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 2021, at 41.7%. Crowley County had the lowest, at 0.7%. The median was 5.5%. Source: the U.S. Census Bureau.

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Highest41.7Kenedy County
Lowest0.7Crowley County
Median5.53134 counties

Map of counties, 2021

%, 2021. 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, 2021

Kenedy County: 41.7 %Kenedy County41.7Holmes County: 31.2 %Holmes County31.2Sherman County: 30.7 %Sherman County30.7Glasscock County: 26.2 %Glasscock County26.2LaGrange County: 25.8 %LaGrange County25.8Dallam County: 25.1 %Dallam County25.1Lipscomb County: 25.1 %Lipscomb County25.1Presidio County: 25 %Presidio County25Schleicher County: 24.6 %Schleicher County24.6Hansford County: 24 %Hansford County24King County: 23.7 %King County23.7Gaines County: 23.3 %Gaines County23.3Collingsworth County: 23 %Collingsworth County23Culberson County: 22.5 %Culberson County22.5Mason County: 22.3 %Mason County22.3Parmer County: 22.3 %Parmer County22.3Jeff Davis County: 22.2 %Jeff Davis County22.2Ochiltree County: 22.2 %Ochiltree County22.2Menard County: 21.6 %Menard County21.6Clark County: 21.4 %Clark County21.4Moore County: 21.2 %Moore County21.2Daviess County: 20.9 %Daviess County20.9Terrell County: 20.9 %Terrell County20.9Martin County: 20.7 %Martin County20.7Briscoe County: 20.4 %Briscoe County20.4Wheeler County: 20.3 %Wheeler County20.3Crockett County: 20.2 %Crockett County20.2Bailey County: 20 %Bailey County20Edwards County: 19.9 %Edwards County19.9Hemphill County: 19.9 %Hemphill County19.9Yakutat City and Borough: 19.6 %Yakutat City and Borough19.6Yoakum County: 19.6 %Yoakum County19.6Throckmorton County: 19.5 %Throckmorton County19.5Clark County: 18.9 %Clark County18.9Deaf Smith County: 18.8 %Deaf Smith County18.8Esmeralda County: 18.8 %Esmeralda County18.8McMullen County: 18.8 %McMullen County18.8Mills County: 18.8 %Mills County18.8Gillespie County: 18.7 %Gillespie County18.7Wayne County: 18.7 %Wayne County18.7Kenedy County: 41.7 %Kenedy County41.7Holmes County: 31.2 %Holmes County31.2Sherman County: 30.7 %Sherman County30.7Glasscock County: 26.2 %Glasscock County26.2LaGrange County: 25.8 %LaGrange County25.8Dallam County: 25.1 %Dallam County25.1Lipscomb County: 25.1 %Lipscomb County25.1Presidio County: 25 %Presidio County25Schleicher County: 24.6 %Schleicher County24.6Hansford County: 24 %Hansford County24King County: 23.7 %King County23.7Gaines County: 23.3 %Gaines County23.3Collingsworth County: 23 %Collingsworth County23Culberson County: 22.5 %Culberson County22.5Mason County: 22.3 %Mason County22.3Parmer County: 22.3 %Parmer County22.3Jeff Davis County: 22.2 %Jeff Davis County22.2Ochiltree County: 22.2 %Ochiltree County22.2Menard County: 21.6 %Menard County21.6Clark County: 21.4 %Clark County21.4Moore County: 21.2 %Moore County21.2Daviess County: 20.9 %Daviess County20.9Terrell County: 20.9 %Terrell County20.9Martin County: 20.7 %Martin County20.7Briscoe County: 20.4 %Briscoe County20.4Wheeler County: 20.3 %Wheeler County20.3Crockett County: 20.2 %Crockett County20.2Bailey County: 20 %Bailey County20Edwards County: 19.9 %Edwards County19.9Hemphill County: 19.9 %Hemphill County19.9Yakutat City and Borough: 19.6 %Yakutat City and Borough19.6Yoakum County: 19.6 %Yoakum County19.6Throckmorton County: 19.5 %Throckmorton County19.5Clark County: 18.9 %Clark County18.9Deaf Smith County: 18.8 %Deaf Smith County18.8Esmeralda County: 18.8 %Esmeralda County18.8McMullen County: 18.8 %McMullen County18.8Mills County: 18.8 %Mills County18.8Gillespie County: 18.7 %Gillespie County18.7Wayne County: 18.7 %Wayne County18.7
%. 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

RankCounties2021 (%)Change on 2020
1Kenedy County41.7+2 pts
2Holmes County31.2+6.5 pts
3Sherman County30.7-2 pts
4Glasscock County26.2-0.2 pts
5LaGrange County25.8-6.2 pts
6Dallam County25.10 pts
6Lipscomb County25.1-2.7 pts
8Presidio County25+0.7 pts
9Schleicher County24.6+0.5 pts
10Hansford County24-1.4 pts
11King County23.7-4.1 pts
12Gaines County23.3-0.8 pts
13Collingsworth County23+0.5 pts
14Culberson County22.5+0.2 pts
15Mason County22.3-0.9 pts
15Parmer County22.3+1.2 pts
17Jeff Davis County22.2-9.1 pts
17Ochiltree County22.2-1.8 pts
19Menard County21.6-0.3 pts
20Clark County21.4+0.2 pts
21Moore County21.2-1.3 pts
22Daviess County20.9+3.9 pts
22Terrell County20.9+0.4 pts
24Martin County20.70 pts
25Briscoe County20.4+1 pts
26Wheeler County20.3+0.2 pts
27Crockett County20.2-0.2 pts
28Bailey County20+0.8 pts
29Edwards County19.9-0.9 pts
29Hemphill County19.9-0.8 pts
31Yakutat City and Borough19.6+1.4 pts
31Yoakum County19.6-7 pts
33Throckmorton County19.5+1.9 pts
34Clark County18.9+4.2 pts
35Deaf Smith County18.8+1.9 pts
35Esmeralda County18.8+2.3 pts
35McMullen County18.8+1.2 pts
35Mills County18.8+0.6 pts
39Gillespie County18.7+1.1 pts
39Wayne County18.7+5.4 pts
41Ector County18.6+0.6 pts
41Hardeman County18.6-2.7 pts
41Stonewall County18.6-1.8 pts
44Lincoln County18.5+6.3 pts
44Sterling County18.5-1.4 pts
46Shackelford County18.2+0.9 pts
46Titus County18.2+2.5 pts
48Liberty County17.9+0.5 pts
49Brewster County17.7+2.1 pts
50Beaver County17.6-1.5 pts
51Crane County17.5-2.8 pts
52Cochran County17.4-3.1 pts
53Aleutians West Census Area17.3-5 pts
53Knox County17.3-0.5 pts
53Rains County17.3+2.8 pts
56Dickens County17.2+0.2 pts
56Harper County17.2-2.7 pts
58Castro County17.1-1.5 pts
58Wrangell City and Borough17.1+0.9 pts
60Andrews County17-2.4 pts
60Blanco County17-2.1 pts
62Gonzales County16.8+1 pts
62Mountrail County16.8+4.4 pts
62Scotland County16.8-2.8 pts
65Haskell County16.6+0.3 pts
65Irion County16.6+0.2 pts
67Crook County16.5+5 pts
67Kimble County16.5+1.5 pts
69Granite County16.4+4.1 pts
69Hockley County16.4+2.4 pts
69Upton County16.4-2.4 pts
69Ward County16.4-0.5 pts
73Camas County16.3+5.6 pts
73Real County16.3-0.6 pts
73San Saba County16.3-0.7 pts
76Llano County16.2+1.8 pts
77Austin County16.1+1.7 pts
77Swisher County16.1-0.7 pts
79Fayette County16+0.3 pts
79Lamb County16+0.5 pts
79Sutton County16-3.1 pts
82Colorado County15.8+0.2 pts
82Lynn County15.8+0.8 pts
82Shelby County15.8-0.2 pts
85Cimarron County15.7-0.1 pts
85Donley County15.7+0.4 pts
85Floyd County15.7+0.3 pts
85Fremont County15.7+4.9 pts
85Morgan County15.70 pts
90Gray County15.6-2.4 pts
90Sublette County15.6+3.7 pts
92Big Horn County15.5+5.1 pts
92Live Oak County15.5-0.7 pts
94Aransas County15.4-0.1 pts
95Crosby County15.3+1.3 pts
95Waller County15.3-1.5 pts
95Wayne County15.3+4.7 pts
95Winkler County15.3-2.5 pts
99San Juan County15.2+0.8 pts
100Haskell County15.1+0.2 pts
100Leon County15.1-2.5 pts
100Rich County15.1+1.3 pts
103Reagan County15-7 pts
104Bastrop County14.9+0.2 pts
104Dallas County14.9+3.1 pts
104Glades County14.9-2.6 pts
104Prairie County14.9+0.3 pts
104Terry County14.9-1.7 pts
104Washington County14.9+1 pts
110Caldwell County14.8+0.6 pts
110Hamilton County14.8-0.6 pts
110Kerr County14.8+0.1 pts
110Scurry County14.80 pts
110Teton County14.8+5.9 pts
110Texas County14.8-3.5 pts
116Coke County14.7-3.4 pts
116Hall County14.7+0.4 pts
116Hudspeth County14.7-7.9 pts
116La Paz County14.7+2.2 pts
116Pecos County14.7-3.7 pts
121Archer County14.6-1.3 pts
121Burnet County14.6-0.5 pts
121Ellis County14.6+0.2 pts
121Gray County14.6-1.9 pts
125Carbon County14.5+3.6 pts
125Hamilton County14.5-2.4 pts
125McCulloch County14.5+0.4 pts
125Petersburg Borough14.5+1.5 pts
129Bristol Bay Borough14.4-1.3 pts
130Bosque County14.3-0.5 pts
130Carson County14.3-0.6 pts
130Stephens County14.3-0.3 pts
133Bowman County14.2+2.3 pts
133Burleson County14.2+1.5 pts
133Cooke County14.2-1.4 pts
133Lincoln County14.2+1.3 pts
133Towner County14.2+1.9 pts
138Bandera County14.1+0.4 pts
138Platte County14.1+5 pts
138Powder River County14.1+2.1 pts
138Wharton County14.1-1.4 pts
142Niobrara County14+2.8 pts
142Washakie County14+5 pts
144Converse County13.9+5.7 pts
144Hale County13.9+1.5 pts
144Harris County13.9+1.2 pts
144Hartley County13.9-4.5 pts
144Hopkins County13.9-0.1 pts
144Owyhee County13.9+1.9 pts
144San Jacinto County13.9-0.5 pts
144Wheatland County13.9-6.2 pts
152Hill County13.8+0.2 pts
152Jack County13.8-0.7 pts
152Jackson County13.8-1.3 pts
152Lee County13.8+0.8 pts
152San Augustine County13.8+2 pts
152Teton County13.8+1.1 pts
158Aleutians East Borough13.7-5.1 pts
158Blaine County13.7+2.7 pts
158Cameron County13.7+0.4 pts
158Comanche County13.7-0.4 pts
158Nolan County13.7+1.4 pts
163Runnels County13.6-1.5 pts
164Grimes County13.5-0.9 pts
164LaMoure County13.5+3.4 pts
164Limestone County13.5+0.7 pts
164McKenzie County13.5+3 pts
164Uvalde County13.5-0.9 pts
169Hutchinson County13.4-0.6 pts
169Kaufman County13.4+1.8 pts
169Lavaca County13.4+1.4 pts
169Milam County13.4-0.1 pts
169Potter County13.4+2.5 pts
169Roberts County13.4-1.7 pts
169Wilbarger County13.4+0.2 pts
176Angelina County13.3-0.1 pts
176Armstrong County13.3-4.2 pts
176Cherokee County13.3-2.4 pts
176Eastland County13.3+0.8 pts
176Erath County13.3+0.9 pts
176Montague County13.3-1.7 pts
176Young County13.3-0.6 pts
176Yuma County13.3+1.2 pts
184Dawson County13.2+0.6 pts
184Jackson County13.2-1.9 pts
184Johnson County13.2-0.4 pts
184Matagorda County13.2-0.4 pts
184Prince of Wales-Hyder Census Area13.2-2.3 pts
189Marshall County13.1-2.5 pts
189Val Verde County13.1-1 pts
189Weston County13.1+5.6 pts
192Ellis County13-1.6 pts
192Goliad County130 pts
192Reeves County13-0.5 pts
192Sabine County13-0.3 pts
192Van Zandt County13-0.1 pts
192Wise County13+0.2 pts
198Kearny County12.9-2.4 pts
198Lake and Peninsula Borough12.9-2.3 pts
198Tom Green County12.9+1.6 pts
201Camp County12.8-0.7 pts
201Divide County12.8+5 pts
201Douglas County12.8+3.3 pts
201Fisher County12.8-3.3 pts
201Foard County12.8-4 pts
201Gooding County12.8+1.9 pts
201Wichita County12.8-0.4 pts
208Cottle County12.7-2 pts
208Gregg County12.7-0.4 pts
208Kendall County12.7+0.2 pts
208Meade County12.7-3.3 pts
212Fallon County12.6-0.4 pts
212Hidalgo County12.6-2.2 pts
212Kingfisher County12.6-2.2 pts
212Major County12.6-4 pts
212Somervell County12.6-1.1 pts
217Baylor County12.5-0.4 pts
217Calhoun County12.5-1.1 pts
217Clay County12.5-0.8 pts
217Dunn County12.5+3.6 pts
217Jerome County12.5+1.3 pts
217Liberty County12.5-0.3 pts
217Madison County12.5+0.6 pts
217Meagher County12.5+0.2 pts
217Minidoka County12.5+1.5 pts
217Starr County12.5-1.5 pts
217Wood County12.5-1.3 pts
228Freestone County12.4-1.3 pts
228Kodiak Island Borough12.4-0.6 pts
228Midland County12.4-1.9 pts
228Navarro County12.4-0.9 pts
232Coal County12.3-0.7 pts
232Hinsdale County12.3-0.9 pts
232Howard County12.3+0.5 pts
232Marion County12.3+0.8 pts
232Maverick County12.3-2.4 pts
232Newton County12.3+0.1 pts
232Storey County12.3+2.8 pts
232Webb County12.3-1.3 pts
240Atascosa County12.2-0.2 pts
240Colfax County12.2+0.6 pts
240Garfield County12.2+3.4 pts
240Goshen County12.2+4 pts
240Harrison County12.2+0.1 pts
240Lincoln County12.2-0.4 pts
240Maries County12.2-0.2 pts
240Millard County12.2+1.2 pts
240Southeast Fairbanks Census Area12.2-0.1 pts
249Concho County12.1-4.8 pts
249Henderson County12.1+0.3 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 2021 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2021.
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-2021-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 41.7% in 2021, according to the U.S. Census Bureau.

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

Crowley County, with 0.7% in 2021.

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 2021 and are not ranked.

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

US counties: more rankings