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

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

LaGrange County had the highest uninsured rate, under 19 (US model-based estimate) of 3132 counties in 2019, at 30.1%. Norfolk County had the lowest, at 1.2%. The median was 5.8%. Source: the U.S. Census Bureau.

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Highest30.1LaGrange County
Lowest1.2Norfolk County
Median5.83132 counties

Map of counties, 2019

%, 2019. 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, 2019

LaGrange County: 30.1 %LaGrange County30.1Lipscomb County: 29.7 %Lipscomb County29.7Gaines County: 28.7 %Gaines County28.7Dallam County: 26.6 %Dallam County26.6Mason County: 26.1 %Mason County26.1Sherman County: 25.5 %Sherman County25.5Hansford County: 23.9 %Hansford County23.9Holmes County: 23.2 %Holmes County23.2Collingsworth County: 23 %Collingsworth County23Hudspeth County: 22.7 %Hudspeth County22.7Menard County: 22.6 %Menard County22.6Leon County: 21.8 %Leon County21.8Schleicher County: 21.5 %Schleicher County21.5Parmer County: 21.4 %Parmer County21.4King County: 21.3 %King County21.3Throckmorton County: 21.3 %Throckmorton County21.3Hartley County: 21.2 %Hartley County21.2San Saba County: 21.1 %San Saba County21.1Yoakum County: 21.1 %Yoakum County21.1Wheeler County: 21 %Wheeler County21Blanco County: 20.9 %Blanco County20.9Gillespie County: 20.9 %Gillespie County20.9Briscoe County: 20.6 %Briscoe County20.6Hemphill County: 20.6 %Hemphill County20.6Jeff Davis County: 20.2 %Jeff Davis County20.2Castro County: 19.8 %Castro County19.8Ochiltree County: 19.8 %Ochiltree County19.8Kenedy County: 19.6 %Kenedy County19.6Presidio County: 19.3 %Presidio County19.3Hardeman County: 19.2 %Hardeman County19.2Knox County: 19.2 %Knox County19.2Mills County: 19.2 %Mills County19.2Cochran County: 19 %Cochran County19Bailey County: 18.8 %Bailey County18.8Blaine County: 18.8 %Blaine County18.8Edwards County: 18.8 %Edwards County18.8Hamilton County: 18.8 %Hamilton County18.8Shackelford County: 18.7 %Shackelford County18.7Fremont County: 18.5 %Fremont County18.5Glasscock County: 18.5 %Glasscock County18.5LaGrange County: 30.1 %LaGrange County30.1Lipscomb County: 29.7 %Lipscomb County29.7Gaines County: 28.7 %Gaines County28.7Dallam County: 26.6 %Dallam County26.6Mason County: 26.1 %Mason County26.1Sherman County: 25.5 %Sherman County25.5Hansford County: 23.9 %Hansford County23.9Holmes County: 23.2 %Holmes County23.2Collingsworth County: 23 %Collingsworth County23Hudspeth County: 22.7 %Hudspeth County22.7Menard County: 22.6 %Menard County22.6Leon County: 21.8 %Leon County21.8Schleicher County: 21.5 %Schleicher County21.5Parmer County: 21.4 %Parmer County21.4King County: 21.3 %King County21.3Throckmorton County: 21.3 %Throckmorton County21.3Hartley County: 21.2 %Hartley County21.2San Saba County: 21.1 %San Saba County21.1Yoakum County: 21.1 %Yoakum County21.1Wheeler County: 21 %Wheeler County21Blanco County: 20.9 %Blanco County20.9Gillespie County: 20.9 %Gillespie County20.9Briscoe County: 20.6 %Briscoe County20.6Hemphill County: 20.6 %Hemphill County20.6Jeff Davis County: 20.2 %Jeff Davis County20.2Castro County: 19.8 %Castro County19.8Ochiltree County: 19.8 %Ochiltree County19.8Kenedy County: 19.6 %Kenedy County19.6Presidio County: 19.3 %Presidio County19.3Hardeman County: 19.2 %Hardeman County19.2Knox County: 19.2 %Knox County19.2Mills County: 19.2 %Mills County19.2Cochran County: 19 %Cochran County19Bailey County: 18.8 %Bailey County18.8Blaine County: 18.8 %Blaine County18.8Edwards County: 18.8 %Edwards County18.8Hamilton County: 18.8 %Hamilton County18.8Shackelford County: 18.7 %Shackelford County18.7Fremont County: 18.5 %Fremont County18.5Glasscock County: 18.5 %Glasscock County18.5
%. 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

RankCounties2019 (%)Change on 2018
1LaGrange County30.1+2.6 pts
2Lipscomb County29.7+6 pts
3Gaines County28.7+4.3 pts
4Dallam County26.6+6.2 pts
5Mason County26.1+3.1 pts
6Sherman County25.5+2.9 pts
7Hansford County23.9+4 pts
8Holmes County23.2+0.2 pts
9Collingsworth County23+2.4 pts
10Hudspeth County22.7+6.7 pts
11Menard County22.6+1.7 pts
12Leon County21.8+2 pts
13Schleicher County21.5+0.9 pts
14Parmer County21.4+1.8 pts
15King County21.3+4.9 pts
15Throckmorton County21.3+1.7 pts
17Hartley County21.2+2.2 pts
18San Saba County21.1+3 pts
18Yoakum County21.1+6.2 pts
20Wheeler County21+1.8 pts
21Blanco County20.9+3 pts
21Gillespie County20.9+3.9 pts
23Briscoe County20.6+0.5 pts
23Hemphill County20.6+2 pts
25Jeff Davis County20.2+1.5 pts
26Castro County19.8+3.9 pts
26Ochiltree County19.8+2.3 pts
28Kenedy County19.6+3.6 pts
29Presidio County19.3+2.2 pts
30Hardeman County19.2+2.1 pts
30Knox County19.2+1.2 pts
30Mills County19.2+1.2 pts
33Cochran County19+3.3 pts
34Bailey County18.8+1.2 pts
34Blaine County18.8+4.9 pts
34Edwards County18.8+2.4 pts
34Hamilton County18.8+4.1 pts
38Shackelford County18.7+2 pts
39Fremont County18.5+9.1 pts
39Glasscock County18.5+1.4 pts
41Moore County18.4+3.2 pts
42Colorado County18.2+3.5 pts
42Foard County18.2+2.1 pts
42Motley County18.2+4.5 pts
45Jack County18.1+3.6 pts
46Coleman County17.9+3.6 pts
46Stonewall County17.9+1.7 pts
48Pecos County17.4+3.6 pts
49Keya Paha County17.3+3 pts
50Culberson County17.2+2.4 pts
50Live Oak County17.2+2.1 pts
50Martin County17.2+3 pts
53Terrell County17.1+2.2 pts
53Upton County17.1+4.2 pts
53Young County17.1+2.9 pts
56Beaver County17+0.9 pts
57Big Horn County16.9+6.1 pts
57Comanche County16.90 pts
57Fayette County16.9+2.4 pts
57Sterling County16.9+2.9 pts
61Garfield County16.8+5.8 pts
61Lamb County16.8+2.1 pts
61Madison County16.8+4.7 pts
61McCone County16.8+0.6 pts
61Rains County16.8+2 pts
66Esmeralda County16.7+5.8 pts
66Fisher County16.7+0.9 pts
66Harper County16.7-1.3 pts
66Logan County16.7-4.8 pts
66Wharton County16.7+2.2 pts
71Aleutians East Borough16.6+5.1 pts
72Aransas County16.5+1 pts
72Archer County16.5+4.9 pts
72Cimarron County16.5+0.3 pts
72Glades County16.5+2.7 pts
72Haskell County16.5+1.9 pts
72Jackson County16.5+4.6 pts
72Kerr County16.5+3.4 pts
72Llano County16.5+3.4 pts
80Dickens County16.4+1 pts
80Grimes County16.4+1.9 pts
82Donley County16.3+2.8 pts
82Erath County16.3+3.5 pts
84Midland County16.2+4.3 pts
84Reeves County16.2+4 pts
86Coke County16.1+3.9 pts
86Concho County16.1+1.3 pts
86Roberts County16.1+4.7 pts
86Van Zandt County16.1+3 pts
90Andrews County16+2.5 pts
90Hayes County16-4.2 pts
90Swisher County16+3.1 pts
93Cottle County15.9-2 pts
93Garfield County15.9-5 pts
93Reagan County15.9+1.8 pts
96Bosque County15.8+0.3 pts
96Crook County15.8+6.3 pts
96Hall County15.8+1.1 pts
96Lee County15.8+3.7 pts
96Shelby County15.8+0.9 pts
101Dallas County15.7+1.3 pts
101Daviess County15.7+0.2 pts
101Hyde County15.7+6.7 pts
101Waller County15.7+1.1 pts
105Floyd County15.6+3.9 pts
105Gonzales County15.6+1.1 pts
105Kimble County15.6+3.3 pts
105Marshall County15.6+5.5 pts
105Teton County15.6+7 pts
105Ward County15.6+2.8 pts
111Ector County15.5+2.1 pts
111Terry County15.5+1.2 pts
111Washington County15.5+1.7 pts
114Armstrong County15.4+2.4 pts
114Cooke County15.4+3.9 pts
114Crane County15.4+2.3 pts
114Potter County15.4+3.3 pts
114Winkler County15.4+2.1 pts
119Austin County15.3+3.3 pts
119Childress County15.3+3.1 pts
121Bandera County15.2+0.3 pts
121Caldwell County15.2+3.4 pts
121Eastland County15.2+1.7 pts
121Harding County15.2+8 pts
121San Jacinto County15.2+0.9 pts
126Bastrop County15.1+1.7 pts
126Crockett County15.1+2.1 pts
126Grant County15.1-2.8 pts
126Lavaca County15.1+3.5 pts
126Wise County15.1+1.5 pts
131Titus County15+4.3 pts
132Hidalgo County14.9+1.3 pts
132Liberty County14.9+3.1 pts
132Limestone County14.9+2.3 pts
132Maverick County14.9+3.1 pts
136Hopkins County14.8+1.2 pts
136Maries County14.8+6.4 pts
136Polk County14.8+2.2 pts
136Sabine County14.8+2.1 pts
140Burleson County14.7+1.6 pts
140Knox County14.7+4 pts
140Navarro County14.7+3.1 pts
140Palo Pinto County14.7+0.2 pts
144Gray County14.6+1.8 pts
144Hutchinson County14.6+3.7 pts
144McMullen County14.6+3.6 pts
144Perkins County14.6+4.1 pts
144Stephens County14.6+0.9 pts
149Grayson County14.5+1.3 pts
149Harris County14.5+2.2 pts
149Real County14.5+0.6 pts
149Roger Mills County14.5+0.5 pts
149Scurry County14.5+2.7 pts
149Webb County14.5+1.5 pts
149Wood County14.5+1.9 pts
156Clay County14.4+1.2 pts
156Daviess County14.4+3.6 pts
156Freestone County14.4+1.4 pts
156Garza County14.4+1.5 pts
156Montague County14.4-0.1 pts
156Newton County14.4+2.4 pts
156Starr County14.40 pts
156Wayne County14.4+3.9 pts
164Anderson County14.3+3 pts
164Camp County14.3+2.9 pts
164Dunn County14.3-0.6 pts
164Hale County14.3+2.9 pts
164Harmon County14.3+0.4 pts
164Lynn County14.3+1.2 pts
164Niobrara County14.3+4 pts
164Sutton County14.3+1.3 pts
172Aurora County14.2+3.1 pts
172Brewster County14.2+2.6 pts
172Deaf Smith County14.2-1.5 pts
172Dundy County14.2+0.2 pts
172Fannin County14.2+1.9 pts
177Dewey County14.1+1.4 pts
177Hoonah-Angoon Census Area14.1-0.8 pts
177Mitchell County14.1+1.7 pts
177Scotland County14.1-3 pts
177Uvalde County14.1+1.8 pts
182Burnet County14+0.6 pts
182DeWitt County14+3.2 pts
182Franklin County14+3.2 pts
182Jones County14+3.2 pts
182Karnes County14+0.8 pts
187Apache County13.9-0.3 pts
187Calhoun County13.9+2.7 pts
187Cameron County13.9-0.2 pts
187Carbon County13.9+5.7 pts
187Clark County13.9-5.8 pts
187Gove County13.9-0.4 pts
187Gregg County13.9+2.4 pts
187Hamilton County13.9+1.6 pts
187Somervell County13.9+1 pts
196Baca County13.8+2.4 pts
196Cherokee County13.8+1 pts
196Hockley County13.8+1.4 pts
196Jones County13.8+4.2 pts
196Lincoln County13.8+6.5 pts
196Matagorda County13.8+0.7 pts
196Monroe County13.8+3.9 pts
203Atascosa County13.7+2.4 pts
203Brule County13.7+2.4 pts
203Charles Mix County13.7+4 pts
203Cheyenne County13.7+2.8 pts
203Clark County13.7-0.6 pts
203Goliad County13.7+2.1 pts
203Haskell County13.7+1.8 pts
203Henderson County13.7+1.4 pts
203Mountrail County13.7+0.7 pts
203Panola County13.7+1.7 pts
213Douglas County13.6+2.5 pts
213La Paz County13.6-0.8 pts
213Lamar County13.6+2.3 pts
213Rusk County13.6+0.4 pts
217Hill County13.5+0.6 pts
217Marion County13.5+2.5 pts
217Morgan County13.5+2.8 pts
217San Augustine County13.5+2.3 pts
217Sublette County13.5+5.6 pts
217Zapata County13.5+1.6 pts
223Brown County13.4+3.5 pts
223Johnson County13.4+1.7 pts
223Roberts County13.4+3.4 pts
226Angelina County13.3+1.7 pts
226Carson County13.3+1.2 pts
226Dawson County13.3-0.8 pts
226Irion County13.3+3.4 pts
226Nolan County13.3+2.8 pts
226Sioux County13.3+2 pts
232Crosby County13.2+2.1 pts
232Ellis County13.2-0.9 pts
232Haakon County13.2+4.4 pts
232Ness County13.2+3.4 pts
232Slope County13.2-0.6 pts
232Trinity County13.2+0.3 pts
232Wrangell City and Borough13.2-0.6 pts
239Houston County13.1+1.4 pts
239Kendall County13.1+1.7 pts
239Major County13.1+1.7 pts
239Petersburg Borough13.1+1.3 pts
239Walker County13.1+2.6 pts
244Falls County13+1 pts
244Texas County13+1.1 pts
246Arthur County12.9-1.7 pts
246Harrison County12.9+1.4 pts
246Lampasas County12.9+1.6 pts
246Uintah County12.9+2.2 pts
246Victoria County12.9+2.2 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 2019 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2019.
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-2019-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)?

LaGrange County, with 30.1% in 2019, according to the U.S. Census Bureau.

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

Norfolk County, with 1.2% in 2019.

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 2019 and are not ranked.

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

US counties: more rankings