts |
| 18 | Crockett County | 18.6 | 0 pts |
| 18 | Dallas County | 18.6 | +3.5 pts |
| 20 | Van Zandt County | 18.5 | +3 pts |
| 21 | Gonzales County | 18.4 | +2.1 pts |
| 21 | Jack County | 18.4 | +1.9 pts |
| 21 | Wheeler County | 18.4 | +0.3 pts |
| 21 | Wood County | 18.4 | +4.7 pts |
| 25 | Comanche County | 18.3 | +2.2 pts |
| 26 | Burnet County | 18.2 | +1.9 pts |
| 26 | Foard County | 18.2 | +2 pts |
| 26 | Hall County | 18.2 | +2.9 pts |
| 26 | Throckmorton County | 18.2 | +1.9 pts |
| 30 | Bailey County | 18.1 | +0.2 pts |
| 31 | Kenedy County | 18 | -3.1 pts |
| 31 | Motley County | 18 | +4.6 pts |
| 33 | Kimble County | 17.9 | +3.8 pts |
| 33 | Stonewall County | 17.9 | +2.3 pts |
| 35 | Hamilton County | 17.8 | +1.3 pts |
| 36 | Briscoe County | 17.6 | +3.9 pts |
| 37 | Gillespie County | 17.5 | +0.9 pts |
| 38 | Castro County | 17.4 | +1.7 pts |
| 38 | Edwards County | 17.4 | -1 pts |
| 40 | Shelby County | 17.3 | +3.9 pts |
| 40 | Yoakum County | 17.3 | -2.2 pts |
| 42 | Lamb County | 17.1 | +1.7 pts |
| 43 | Andrews County | 17 | +0.8 pts |
| 43 | Bastrop County | 17 | +3.9 pts |
| 43 | Cochran County | 17 | -2.5 pts |
| 43 | Haskell County | 17 | +2.4 pts |
| 43 | Rains County | 17 | +2.1 pts |
| 43 | Wise County | 17 | +5.8 pts |
| 49 | Deaf Smith County | 16.9 | +2.1 pts |
| 50 | Jones County | 16.8 | +3.2 pts |
| 51 | Schleicher County | 16.7 | +0.2 pts |
| 52 | Dawson County | 16.6 | -1.2 pts |
| 52 | Madison County | 16.6 | +1.2 pts |
| 54 | Lee County | 16.5 | +3.3 pts |
| 54 | Swisher County | 16.5 | +0.6 pts |
| 56 | Erath County | 16.4 | +1.6 pts |
| 56 | Robertson County | 16.4 | +4 pts |
| 58 | Eastland County | 16.3 | +3.1 pts |
| 58 | Harris County | 16.3 | +2.4 pts |
| 58 | Titus County | 16.3 | +1.7 pts |
| 61 | Hill County | 16.2 | +4 pts |
| 61 | Live Oak County | 16.2 | +1.4 pts |
| 63 | Hale County | 16.1 | +1.5 pts |
| 64 | Bosque County | 16 | +0.9 pts |
| 64 | Colorado County | 16 | +0.5 pts |
| 66 | Hardeman County | 15.9 | +1.6 pts |
| 66 | Knox County | 15.9 | -2.3 pts |
| 66 | Montague County | 15.9 | +2.6 pts |
| 69 | Borden County | 15.7 | +4.8 pts |
| 69 | Victoria County | 15.7 | +4.3 pts |
| 71 | Floyd County | 15.5 | -0.1 pts |
| 71 | McCulloch County | 15.5 | +1.6 pts |
| 73 | Burleson County | 15.4 | +1.2 pts |
| 73 | Camp County | 15.4 | +2.5 pts |
| 73 | Dickens County | 15.4 | +2.6 pts |
| 76 | Angelina County | 15.3 | +2.3 pts |
| 76 | Crosby County | 15.3 | +2.6 pts |
| 76 | Hartley County | 15.3 | +4.4 pts |
| 76 | Kaufman County | 15.3 | +3.8 pts |
| 76 | Martin County | 15.3 | +2.2 pts |
| 76 | Real County | 15.3 | +2.8 pts |
| 82 | Freestone County | 15.2 | -0.1 pts |
| 82 | Lamar County | 15.2 | +4.1 pts |
| 82 | Palo Pinto County | 15.2 | +1.6 pts |
| 82 | Sutton County | 15.2 | -1.4 pts |
| 86 | Fayette County | 15.1 | +1.6 pts |
| 86 | Newton County | 15.1 | +2 pts |
| 86 | Smith County | 15.1 | +2.9 pts |
| 89 | Jim Hogg County | 14.9 | +1.1 pts |
| 89 | Lynn County | 14.9 | +3.9 pts |
| 89 | Red River County | 14.9 | +0.7 pts |
| 89 | Reeves County | 14.9 | +0.5 pts |
| 89 | Tarrant County | 14.9 | +4.3 pts |
| 89 | Wharton County | 14.9 | +0.8 pts |
| 95 | Brewster County | 14.8 | +0.9 pts |
| 95 | Cottle County | 14.8 | +2.2 pts |
| 95 | Hopkins County | 14.8 | +2 pts |
| 95 | Mills County | 14.8 | +0.1 pts |
| 99 | DeWitt County | 14.7 | +2.2 pts |
| 99 | Frio County | 14.7 | +3.3 pts |
| 99 | Houston County | 14.7 | +1.4 pts |
| 99 | Leon County | 14.7 | -0.1 pts |
| 103 | Johnson County | 14.6 | +2.8 pts |
| 103 | La Salle County | 14.6 | -0.5 pts |
| 103 | Llano County | 14.6 | +0.9 pts |
| 103 | Polk County | 14.6 | +2.4 pts |
| 103 | Refugio County | 14.6 | +1.8 pts |
| 103 | Starr County | 14.6 | +2.9 pts |
| 109 | Grimes County | 14.5 | +1.8 pts |
| 109 | Nacogdoches County | 14.5 | +3.4 pts |
| 111 | Shackelford County | 14.4 | +1.9 pts |
| 111 | Uvalde County | 14.4 | -0.8 pts |
| 113 | Crane County | 14.3 | +0.6 pts |
| 113 | San Augustine County | 14.3 | +1.5 pts |
| 113 | Waller County | 14.3 | +2.5 pts |
| 116 | Grayson County | 14.2 | +1.9 pts |
| 116 | Hemphill County | 14.2 | 0 pts |
| 116 | Hidalgo County | 14.2 | +1.9 pts |
| 116 | Jim Wells County | 14.2 | +2.5 pts |
| 116 | Liberty County | 14.2 | +0.3 pts |
| 116 | Mitchell County | 14.2 | +4.2 pts |
| 116 | Sabine County | 14.2 | +2.3 pts |
| 123 | Midland County | 14.1 | +3.8 pts |
| 124 | Bandera County | 14 | +2.8 pts |
| 124 | Jackson County | 14 | -1.7 pts |
| 124 | Matagorda County | 14 | +0.9 pts |
| 124 | Montgomery County | 14 | +2.4 pts |
| 128 | Austin County | 13.9 | +0.2 pts |
| 128 | Baylor County | 13.9 | +2.6 pts |
| 128 | Cameron County | 13.9 | +0.9 pts |
| 128 | El Paso County | 13.9 | +1.1 pts |
| 128 | Fannin County | 13.9 | +1.7 pts |
| 128 | Limestone County | 13.9 | +2.4 pts |
| 128 | Wilbarger County | 13.9 | +1.7 pts |
| 135 | Archer County | 13.8 | +1 pts |
| 135 | Lavaca County | 13.8 | +1 pts |
| 135 | Zapata County | 13.8 | +0.3 pts |
| 138 | Coke County | 13.7 | -0.2 pts |
| 138 | Ellis County | 13.7 | +0.7 pts |
| 138 | Irion County | 13.7 | -0.9 pts |
| 138 | San Jacinto County | 13.7 | +1.6 pts |
| 138 | Stephens County | 13.7 | +1.3 pts |
| 143 | Goliad County | 13.6 | +2 pts |
| 143 | Hudspeth County | 13.6 | +2.1 pts |
| 143 | Nolan County | 13.6 | +1.3 pts |
| 143 | Pecos County | 13.6 | -1.6 pts |
| 143 | Young County | 13.6 | -0.8 pts |
| 148 | Falls County | 13.5 | +1.2 pts |
| 148 | Val Verde County | 13.5 | +1.2 pts |
| 148 | Winkler County | 13.5 | +0.2 pts |
| 151 | Franklin County | 13.4 | +2.1 pts |
| 151 | Maverick County | 13.4 | +1.2 pts |
| 151 | Runnels County | 13.4 | -1.2 pts |
| 151 | Ward County | 13.4 | -1.8 pts |
| 155 | Caldwell County | 13.3 | -0.4 pts |
| 155 | Hunt County | 13.3 | +0.5 pts |
| 155 | Tom Green County | 13.3 | +2 pts |
| 158 | Callahan County | 13.2 | +0.6 pts |
| 158 | Cooke County | 13.2 | +1.3 pts |
| 158 | Upton County | 13.2 | +0.3 pts |
| 161 | Walker County | 13.1 | +0.4 pts |
| 162 | Calhoun County | 13 | +2.4 pts |
| 162 | Concho County | 13 | +1.7 pts |
| 162 | Garza County | 13 | +0.3 pts |
| 162 | Milam County | 13 | -0.6 pts |
| 162 | Parker County | 13 | +1.5 pts |
| 162 | Potter County | 13 | -1.9 pts |
| 162 | Randall County | 13 | +3.8 pts |
| 169 | Blanco County | 12.9 | -1.3 pts |
| 169 | Coleman County | 12.9 | +0.5 pts |
| 169 | Hockley County | 12.9 | +0.3 pts |
| 169 | Scurry County | 12.9 | 0 pts |
| 169 | Tyler County | 12.9 | +0.6 pts |
| 174 | Gray County | 12.8 | -0.5 pts |
| 174 | Lubbock County | 12.8 | +2.7 pts |
| 174 | Rusk County | 12.8 | +2.1 pts |
| 174 | Trinity County | 12.8 | -0.6 pts |
| 178 | Anderson County | 12.7 | +2.2 pts |
| 178 | Brazos County | 12.7 | +2.5 pts |
| 178 | Cherokee County | 12.7 | -0.3 pts |
| 178 | Jefferson County | 12.7 | +0.9 pts |
| 182 | Kerr County | 12.6 | -1.9 pts |
| 182 | Lampasas County | 12.6 | +0.5 pts |
| 182 | Willacy County | 12.6 | +2.1 pts |
| 185 | Aransas County | 12.5 | +0.3 pts |
| 185 | Marion County | 12.5 | +1.2 pts |
| 185 | San Patricio County | 12.5 | +0.1 pts |
| 188 | Upshur County | 12.4 | +1.7 pts |
| 189 | Clay County | 12.3 | +1.4 pts |
| 189 | Gregg County | 12.3 | +0.1 pts |
| 189 | Morris County | 12.3 | +1.7 pts |
| 189 | Navarro County | 12.3 | -2.5 pts |
| 189 | Panola County | 12.3 | +0.5 pts |
| 194 | Duval County | 12.2 | +0.5 pts |
| 194 | McMullen County | 12.2 | -3.7 pts |
| 196 | Washington County | 12.1 | -1.3 pts |
| 196 | Wichita County | 12.1 | +1.5 pts |
| 198 | Henderson County | 12 | +1.6 pts |
| 198 | Jasper County | 12 | -0.1 pts |
| 198 | Webb County | 12 | -4.2 pts |
| 201 | Glasscock County | 11.9 | +0.9 pts |
| 201 | Medina County | 11.9 | +0.8 pts |
| 203 | Bexar County | 11.8 | +1.5 pts |
| 203 | Brown County | 11.8 | +1.9 pts |
| 203 | Delta County | 11.8 | +2 pts |
| 203 | Kendall County | 11.8 | +1 pts |
| 207 | Galveston County | 11.7 | +3.4 pts |
| 207 | Howard County | 11.7 | +0.1 pts |
| 207 | Kleberg County | 11.7 | -0.4 pts |
| 207 | McLennan County | 11.7 | +1.9 pts |
| 211 | Hays County | 11.6 | +2.3 pts |
| 211 | Hutchinson County | 11.6 | +1.3 pts |
| 213 | Culberson County | 11.5 | +1.5 pts |
| 213 | Jeff Davis County | 11.5 | +2.1 pts |
| 213 | Karnes County | 11.5 | -0.8 pts |
| 216 | Atascosa County | 11.4 | -1.6 pts |
| 216 | Guadalupe County | 11.4 | +3.2 pts |
| 216 | Reagan County | 11.4 | -2.3 pts |
| 219 | Brooks County | 11.2 | +2.1 pts |
| 219 | Nueces County | 11.2 | +1.1 pts |
| 219 | Somervell County | 11.2 | +1.3 pts |
| 222 | Cass County | 11.1 | +0.9 pts |
| 222 | Travis County | 11.1 | +1.9 pts |
| 222 | Wilson County | 11.1 | +2.5 pts |
| 225 | Bee County | 11 | +1.4 pts |
| 225 | Harrison County | 11 | 0 pts |
| 225 | Taylor County | 11 | +2.5 pts |
| 228 | Carson County | 10.9 | +1.2 pts |
| 228 | Hood County | 10.9 | -0.4 pts |
| 230 | Fisher County | 10.8 | +0.4 pts |
| 230 | Terrell County | 10.8 | +1.5 pts |
| 232 | Bowie County | 10.7 | +1.4 pts |
| 233 | Dimmit County | 10.5 | +0.6 pts |
| 233 | Hardin County | 10.5 | -0.1 pts |
| 235 | Brazoria County | 10.3 | +2.4 pts |
| 236 | Chambers County | 10.2 | +2.8 pts |
| 236 | Kent County | 10.2 | +3.1 pts |
| 238 | Comal County | 10 | +1.9 pts |
| 238 | Oldham County | 10 | +0.3 pts |
| 240 | Sterling County | 9.8 | -2.8 pts |
| 240 | Zavala County | 9.8 | -0.7 pts |
| 242 | Coryell County | 9.7 | +0.9 pts |
| 243 | Roberts County | 9.4 | -0.7 pts |
| 244 | Armstrong County | 9.3 | +2.6 pts |
| 245 | Childress County | 9.2 | -2.2 pts |
| 246 | Bell County | 9.1 | +0.6 pts |
| 247 | Denton County | 8.9 | -0.6 pts |
| 248 | Orange County | 8.7 | -0.6 pts |
| 249 | Rockwall County | 8.5 | +0.2 pts |
| 250 | Collin County | 8.4 | +0.9 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-2024-csv.zip. Retrieved 2026-10-12.
Citation styles
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 Texas by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Texas by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties. 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 Texas by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties.
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 Texas by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2024,
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 Texas by uninsured rate, under 19 (US model-based estimate), 2024}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties. 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-2024-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 Texas by uninsured rate, under 19 (US model-based estimate), 2024
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-2024-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties.
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-2024-csv.zip. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas by uninsured rate, under 19 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_19&level=province&within=Texas&limit=10
Questions
Which county has the highest uninsured rate, under 19 (US model-based estimate)?
Gaines County, with 32.2% in 2024, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 19 (US model-based estimate)?
Loving County, with 0% in 2024.
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 Texas: more rankings
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- COPD in adults, local model estimate
- Binge drinking in adults, local model estimate
- Frequent mental distress in adults, local model estimate
- Net domestic migration rate, July to June
- Average weekly wage (QCEW)
- Residents who moved from another county in the past year
- Asian population share