Counties in Texas by uninsured rate, under 19 (US model-based estimate)
Lipscomb County had the highest uninsured rate, under 19 (US model-based estimate) of 254 counties in 2019, at 29.7%. Williamson County had the lowest, at 8.3%. The median was 14.5% and the figure for Texas was 12.7%. Source: the U.S. Census Bureau.
Map of counties, 2019
- Under 12
- 12 to 13
- 13 to 14
- 14 to 16
- 16 to 18
- 18 and over
Top 40 counties, 2019
Full ranking
| Rank | Counties | 2019 (%) | Change on 2018 |
|---|---|---|---|
| 1 | Lipscomb County | 29.7 | +6 pts |
| 2 | Gaines County | 28.7 | +4.3 pts |
| 3 | Dallam County | 26.6 | +6.2 pts |
| 4 | Mason County | 26.1 | +3.1 pts |
| 5 | Sherman County | 25.5 | +2.9 pts |
| 6 | Hansford County | 23.9 | +4 pts |
| 7 | Collingsworth County | 23 | +2.4 pts |
| 8 | Hudspeth County | 22.7 | +6.7 pts |
| 9 | Menard County | 22.6 | +1.7 pts |
| 10 | Leon County | 21.8 | +2 pts |
| 11 | Schleicher County | 21.5 | +0.9 pts |
| 12 | Parmer County | 21.4 | +1.8 pts |
| 13 | King County | 21.3 | +4.9 pts |
| 13 | Throckmorton County | 21.3 | +1.7 pts |
| 15 | Hartley County | 21.2 | +2.2 pts |
| 16 | San Saba County | 21.1 | +3 pts |
| 16 | Yoakum County | 21.1 | +6.2 pts |
| 18 | Wheeler County | 21 | +1.8 pts |
| 19 | Blanco County | 20.9 | +3 pts |
| 19 | Gillespie County | 20.9 | +3.9 pts |
| 21 | Briscoe County | 20.6 | +0.5 pts |
| 21 | Hemphill County | 20.6 | +2 pts |
| 23 | Jeff Davis County | 20.2 | +1.5 pts |
| 24 | Castro County | 19.8 | +3.9 pts |
| 24 | Ochiltree County | 19.8 | +2.3 pts |
| 26 | Kenedy County | 19.6 | +3.6 pts |
| 27 | Presidio County | 19.3 | +2.2 pts |
| 28 | Hardeman County | 19.2 | +2.1 pts |
| 28 | Knox County | 19.2 | +1.2 pts |
| 28 | Mills County | 19.2 | +1.2 pts |
| 31 | Cochran County | 19 | +3.3 pts |
| 32 | Bailey County | 18.8 | +1.2 pts |
| 32 | Edwards County | 18.8 | +2.4 pts |
| 32 | Hamilton County | 18.8 | +4.1 pts |
| 35 | Shackelford County | 18.7 | +2 pts |
| 36 | Glasscock County | 18.5 | +1.4 pts |
| 37 | Moore County | 18.4 | +3.2 pts |
| 38 | Colorado County | 18.2 | +3.5 pts |
| 38 | Foard County | 18.2 | +2.1 pts |
| 38 | Motley County | 18.2 | +4.5 pts |
| 41 | Jack County | 18.1 | +3.6 pts |
| 42 | Coleman County | 17.9 | +3.6 pts |
| 42 | Stonewall County | 17.9 | +1.7 pts |
| 44 | Pecos County | 17.4 | +3.6 pts |
| 45 | Culberson County | 17.2 | +2.4 pts |
| 45 | Live Oak County | 17.2 | +2.1 pts |
| 45 | Martin County | 17.2 | +3 pts |
| 48 | Terrell County | 17.1 | +2.2 pts |
| 48 | Upton County | 17.1 | +4.2 pts |
| 48 | Young County | 17.1 | +2.9 pts |
| 51 | Comanche County | 16.9 | 0 pts |
| 51 | Fayette County | 16.9 | +2.4 pts |
| 51 | Sterling County | 16.9 | +2.9 pts |
| 54 | Lamb County | 16.8 | +2.1 pts |
| 54 | Madison County | 16.8 | +4.7 pts |
| 54 | Rains County | 16.8 | +2 pts |
| 57 | Fisher County | 16.7 | +0.9 pts |
| 57 | Wharton County | 16.7 | +2.2 pts |
| 59 | Aransas County | 16.5 | +1 pts |
| 59 | Archer County | 16.5 | +4.9 pts |
| 59 | Haskell County | 16.5 | +1.9 pts |
| 59 | Jackson County | 16.5 | +4.6 pts |
| 59 | Kerr County | 16.5 | +3.4 pts |
| 59 | Llano County | 16.5 | +3.4 pts |
| 65 | Dickens County | 16.4 | +1 pts |
| 65 | Grimes County | 16.4 | +1.9 pts |
| 67 | Donley County | 16.3 | +2.8 pts |
| 67 | Erath County | 16.3 | +3.5 pts |
| 69 | Midland County | 16.2 | +4.3 pts |
| 69 | Reeves County | 16.2 | +4 pts |
| 71 | Coke County | 16.1 | +3.9 pts |
| 71 | Concho County | 16.1 | +1.3 pts |
| 71 | Roberts County | 16.1 | +4.7 pts |
| 71 | Van Zandt County | 16.1 | +3 pts |
| 75 | Andrews County | 16 | +2.5 pts |
| 75 | Swisher County | 16 | +3.1 pts |
| 77 | Cottle County | 15.9 | -2 pts |
| 77 | Reagan County | 15.9 | +1.8 pts |
| 79 | Bosque County | 15.8 | +0.3 pts |
| 79 | Hall County | 15.8 | +1.1 pts |
| 79 | Lee County | 15.8 | +3.7 pts |
| 79 | Shelby County | 15.8 | +0.9 pts |
| 83 | Dallas County | 15.7 | +1.3 pts |
| 83 | Waller County | 15.7 | +1.1 pts |
| 85 | Floyd County | 15.6 | +3.9 pts |
| 85 | Gonzales County | 15.6 | +1.1 pts |
| 85 | Kimble County | 15.6 | +3.3 pts |
| 85 | Ward County | 15.6 | +2.8 pts |
| 89 | Ector County | 15.5 | +2.1 pts |
| 89 | Terry County | 15.5 | +1.2 pts |
| 89 | Washington County | 15.5 | +1.7 pts |
| 92 | Armstrong County | 15.4 | +2.4 pts |
| 92 | Cooke County | 15.4 | +3.9 pts |
| 92 | Crane County | 15.4 | +2.3 pts |
| 92 | Potter County | 15.4 | +3.3 pts |
| 92 | Winkler County | 15.4 | +2.1 pts |
| 97 | Austin County | 15.3 | +3.3 pts |
| 97 | Childress County | 15.3 | +3.1 pts |
| 99 | Bandera County | 15.2 | +0.3 pts |
| 99 | Caldwell County | 15.2 | +3.4 pts |
| 99 | Eastland County | 15.2 | +1.7 pts |
| 99 | San Jacinto County | 15.2 | +0.9 pts |
| 103 | Bastrop County | 15.1 | +1.7 pts |
| 103 | Crockett County | 15.1 | +2.1 pts |
| 103 | Lavaca County | 15.1 | +3.5 pts |
| 103 | Wise County | 15.1 | +1.5 pts |
| 107 | Titus County | 15 | +4.3 pts |
| 108 | Hidalgo County | 14.9 | +1.3 pts |
| 108 | Liberty County | 14.9 | +3.1 pts |
| 108 | Limestone County | 14.9 | +2.3 pts |
| 108 | Maverick County | 14.9 | +3.1 pts |
| 112 | Hopkins County | 14.8 | +1.2 pts |
| 112 | Polk County | 14.8 | +2.2 pts |
| 112 | Sabine County | 14.8 | +2.1 pts |
| 115 | Burleson County | 14.7 | +1.6 pts |
| 115 | Navarro County | 14.7 | +3.1 pts |
| 115 | Palo Pinto County | 14.7 | +0.2 pts |
| 118 | Gray County | 14.6 | +1.8 pts |
| 118 | Hutchinson County | 14.6 | +3.7 pts |
| 118 | McMullen County | 14.6 | +3.6 pts |
| 118 | Stephens County | 14.6 | +0.9 pts |
| 122 | Grayson County | 14.5 | +1.3 pts |
| 122 | Harris County | 14.5 | +2.2 pts |
| 122 | Real County | 14.5 | +0.6 pts |
| 122 | Scurry County | 14.5 | +2.7 pts |
| 122 | Webb County | 14.5 | +1.5 pts |
| 122 | Wood County | 14.5 | +1.9 pts |
| 128 | Clay County | 14.4 | +1.2 pts |
| 128 | Freestone County | 14.4 | +1.4 pts |
| 128 | Garza County | 14.4 | +1.5 pts |
| 128 | Montague County | 14.4 | -0.1 pts |
| 128 | Newton County | 14.4 | +2.4 pts |
| 128 | Starr County | 14.4 | 0 pts |
| 134 | Anderson County | 14.3 | +3 pts |
| 134 | Camp County | 14.3 | +2.9 pts |
| 134 | Hale County | 14.3 | +2.9 pts |
| 134 | Lynn County | 14.3 | +1.2 pts |
| 134 | Sutton County | 14.3 | +1.3 pts |
| 139 | Brewster County | 14.2 | +2.6 pts |
| 139 | Deaf Smith County | 14.2 | -1.5 pts |
| 139 | Fannin County | 14.2 | +1.9 pts |
| 142 | Mitchell County | 14.1 | +1.7 pts |
| 142 | Uvalde County | 14.1 | +1.8 pts |
| 144 | Burnet County | 14 | +0.6 pts |
| 144 | DeWitt County | 14 | +3.2 pts |
| 144 | Franklin County | 14 | +3.2 pts |
| 144 | Jones County | 14 | +3.2 pts |
| 144 | Karnes County | 14 | +0.8 pts |
| 149 | Calhoun County | 13.9 | +2.7 pts |
| 149 | Cameron County | 13.9 | -0.2 pts |
| 149 | Gregg County | 13.9 | +2.4 pts |
| 149 | Somervell County | 13.9 | +1 pts |
| 153 | Cherokee County | 13.8 | +1 pts |
| 153 | Hockley County | 13.8 | +1.4 pts |
| 153 | Matagorda County | 13.8 | +0.7 pts |
| 156 | Atascosa County | 13.7 | +2.4 pts |
| 156 | Goliad County | 13.7 | +2.1 pts |
| 156 | Henderson County | 13.7 | +1.4 pts |
| 156 | Panola County | 13.7 | +1.7 pts |
| 160 | Lamar County | 13.6 | +2.3 pts |
| 160 | Rusk County | 13.6 | +0.4 pts |
| 162 | Hill County | 13.5 | +0.6 pts |
| 162 | Marion County | 13.5 | +2.5 pts |
| 162 | San Augustine County | 13.5 | +2.3 pts |
| 162 | Zapata County | 13.5 | +1.6 pts |
| 166 | Brown County | 13.4 | +3.5 pts |
| 166 | Johnson County | 13.4 | +1.7 pts |
| 168 | Angelina County | 13.3 | +1.7 pts |
| 168 | Carson County | 13.3 | +1.2 pts |
| 168 | Dawson County | 13.3 | -0.8 pts |
| 168 | Irion County | 13.3 | +3.4 pts |
| 168 | Nolan County | 13.3 | +2.8 pts |
| 173 | Crosby County | 13.2 | +2.1 pts |
| 173 | Trinity County | 13.2 | +0.3 pts |
| 175 | Houston County | 13.1 | +1.4 pts |
| 175 | Kendall County | 13.1 | +1.7 pts |
| 175 | Walker County | 13.1 | +2.6 pts |
| 178 | Falls County | 13 | +1 pts |
| 179 | Harrison County | 12.9 | +1.4 pts |
| 179 | Lampasas County | 12.9 | +1.6 pts |
| 179 | Victoria County | 12.9 | +2.2 pts |
| 182 | Delta County | 12.8 | +1.5 pts |
| 182 | Kinney County | 12.8 | +2.4 pts |
| 182 | Milam County | 12.8 | +2 pts |
| 182 | Runnels County | 12.8 | +1.6 pts |
| 186 | Ellis County | 12.7 | -0.8 pts |
| 186 | Hood County | 12.7 | +2.4 pts |
| 188 | Baylor County | 12.6 | +0.4 pts |
| 188 | McCulloch County | 12.6 | +0.7 pts |
| 190 | Oldham County | 12.5 | +2.6 pts |
| 190 | Robertson County | 12.5 | 0 pts |
| 192 | Tyler County | 12.4 | +2.2 pts |
| 193 | Frio County | 12.3 | +2.1 pts |
| 193 | Nacogdoches County | 12.3 | +0.7 pts |
| 193 | Travis County | 12.3 | +4.3 pts |
| 196 | Chambers County | 12.2 | +2.3 pts |
| 196 | Howard County | 12.2 | +1.4 pts |
| 196 | Hunt County | 12.2 | +1.1 pts |
| 196 | Smith County | 12.2 | -0.3 pts |
| 196 | Wichita County | 12.2 | +3.5 pts |
| 201 | Kent County | 12.1 | +0.1 pts |
| 201 | Refugio County | 12.1 | +2.2 pts |
| 203 | Rockwall County | 12 | +2.1 pts |
| 203 | Upshur County | 12 | -1.2 pts |
| 205 | Val Verde County | 11.9 | +0.6 pts |
| 205 | Wilson County | 11.9 | +1.6 pts |
| 207 | Jasper County | 11.8 | +2.1 pts |
| 207 | Red River County | 11.8 | +1.5 pts |
| 207 | Tarrant County | 11.8 | +1.2 pts |
| 207 | Wilbarger County | 11.8 | +0.4 pts |
| 211 | Comal County | 11.7 | +1.3 pts |
| 211 | Duval County | 11.7 | +1.9 pts |
| 211 | El Paso County | 11.7 | +1.3 pts |
| 211 | Jefferson County | 11.7 | +1.6 pts |
| 211 | Jim Wells County | 11.7 | +1.4 pts |
| 211 | Medina County | 11.7 | -0.2 pts |
| 211 | Parker County | 11.7 | +0.1 pts |
| 211 | Taylor County | 11.7 | +2.5 pts |
| 219 | Callahan County | 11.6 | +0.5 pts |
| 219 | Hays County | 11.6 | +0.6 pts |
| 219 | Orange County | 11.6 | +2.1 pts |
| 222 | Borden County | 11.5 | +2 pts |
| 222 | Brazos County | 11.5 | +0.4 pts |
| 224 | Morris County | 11.4 | +1.4 pts |
| 224 | San Patricio County | 11.4 | +2.6 pts |
| 226 | Galveston County | 11.3 | +0.8 pts |
| 227 | Hardin County | 11.2 | +2.4 pts |
| 227 | Montgomery County | 11.2 | +0.4 pts |
| 229 | Dimmit County | 11 | +1.2 pts |
| 229 | Guadalupe County | 11 | +3 pts |
| 229 | Kaufman County | 11 | +1 pts |
| 232 | Kleberg County | 10.9 | +1.6 pts |
| 233 | Willacy County | 10.7 | +1.7 pts |
| 234 | Tom Green County | 10.5 | +0.1 pts |
| 235 | Lubbock County | 10.4 | +1.7 pts |
| 236 | Cass County | 10.3 | +0.4 pts |
| 236 | McLennan County | 10.3 | -0.3 pts |
| 236 | Nueces County | 10.3 | -0.1 pts |
| 239 | Brazoria County | 10.2 | -0.5 pts |
| 240 | Bell County | 9.9 | +3.2 pts |
| 240 | Denton County | 9.9 | +2 pts |
| 242 | Bee County | 9.8 | +0.5 pts |
| 243 | Fort Bend County | 9.6 | +1.5 pts |
| 244 | Bexar County | 9.5 | +1 pts |
| 244 | La Salle County | 9.5 | +2.2 pts |
| 244 | Zavala County | 9.5 | +1.4 pts |
| 247 | Loving County | 9.3 | -4 pts |
| 248 | Bowie County | 9.2 | +0.4 pts |
| 249 | Jim Hogg County | 9.1 | -0.3 pts |
| 250 | Coryell County | 8.9 | +1.1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019.
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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2019,
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), 2019}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2019.
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-2019-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)?
Lipscomb County, with 29.7% in 2019, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 19 (US model-based estimate)?
Williamson County, with 8.3% in 2019.
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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- 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