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 2023, at 26.1%. Armstrong County had the lowest, at 6.7%. The median was 12.8% and the figure for Texas was 11.7%. Source: the U.S. Census Bureau.

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Highest26.1Gaines County
Lowest6.7Armstrong County
Median12.8254 counties
Texas11.7History

Map of counties, 2023

Anderson County: 10.5 %Andrews County: 16.2 %Angelina County: 13 %Aransas County: 12.2 %Archer County: 12.8 %Armstrong County: 6.7 %Atascosa County: 13 %Austin County: 13.7 %Bailey County: 17.9 %Bandera County: 11.2 %Bastrop County: 13.1 %Baylor County: 11.3 %Bee County: 9.6 %Bell County: 8.5 %Bexar County: 10.3 %Blanco County: 14.2 %Borden County: 10.9 %Bosque County: 15.1 %Bowie County: 9.3 %Brazoria County: 7.9 %Brazos County: 10.2 %Brewster County: 13.9 %Briscoe County: 13.7 %Brooks County: 9.1 %Brown County: 9.9 %Burleson County: 14.2 %Burnet County: 16.3 %Caldwell County: 13.7 %Calhoun County: 10.6 %Callahan County: 12.6 %Cameron County: 13 %Camp County: 12.9 %Carson County: 9.7 %Cass County: 10.2 %Castro County: 15.7 %Chambers County: 7.4 %Cherokee County: 13 %Childress County: 11.4 %Clay County: 10.9 %Cochran County: 19.5 %Coke County: 13.9 %Coleman County: 12.4 %Collin County: 7.5 %Collingsworth County: 16.2 %Colorado County: 15.5 %Comal County: 8.1 %Comanche County: 16.1 %Concho County: 11.3 %Cooke County: 11.9 %Coryell County: 8.8 %Cottle County: 12.6 %Crane County: 13.7 %Crockett County: 18.6 %Crosby County: 12.7 %Culberson County: 10 %Dallam County: 19.4 %Dallas County: 15.1 %Dawson County: 17.8 %Deaf Smith County: 14.8 %Delta County: 9.8 %Denton County: 9.5 %DeWitt County: 12.5 %Dickens County: 12.8 %Dimmit County: 9.9 %Donley County: 16.1 %Duval County: 11.7 %Eastland County: 13.2 %Ector County: 16.2 %Edwards County: 18.4 %Ellis County: 13 %El Paso County: 12.8 %Erath County: 14.8 %Falls County: 12.3 %Fannin County: 12.2 %Fayette County: 13.5 %Fisher County: 10.4 %Floyd County: 15.6 %Foard County: 16.2 %Fort Bend County: 8.6 %Franklin County: 11.3 %Freestone County: 15.3 %Frio County: 11.4 %Gaines County: 26.1 %Galveston County: 8.3 %Garza County: 12.7 %Gillespie County: 16.6 %Glasscock County: 11 %Goliad County: 11.6 %Gonzales County: 16.3 %Gray County: 13.3 %Grayson County: 12.3 %Gregg County: 12.2 %Grimes County: 12.7 %Guadalupe County: 8.2 %Hale County: 14.6 %Hall County: 15.3 %Hamilton County: 16.5 %Hansford County: 25 %Hardeman County: 14.3 %Hardin County: 10.6 %Harris County: 13.9 %Harrison County: 11 %Hartley County: 10.9 %Haskell County: 14.6 %Hays County: 9.3 %Hemphill County: 14.2 %Henderson County: 10.4 %Hidalgo County: 12.3 %Hill County: 12.2 %Hockley County: 12.6 %Hood County: 11.3 %Hopkins County: 12.8 %Houston County: 13.3 %Howard County: 11.6 %Hudspeth County: 11.5 %Hunt County: 12.8 %Hutchinson County: 10.3 %Irion County: 14.6 %Jack County: 16.5 %Jackson County: 15.7 %Jasper County: 12.1 %Jeff Davis County: 9.4 %Jefferson County: 11.8 %Jim Hogg County: 13.8 %Jim Wells County: 11.7 %Johnson County: 11.8 %Jones County: 13.6 %Karnes County: 12.3 %Kaufman County: 11.5 %Kendall County: 10.8 %Kenedy County: 21.1 %Kent County: 7.1 %Kerr County: 14.5 %Kimble County: 14.1 %King County: 23.1 %Kinney County: 8.3 %Kleberg County: 12.1 %Knox County: 18.2 %Lamar County: 11.1 %Lamb County: 15.4 %Lampasas County: 12.1 %La Salle County: 15.1 %Lavaca County: 12.8 %Lee County: 13.2 %Leon County: 14.8 %Liberty County: 13.9 %Limestone County: 11.5 %Lipscomb County: 16.6 %Live Oak County: 14.8 %Llano County: 13.7 %Loving County: 11.8 %Lubbock County: 10.1 %Lynn County: 11 %McCulloch County: 13.9 %McLennan County: 9.8 %McMullen County: 15.9 %Madison County: 15.4 %Marion County: 11.3 %Martin County: 13.1 %Mason County: 18.1 %Matagorda County: 13.1 %Maverick County: 12.2 %Medina County: 11.1 %Menard County: 18.8 %Midland County: 10.3 %Milam County: 13.6 %Mills County: 14.7 %Mitchell County: 10 %Montague County: 13.3 %Montgomery County: 11.6 %Moore County: 17.3 %Morris County: 10.6 %Motley County: 13.4 %Nacogdoches County: 11.1 %Navarro County: 14.8 %Newton County: 13.1 %Nolan County: 12.3 %Nueces County: 10.1 %Ochiltree County: 21.2 %Oldham County: 9.7 %Orange County: 9.3 %Palo Pinto County: 13.6 %Panola County: 11.8 %Parker County: 11.5 %Parmer County: 19.2 %Pecos County: 15.2 %Polk County: 12.2 %Potter County: 14.9 %Presidio County: 19.9 %Rains County: 14.9 %Randall County: 9.2 %Reagan County: 13.7 %Real County: 12.5 %Red River County: 14.2 %Reeves County: 14.4 %Refugio County: 12.8 %Roberts County: 10.1 %Robertson County: 12.4 %Rockwall County: 8.3 %Runnels County: 14.6 %Rusk County: 10.7 %Sabine County: 11.9 %San Augustine County: 12.8 %San Jacinto County: 12.1 %San Patricio County: 12.4 %San Saba County: 18.8 %Schleicher County: 16.5 %Scurry County: 12.9 %Shackelford County: 12.5 %Shelby County: 13.4 %Sherman County: 20.9 %Smith County: 12.2 %Somervell County: 9.9 %Starr County: 11.7 %Stephens County: 12.4 %Sterling County: 12.6 %Stonewall County: 15.6 %Sutton County: 16.6 %Swisher County: 15.9 %Tarrant County: 10.6 %Taylor County: 8.5 %Terrell County: 9.3 %Terry County: 14.7 %Throckmorton County: 16.3 %Titus County: 14.6 %Tom Green County: 11.3 %Travis County: 9.2 %Trinity County: 13.4 %Tyler County: 12.3 %Upshur County: 10.7 %Upton County: 12.9 %Uvalde County: 15.2 %Val Verde County: 12.3 %Van Zandt County: 15.5 %Victoria County: 11.4 %Walker County: 12.7 %Waller County: 11.8 %Ward County: 15.2 %Washington County: 13.4 %Webb County: 16.2 %Wharton County: 14.1 %Wheeler County: 18.1 %Wichita County: 10.6 %Wilbarger County: 12.2 %Willacy County: 10.5 %Williamson County: 7.7 %Wilson County: 8.6 %Winkler County: 13.3 %Wise County: 11.2 %Wood County: 13.7 %Yoakum County: 19.5 %Young County: 14.4 %Zapata County: 13.5 %Zavala County: 10.5 %
  • Under 10
  • 10 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 16
  • 16 and over
%, 2023. 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, 2023

Gaines County: 26.1 %Gaines County26.1Hansford County: 25 %Hansford County25King County: 23.1 %King County23.1Ochiltree County: 21.2 %Ochiltree County21.2Kenedy County: 21.1 %Kenedy County21.1Sherman County: 20.9 %Sherman County20.9Presidio County: 19.9 %Presidio County19.9Cochran County: 19.5 %Cochran County19.5Yoakum County: 19.5 %Yoakum County19.5Dallam County: 19.4 %Dallam County19.4Parmer County: 19.2 %Parmer County19.2Menard County: 18.8 %Menard County18.8San Saba County: 18.8 %San Saba County18.8Crockett County: 18.6 %Crockett County18.6Edwards County: 18.4 %Edwards County18.4Knox County: 18.2 %Knox County18.2Mason County: 18.1 %Mason County18.1Wheeler County: 18.1 %Wheeler County18.1Bailey County: 17.9 %Bailey County17.9Dawson County: 17.8 %Dawson County17.8Moore County: 17.3 %Moore County17.3Gillespie County: 16.6 %Gillespie County16.6Lipscomb County: 16.6 %Lipscomb County16.6Sutton County: 16.6 %Sutton County16.6Hamilton County: 16.5 %Hamilton County16.5Jack County: 16.5 %Jack County16.5Schleicher County: 16.5 %Schleicher County16.5Burnet County: 16.3 %Burnet County16.3Gonzales County: 16.3 %Gonzales County16.3Throckmorton County: 16.3 %Throckmorton County16.3Andrews County: 16.2 %Andrews County16.2Collingsworth County: 16.2 %Collingsworth County16.2Ector County: 16.2 %Ector County16.2Foard County: 16.2 %Foard County16.2Webb County: 16.2 %Webb County16.2Comanche County: 16.1 %Comanche County16.1Donley County: 16.1 %Donley County16.1McMullen County: 15.9 %McMullen County15.9Swisher County: 15.9 %Swisher County15.9Castro County: 15.7 %Castro County15.7Gaines County: 26.1 %Gaines County26.1Hansford County: 25 %Hansford County25King County: 23.1 %King County23.1Ochiltree County: 21.2 %Ochiltree County21.2Kenedy County: 21.1 %Kenedy County21.1Sherman County: 20.9 %Sherman County20.9Presidio County: 19.9 %Presidio County19.9Cochran County: 19.5 %Cochran County19.5Yoakum County: 19.5 %Yoakum County19.5Dallam County: 19.4 %Dallam County19.4Parmer County: 19.2 %Parmer County19.2Menard County: 18.8 %Menard County18.8San Saba County: 18.8 %San Saba County18.8Crockett County: 18.6 %Crockett County18.6Edwards County: 18.4 %Edwards County18.4Knox County: 18.2 %Knox County18.2Mason County: 18.1 %Mason County18.1Wheeler County: 18.1 %Wheeler County18.1Bailey County: 17.9 %Bailey County17.9Dawson County: 17.8 %Dawson County17.8Moore County: 17.3 %Moore County17.3Gillespie County: 16.6 %Gillespie County16.6Lipscomb County: 16.6 %Lipscomb County16.6Sutton County: 16.6 %Sutton County16.6Hamilton County: 16.5 %Hamilton County16.5Jack County: 16.5 %Jack County16.5Schleicher County: 16.5 %Schleicher County16.5Burnet County: 16.3 %Burnet County16.3Gonzales County: 16.3 %Gonzales County16.3Throckmorton County: 16.3 %Throckmorton County16.3Andrews County: 16.2 %Andrews County16.2Collingsworth County: 16.2 %Collingsworth County16.2Ector County: 16.2 %Ector County16.2Foard County: 16.2 %Foard County16.2Webb County: 16.2 %Webb County16.2Comanche County: 16.1 %Comanche County16.1Donley County: 16.1 %Donley County16.1McMullen County: 15.9 %McMullen County15.9Swisher County: 15.9 %Swisher County15.9Castro County: 15.7 %Castro 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

RankCounties2023 (%)Change on 2022
1Gaines County26.1+3.2 pts
2Hansford County25+6.1 pts
3King County23.1+4.3 pts
4Ochiltree County21.2+1.2 pts
5Kenedy County21.1-11.2 pts
6Sherman County20.9+2 pts
7Presidio County19.9-0.6 pts
8Cochran County19.5+10.3 pts
8Yoakum County19.5+0.4 pts
10Dallam County19.4+2.7 pts
11Parmer County19.2+3.6 pts
12Menard County18.8+3.1 pts
12San Saba County18.8+3.8 pts
14Crockett County18.6+1.1 pts
15Edwards County18.4+3.1 pts
16Knox County18.2+6.2 pts
17Mason County18.1+1.5 pts
17Wheeler County18.1+2.8 pts
19Bailey County17.9+3 pts
20Dawson County17.8+5.8 pts
21Moore County17.3-0.5 pts
22Gillespie County16.60 pts
22Lipscomb County16.6+1.1 pts
22Sutton County16.6+1.3 pts
25Hamilton County16.5+1.6 pts
25Jack County16.5+2.5 pts
25Schleicher County16.5+0.3 pts
28Burnet County16.3+3.1 pts
28Gonzales County16.3+3.5 pts
28Throckmorton County16.3+2.2 pts
31Andrews County16.2+1.7 pts
31Collingsworth County16.2-0.4 pts
31Ector County16.2+2.6 pts
31Foard County16.2+5.1 pts
31Webb County16.2+5.2 pts
36Comanche County16.1+3.6 pts
36Donley County16.1+2.1 pts
38McMullen County15.9+4 pts
38Swisher County15.9-2.3 pts
40Castro County15.70 pts
40Jackson County15.7+3.3 pts
42Floyd County15.6+1.5 pts
42Stonewall County15.6+3.6 pts
44Colorado County15.5+0.1 pts
44Van Zandt County15.5+3.6 pts
46Lamb County15.4+2.6 pts
46Madison County15.4+0.9 pts
48Freestone County15.3+4.2 pts
48Hall County15.3+3.1 pts
50Pecos County15.2+1.2 pts
50Uvalde County15.2+3.6 pts
50Ward County15.2+0.2 pts
53Bosque County15.1+2.7 pts
53Dallas County15.1+0.7 pts
53La Salle County15.1+2.6 pts
56Potter County14.9+3.5 pts
56Rains County14.9+1.8 pts
58Deaf Smith County14.8+0.1 pts
58Erath County14.8+1.5 pts
58Leon County14.8+1.4 pts
58Live Oak County14.8+1.2 pts
58Navarro County14.8+4.7 pts
63Mills County14.7+0.4 pts
63Terry County14.7+1.4 pts
65Hale County14.6+2.5 pts
65Haskell County14.6+0.6 pts
65Irion County14.6-1.3 pts
65Runnels County14.6+0.3 pts
65Titus County14.6-1.1 pts
70Kerr County14.5+1.8 pts
71Reeves County14.4+1 pts
71Young County14.4+1.7 pts
73Hardeman County14.3+2.6 pts
74Blanco County14.2+2.4 pts
74Burleson County14.2+1.7 pts
74Hemphill County14.20 pts
74Red River County14.2+0.5 pts
78Kimble County14.1+0.5 pts
78Wharton County14.1+2.5 pts
80Brewster County13.9+0.1 pts
80Coke County13.9+1.9 pts
80Harris County13.9+1.7 pts
80Liberty County13.9+2 pts
80McCulloch County13.9+1 pts
85Jim Hogg County13.8+2.2 pts
86Austin County13.7+1.8 pts
86Briscoe County13.7+0.8 pts
86Caldwell County13.7+1.6 pts
86Crane County13.7-1.3 pts
86Llano County13.7+0.8 pts
86Reagan County13.7-0.7 pts
86Wood County13.7+0.8 pts
93Jones County13.6+3.2 pts
93Milam County13.6+2.7 pts
93Palo Pinto County13.6+1.6 pts
96Fayette County13.5+0.9 pts
96Zapata County13.5+3.9 pts
98Motley County13.4+3.4 pts
98Shelby County13.4+2.4 pts
98Trinity County13.4+3.6 pts
98Washington County13.4+1.8 pts
102Gray County13.3+1.1 pts
102Houston County13.3+2.3 pts
102Montague County13.3+0.9 pts
102Winkler County13.3+1.2 pts
106Eastland County13.2+1.6 pts
106Lee County13.2+1.5 pts
108Bastrop County13.1+0.9 pts
108Martin County13.1-2.9 pts
108Matagorda County13.1+0.2 pts
108Newton County13.1+2.4 pts
112Angelina County13+2.4 pts
112Atascosa County13+1.8 pts
112Cameron County13+2.7 pts
112Cherokee County13+2.8 pts
112Ellis County13+3 pts
117Camp County12.9+1 pts
117Scurry County12.9-0.7 pts
117Upton County12.9+0.1 pts
120Archer County12.8+1 pts
120Dickens County12.8+3.2 pts
120El Paso County12.8+1.9 pts
120Hopkins County12.8+0.6 pts
120Hunt County12.8+3.3 pts
120Lavaca County12.8+3.5 pts
120Refugio County12.8+1.1 pts
120San Augustine County12.8+2.2 pts
128Crosby County12.70 pts
128Garza County12.7+1 pts
128Grimes County12.7+0.6 pts
128Walker County12.7+1.7 pts
132Callahan County12.6+1.9 pts
132Cottle County12.6+3 pts
132Hockley County12.6-0.9 pts
132Sterling County12.6+2.6 pts
136DeWitt County12.5+0.6 pts
136Real County12.5+1.4 pts
136Shackelford County12.5-1.5 pts
139Coleman County12.4+2.1 pts
139Robertson County12.4+1.2 pts
139San Patricio County12.4+2.6 pts
139Stephens County12.4+1.3 pts
143Falls County12.3+1.3 pts
143Grayson County12.3+0.6 pts
143Hidalgo County12.3-0.1 pts
143Karnes County12.3+0.8 pts
143Nolan County12.3+0.2 pts
143Tyler County12.3+1.5 pts
143Val Verde County12.3+1.2 pts
150Aransas County12.20 pts
150Fannin County12.2+3 pts
150Gregg County12.2+0.2 pts
150Hill County12.2+0.8 pts
150Maverick County12.2+1.2 pts
150Polk County12.2+1.7 pts
150Smith County12.2+2.2 pts
150Wilbarger County12.2+0.5 pts
158Jasper County12.1+1 pts
158Kleberg County12.1+0.8 pts
158Lampasas County12.1-0.1 pts
158San Jacinto County12.1+2.2 pts
162Cooke County11.9+0.7 pts
162Sabine County11.9-1 pts
164Jefferson County11.8+0.8 pts
164Johnson County11.8+1.5 pts
164Loving County11.8+11.8 pts
164Panola County11.8+0.3 pts
164Waller County11.8+1.3 pts
169Duval County11.7+1.9 pts
169Jim Wells County11.7+1.9 pts
169Starr County11.7+1.1 pts
172Goliad County11.6+1.7 pts
172Howard County11.6+0.4 pts
172Montgomery County11.6+2.8 pts
175Hudspeth County11.5+3.8 pts
175Kaufman County11.5-1.1 pts
175Limestone County11.5+0.9 pts
175Parker County11.5+0.4 pts
179Childress County11.4+1.9 pts
179Frio County11.4+0.4 pts
179Victoria County11.4+0.6 pts
182Baylor County11.3-0.2 pts
182Concho County11.3+2.8 pts
182Franklin County11.3+2.6 pts
182Hood County11.3+0.3 pts
182Marion County11.3+2.2 pts
182Tom Green County11.3-2 pts
188Bandera County11.20 pts
188Wise County11.2+0.4 pts
190Lamar County11.1+0.6 pts
190Medina County11.1-0.2 pts
190Nacogdoches County11.1+0.3 pts
193Glasscock County11-1.5 pts
193Harrison County11+1.5 pts
193Lynn County11-0.2 pts
196Borden County10.9-0.2 pts
196Clay County10.9-0.4 pts
196Hartley County10.9-1.1 pts
199Kendall County10.8-0.8 pts
200Rusk County10.7-0.7 pts
200Upshur County10.7+0.7 pts
202Calhoun County10.6+0.8 pts
202Hardin County10.6-1 pts
202Morris County10.6+1.8 pts
202Tarrant County10.6-0.3 pts
202Wichita County10.6+2.2 pts
207Anderson County10.5+1.5 pts
207Willacy County10.5+1.7 pts
207Zavala County10.5+2.4 pts
210Fisher County10.4+0.5 pts
210Henderson County10.4-2.2 pts
212Bexar County10.3+1.6 pts
212Hutchinson County10.3-0.1 pts
212Midland County10.3-3.3 pts
215Brazos County10.2+0.2 pts
215Cass County10.2-1.9 pts
217Lubbock County10.1+0.5 pts
217Nueces County10.1+1.2 pts
217Roberts County10.1+3.8 pts
220Culberson County10-2.9 pts
220Mitchell County10+0.4 pts
222Brown County9.9+1.1 pts
222Dimmit County9.9+1.2 pts
222Somervell County9.9-0.6 pts
225Delta County9.8+1.2 pts
225McLennan County9.8-1.2 pts
227Carson County9.7-2.3 pts
227Oldham County9.7+1.8 pts
229Bee County9.6+0.3 pts
230Denton County9.5+1.5 pts
231Jeff Davis County9.4-4.2 pts
232Bowie County9.3-0.7 pts
232Hays County9.3+1 pts
232Orange County9.3+0.9 pts
232Terrell County9.3-5.5 pts
236Randall County9.2+1 pts
236Travis County9.2+0.1 pts
238Brooks County9.1+1.4 pts
239Coryell County8.8-0.4 pts
240Fort Bend County8.6+1.3 pts
240Wilson County8.6-0.4 pts
242Bell County8.5-0.5 pts
242Taylor County8.5-3.2 pts
244Galveston County8.3-1 pts
244Kinney County8.3+1.4 pts
244Rockwall County8.3-0.1 pts
247Guadalupe County8.2-1.8 pts
248Comal County8.1-0.7 pts
249Brazoria County7.9-0.9 pts
250Williamson County7.7+0.3 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/texas-counties?period=2023.
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-2023-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 26.1% in 2023, according to the U.S. Census Bureau.

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

Armstrong County, with 6.7% in 2023.

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