Counties in Texas by uninsured rate, under 19 (US model-based estimate)
Kenedy County had the highest uninsured rate, under 19 (US model-based estimate) of 254 counties in 2020, at 39.7%. Williamson County had the lowest, at 8%. The median was 13.8% and the figure for Texas was 11.6%. Source: the U.S. Census Bureau.
Map of counties, 2020
- Under 11
- 11 to 13
- 13 to 14
- 14 to 15
- 15 to 18
- 18 and over
Top 40 counties, 2020
Full ranking
| Rank | Counties | 2020 (%) | Change on 2019 |
|---|---|---|---|
| 1 | Kenedy County | 39.7 | +20.1 pts |
| 2 | Sherman County | 32.7 | +7.2 pts |
| 3 | Jeff Davis County | 31.3 | +11.1 pts |
| 4 | King County | 27.8 | +6.5 pts |
| 4 | Lipscomb County | 27.8 | -1.9 pts |
| 6 | Yoakum County | 26.6 | +5.5 pts |
| 7 | Glasscock County | 26.4 | +7.9 pts |
| 8 | Hansford County | 25.4 | +1.5 pts |
| 9 | Dallam County | 25.1 | -1.5 pts |
| 10 | Presidio County | 24.3 | +5 pts |
| 11 | Loving County | 24.2 | +14.9 pts |
| 12 | Gaines County | 24.1 | -4.6 pts |
| 12 | Schleicher County | 24.1 | +2.6 pts |
| 14 | Ochiltree County | 24 | +4.2 pts |
| 15 | Mason County | 23.2 | -2.9 pts |
| 16 | Hudspeth County | 22.6 | -0.1 pts |
| 17 | Collingsworth County | 22.5 | -0.5 pts |
| 17 | Moore County | 22.5 | +4.1 pts |
| 19 | Culberson County | 22.3 | +5.1 pts |
| 20 | Reagan County | 22 | +6.1 pts |
| 21 | Menard County | 21.9 | -0.7 pts |
| 22 | Hardeman County | 21.3 | +2.1 pts |
| 23 | Parmer County | 21.1 | -0.3 pts |
| 24 | Edwards County | 20.8 | +2 pts |
| 25 | Hemphill County | 20.7 | +0.1 pts |
| 25 | Martin County | 20.7 | +3.5 pts |
| 27 | Cochran County | 20.5 | +1.5 pts |
| 27 | Terrell County | 20.5 | +3.4 pts |
| 29 | Crockett County | 20.4 | +5.3 pts |
| 29 | Stonewall County | 20.4 | +2.5 pts |
| 31 | Crane County | 20.3 | +4.9 pts |
| 32 | Wheeler County | 20.1 | -0.9 pts |
| 33 | Sterling County | 19.9 | +3 pts |
| 34 | Andrews County | 19.4 | +3.4 pts |
| 34 | Briscoe County | 19.4 | -1.2 pts |
| 36 | Bailey County | 19.2 | +0.4 pts |
| 37 | Blanco County | 19.1 | -1.8 pts |
| 37 | Sutton County | 19.1 | +4.8 pts |
| 39 | Upton County | 18.8 | +1.7 pts |
| 40 | Castro County | 18.6 | -1.2 pts |
| 41 | Hartley County | 18.4 | -2.8 pts |
| 41 | Pecos County | 18.4 | +1 pts |
| 43 | Mills County | 18.2 | -1 pts |
| 44 | Coke County | 18.1 | +2 pts |
| 45 | Ector County | 18 | +2.5 pts |
| 46 | Knox County | 17.8 | -1.4 pts |
| 46 | Winkler County | 17.8 | +2.4 pts |
| 48 | Gillespie County | 17.6 | -3.3 pts |
| 48 | Leon County | 17.6 | -4.2 pts |
| 48 | McMullen County | 17.6 | +3 pts |
| 48 | Throckmorton County | 17.6 | -3.7 pts |
| 52 | Armstrong County | 17.5 | +2.1 pts |
| 53 | Shackelford County | 17.3 | -1.4 pts |
| 54 | Dickens County | 17 | +0.6 pts |
| 54 | San Saba County | 17 | -4.1 pts |
| 56 | Concho County | 16.9 | +0.8 pts |
| 56 | Deaf Smith County | 16.9 | +2.7 pts |
| 56 | Hamilton County | 16.9 | -1.9 pts |
| 56 | Real County | 16.9 | +2.4 pts |
| 56 | Ward County | 16.9 | +1.3 pts |
| 61 | Foard County | 16.8 | -1.4 pts |
| 61 | Swisher County | 16.8 | +0.8 pts |
| 61 | Waller County | 16.8 | +1.1 pts |
| 64 | Terry County | 16.6 | +1.1 pts |
| 65 | Gray County | 16.5 | +1.9 pts |
| 66 | Irion County | 16.4 | +3.1 pts |
| 67 | Live Oak County | 16.2 | -1 pts |
| 68 | Fisher County | 16.1 | -0.6 pts |
| 69 | Shelby County | 16 | +0.2 pts |
| 70 | Archer County | 15.9 | -0.6 pts |
| 71 | Gonzales County | 15.8 | +0.2 pts |
| 72 | Cherokee County | 15.7 | +1.9 pts |
| 72 | Fayette County | 15.7 | -1.2 pts |
| 72 | Titus County | 15.7 | +0.7 pts |
| 75 | Brewster County | 15.6 | +1.4 pts |
| 75 | Colorado County | 15.6 | -2.6 pts |
| 75 | Cooke County | 15.6 | +0.2 pts |
| 78 | Aransas County | 15.5 | -1 pts |
| 78 | Lamb County | 15.5 | -1.3 pts |
| 78 | Wharton County | 15.5 | -1.2 pts |
| 81 | Floyd County | 15.4 | -0.2 pts |
| 82 | Donley County | 15.3 | -1 pts |
| 83 | Burnet County | 15.1 | +1.1 pts |
| 83 | Jackson County | 15.1 | -1.4 pts |
| 83 | Roberts County | 15.1 | -1 pts |
| 83 | Runnels County | 15.1 | +2.3 pts |
| 87 | Kimble County | 15 | -0.6 pts |
| 87 | Kinney County | 15 | +2.2 pts |
| 87 | Lynn County | 15 | +0.7 pts |
| 87 | Montague County | 15 | +0.6 pts |
| 91 | Carson County | 14.9 | +1.6 pts |
| 91 | Haskell County | 14.9 | -1.6 pts |
| 91 | Kent County | 14.9 | +2.8 pts |
| 94 | Bosque County | 14.8 | -1 pts |
| 94 | Hidalgo County | 14.8 | -0.1 pts |
| 94 | Scurry County | 14.8 | +0.3 pts |
| 97 | Bastrop County | 14.7 | -0.4 pts |
| 97 | Cottle County | 14.7 | -1.2 pts |
| 97 | Kerr County | 14.7 | -1.8 pts |
| 97 | Maverick County | 14.7 | -0.2 pts |
| 101 | Ellis County | 14.6 | +1.9 pts |
| 101 | Garza County | 14.6 | +0.2 pts |
| 101 | Stephens County | 14.6 | 0 pts |
| 104 | Jack County | 14.5 | -3.6 pts |
| 104 | Rains County | 14.5 | -2.3 pts |
| 106 | Austin County | 14.4 | -0.9 pts |
| 106 | Grimes County | 14.4 | -2 pts |
| 106 | Llano County | 14.4 | -2.1 pts |
| 106 | San Jacinto County | 14.4 | -0.8 pts |
| 106 | Uvalde County | 14.4 | +0.3 pts |
| 106 | Zapata County | 14.4 | +0.9 pts |
| 112 | Borden County | 14.3 | +2.8 pts |
| 112 | Hall County | 14.3 | -1.5 pts |
| 112 | Midland County | 14.3 | -1.9 pts |
| 115 | Caldwell County | 14.2 | -1 pts |
| 116 | Comanche County | 14.1 | -2.8 pts |
| 116 | McCulloch County | 14.1 | +1.5 pts |
| 116 | Val Verde County | 14.1 | +2.2 pts |
| 119 | Crosby County | 14 | +0.8 pts |
| 119 | Hockley County | 14 | +0.2 pts |
| 119 | Hopkins County | 14 | -0.8 pts |
| 119 | Hutchinson County | 14 | -0.6 pts |
| 119 | Motley County | 14 | -4.2 pts |
| 119 | Starr County | 14 | -0.4 pts |
| 125 | Washington County | 13.9 | -1.6 pts |
| 125 | Young County | 13.9 | -3.2 pts |
| 127 | Wood County | 13.8 | -0.7 pts |
| 128 | Bandera County | 13.7 | -1.5 pts |
| 128 | Freestone County | 13.7 | -0.7 pts |
| 128 | Panola County | 13.7 | 0 pts |
| 128 | Polk County | 13.7 | -1.1 pts |
| 128 | Somervell County | 13.7 | -0.2 pts |
| 133 | Calhoun County | 13.6 | -0.3 pts |
| 133 | Delta County | 13.6 | +0.8 pts |
| 133 | Hill County | 13.6 | +0.1 pts |
| 133 | Johnson County | 13.6 | +0.2 pts |
| 133 | Matagorda County | 13.6 | -0.2 pts |
| 133 | Webb County | 13.6 | -0.9 pts |
| 139 | Camp County | 13.5 | -0.8 pts |
| 139 | Milam County | 13.5 | +0.7 pts |
| 139 | Reeves County | 13.5 | -2.7 pts |
| 142 | Angelina County | 13.4 | +0.1 pts |
| 142 | Lamar County | 13.4 | -0.2 pts |
| 144 | Cameron County | 13.3 | -0.6 pts |
| 144 | Clay County | 13.3 | -1.1 pts |
| 144 | Navarro County | 13.3 | -1.4 pts |
| 144 | Sabine County | 13.3 | -1.5 pts |
| 148 | Childress County | 13.2 | -2.1 pts |
| 148 | Wilbarger County | 13.2 | +1.4 pts |
| 150 | Gregg County | 13.1 | -0.8 pts |
| 150 | Mitchell County | 13.1 | -1 pts |
| 150 | Rusk County | 13.1 | -0.5 pts |
| 150 | Van Zandt County | 13.1 | -3 pts |
| 154 | Goliad County | 13 | -0.7 pts |
| 154 | Lee County | 13 | -2.8 pts |
| 156 | Baylor County | 12.9 | +0.3 pts |
| 156 | Grayson County | 12.9 | -1.6 pts |
| 156 | Wilson County | 12.9 | +1 pts |
| 159 | Fannin County | 12.8 | -1.4 pts |
| 159 | Liberty County | 12.8 | -2.1 pts |
| 159 | Limestone County | 12.8 | -2.1 pts |
| 159 | Wise County | 12.8 | -2.3 pts |
| 163 | Burleson County | 12.7 | -2 pts |
| 163 | Harris County | 12.7 | -1.8 pts |
| 163 | Nacogdoches County | 12.7 | +0.4 pts |
| 166 | Dawson County | 12.6 | -0.7 pts |
| 166 | Oldham County | 12.6 | +0.1 pts |
| 166 | Robertson County | 12.6 | +0.1 pts |
| 166 | Victoria County | 12.6 | -0.3 pts |
| 170 | Eastland County | 12.5 | -2.7 pts |
| 170 | Kendall County | 12.5 | -0.6 pts |
| 172 | Atascosa County | 12.4 | -1.3 pts |
| 172 | Erath County | 12.4 | -3.9 pts |
| 172 | Hale County | 12.4 | -1.9 pts |
| 175 | Jefferson County | 12.3 | +0.6 pts |
| 175 | Lampasas County | 12.3 | -0.6 pts |
| 175 | Nolan County | 12.3 | -1 pts |
| 175 | Tarrant County | 12.3 | +0.5 pts |
| 179 | Karnes County | 12.2 | -1.8 pts |
| 179 | Newton County | 12.2 | -2.2 pts |
| 181 | Harrison County | 12.1 | -0.8 pts |
| 182 | Callahan County | 12 | +0.4 pts |
| 182 | Coleman County | 12 | -5.9 pts |
| 182 | Lavaca County | 12 | -3.1 pts |
| 182 | Palo Pinto County | 12 | -2.7 pts |
| 182 | Parker County | 12 | +0.3 pts |
| 187 | DeWitt County | 11.9 | -2.1 pts |
| 187 | Madison County | 11.9 | -4.9 pts |
| 189 | Dallas County | 11.8 | -3.9 pts |
| 189 | Henderson County | 11.8 | -1.9 pts |
| 189 | Howard County | 11.8 | -0.4 pts |
| 189 | San Augustine County | 11.8 | -1.7 pts |
| 189 | Upshur County | 11.8 | -0.2 pts |
| 194 | Duval County | 11.7 | 0 pts |
| 194 | Refugio County | 11.7 | -0.4 pts |
| 196 | Jasper County | 11.6 | -0.2 pts |
| 196 | Kaufman County | 11.6 | +0.6 pts |
| 196 | La Salle County | 11.6 | +2.1 pts |
| 196 | Morris County | 11.6 | +0.2 pts |
| 196 | San Patricio County | 11.6 | +0.2 pts |
| 201 | Anderson County | 11.5 | -2.8 pts |
| 201 | Falls County | 11.5 | -1.5 pts |
| 201 | Hardin County | 11.5 | +0.3 pts |
| 201 | Hood County | 11.5 | -1.2 pts |
| 201 | Jim Hogg County | 11.5 | +2.4 pts |
| 201 | Marion County | 11.5 | -2 pts |
| 201 | Smith County | 11.5 | -0.7 pts |
| 201 | Zavala County | 11.5 | +2 pts |
| 209 | Dimmit County | 11.4 | +0.4 pts |
| 209 | Jim Wells County | 11.4 | -0.3 pts |
| 211 | Frio County | 11.3 | -1 pts |
| 211 | Hunt County | 11.3 | -0.9 pts |
| 211 | Kleberg County | 11.3 | +0.4 pts |
| 211 | Tom Green County | 11.3 | +0.8 pts |
| 211 | Trinity County | 11.3 | -1.9 pts |
| 216 | Montgomery County | 11.2 | 0 pts |
| 217 | Medina County | 11.1 | -0.6 pts |
| 217 | Wichita County | 11.1 | -1.1 pts |
| 219 | Cass County | 11 | +0.7 pts |
| 220 | Fort Bend County | 10.9 | +1.3 pts |
| 220 | Potter County | 10.9 | -4.5 pts |
| 220 | Tyler County | 10.9 | -1.5 pts |
| 223 | Hays County | 10.8 | -0.8 pts |
| 224 | Willacy County | 10.7 | 0 pts |
| 225 | Jones County | 10.6 | -3.4 pts |
| 226 | Chambers County | 10.5 | -1.7 pts |
| 226 | Red River County | 10.5 | -1.3 pts |
| 228 | Houston County | 10.4 | -2.7 pts |
| 229 | Brazos County | 10.2 | -1.3 pts |
| 229 | McLennan County | 10.2 | -0.1 pts |
| 231 | Franklin County | 9.9 | -4.1 pts |
| 232 | Bexar County | 9.8 | +0.3 pts |
| 232 | Brown County | 9.8 | -3.6 pts |
| 232 | Orange County | 9.8 | -1.8 pts |
| 235 | Comal County | 9.6 | -2.1 pts |
| 235 | El Paso County | 9.6 | -2.1 pts |
| 237 | Brooks County | 9.5 | +1.1 pts |
| 237 | Rockwall County | 9.5 | -2.5 pts |
| 237 | Walker County | 9.5 | -3.6 pts |
| 240 | Bowie County | 9.4 | +0.2 pts |
| 241 | Lubbock County | 9.1 | -1.3 pts |
| 241 | Travis County | 9.1 | -3.2 pts |
| 243 | Bee County | 9 | -0.8 pts |
| 244 | Denton County | 8.9 | -1 pts |
| 245 | Bell County | 8.7 | -1.2 pts |
| 246 | Galveston County | 8.6 | -2.7 pts |
| 247 | Brazoria County | 8.5 | -1.7 pts |
| 247 | Coryell County | 8.5 | -0.4 pts |
| 247 | Guadalupe County | 8.5 | -2.5 pts |
| 250 | Randall County | 8.4 | -0.3 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020.
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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2020,
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), 2020}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2020.
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-2020-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)?
Kenedy County, with 39.7% in 2020, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 19 (US model-based estimate)?
Williamson County, with 8% in 2020.
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