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

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

Kenedy County had the highest uninsured rate, under 19 (US model-based estimate) of 3134 counties in 2020, at 39.7%. Chittenden County had the lowest, at 0.9%. The median was 5.8%. Source: the U.S. Census Bureau.

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Highest39.7Kenedy County
Lowest0.9Chittenden County
Median5.83134 counties

Map of counties, 2020

%, 2020. 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, 2020

Kenedy County: 39.7 %Kenedy County39.7Sherman County: 32.7 %Sherman County32.7LaGrange County: 32 %LaGrange County32Jeff Davis County: 31.3 %Jeff Davis County31.3King County: 27.8 %King County27.8Lipscomb County: 27.8 %Lipscomb County27.8Yoakum County: 26.6 %Yoakum County26.6Glasscock County: 26.4 %Glasscock County26.4Hansford County: 25.4 %Hansford County25.4Dallam County: 25.1 %Dallam County25.1Holmes County: 24.7 %Holmes County24.7Presidio County: 24.3 %Presidio County24.3Loving County: 24.2 %Loving County24.2Gaines County: 24.1 %Gaines County24.1Schleicher County: 24.1 %Schleicher County24.1Ochiltree County: 24 %Ochiltree County24Mason County: 23.2 %Mason County23.2Hudspeth County: 22.6 %Hudspeth County22.6Collingsworth County: 22.5 %Collingsworth County22.5Moore County: 22.5 %Moore County22.5Aleutians West Census Area: 22.3 %Aleutians West Census Area22.3Culberson County: 22.3 %Culberson County22.3Reagan County: 22 %Reagan County22Menard County: 21.9 %Menard County21.9Hardeman County: 21.3 %Hardeman County21.3Clark County: 21.2 %Clark County21.2Parmer County: 21.1 %Parmer County21.1Edwards County: 20.8 %Edwards County20.8Hemphill County: 20.7 %Hemphill County20.7Martin County: 20.7 %Martin County20.7Cochran County: 20.5 %Cochran County20.5Terrell County: 20.5 %Terrell County20.5Crockett County: 20.4 %Crockett County20.4Stonewall County: 20.4 %Stonewall County20.4Crane County: 20.3 %Crane County20.3Wheatland County: 20.1 %Wheatland County20.1Wheeler County: 20.1 %Wheeler County20.1Harper County: 19.9 %Harper County19.9Sterling County: 19.9 %Sterling County19.9Scotland County: 19.6 %Scotland County19.6Kenedy County: 39.7 %Kenedy County39.7Sherman County: 32.7 %Sherman County32.7LaGrange County: 32 %LaGrange County32Jeff Davis County: 31.3 %Jeff Davis County31.3King County: 27.8 %King County27.8Lipscomb County: 27.8 %Lipscomb County27.8Yoakum County: 26.6 %Yoakum County26.6Glasscock County: 26.4 %Glasscock County26.4Hansford County: 25.4 %Hansford County25.4Dallam County: 25.1 %Dallam County25.1Holmes County: 24.7 %Holmes County24.7Presidio County: 24.3 %Presidio County24.3Loving County: 24.2 %Loving County24.2Gaines County: 24.1 %Gaines County24.1Schleicher County: 24.1 %Schleicher County24.1Ochiltree County: 24 %Ochiltree County24Mason County: 23.2 %Mason County23.2Hudspeth County: 22.6 %Hudspeth County22.6Collingsworth County: 22.5 %Collingsworth County22.5Moore County: 22.5 %Moore County22.5Aleutians West Census Area: 22.3 %Aleutians West Census Area22.3Culberson County: 22.3 %Culberson County22.3Reagan County: 22 %Reagan County22Menard County: 21.9 %Menard County21.9Hardeman County: 21.3 %Hardeman County21.3Clark County: 21.2 %Clark County21.2Parmer County: 21.1 %Parmer County21.1Edwards County: 20.8 %Edwards County20.8Hemphill County: 20.7 %Hemphill County20.7Martin County: 20.7 %Martin County20.7Cochran County: 20.5 %Cochran County20.5Terrell County: 20.5 %Terrell County20.5Crockett County: 20.4 %Crockett County20.4Stonewall County: 20.4 %Stonewall County20.4Crane County: 20.3 %Crane County20.3Wheatland County: 20.1 %Wheatland County20.1Wheeler County: 20.1 %Wheeler County20.1Harper County: 19.9 %Harper County19.9Sterling County: 19.9 %Sterling County19.9Scotland County: 19.6 %Scotland County19.6
%. 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

RankCounties2020 (%)Change on 2019
1Kenedy County39.7+20.1 pts
2Sherman County32.7+7.2 pts
3LaGrange County32+1.9 pts
4Jeff Davis County31.3+11.1 pts
5King County27.8+6.5 pts
5Lipscomb County27.8-1.9 pts
7Yoakum County26.6+5.5 pts
8Glasscock County26.4+7.9 pts
9Hansford County25.4+1.5 pts
10Dallam County25.1-1.5 pts
11Holmes County24.7+1.5 pts
12Presidio County24.3+5 pts
13Loving County24.2+14.9 pts
14Gaines County24.1-4.6 pts
14Schleicher County24.1+2.6 pts
16Ochiltree County24+4.2 pts
17Mason County23.2-2.9 pts
18Hudspeth County22.6-0.1 pts
19Collingsworth County22.5-0.5 pts
19Moore County22.5+4.1 pts
21Aleutians West Census Area22.3+9.9 pts
21Culberson County22.3+5.1 pts
23Reagan County22+6.1 pts
24Menard County21.9-0.7 pts
25Hardeman County21.3+2.1 pts
26Clark County21.2+7.5 pts
27Parmer County21.1-0.3 pts
28Edwards County20.8+2 pts
29Hemphill County20.7+0.1 pts
29Martin County20.7+3.5 pts
31Cochran County20.5+1.5 pts
31Terrell County20.5+3.4 pts
33Crockett County20.4+5.3 pts
33Stonewall County20.4+2.5 pts
35Crane County20.3+4.9 pts
36Wheatland County20.1+7.2 pts
36Wheeler County20.1-0.9 pts
38Harper County19.9+3.2 pts
38Sterling County19.9+3 pts
40Scotland County19.6+5.5 pts
41Andrews County19.4+3.4 pts
41Briscoe County19.4-1.2 pts
43Bailey County19.2+0.4 pts
44Beaver County19.1+2.1 pts
44Blanco County19.1-1.8 pts
44Sutton County19.1+4.8 pts
47Aleutians East Borough18.8+2.2 pts
47Upton County18.8+1.7 pts
49Castro County18.6-1.2 pts
50Hartley County18.4-2.8 pts
50Pecos County18.4+1 pts
52Texas County18.3+5.3 pts
53Mills County18.2-1 pts
53Yakutat City and Borough18.2+5.5 pts
55Coke County18.1+2 pts
56Ector County18+2.5 pts
56Gray County18+5.2 pts
58Knox County17.8-1.4 pts
58Winkler County17.8+2.4 pts
60Gillespie County17.6-3.3 pts
60Leon County17.6-4.2 pts
60McMullen County17.6+3 pts
60Throckmorton County17.6-3.7 pts
64Armstrong County17.5+2.1 pts
64Glades County17.5+1 pts
66Liberty County17.4+7.9 pts
67Shackelford County17.3-1.4 pts
68Daviess County17+1.3 pts
68Dickens County17+0.6 pts
68San Saba County17-4.1 pts
71Concho County16.9+0.8 pts
71Deaf Smith County16.9+2.7 pts
71Hamilton County16.9-1.9 pts
71Real County16.9+2.4 pts
71Ward County16.9+1.3 pts
76Foard County16.8-1.4 pts
76Lancaster County16.8+5.8 pts
76Swisher County16.8+0.8 pts
76Waller County16.8+1.1 pts
80Major County16.6+3.5 pts
80Terry County16.6+1.1 pts
82Esmeralda County16.5-0.2 pts
82Gray County16.5+1.9 pts
82Hoonah-Angoon Census Area16.5+2.4 pts
85Irion County16.4+3.1 pts
86Haskell County16.3+2.6 pts
87Live Oak County16.2-1 pts
87Wrangell City and Borough16.2+3 pts
89Fisher County16.1-0.6 pts
90Meade County16+4.4 pts
90Shelby County16+0.2 pts
92Archer County15.9-0.6 pts
93Cimarron County15.8-0.7 pts
93Gonzales County15.8+0.2 pts
95Bristol Bay Borough15.7+4.2 pts
95Cherokee County15.7+1.9 pts
95Fayette County15.7-1.2 pts
95Morgan County15.7+2.2 pts
95Titus County15.7+0.7 pts
100Brewster County15.6+1.4 pts
100Colorado County15.6-2.6 pts
100Cooke County15.6+0.2 pts
100Marshall County15.6+3.8 pts
100Moniteau County15.6+4.6 pts
100Perry County15.6+8 pts
106Aransas County15.5-1 pts
106Lamb County15.5-1.3 pts
106Prince of Wales-Hyder Census Area15.5+2.9 pts
106Wharton County15.5-1.2 pts
110Floyd County15.4-0.2 pts
110Hamilton County15.4+1.5 pts
112Donley County15.3-1 pts
112Kearny County15.3+3.7 pts
114Lake and Peninsula Borough15.2+3.8 pts
115Burnet County15.1+1.1 pts
115Jackson County15.1+3.2 pts
115Jackson County15.1-1.4 pts
115North Slope Borough15.1+5.7 pts
115Roberts County15.1-1 pts
115Runnels County15.1+2.3 pts
121Kimble County15-0.6 pts
121Kinney County15+2.2 pts
121Lynn County15+0.7 pts
121Montague County15+0.6 pts
125Carson County14.9+1.6 pts
125Haskell County14.9-1.6 pts
125Kent County14.9+2.8 pts
128Bosque County14.8-1 pts
128Hidalgo County14.8-0.1 pts
128Kingfisher County14.8+2.7 pts
128Scurry County14.8+0.3 pts
132Bastrop County14.7-0.4 pts
132Clark County14.7+0.8 pts
132Cottle County14.7-1.2 pts
132Kerr County14.7-1.8 pts
132Maverick County14.7-0.2 pts
137Dewey County14.6+0.5 pts
137Ellis County14.6+1.9 pts
137Garza County14.6+0.2 pts
137Prairie County14.6+5.3 pts
137Stephens County14.60 pts
142Jack County14.5-3.6 pts
142Rains County14.5-2.3 pts
144Austin County14.4-0.9 pts
144Daggett County14.4+5.2 pts
144Ellis County14.4+1.2 pts
144Grimes County14.4-2 pts
144Llano County14.4-2.1 pts
144San Jacinto County14.4-0.8 pts
144San Juan County14.4+7.5 pts
144Skagway Municipality14.4+6.1 pts
144Uvalde County14.4+0.3 pts
144Zapata County14.4+0.9 pts
154Borden County14.3+2.8 pts
154Hall County14.3-1.5 pts
154Midland County14.3-1.9 pts
157Caldwell County14.2-1 pts
158Comanche County14.1-2.8 pts
158McCulloch County14.1+1.5 pts
158Val Verde County14.1+2.2 pts
161Crosby County14+0.8 pts
161Hockley County14+0.2 pts
161Hopkins County14-0.8 pts
161Hutchinson County14-0.6 pts
161Motley County14-4.2 pts
161Starr County14-0.4 pts
167Echols County13.9+3.6 pts
167Washington County13.9-1.6 pts
167Young County13.9-3.2 pts
170Elkhart County13.8+1.6 pts
170Hendry County13.8+2.3 pts
170Rich County13.8+2.2 pts
170Wood County13.8-0.7 pts
174Atkinson County13.7+3.2 pts
174Bandera County13.7-1.5 pts
174Freestone County13.7-0.7 pts
174Panola County13.70 pts
174Phillips County13.7+2.8 pts
174Polk County13.7-1.1 pts
174Somervell County13.7-0.2 pts
181Calhoun County13.6-0.3 pts
181Delta County13.6+0.8 pts
181Hill County13.6+0.1 pts
181Johnson County13.6+0.2 pts
181Matagorda County13.6-0.2 pts
181Pontotoc County13.6+3.5 pts
181Treasure County13.6+4.3 pts
181Webb County13.6-0.9 pts
189Camp County13.5-0.8 pts
189Juniata County13.5+3.4 pts
189Milam County13.5+0.7 pts
189Oglethorpe County13.5+3.2 pts
189Reeves County13.5-2.7 pts
194Angelina County13.4+0.1 pts
194Atoka County13.4+1.7 pts
194Custer County13.4+1.8 pts
194Lamar County13.4-0.2 pts
194McDonald County13.4+1.4 pts
194Snyder County13.4+6.8 pts
200Banks County13.3+3 pts
200Cameron County13.3-0.6 pts
200Clay County13.3-1.1 pts
200Harmon County13.3-1 pts
200Navarro County13.3-1.4 pts
200Sabine County13.3-1.5 pts
200Wayne County13.3-1.1 pts
207Childress County13.2-2.1 pts
207Hinsdale County13.2+2.2 pts
207Wichita County13.2+0.3 pts
207Wilbarger County13.2+1.4 pts
211Gregg County13.1-0.8 pts
211Mitchell County13.1-1 pts
211Rusk County13.1-0.5 pts
211Van Zandt County13.1-3 pts
215Coal County13+0.9 pts
215Fallon County13+2.8 pts
215Goliad County13-0.7 pts
215Kodiak Island Borough13+0.6 pts
215Lee County13-2.8 pts
215Petersburg Borough13-0.1 pts
215Quitman County13+4.8 pts
215Stanton County13+2.2 pts
215Yukon-Koyukuk Census Area13+3.3 pts
224Baylor County12.9+0.3 pts
224Cherokee County12.9+0.4 pts
224Daviess County12.9-1.5 pts
224Grayson County12.9-1.6 pts
224Le Flore County12.9+1.4 pts
224Lincoln County12.9+3.3 pts
224Stevens County12.9+0.7 pts
224Sweet Grass County12.9+3.5 pts
224Wilson County12.9+1 pts
233Copper River Census Area12.8n/a
233Fannin County12.8-1.4 pts
233Liberty County12.8-2.1 pts
233Limestone County12.8-2.1 pts
233Seminole County12.8+2.6 pts
233Teton County12.8+4.3 pts
233Webster County12.8+5.1 pts
233Wise County12.8-2.3 pts
241Burleson County12.7-2 pts
241Harris County12.7-1.8 pts
241Nacogdoches County12.7+0.4 pts
241Teton County12.7+4.5 pts
241Vernon County12.7+6.2 pts
246Dawson County12.6-0.7 pts
246Lincoln County12.6+3.8 pts
246Murray County12.6+2.4 pts
246Oldham County12.6+0.1 pts
246Robertson County12.6+0.1 pts

Showing the top 250 of 3134. 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. 9 counties with data in other periods have no value for 2020 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2020.
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-2020-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)?

Kenedy County, with 39.7% in 2020, according to the U.S. Census Bureau.

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

Chittenden County, with 0.9% in 2020.

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. 9 counties have no value for 2020 and are not ranked.

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

US counties: more rankings