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

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

Hayes County had the highest uninsured rate, under 19 (US model-based estimate) of 3132 counties in 2017, at 30.9%. Norfolk County had the lowest, at 1.1%. The median was 5.3%. Source: the U.S. Census Bureau.

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Highest30.9Hayes County
Lowest1.1Norfolk County
Median5.33132 counties

Map of counties, 2017

%, 2017. 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, 2017

Hayes County: 30.9 %Hayes County30.9Lipscomb County: 27.5 %Lipscomb County27.5Logan County: 26.9 %Logan County26.9Gaines County: 26.7 %Gaines County26.7Mason County: 25.5 %Mason County25.5LaGrange County: 25.3 %LaGrange County25.3Briscoe County: 25.1 %Briscoe County25.1Sherman County: 25.1 %Sherman County25.1Terrell County: 24.6 %Terrell County24.6Grant County: 23.7 %Grant County23.7Holmes County: 23.3 %Holmes County23.3Collingsworth County: 22.7 %Collingsworth County22.7Dallam County: 22.5 %Dallam County22.5Throckmorton County: 22 %Throckmorton County22Liberty County: 20.8 %Liberty County20.8King County: 20.5 %King County20.5Harper County: 20.4 %Harper County20.4Jeff Davis County: 20.3 %Jeff Davis County20.3McCone County: 20.2 %McCone County20.2Schleicher County: 19.9 %Schleicher County19.9Cottle County: 19.7 %Cottle County19.7Mills County: 19.7 %Mills County19.7Glasscock County: 19.5 %Glasscock County19.5Foard County: 19.1 %Foard County19.1Stonewall County: 19.1 %Stonewall County19.1Ochiltree County: 19 %Ochiltree County19Dickens County: 18.9 %Dickens County18.9Keya Paha County: 18.9 %Keya Paha County18.9Hardeman County: 18.8 %Hardeman County18.8Cochran County: 18.7 %Cochran County18.7Sheridan County: 18.7 %Sheridan County18.7Sioux County: 18.6 %Sioux County18.6Slope County: 18.6 %Slope County18.6Hansford County: 18.4 %Hansford County18.4Parmer County: 18.4 %Parmer County18.4Menard County: 18.3 %Menard County18.3Blanco County: 18.2 %Blanco County18.2Hemphill County: 18.2 %Hemphill County18.2Knox County: 18.2 %Knox County18.2McMullen County: 18.2 %McMullen County18.2Hayes County: 30.9 %Hayes County30.9Lipscomb County: 27.5 %Lipscomb County27.5Logan County: 26.9 %Logan County26.9Gaines County: 26.7 %Gaines County26.7Mason County: 25.5 %Mason County25.5LaGrange County: 25.3 %LaGrange County25.3Briscoe County: 25.1 %Briscoe County25.1Sherman County: 25.1 %Sherman County25.1Terrell County: 24.6 %Terrell County24.6Grant County: 23.7 %Grant County23.7Holmes County: 23.3 %Holmes County23.3Collingsworth County: 22.7 %Collingsworth County22.7Dallam County: 22.5 %Dallam County22.5Throckmorton County: 22 %Throckmorton County22Liberty County: 20.8 %Liberty County20.8King County: 20.5 %King County20.5Harper County: 20.4 %Harper County20.4Jeff Davis County: 20.3 %Jeff Davis County20.3McCone County: 20.2 %McCone County20.2Schleicher County: 19.9 %Schleicher County19.9Cottle County: 19.7 %Cottle County19.7Mills County: 19.7 %Mills County19.7Glasscock County: 19.5 %Glasscock County19.5Foard County: 19.1 %Foard County19.1Stonewall County: 19.1 %Stonewall County19.1Ochiltree County: 19 %Ochiltree County19Dickens County: 18.9 %Dickens County18.9Keya Paha County: 18.9 %Keya Paha County18.9Hardeman County: 18.8 %Hardeman County18.8Cochran County: 18.7 %Cochran County18.7Sheridan County: 18.7 %Sheridan County18.7Sioux County: 18.6 %Sioux County18.6Slope County: 18.6 %Slope County18.6Hansford County: 18.4 %Hansford County18.4Parmer County: 18.4 %Parmer County18.4Menard County: 18.3 %Menard County18.3Blanco County: 18.2 %Blanco County18.2Hemphill County: 18.2 %Hemphill County18.2Knox County: 18.2 %Knox County18.2McMullen County: 18.2 %McMullen County18.2
%. 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

RankCounties2017 (%)Change on 2016
1Hayes County30.9+10.1 pts
2Lipscomb County27.5+7.3 pts
3Logan County26.9+5.4 pts
4Gaines County26.7+4.7 pts
5Mason County25.5+2.9 pts
6LaGrange County25.3+4.2 pts
7Briscoe County25.1+1.9 pts
7Sherman County25.1+4.3 pts
9Terrell County24.6+8.5 pts
10Grant County23.7+4.2 pts
11Holmes County23.3+7 pts
12Collingsworth County22.7+3.9 pts
13Dallam County22.5+6 pts
14Throckmorton County22+5.6 pts
15Liberty County20.8+13.5 pts
16King County20.5+6.7 pts
17Harper County20.4+4.7 pts
18Jeff Davis County20.3+1.5 pts
19McCone County20.2+5.6 pts
20Schleicher County19.9+2.5 pts
21Cottle County19.7+2.2 pts
21Mills County19.7+2.3 pts
23Glasscock County19.5+2.3 pts
24Foard County19.1+2.8 pts
24Stonewall County19.1+5.1 pts
26Ochiltree County19+0.7 pts
27Dickens County18.9+2.7 pts
27Keya Paha County18.9+10.1 pts
29Hardeman County18.8+2.7 pts
30Cochran County18.7+3.4 pts
30Sheridan County18.7+6.4 pts
32Sioux County18.6+8.9 pts
32Slope County18.6+10.6 pts
34Hansford County18.4-1.4 pts
34Parmer County18.4+4 pts
36Menard County18.3-0.3 pts
37Blanco County18.2-1.4 pts
37Hemphill County18.2+2.9 pts
37Knox County18.2+3.7 pts
37McMullen County18.2+2.7 pts
41Garfield County18.1+7.1 pts
41Sterling County18.1+2.5 pts
41Wheeler County18.1+3 pts
44Dunn County17.8+2.9 pts
44Gillespie County17.8-0.9 pts
44Martin County17.8+1.9 pts
47Cimarron County17.7+1.7 pts
47San Saba County17.7+2.4 pts
49Castro County17.6+1.9 pts
49Kidder County17.6+5.9 pts
49Loving County17.6-3.7 pts
52McIntosh County17.5+4.5 pts
52Mountrail County17.5+3.4 pts
52Scotland County17.5+4.5 pts
52Sheridan County17.5+5.3 pts
56Moore County17.4+2.8 pts
57Clark County17.3-3.1 pts
58Shackelford County17.2+1.4 pts
58Upton County17.2+2.8 pts
60Leon County17+1.4 pts
61Arthur County16.9+6.5 pts
62Wise County16.8+4.8 pts
63Yoakum County16.7+1 pts
64Hamilton County16.6+3 pts
65Edwards County16.5-0.5 pts
65Fisher County16.5+4.1 pts
65Motley County16.5-2 pts
68Aleutians West Census Area16.4-1.7 pts
68Daviess County16.4+0.1 pts
70Comanche County16.3+1.8 pts
71Hamilton County16+1.4 pts
71Jack County16+2.4 pts
71Young County16+2.7 pts
74Billings County15.9+2.5 pts
75Hartley County15.8-1.6 pts
76Stephens County15.7+2.9 pts
77Aleutians East Borough15.6-4.4 pts
77Haskell County15.6+3.2 pts
79Blaine County15.5+0.4 pts
80Concho County15.4+3.2 pts
80Montague County15.4+1.5 pts
80Prince of Wales-Hyder Census Area15.4+0.1 pts
83Bailey County15.3+1.9 pts
83Coke County15.3+3.4 pts
83Dundy County15.3+3.2 pts
83Somervell County15.3+1.9 pts
87Erath County15.2+1.3 pts
87Lake and Peninsula Borough15.2-1.6 pts
89Kent County15.1+0.1 pts
89LaMoure County15.1+3.3 pts
89Marshall County15.1+3.3 pts
92Live Oak County15+1.3 pts
93Baca County14.9+3.5 pts
93Chase County14.9+3.7 pts
93Greeley County14.9+1.4 pts
93Perkins County14.9+5.1 pts
97Armstrong County14.8+2.7 pts
97Glades County14.8+0.5 pts
99Borden County14.7+3.4 pts
99Lamb County14.7+1.1 pts
99McKenzie County14.7+3.2 pts
99Sabine County14.7+2.4 pts
103Dewey County14.6+2.9 pts
103Donley County14.6-0.1 pts
103Fayette County14.6+2 pts
103Presidio County14.6+0.3 pts
107Archer County14.5+1.5 pts
107Fremont County14.5+0.6 pts
107Gove County14.5+4.5 pts
107Harmon County14.5+2.4 pts
107Hoonah-Angoon Census Area14.5-2.9 pts
107Midland County14.5+2.5 pts
113Brule County14.4+5.4 pts
113Gonzales County14.4+1.7 pts
115Beaver County14.3+2.2 pts
115Big Horn County14.3+2.4 pts
115Coleman County14.3+2.8 pts
115Culberson County14.3-1 pts
115Titus County14.3+1.9 pts
115Wichita County14.3+1.3 pts
121Colorado County14.2+0.7 pts
121Real County14.2+0.6 pts
123Crockett County14.1+1.6 pts
123Hudspeth County14.1-0.9 pts
123Van Zandt County14.1+1.1 pts
123Wrangell City and Borough14.1+0.1 pts
127Bandera County14+1.4 pts
127Burnet County14+1.7 pts
127Gray County14+4.6 pts
127Loup County14+5.4 pts
127Powder River County14+5.2 pts
127Reagan County14+0.5 pts
133Andrews County13.9+1.7 pts
133Bosque County13.9-1 pts
133Bristol Bay Borough13.9-4.4 pts
133Jones County13.9+3.4 pts
133Petersburg Borough13.9-2.3 pts
138Emmons County13.8+0.8 pts
138Garza County13.8+2 pts
138Haskell County13.8+0.5 pts
138Hopkins County13.8-0.3 pts
138Jackson County13.8+3.8 pts
143Ellis County13.7+3.7 pts
143Falls County13.7+2.3 pts
143Fannin County13.7+1.2 pts
143Irion County13.7+1.4 pts
143Lancaster County13.7+1.7 pts
143Pecos County13.7+0.7 pts
143Polk County13.7+2 pts
143San Jacinto County13.7+2.2 pts
143Terry County13.7+0.5 pts
143Waller County13.7+0.3 pts
153Grimes County13.6+1.3 pts
153Rains County13.6-0.1 pts
153Rolette County13.6+0.5 pts
153Ward County13.6+2.3 pts
153Wharton County13.6+1.3 pts
158Burke County13.5+3.6 pts
158Dallas County13.5+2.7 pts
158Kerr County13.5+2.9 pts
158Roberts County13.5+3 pts
162Alfalfa County13.4+3 pts
162Boyd County13.4+3.6 pts
162Garfield County13.4+4.1 pts
162Golden Valley County13.4+3.9 pts
162Llano County13.4+0.2 pts
162Major County13.4+3 pts
162Northwest Arctic Borough13.4+0.6 pts
162Wayne County13.4+4 pts
162Wood County13.4+0.8 pts
171Eastland County13.3+1 pts
171Mitchell County13.3+1.5 pts
171Roger Mills County13.3+3 pts
174Freestone County13.2+1.3 pts
174Kenedy County13.2+2.1 pts
174Kinney County13.2+2.1 pts
174Lee County13.2+1.8 pts
174Liberty County13.2+1.9 pts
174Ness County13.2+3.9 pts
180Adair County13.1+2.9 pts
180Atoka County13.1+1.4 pts
180Austin County13.1+2.4 pts
180Bowman County13.1+3 pts
180Coal County13.1+1.6 pts
180Deaf Smith County13.10 pts
180Divide County13.1+0.7 pts
180Gray County13.1+0.3 pts
180Niobrara County13.1+2.7 pts
180Palo Pinto County13.1+1.2 pts
180Pershing County13.1+1.1 pts
180Shelby County13.1-2.2 pts
180Sutton County13.1+0.3 pts
193Aransas County13+0.4 pts
193Carson County13+1.7 pts
193Clay County13+0.8 pts
193McCulloch County13+1.1 pts
197Adams County12.9+2 pts
197Clark County12.9-1.7 pts
197Haakon County12.9+3.6 pts
197Towner County12.9+0.3 pts
201Baylor County12.8+2.3 pts
201Cameron County12.8-0.2 pts
201Cooke County12.8-0.6 pts
201Echols County12.8+1.5 pts
201Franklin County12.8+1.2 pts
201Greene County12.8+1.9 pts
201Hettinger County12.8+2.6 pts
201Hutchinson County12.8+0.6 pts
201Jackson County12.8+1.3 pts
201Lampasas County12.8+0.1 pts
201Madison County12.8-0.5 pts
201Maverick County12.8-0.2 pts
201Millard County12.8+4.3 pts
201Southeast Fairbanks Census Area12.8-2.1 pts
201Washington County12.8+0.8 pts
201Wilbarger County12.8+1.6 pts
217Cheyenne County12.7+1.3 pts
217Crosby County12.7+2 pts
217Hill County12.7-0.9 pts
220Bastrop County12.6+0.5 pts
220Collier County12.6+1.1 pts
220Haines Borough12.6-4.8 pts
220Hall County12.6-2.8 pts
220Kimble County12.6-0.5 pts
220Petroleum County12.6+1.3 pts
226Floyd County12.5+0.2 pts
226Hale County12.5+1 pts
226McPherson County12.5+5.9 pts
226Potter County12.5+1.6 pts
226Winkler County12.5+0.5 pts
231Dawson County12.4-0.1 pts
231Ector County12.4-0.6 pts
231Highland County12.4+1.6 pts
231Kendall County12.4+2.7 pts
231Stanton County12.4+2.9 pts
231Texas County12.4+1.3 pts
237Delta County12.3+0.5 pts
237Jerauld County12.3+5.5 pts
237Lavaca County12.3-0.4 pts
237Zapata County12.3+0.6 pts
241Aurora County12.2+3.9 pts
241Crook County12.2+2.5 pts
241Douglas County12.2+4.4 pts
241Hidalgo County12.2+0.8 pts
241Karnes County12.2+2.7 pts
241Mellette County12.2+5.6 pts
241Monroe County12.2+1.8 pts
241Moody County12.2+3.5 pts
241Navarro County12.2+1.7 pts
241Runnels County12.2+0.7 pts

Showing the top 250 of 3132. 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. 11 counties with data in other periods have no value for 2017 and are left out rather than filled from another source. 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2017.
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-2017-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)?

Hayes County, with 30.9% in 2017, according to the U.S. Census Bureau.

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

Norfolk County, with 1.1% in 2017.

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. 11 counties have no value for 2017 and are not ranked.

Uninsured rate, under 19 (US model-based estimate): other rankings

US counties: more rankings