Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / US counties

US counties by uninsured rate, under 19 (US model-based estimate), 2024

Holmes County had the highest uninsured rate, under 19 (US model-based estimate) of 3143 counties in 2024, at 38.8%. Loving County had the lowest, at 0%. The median was 6.2%. Source: the U.S. Census Bureau.

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Highest38.8Holmes County
Lowest0Loving County
Median6.23143 counties

Map of counties, 2024

%, 2024. Hatched areas have no value for this period. 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, 2024

Holmes County: 38.8 %Holmes County38.8LaGrange County: 35.6 %LaGrange County35.6Gaines County: 32.2 %Gaines County32.2Scotland County: 25.7 %Scotland County25.7King County: 24.1 %King County24.1Clark County: 23.9 %Clark County23.9Ochiltree County: 22.9 %Ochiltree County22.9Mason County: 22 %Mason County22Hansford County: 21.8 %Hansford County21.8Collingsworth County: 21.5 %Collingsworth County21.5Daviess County: 21.4 %Daviess County21.4Dallam County: 21.3 %Dallam County21.3Presidio County: 21 %Presidio County21Parmer County: 20.8 %Parmer County20.8San Saba County: 20.7 %San Saba County20.7Union County: 20.6 %Union County20.6Lipscomb County: 20.2 %Lipscomb County20.2Moore County: 19.7 %Moore County19.7Perkins County: 19.2 %Perkins County19.2Ector County: 19.1 %Ector County19.1Donley County: 19 %Donley County19Golden Valley County: 19 %Golden Valley County19Harding County: 19 %Harding County19Terry County: 18.9 %Terry County18.9Menard County: 18.8 %Menard County18.8Sherman County: 18.8 %Sherman County18.8Crockett County: 18.6 %Crockett County18.6Dallas County: 18.6 %Dallas County18.6Van Zandt County: 18.5 %Van Zandt County18.5Gonzales County: 18.4 %Gonzales County18.4Jack County: 18.4 %Jack County18.4Wheeler County: 18.4 %Wheeler County18.4Wood County: 18.4 %Wood County18.4Cimarron County: 18.3 %Cimarron County18.3Comanche County: 18.3 %Comanche County18.3Burnet County: 18.2 %Burnet County18.2Foard County: 18.2 %Foard County18.2Hall County: 18.2 %Hall County18.2Throckmorton County: 18.2 %Throckmorton County18.2Bailey County: 18.1 %Bailey County18.1Holmes County: 38.8 %Holmes County38.8LaGrange County: 35.6 %LaGrange County35.6Gaines County: 32.2 %Gaines County32.2Scotland County: 25.7 %Scotland County25.7King County: 24.1 %King County24.1Clark County: 23.9 %Clark County23.9Ochiltree County: 22.9 %Ochiltree County22.9Mason County: 22 %Mason County22Hansford County: 21.8 %Hansford County21.8Collingsworth County: 21.5 %Collingsworth County21.5Daviess County: 21.4 %Daviess County21.4Dallam County: 21.3 %Dallam County21.3Presidio County: 21 %Presidio County21Parmer County: 20.8 %Parmer County20.8San Saba County: 20.7 %San Saba County20.7Union County: 20.6 %Union County20.6Lipscomb County: 20.2 %Lipscomb County20.2Moore County: 19.7 %Moore County19.7Perkins County: 19.2 %Perkins County19.2Ector County: 19.1 %Ector County19.1Donley County: 19 %Donley County19Golden Valley County: 19 %Golden Valley County19Harding County: 19 %Harding County19Terry County: 18.9 %Terry County18.9Menard County: 18.8 %Menard County18.8Sherman County: 18.8 %Sherman County18.8Crockett County: 18.6 %Crockett County18.6Dallas County: 18.6 %Dallas County18.6Van Zandt County: 18.5 %Van Zandt County18.5Gonzales County: 18.4 %Gonzales County18.4Jack County: 18.4 %Jack County18.4Wheeler County: 18.4 %Wheeler County18.4Wood County: 18.4 %Wood County18.4Cimarron County: 18.3 %Cimarron County18.3Comanche County: 18.3 %Comanche County18.3Burnet County: 18.2 %Burnet County18.2Foard County: 18.2 %Foard County18.2Hall County: 18.2 %Hall County18.2Throckmorton County: 18.2 %Throckmorton County18.2Bailey County: 18.1 %Bailey County18.1
%. 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

RankCounties2024 (%)Change on 2023
1Holmes County38.8+2.4 pts
2LaGrange County35.6-3.4 pts
3Gaines County32.2+6.1 pts
4Scotland County25.7+8.5 pts
5King County24.1+1 pts
6Clark County23.9+0.6 pts
7Ochiltree County22.9+1.7 pts
8Mason County22+3.9 pts
9Hansford County21.8-3.2 pts
10Collingsworth County21.5+5.3 pts
11Daviess County21.4+5.7 pts
12Dallam County21.3+1.9 pts
13Presidio County21+1.1 pts
14Parmer County20.8+1.6 pts
15San Saba County20.7+1.9 pts
16Union County20.6+6.6 pts
17Lipscomb County20.2+3.6 pts
18Moore County19.7+2.4 pts
19Perkins County19.2+6.9 pts
20Ector County19.1+2.9 pts
21Donley County19+2.9 pts
21Golden Valley County19+7.2 pts
21Harding County19+8.5 pts
24Terry County18.9+4.2 pts
25Menard County18.80 pts
25Sherman County18.8-2.1 pts
27Crockett County18.60 pts
27Dallas County18.6+3.5 pts
29Van Zandt County18.5+3 pts
30Gonzales County18.4+2.1 pts
30Jack County18.4+1.9 pts
30Wheeler County18.4+0.3 pts
30Wood County18.4+4.7 pts
34Cimarron County18.3+2.3 pts
34Comanche County18.3+2.2 pts
36Burnet County18.2+1.9 pts
36Foard County18.2+2 pts
36Hall County18.2+2.9 pts
36Throckmorton County18.2+1.9 pts
40Bailey County18.1+0.2 pts
41Kenedy County18-3.1 pts
41Motley County18+4.6 pts
43Kimble County17.9+3.8 pts
43Stonewall County17.9+2.3 pts
45Hamilton County17.8+1.3 pts
46Briscoe County17.6+3.9 pts
46Morgan County17.6+2.6 pts
48Gillespie County17.5+0.9 pts
49Castro County17.4+1.7 pts
49Edwards County17.4-1 pts
49Glades County17.4+3.6 pts
49Knox County17.4+4.4 pts
53Shelby County17.3+3.9 pts
53Yoakum County17.3-2.2 pts
55Esmeralda County17.2+4.5 pts
56Lamb County17.1+1.7 pts
57Andrews County17+0.8 pts
57Bastrop County17+3.9 pts
57Cochran County17-2.5 pts
57Haskell County17+2.4 pts
57Rains County17+2.1 pts
57Wise County17+5.8 pts
63Deaf Smith County16.9+2.1 pts
64Jones County16.8+3.2 pts
65Schleicher County16.7+0.2 pts
66Dawson County16.6-1.2 pts
66Madison County16.6+1.2 pts
66Sanborn County16.6+5 pts
69Clark County16.5+2.7 pts
69Gray County16.5+2.7 pts
69Lee County16.5+3.3 pts
69Swisher County16.5+0.6 pts
73Carter County16.4+5.7 pts
73Erath County16.4+1.6 pts
73Robertson County16.4+4 pts
76Eastland County16.3+3.1 pts
76Harris County16.3+2.4 pts
76Issaquena County16.3+6.7 pts
76Titus County16.3+1.7 pts
80Hill County16.2+4 pts
80Live Oak County16.2+1.4 pts
82Beaver County16.1+2.6 pts
82Hale County16.1+1.5 pts
84Bosque County16+0.9 pts
84Colorado County16+0.5 pts
84Logan County16+9.1 pts
87Hamilton County15.9+5.3 pts
87Hardeman County15.9+1.6 pts
87Knox County15.9-2.3 pts
87Montague County15.9+2.6 pts
87Texas County15.9+1.6 pts
92Borden County15.7+4.8 pts
92Victoria County15.7+4.3 pts
94Clark County15.6+4.4 pts
94Garfield County15.6+2.6 pts
96Floyd County15.5-0.1 pts
96Harmon County15.5+3.5 pts
96Jackson County15.5+4.8 pts
96McCulloch County15.5+1.6 pts
96Wheatland County15.5+2.2 pts
101Burleson County15.4+1.2 pts
101Camp County15.4+2.5 pts
101Dickens County15.4+2.6 pts
104Angelina County15.3+2.3 pts
104Crosby County15.3+2.6 pts
104Hartley County15.3+4.4 pts
104Kaufman County15.3+3.8 pts
104Martin County15.3+2.2 pts
104Real County15.3+2.8 pts
104Yakutat City and Borough15.3+2.3 pts
111Freestone County15.2-0.1 pts
111Lamar County15.2+4.1 pts
111Palo Pinto County15.2+1.6 pts
111Prairie County15.2+3.9 pts
111Sutton County15.2-1.4 pts
116Fayette County15.1+1.6 pts
116Newton County15.1+2 pts
116Smith County15.1+2.9 pts
119Webster County15+5.9 pts
120Jim Hogg County14.9+1.1 pts
120Lynn County14.9+3.9 pts
120Red River County14.9+0.7 pts
120Reeves County14.9+0.5 pts
120Tarrant County14.9+4.3 pts
120Wharton County14.9+0.8 pts
126Brewster County14.8+0.9 pts
126Cottle County14.8+2.2 pts
126Hopkins County14.8+2 pts
126Mills County14.8+0.1 pts
126Moniteau County14.8+3.2 pts
131DeWitt County14.7+2.2 pts
131Frio County14.7+3.3 pts
131Houston County14.7+1.4 pts
131Leon County14.7-0.1 pts
131Mercer County14.7+6.5 pts
136Crook County14.6+4.9 pts
136Johnson County14.6+2.8 pts
136La Salle County14.6-0.5 pts
136Llano County14.6+0.9 pts
136Polk County14.6+2.4 pts
136Refugio County14.6+1.8 pts
136Starr County14.6+2.9 pts
143Grimes County14.5+1.8 pts
143Haskell County14.5+3.8 pts
143Nacogdoches County14.5+3.4 pts
146Shackelford County14.4+1.9 pts
146Uvalde County14.4-0.8 pts
148Crane County14.3+0.6 pts
148Judith Basin County14.3+4.7 pts
148Owyhee County14.3+1.1 pts
148San Augustine County14.3+1.5 pts
148Waller County14.3+2.5 pts
153Grayson County14.2+1.9 pts
153Hemphill County14.20 pts
153Hidalgo County14.2+1.9 pts
153Jim Wells County14.2+2.5 pts
153Juniata County14.2+0.5 pts
153Liberty County14.2+0.3 pts
153Mitchell County14.2+4.2 pts
153Sabine County14.2+2.3 pts
161Midland County14.1+3.8 pts
161Sanders County14.1+2.1 pts
163Bandera County14+2.8 pts
163Jackson County14-1.7 pts
163Matagorda County14+0.9 pts
163Montgomery County14+2.4 pts
167Austin County13.9+0.2 pts
167Baylor County13.9+2.6 pts
167Cameron County13.9+0.9 pts
167El Paso County13.9+1.1 pts
167Fannin County13.9+1.7 pts
167Limestone County13.9+2.4 pts
167McPherson County13.9+2.7 pts
167Santa Cruz County13.9-2.3 pts
167Wayne County13.9+1.8 pts
167Wilbarger County13.9+1.7 pts
177Archer County13.8+1 pts
177Atkinson County13.8+4.4 pts
177Daviess County13.8+3.2 pts
177Goshen County13.8+6.3 pts
177Lavaca County13.8+1 pts
177Piute County13.8+3.2 pts
177Wrangell City and Borough13.8+1.1 pts
177Yuma County13.8+4.3 pts
177Zapata County13.8+0.3 pts
186Coke County13.7-0.2 pts
186DeSoto County13.7+2.5 pts
186Ellis County13.7+0.7 pts
186Irion County13.7-0.9 pts
186San Jacinto County13.7+1.6 pts
186Stephens County13.7+1.3 pts
192Goliad County13.6+2 pts
192Hudspeth County13.6+2.1 pts
192Nolan County13.6+1.3 pts
192Pecos County13.6-1.6 pts
192Young County13.6-0.8 pts
197Falls County13.5+1.2 pts
197Liberty County13.5+0.3 pts
197Val Verde County13.5+1.2 pts
197Winkler County13.5+0.2 pts
201Franklin County13.4+2.1 pts
201Harper County13.4+1 pts
201Lincoln County13.4+1.5 pts
201Major County13.4+0.4 pts
201Maverick County13.4+1.2 pts
201Runnels County13.4-1.2 pts
201Ward County13.4-1.8 pts
208Aleutians East Borough13.3+5.3 pts
208Caldwell County13.3-0.4 pts
208Cheyenne County13.3+3.9 pts
208Hunt County13.3+0.5 pts
208Tom Green County13.3+2 pts
213Alfalfa County13.2+1 pts
213Callahan County13.2+0.6 pts
213Cooke County13.2+1.3 pts
213Ellis County13.2+0.3 pts
213Upton County13.2+0.3 pts
218Butte County13.1+2.6 pts
218Coal County13.1+2.9 pts
218McCone County13.1+5.2 pts
218Stanton County13.1+3.8 pts
218Teton County13.1+4 pts
218Walker County13.1+0.4 pts
224Big Horn County13+2.1 pts
224Broadwater County13+4.8 pts
224Calhoun County13+2.4 pts
224Concho County13+1.7 pts
224Davis County13-2.1 pts
224Garza County13+0.3 pts
224Grant County13+6.7 pts
224Milam County13-0.6 pts
224Parker County13+1.5 pts
224Platte County13+4.2 pts
224Potter County13-1.9 pts
224Randall County13+3.8 pts
236Blanco County12.9-1.3 pts
236Coleman County12.9+0.5 pts
236Hockley County12.9+0.3 pts
236Scurry County12.90 pts
236Stevens County12.9+2.4 pts
236Tyler County12.9+0.6 pts
236Wichita County12.9+2 pts
236Wilcox County12.9+4 pts
236Yates County12.9-1.4 pts
245Franklin County12.8-0.9 pts
245Gray County12.8-0.5 pts
245Harrison County12.8+5.5 pts
245Jerome County12.8+1.5 pts
245Lubbock County12.8+2.7 pts
245Rusk County12.8+2.1 pts

Showing the top 250 of 3143. 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-2024-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 (US counties by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, US counties by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties. 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. US counties by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties.

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, US counties by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2024,
  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: US counties by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties. 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-2024-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: US counties by uninsured rate, under 19 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties.
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-2024-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

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

Holmes County, with 38.8% in 2024, according to the U.S. Census Bureau.

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

Loving County, with 0% in 2024.

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

US counties: more rankings