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

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

Gaines County had the highest uninsured rate, under 19 (US model-based estimate) of 254 counties in 2018, at 24.4%. Bell County had the lowest, at 6.7%. The median was 12.4% and the figure for Texas was 11.1%. Source: the U.S. Census Bureau.

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Highest24.4Gaines County
Lowest6.7Bell County
Median12.4254 counties
Texas11.1History

Map of counties, 2018

Anderson County: 11.3 %Andrews County: 13.5 %Angelina County: 11.6 %Aransas County: 15.5 %Archer County: 11.6 %Armstrong County: 13 %Atascosa County: 11.3 %Austin County: 12 %Bailey County: 17.6 %Bandera County: 14.9 %Bastrop County: 13.4 %Baylor County: 12.2 %Bee County: 9.3 %Bell County: 6.7 %Bexar County: 8.5 %Blanco County: 17.9 %Borden County: 9.5 %Bosque County: 15.5 %Bowie County: 8.8 %Brazoria County: 10.7 %Brazos County: 11.1 %Brewster County: 11.6 %Briscoe County: 20.1 %Brooks County: 7.3 %Brown County: 9.9 %Burleson County: 13.1 %Burnet County: 13.4 %Caldwell County: 11.8 %Calhoun County: 11.2 %Callahan County: 11.1 %Cameron County: 14.1 %Camp County: 11.4 %Carson County: 12.1 %Cass County: 9.9 %Castro County: 15.9 %Chambers County: 9.9 %Cherokee County: 12.8 %Childress County: 12.2 %Clay County: 13.2 %Cochran County: 15.7 %Coke County: 12.2 %Coleman County: 14.3 %Collin County: 8.4 %Collingsworth County: 20.6 %Colorado County: 14.7 %Comal County: 10.4 %Comanche County: 16.9 %Concho County: 14.8 %Cooke County: 11.5 %Coryell County: 7.8 %Cottle County: 17.9 %Crane County: 13.1 %Crockett County: 13 %Crosby County: 11.1 %Culberson County: 14.8 %Dallam County: 20.4 %Dallas County: 14.4 %Dawson County: 14.1 %Deaf Smith County: 15.7 %Delta County: 11.3 %Denton County: 7.9 %DeWitt County: 10.8 %Dickens County: 15.4 %Dimmit County: 9.8 %Donley County: 13.5 %Duval County: 9.8 %Eastland County: 13.5 %Ector County: 13.4 %Edwards County: 16.4 %Ellis County: 13.5 %El Paso County: 10.4 %Erath County: 12.8 %Falls County: 12 %Fannin County: 12.3 %Fayette County: 14.5 %Fisher County: 15.8 %Floyd County: 11.7 %Foard County: 16.1 %Fort Bend County: 8.1 %Franklin County: 10.8 %Freestone County: 13 %Frio County: 10.2 %Gaines County: 24.4 %Galveston County: 10.5 %Garza County: 12.9 %Gillespie County: 17 %Glasscock County: 17.1 %Goliad County: 11.6 %Gonzales County: 14.5 %Gray County: 12.8 %Grayson County: 13.2 %Gregg County: 11.5 %Grimes County: 14.5 %Guadalupe County: 8 %Hale County: 11.4 %Hall County: 14.7 %Hamilton County: 14.7 %Hansford County: 19.9 %Hardeman County: 17.1 %Hardin County: 8.8 %Harris County: 12.3 %Harrison County: 11.5 %Hartley County: 19 %Haskell County: 14.6 %Hays County: 11 %Hemphill County: 18.6 %Henderson County: 12.3 %Hidalgo County: 13.6 %Hill County: 12.9 %Hockley County: 12.4 %Hood County: 10.3 %Hopkins County: 13.6 %Houston County: 11.7 %Howard County: 10.8 %Hudspeth County: 16 %Hunt County: 11.1 %Hutchinson County: 10.9 %Irion County: 9.9 %Jack County: 14.5 %Jackson County: 11.9 %Jasper County: 9.7 %Jeff Davis County: 18.7 %Jefferson County: 10.1 %Jim Hogg County: 9.4 %Jim Wells County: 10.3 %Johnson County: 11.7 %Jones County: 10.8 %Karnes County: 13.2 %Kaufman County: 10 %Kendall County: 11.4 %Kenedy County: 16 %Kent County: 12 %Kerr County: 13.1 %Kimble County: 12.3 %King County: 16.4 %Kinney County: 10.4 %Kleberg County: 9.3 %Knox County: 18 %Lamar County: 11.3 %Lamb County: 14.7 %Lampasas County: 11.3 %La Salle County: 7.3 %Lavaca County: 11.6 %Lee County: 12.1 %Leon County: 19.8 %Liberty County: 11.8 %Limestone County: 12.6 %Lipscomb County: 23.7 %Live Oak County: 15.1 %Llano County: 13.1 %Loving County: 13.3 %Lubbock County: 8.7 %Lynn County: 13.1 %McCulloch County: 11.9 %McLennan County: 10.6 %McMullen County: 11 %Madison County: 12.1 %Marion County: 11 %Martin County: 14.2 %Mason County: 23 %Matagorda County: 13.1 %Maverick County: 11.8 %Medina County: 11.9 %Menard County: 20.9 %Midland County: 11.9 %Milam County: 10.8 %Mills County: 18 %Mitchell County: 12.4 %Montague County: 14.5 %Montgomery County: 10.8 %Moore County: 15.2 %Morris County: 10 %Motley County: 13.7 %Nacogdoches County: 11.6 %Navarro County: 11.6 %Newton County: 12 %Nolan County: 10.5 %Nueces County: 10.4 %Ochiltree County: 17.5 %Oldham County: 9.9 %Orange County: 9.5 %Palo Pinto County: 14.5 %Panola County: 12 %Parker County: 11.6 %Parmer County: 19.6 %Pecos County: 13.8 %Polk County: 12.6 %Potter County: 12.1 %Presidio County: 17.1 %Rains County: 14.8 %Randall County: 7.7 %Reagan County: 14.1 %Real County: 13.9 %Red River County: 10.3 %Reeves County: 12.2 %Refugio County: 9.9 %Roberts County: 11.4 %Robertson County: 12.5 %Rockwall County: 9.9 %Runnels County: 11.2 %Rusk County: 13.2 %Sabine County: 12.7 %San Augustine County: 11.2 %San Jacinto County: 14.3 %San Patricio County: 8.8 %San Saba County: 18.1 %Schleicher County: 20.6 %Scurry County: 11.8 %Shackelford County: 16.7 %Shelby County: 14.9 %Sherman County: 22.6 %Smith County: 12.5 %Somervell County: 12.9 %Starr County: 14.4 %Stephens County: 13.7 %Sterling County: 14 %Stonewall County: 16.2 %Sutton County: 13 %Swisher County: 12.9 %Tarrant County: 10.6 %Taylor County: 9.2 %Terrell County: 14.9 %Terry County: 14.3 %Throckmorton County: 19.6 %Titus County: 10.7 %Tom Green County: 10.4 %Travis County: 8 %Trinity County: 12.9 %Tyler County: 10.2 %Upshur County: 13.2 %Upton County: 12.9 %Uvalde County: 12.3 %Val Verde County: 11.3 %Van Zandt County: 13.1 %Victoria County: 10.7 %Walker County: 10.5 %Waller County: 14.6 %Ward County: 12.8 %Washington County: 13.8 %Webb County: 13 %Wharton County: 14.5 %Wheeler County: 19.2 %Wichita County: 8.7 %Wilbarger County: 11.4 %Willacy County: 9 %Williamson County: 8.4 %Wilson County: 10.3 %Winkler County: 13.3 %Wise County: 13.6 %Wood County: 12.6 %Yoakum County: 14.9 %Young County: 14.2 %Zapata County: 11.9 %Zavala County: 8.1 %
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  • 15 and over
%, 2018. 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, 2018

Gaines County: 24.4 %Gaines County24.4Lipscomb County: 23.7 %Lipscomb County23.7Mason County: 23 %Mason County23Sherman County: 22.6 %Sherman County22.6Menard County: 20.9 %Menard County20.9Collingsworth County: 20.6 %Collingsworth County20.6Schleicher County: 20.6 %Schleicher County20.6Dallam County: 20.4 %Dallam County20.4Briscoe County: 20.1 %Briscoe County20.1Hansford County: 19.9 %Hansford County19.9Leon County: 19.8 %Leon County19.8Parmer County: 19.6 %Parmer County19.6Throckmorton County: 19.6 %Throckmorton County19.6Wheeler County: 19.2 %Wheeler County19.2Hartley County: 19 %Hartley County19Jeff Davis County: 18.7 %Jeff Davis County18.7Hemphill County: 18.6 %Hemphill County18.6San Saba County: 18.1 %San Saba County18.1Knox County: 18 %Knox County18Mills County: 18 %Mills County18Blanco County: 17.9 %Blanco County17.9Cottle County: 17.9 %Cottle County17.9Bailey County: 17.6 %Bailey County17.6Ochiltree County: 17.5 %Ochiltree County17.5Glasscock County: 17.1 %Glasscock County17.1Hardeman County: 17.1 %Hardeman County17.1Presidio County: 17.1 %Presidio County17.1Gillespie County: 17 %Gillespie County17Comanche County: 16.9 %Comanche County16.9Shackelford County: 16.7 %Shackelford County16.7Edwards County: 16.4 %Edwards County16.4King County: 16.4 %King County16.4Stonewall County: 16.2 %Stonewall County16.2Foard County: 16.1 %Foard County16.1Hudspeth County: 16 %Hudspeth County16Kenedy County: 16 %Kenedy County16Castro County: 15.9 %Castro County15.9Fisher County: 15.8 %Fisher County15.8Cochran County: 15.7 %Cochran County15.7Deaf Smith County: 15.7 %Deaf Smith County15.7Gaines County: 24.4 %Gaines County24.4Lipscomb County: 23.7 %Lipscomb County23.7Mason County: 23 %Mason County23Sherman County: 22.6 %Sherman County22.6Menard County: 20.9 %Menard County20.9Collingsworth County: 20.6 %Collingsworth County20.6Schleicher County: 20.6 %Schleicher County20.6Dallam County: 20.4 %Dallam County20.4Briscoe County: 20.1 %Briscoe County20.1Hansford County: 19.9 %Hansford County19.9Leon County: 19.8 %Leon County19.8Parmer County: 19.6 %Parmer County19.6Throckmorton County: 19.6 %Throckmorton County19.6Wheeler County: 19.2 %Wheeler County19.2Hartley County: 19 %Hartley County19Jeff Davis County: 18.7 %Jeff Davis County18.7Hemphill County: 18.6 %Hemphill County18.6San Saba County: 18.1 %San Saba County18.1Knox County: 18 %Knox County18Mills County: 18 %Mills County18Blanco County: 17.9 %Blanco County17.9Cottle County: 17.9 %Cottle County17.9Bailey County: 17.6 %Bailey County17.6Ochiltree County: 17.5 %Ochiltree County17.5Glasscock County: 17.1 %Glasscock County17.1Hardeman County: 17.1 %Hardeman County17.1Presidio County: 17.1 %Presidio County17.1Gillespie County: 17 %Gillespie County17Comanche County: 16.9 %Comanche County16.9Shackelford County: 16.7 %Shackelford County16.7Edwards County: 16.4 %Edwards County16.4King County: 16.4 %King County16.4Stonewall County: 16.2 %Stonewall County16.2Foard County: 16.1 %Foard County16.1Hudspeth County: 16 %Hudspeth County16Kenedy County: 16 %Kenedy County16Castro County: 15.9 %Castro County15.9Fisher County: 15.8 %Fisher County15.8Cochran County: 15.7 %Cochran County15.7Deaf Smith County: 15.7 %Deaf Smith County15.7
%. 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

RankCounties2018 (%)Change on 2017
1Gaines County24.4-2.3 pts
2Lipscomb County23.7-3.8 pts
3Mason County23-2.5 pts
4Sherman County22.6-2.5 pts
5Menard County20.9+2.6 pts
6Collingsworth County20.6-2.1 pts
6Schleicher County20.6+0.7 pts
8Dallam County20.4-2.1 pts
9Briscoe County20.1-5 pts
10Hansford County19.9+1.5 pts
11Leon County19.8+2.8 pts
12Parmer County19.6+1.2 pts
12Throckmorton County19.6-2.4 pts
14Wheeler County19.2+1.1 pts
15Hartley County19+3.2 pts
16Jeff Davis County18.7-1.6 pts
17Hemphill County18.6+0.4 pts
18San Saba County18.1+0.4 pts
19Knox County18-0.2 pts
19Mills County18-1.7 pts
21Blanco County17.9-0.3 pts
21Cottle County17.9-1.8 pts
23Bailey County17.6+2.3 pts
24Ochiltree County17.5-1.5 pts
25Glasscock County17.1-2.4 pts
25Hardeman County17.1-1.7 pts
25Presidio County17.1+2.5 pts
28Gillespie County17-0.8 pts
29Comanche County16.9+0.6 pts
30Shackelford County16.7-0.5 pts
31Edwards County16.4-0.1 pts
31King County16.4-4.1 pts
33Stonewall County16.2-2.9 pts
34Foard County16.1-3 pts
35Hudspeth County16+1.9 pts
35Kenedy County16+2.8 pts
37Castro County15.9-1.7 pts
38Fisher County15.8-0.7 pts
39Cochran County15.7-3 pts
39Deaf Smith County15.7+2.6 pts
41Aransas County15.5+2.5 pts
41Bosque County15.5+1.6 pts
43Dickens County15.4-3.5 pts
44Moore County15.2-2.2 pts
45Live Oak County15.1+0.1 pts
46Bandera County14.9+0.9 pts
46Shelby County14.9+1.8 pts
46Terrell County14.9-9.7 pts
46Yoakum County14.9-1.8 pts
50Concho County14.8-0.6 pts
50Culberson County14.8+0.5 pts
50Rains County14.8+1.2 pts
53Colorado County14.7+0.5 pts
53Hall County14.7+2.1 pts
53Hamilton County14.7-1.3 pts
53Lamb County14.70 pts
57Haskell County14.6+0.8 pts
57Waller County14.6+0.9 pts
59Fayette County14.5-0.1 pts
59Gonzales County14.5+0.1 pts
59Grimes County14.5+0.9 pts
59Jack County14.5-1.5 pts
59Montague County14.5-0.9 pts
59Palo Pinto County14.5+1.4 pts
59Wharton County14.5+0.9 pts
66Dallas County14.4+0.9 pts
66Starr County14.4+3.6 pts
68Coleman County14.30 pts
68San Jacinto County14.3+0.6 pts
68Terry County14.3+0.6 pts
71Martin County14.2-3.6 pts
71Young County14.2-1.8 pts
73Cameron County14.1+1.3 pts
73Dawson County14.1+1.7 pts
73Reagan County14.1+0.1 pts
76Sterling County14-4.1 pts
77Real County13.9-0.3 pts
78Pecos County13.8+0.1 pts
78Washington County13.8+1 pts
80Motley County13.7-2.8 pts
80Stephens County13.7-2 pts
82Hidalgo County13.6+1.4 pts
82Hopkins County13.6-0.2 pts
82Wise County13.6-3.2 pts
85Andrews County13.5-0.4 pts
85Donley County13.5-1.1 pts
85Eastland County13.5+0.2 pts
85Ellis County13.5+2.4 pts
89Bastrop County13.4+0.8 pts
89Burnet County13.4-0.6 pts
89Ector County13.4+1 pts
92Loving County13.3-4.3 pts
92Winkler County13.3+0.8 pts
94Clay County13.2+0.2 pts
94Grayson County13.2+1.3 pts
94Karnes County13.2+1 pts
94Rusk County13.2+2.2 pts
94Upshur County13.2+2.8 pts
99Burleson County13.1+1.2 pts
99Crane County13.1+1.6 pts
99Kerr County13.1-0.4 pts
99Llano County13.1-0.3 pts
99Lynn County13.1+1 pts
99Matagorda County13.1+1.1 pts
99Van Zandt County13.1-1 pts
106Armstrong County13-1.8 pts
106Crockett County13-1.1 pts
106Freestone County13-0.2 pts
106Sutton County13-0.1 pts
106Webb County13+1.7 pts
111Garza County12.9-0.9 pts
111Hill County12.9+0.2 pts
111Somervell County12.9-2.4 pts
111Swisher County12.9+1.4 pts
111Trinity County12.9+1.8 pts
111Upton County12.9-4.3 pts
117Cherokee County12.8+1.6 pts
117Erath County12.8-2.4 pts
117Gray County12.8-0.3 pts
117Ward County12.8-0.8 pts
121Sabine County12.7-2 pts
122Limestone County12.6+1.3 pts
122Polk County12.6-1.1 pts
122Wood County12.6-0.8 pts
125Robertson County12.5+1 pts
125Smith County12.5+1.8 pts
127Hockley County12.4+0.9 pts
127Mitchell County12.4-0.9 pts
129Fannin County12.3-1.4 pts
129Harris County12.3+1.2 pts
129Henderson County12.3+0.7 pts
129Kimble County12.3-0.3 pts
129Uvalde County12.3+0.8 pts
134Baylor County12.2-0.6 pts
134Childress County12.2+0.6 pts
134Coke County12.2-3.1 pts
134Reeves County12.2+0.5 pts
138Carson County12.1-0.9 pts
138Lee County12.1-1.1 pts
138Madison County12.1-0.7 pts
138Potter County12.1-0.4 pts
142Austin County12-1.1 pts
142Falls County12-1.7 pts
142Kent County12-3.1 pts
142Newton County12+1.6 pts
142Panola County12+0.3 pts
147Jackson County11.9-0.9 pts
147McCulloch County11.9-1.1 pts
147Medina County11.9+0.8 pts
147Midland County11.9-2.6 pts
147Zapata County11.9-0.4 pts
152Caldwell County11.8+0.7 pts
152Liberty County11.8-1.4 pts
152Maverick County11.8-1 pts
152Scurry County11.80 pts
156Floyd County11.7-0.8 pts
156Houston County11.7-0.1 pts
156Johnson County11.7+1.5 pts
159Angelina County11.6-0.4 pts
159Archer County11.6-2.9 pts
159Brewster County11.6-0.2 pts
159Goliad County11.6+0.1 pts
159Lavaca County11.6-0.7 pts
159Nacogdoches County11.6-0.2 pts
159Navarro County11.6-0.6 pts
159Parker County11.6+0.6 pts
167Cooke County11.5-1.3 pts
167Gregg County11.50 pts
167Harrison County11.5+1.3 pts
170Camp County11.4-0.1 pts
170Hale County11.4-1.1 pts
170Kendall County11.4-1 pts
170Roberts County11.4+0.5 pts
170Wilbarger County11.4-1.4 pts
175Anderson County11.3-0.5 pts
175Atascosa County11.3+0.9 pts
175Delta County11.3-1 pts
175Lamar County11.3-0.6 pts
175Lampasas County11.3-1.5 pts
175Val Verde County11.3+0.3 pts
181Calhoun County11.2-0.4 pts
181Runnels County11.2-1 pts
181San Augustine County11.2+0.4 pts
184Brazos County11.1+0.4 pts
184Callahan County11.1+0.2 pts
184Crosby County11.1-1.6 pts
184Hunt County11.1-0.2 pts
188Hays County11+0.3 pts
188Marion County11-0.3 pts
188McMullen County11-7.2 pts
191Hutchinson County10.9-1.9 pts
192DeWitt County10.8-0.1 pts
192Franklin County10.8-2 pts
192Howard County10.8-0.8 pts
192Jones County10.8-1.3 pts
192Milam County10.8-1.1 pts
192Montgomery County10.8-0.1 pts
198Brazoria County10.7+1.5 pts
198Titus County10.7-3.6 pts
198Victoria County10.7-1.3 pts
201McLennan County10.6+1 pts
201Tarrant County10.6-0.5 pts
203Galveston County10.5+3.1 pts
203Nolan County10.5+0.4 pts
203Walker County10.5-0.5 pts
206Comal County10.4+0.9 pts
206El Paso County10.4+1.6 pts
206Kinney County10.4-2.8 pts
206Nueces County10.4+0.9 pts
206Tom Green County10.4-0.9 pts
211Hood County10.3-1.6 pts
211Jim Wells County10.3-0.3 pts
211Red River County10.3-1.2 pts
211Wilson County10.3-1 pts
215Frio County10.2-0.4 pts
215Tyler County10.2+0.9 pts
217Jefferson County10.1-0.5 pts
218Kaufman County10-0.8 pts
218Morris County10+0.2 pts
220Brown County9.9-0.6 pts
220Cass County9.9+1 pts
220Chambers County9.9-0.6 pts
220Irion County9.9-3.8 pts
220Oldham County9.9-0.4 pts
220Refugio County9.9-0.9 pts
220Rockwall County9.9+1.3 pts
227Dimmit County9.8+1 pts
227Duval County9.8+0.7 pts
229Jasper County9.7-0.1 pts
230Borden County9.5-5.2 pts
230Orange County9.5+1.5 pts
232Jim Hogg County9.4+0.7 pts
233Bee County9.30 pts
233Kleberg County9.3+0.2 pts
235Taylor County9.2+0.8 pts
236Willacy County9+0.1 pts
237Bowie County8.8+0.7 pts
237Hardin County8.8+0.1 pts
237San Patricio County8.8-1.8 pts
240Lubbock County8.7-0.7 pts
240Wichita County8.7-0.6 pts
242Bexar County8.5+0.5 pts
243Collin County8.4+0.1 pts
243Williamson County8.4+1.5 pts
245Fort Bend County8.1-0.3 pts
245Zavala County8.1+0.3 pts
247Guadalupe County8-0.2 pts
247Travis County8-1 pts
249Denton County7.9-0.8 pts
250Coryell County7.8-1.3 pts

Showing the top 250 of 254. The Excel download has every row.

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-2018-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 Texas by uninsured rate, under 19 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2018.
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-2018-csv.zip. Retrieved 2026-10-12.
ER  -
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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

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Questions

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

Gaines County, with 24.4% in 2018, according to the U.S. Census Bureau.

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

Bell County, with 6.7% in 2018.

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