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 2021, at 41.7%. Collin County had the lowest, at 7%. The median was 13.3% and the figure for Texas was 11.7%. Source: the U.S. Census Bureau.
Map of counties, 2021
- Under 10
- 10 to 12
- 12 to 13
- 13 to 15
- 15 to 17
- 17 and over
Top 40 counties, 2021
Full ranking
| Rank | Counties | 2021 (%) | Change on 2020 |
|---|---|---|---|
| 1 | Kenedy County | 41.7 | +2 pts |
| 2 | Sherman County | 30.7 | -2 pts |
| 3 | Glasscock County | 26.2 | -0.2 pts |
| 4 | Dallam County | 25.1 | 0 pts |
| 4 | Lipscomb County | 25.1 | -2.7 pts |
| 6 | Presidio County | 25 | +0.7 pts |
| 7 | Schleicher County | 24.6 | +0.5 pts |
| 8 | Hansford County | 24 | -1.4 pts |
| 9 | King County | 23.7 | -4.1 pts |
| 10 | Gaines County | 23.3 | -0.8 pts |
| 11 | Collingsworth County | 23 | +0.5 pts |
| 12 | Culberson County | 22.5 | +0.2 pts |
| 13 | Mason County | 22.3 | -0.9 pts |
| 13 | Parmer County | 22.3 | +1.2 pts |
| 15 | Jeff Davis County | 22.2 | -9.1 pts |
| 15 | Ochiltree County | 22.2 | -1.8 pts |
| 17 | Menard County | 21.6 | -0.3 pts |
| 18 | Moore County | 21.2 | -1.3 pts |
| 19 | Terrell County | 20.9 | +0.4 pts |
| 20 | Martin County | 20.7 | 0 pts |
| 21 | Briscoe County | 20.4 | +1 pts |
| 22 | Wheeler County | 20.3 | +0.2 pts |
| 23 | Crockett County | 20.2 | -0.2 pts |
| 24 | Bailey County | 20 | +0.8 pts |
| 25 | Edwards County | 19.9 | -0.9 pts |
| 25 | Hemphill County | 19.9 | -0.8 pts |
| 27 | Yoakum County | 19.6 | -7 pts |
| 28 | Throckmorton County | 19.5 | +1.9 pts |
| 29 | Deaf Smith County | 18.8 | +1.9 pts |
| 29 | McMullen County | 18.8 | +1.2 pts |
| 29 | Mills County | 18.8 | +0.6 pts |
| 32 | Gillespie County | 18.7 | +1.1 pts |
| 33 | Ector County | 18.6 | +0.6 pts |
| 33 | Hardeman County | 18.6 | -2.7 pts |
| 33 | Stonewall County | 18.6 | -1.8 pts |
| 36 | Sterling County | 18.5 | -1.4 pts |
| 37 | Shackelford County | 18.2 | +0.9 pts |
| 37 | Titus County | 18.2 | +2.5 pts |
| 39 | Brewster County | 17.7 | +2.1 pts |
| 40 | Crane County | 17.5 | -2.8 pts |
| 41 | Cochran County | 17.4 | -3.1 pts |
| 42 | Knox County | 17.3 | -0.5 pts |
| 42 | Rains County | 17.3 | +2.8 pts |
| 44 | Dickens County | 17.2 | +0.2 pts |
| 45 | Castro County | 17.1 | -1.5 pts |
| 46 | Andrews County | 17 | -2.4 pts |
| 46 | Blanco County | 17 | -2.1 pts |
| 48 | Gonzales County | 16.8 | +1 pts |
| 49 | Irion County | 16.6 | +0.2 pts |
| 50 | Kimble County | 16.5 | +1.5 pts |
| 51 | Hockley County | 16.4 | +2.4 pts |
| 51 | Upton County | 16.4 | -2.4 pts |
| 51 | Ward County | 16.4 | -0.5 pts |
| 54 | Real County | 16.3 | -0.6 pts |
| 54 | San Saba County | 16.3 | -0.7 pts |
| 56 | Llano County | 16.2 | +1.8 pts |
| 57 | Austin County | 16.1 | +1.7 pts |
| 57 | Swisher County | 16.1 | -0.7 pts |
| 59 | Fayette County | 16 | +0.3 pts |
| 59 | Lamb County | 16 | +0.5 pts |
| 59 | Sutton County | 16 | -3.1 pts |
| 62 | Colorado County | 15.8 | +0.2 pts |
| 62 | Lynn County | 15.8 | +0.8 pts |
| 62 | Shelby County | 15.8 | -0.2 pts |
| 65 | Donley County | 15.7 | +0.4 pts |
| 65 | Floyd County | 15.7 | +0.3 pts |
| 67 | Live Oak County | 15.5 | -0.7 pts |
| 68 | Aransas County | 15.4 | -0.1 pts |
| 69 | Crosby County | 15.3 | +1.3 pts |
| 69 | Waller County | 15.3 | -1.5 pts |
| 69 | Winkler County | 15.3 | -2.5 pts |
| 72 | Haskell County | 15.1 | +0.2 pts |
| 72 | Leon County | 15.1 | -2.5 pts |
| 74 | Reagan County | 15 | -7 pts |
| 75 | Bastrop County | 14.9 | +0.2 pts |
| 75 | Dallas County | 14.9 | +3.1 pts |
| 75 | Terry County | 14.9 | -1.7 pts |
| 75 | Washington County | 14.9 | +1 pts |
| 79 | Caldwell County | 14.8 | +0.6 pts |
| 79 | Kerr County | 14.8 | +0.1 pts |
| 79 | Scurry County | 14.8 | 0 pts |
| 82 | Coke County | 14.7 | -3.4 pts |
| 82 | Hall County | 14.7 | +0.4 pts |
| 82 | Hudspeth County | 14.7 | -7.9 pts |
| 82 | Pecos County | 14.7 | -3.7 pts |
| 86 | Archer County | 14.6 | -1.3 pts |
| 86 | Burnet County | 14.6 | -0.5 pts |
| 86 | Gray County | 14.6 | -1.9 pts |
| 89 | Hamilton County | 14.5 | -2.4 pts |
| 89 | McCulloch County | 14.5 | +0.4 pts |
| 91 | Bosque County | 14.3 | -0.5 pts |
| 91 | Carson County | 14.3 | -0.6 pts |
| 91 | Stephens County | 14.3 | -0.3 pts |
| 94 | Burleson County | 14.2 | +1.5 pts |
| 94 | Cooke County | 14.2 | -1.4 pts |
| 96 | Bandera County | 14.1 | +0.4 pts |
| 96 | Wharton County | 14.1 | -1.4 pts |
| 98 | Hale County | 13.9 | +1.5 pts |
| 98 | Harris County | 13.9 | +1.2 pts |
| 98 | Hartley County | 13.9 | -4.5 pts |
| 98 | Hopkins County | 13.9 | -0.1 pts |
| 98 | San Jacinto County | 13.9 | -0.5 pts |
| 103 | Hill County | 13.8 | +0.2 pts |
| 103 | Jack County | 13.8 | -0.7 pts |
| 103 | Lee County | 13.8 | +0.8 pts |
| 103 | San Augustine County | 13.8 | +2 pts |
| 107 | Cameron County | 13.7 | +0.4 pts |
| 107 | Comanche County | 13.7 | -0.4 pts |
| 107 | Nolan County | 13.7 | +1.4 pts |
| 110 | Runnels County | 13.6 | -1.5 pts |
| 111 | Grimes County | 13.5 | -0.9 pts |
| 111 | Limestone County | 13.5 | +0.7 pts |
| 111 | Uvalde County | 13.5 | -0.9 pts |
| 114 | Hutchinson County | 13.4 | -0.6 pts |
| 114 | Kaufman County | 13.4 | +1.8 pts |
| 114 | Lavaca County | 13.4 | +1.4 pts |
| 114 | Milam County | 13.4 | -0.1 pts |
| 114 | Potter County | 13.4 | +2.5 pts |
| 114 | Roberts County | 13.4 | -1.7 pts |
| 114 | Wilbarger County | 13.4 | +0.2 pts |
| 121 | Angelina County | 13.3 | -0.1 pts |
| 121 | Armstrong County | 13.3 | -4.2 pts |
| 121 | Cherokee County | 13.3 | -2.4 pts |
| 121 | Eastland County | 13.3 | +0.8 pts |
| 121 | Erath County | 13.3 | +0.9 pts |
| 121 | Montague County | 13.3 | -1.7 pts |
| 121 | Young County | 13.3 | -0.6 pts |
| 128 | Dawson County | 13.2 | +0.6 pts |
| 128 | Jackson County | 13.2 | -1.9 pts |
| 128 | Johnson County | 13.2 | -0.4 pts |
| 128 | Matagorda County | 13.2 | -0.4 pts |
| 132 | Val Verde County | 13.1 | -1 pts |
| 133 | Ellis County | 13 | -1.6 pts |
| 133 | Goliad County | 13 | 0 pts |
| 133 | Reeves County | 13 | -0.5 pts |
| 133 | Sabine County | 13 | -0.3 pts |
| 133 | Van Zandt County | 13 | -0.1 pts |
| 133 | Wise County | 13 | +0.2 pts |
| 139 | Tom Green County | 12.9 | +1.6 pts |
| 140 | Camp County | 12.8 | -0.7 pts |
| 140 | Fisher County | 12.8 | -3.3 pts |
| 140 | Foard County | 12.8 | -4 pts |
| 143 | Cottle County | 12.7 | -2 pts |
| 143 | Gregg County | 12.7 | -0.4 pts |
| 143 | Kendall County | 12.7 | +0.2 pts |
| 146 | Hidalgo County | 12.6 | -2.2 pts |
| 146 | Somervell County | 12.6 | -1.1 pts |
| 148 | Baylor County | 12.5 | -0.4 pts |
| 148 | Calhoun County | 12.5 | -1.1 pts |
| 148 | Clay County | 12.5 | -0.8 pts |
| 148 | Liberty County | 12.5 | -0.3 pts |
| 148 | Madison County | 12.5 | +0.6 pts |
| 148 | Starr County | 12.5 | -1.5 pts |
| 148 | Wood County | 12.5 | -1.3 pts |
| 155 | Freestone County | 12.4 | -1.3 pts |
| 155 | Midland County | 12.4 | -1.9 pts |
| 155 | Navarro County | 12.4 | -0.9 pts |
| 158 | Howard County | 12.3 | +0.5 pts |
| 158 | Marion County | 12.3 | +0.8 pts |
| 158 | Maverick County | 12.3 | -2.4 pts |
| 158 | Newton County | 12.3 | +0.1 pts |
| 158 | Webb County | 12.3 | -1.3 pts |
| 163 | Atascosa County | 12.2 | -0.2 pts |
| 163 | Harrison County | 12.2 | +0.1 pts |
| 165 | Concho County | 12.1 | -4.8 pts |
| 165 | Henderson County | 12.1 | +0.3 pts |
| 167 | Coleman County | 12 | 0 pts |
| 167 | Grayson County | 12 | -0.9 pts |
| 167 | Hood County | 12 | +0.5 pts |
| 167 | Oldham County | 12 | -0.6 pts |
| 167 | Tarrant County | 12 | -0.3 pts |
| 167 | Tyler County | 12 | +1.1 pts |
| 173 | Fannin County | 11.9 | -0.9 pts |
| 173 | Lamar County | 11.9 | -1.5 pts |
| 173 | Lampasas County | 11.9 | -0.4 pts |
| 176 | Brazos County | 11.8 | +1.6 pts |
| 176 | DeWitt County | 11.8 | -0.1 pts |
| 176 | Garza County | 11.8 | -2.8 pts |
| 176 | Jim Wells County | 11.8 | +0.4 pts |
| 176 | Medina County | 11.8 | +0.7 pts |
| 176 | Refugio County | 11.8 | +0.1 pts |
| 176 | Trinity County | 11.8 | +0.5 pts |
| 183 | Brown County | 11.7 | +1.9 pts |
| 183 | Motley County | 11.7 | -2.3 pts |
| 183 | Polk County | 11.7 | -2 pts |
| 183 | Robertson County | 11.7 | -0.9 pts |
| 183 | Smith County | 11.7 | +0.2 pts |
| 188 | Nacogdoches County | 11.6 | -1.1 pts |
| 189 | Jefferson County | 11.5 | -0.8 pts |
| 190 | Duval County | 11.4 | -0.3 pts |
| 190 | San Patricio County | 11.4 | -0.2 pts |
| 192 | Borden County | 11.3 | -3 pts |
| 192 | Panola County | 11.3 | -2.4 pts |
| 194 | Palo Pinto County | 11.2 | -0.8 pts |
| 194 | Rusk County | 11.2 | -1.9 pts |
| 194 | Taylor County | 11.2 | +2.8 pts |
| 197 | Delta County | 11.1 | -2.5 pts |
| 197 | Karnes County | 11.1 | -1.1 pts |
| 197 | Parker County | 11.1 | -0.9 pts |
| 200 | Frio County | 11 | -0.3 pts |
| 200 | Jasper County | 11 | -0.6 pts |
| 202 | Upshur County | 10.9 | -0.9 pts |
| 202 | Victoria County | 10.9 | -1.7 pts |
| 204 | Wilson County | 10.8 | -2.1 pts |
| 205 | Falls County | 10.7 | -0.8 pts |
| 205 | Loving County | 10.7 | -13.5 pts |
| 207 | Kleberg County | 10.6 | -0.7 pts |
| 207 | McLennan County | 10.6 | +0.4 pts |
| 209 | Hunt County | 10.5 | -0.8 pts |
| 210 | Zapata County | 10.4 | -4 pts |
| 211 | Callahan County | 10.3 | -1.7 pts |
| 211 | Dimmit County | 10.3 | -1.1 pts |
| 211 | Montgomery County | 10.3 | -0.9 pts |
| 214 | Childress County | 10.2 | -3 pts |
| 214 | Houston County | 10.2 | -0.2 pts |
| 214 | Jim Hogg County | 10.2 | -1.3 pts |
| 217 | El Paso County | 10.1 | +0.5 pts |
| 218 | Cass County | 10 | -1 pts |
| 218 | Comal County | 10 | +0.4 pts |
| 220 | Hardin County | 9.9 | -1.6 pts |
| 220 | La Salle County | 9.9 | -1.7 pts |
| 222 | Nueces County | 9.8 | +1.6 pts |
| 222 | Red River County | 9.8 | -0.7 pts |
| 224 | Hays County | 9.7 | -1.1 pts |
| 224 | Morris County | 9.7 | -1.9 pts |
| 224 | Randall County | 9.7 | +1.3 pts |
| 227 | Chambers County | 9.6 | -0.9 pts |
| 227 | Galveston County | 9.6 | +1 pts |
| 227 | Mitchell County | 9.6 | -3.5 pts |
| 230 | Bowie County | 9.5 | +0.1 pts |
| 231 | Anderson County | 9.4 | -2.1 pts |
| 231 | Lubbock County | 9.4 | +0.3 pts |
| 233 | Bexar County | 9.3 | -0.5 pts |
| 233 | Guadalupe County | 9.3 | +0.8 pts |
| 235 | Travis County | 9.2 | +0.1 pts |
| 236 | Wichita County | 9.1 | -2 pts |
| 236 | Willacy County | 9.1 | -1.6 pts |
| 238 | Bee County | 8.9 | -0.1 pts |
| 238 | Kent County | 8.9 | -6 pts |
| 240 | Fort Bend County | 8.8 | -2.1 pts |
| 240 | Franklin County | 8.8 | -1.1 pts |
| 240 | Walker County | 8.8 | -0.7 pts |
| 243 | Brazoria County | 8.7 | +0.2 pts |
| 243 | Kinney County | 8.7 | -6.3 pts |
| 243 | Zavala County | 8.7 | -2.8 pts |
| 246 | Bell County | 8.6 | -0.1 pts |
| 246 | Brooks County | 8.6 | -0.9 pts |
| 248 | Jones County | 8.5 | -2.1 pts |
| 248 | Rockwall County | 8.5 | -1 pts |
| 250 | Orange County | 8.3 | -1.5 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021.
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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2021,
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), 2021}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2021.
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-2021-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 41.7% in 2021, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 19 (US model-based estimate)?
Collin County, with 7% in 2021.
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