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 3143 counties in 2022, at 41.2%. Loving County had the lowest, at 0%. The median was 5.1%. Source: the U.S. Census Bureau.

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Highest41.2LaGrange County
Lowest0Loving County
Median5.13143 counties

Map of counties, 2022

%, 2022. 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, 2022

LaGrange County: 41.2 %LaGrange County41.2Holmes County: 40.9 %Holmes County40.9Kenedy County: 32.3 %Kenedy County32.3Clark County: 24.4 %Clark County24.4Gaines County: 22.9 %Gaines County22.9Scotland County: 20.9 %Scotland County20.9Presidio County: 20.5 %Presidio County20.5Ochiltree County: 20 %Ochiltree County20Yoakum County: 19.1 %Yoakum County19.1Hansford County: 18.9 %Hansford County18.9Sherman County: 18.9 %Sherman County18.9King County: 18.8 %King County18.8Swisher County: 18.2 %Swisher County18.2Moore County: 17.8 %Moore County17.8Crockett County: 17.5 %Crockett County17.5Dallam County: 16.7 %Dallam County16.7Collingsworth County: 16.6 %Collingsworth County16.6Davis County: 16.6 %Davis County16.6Gillespie County: 16.6 %Gillespie County16.6Mason County: 16.6 %Mason County16.6Schleicher County: 16.2 %Schleicher County16.2Moniteau County: 16.1 %Moniteau County16.1Vernon County: 16.1 %Vernon County16.1Martin County: 16 %Martin County16Irion County: 15.9 %Irion County15.9Castro County: 15.7 %Castro County15.7Menard County: 15.7 %Menard County15.7Titus County: 15.7 %Titus County15.7Morgan County: 15.6 %Morgan County15.6Parmer County: 15.6 %Parmer County15.6Lipscomb County: 15.5 %Lipscomb County15.5Colorado County: 15.4 %Colorado County15.4Daviess County: 15.3 %Daviess County15.3Edwards County: 15.3 %Edwards County15.3Sutton County: 15.3 %Sutton County15.3Wheeler County: 15.3 %Wheeler County15.3Crane County: 15 %Crane County15San Saba County: 15 %San Saba County15Ward County: 15 %Ward County15Bailey County: 14.9 %Bailey County14.9LaGrange County: 41.2 %LaGrange County41.2Holmes County: 40.9 %Holmes County40.9Kenedy County: 32.3 %Kenedy County32.3Clark County: 24.4 %Clark County24.4Gaines County: 22.9 %Gaines County22.9Scotland County: 20.9 %Scotland County20.9Presidio County: 20.5 %Presidio County20.5Ochiltree County: 20 %Ochiltree County20Yoakum County: 19.1 %Yoakum County19.1Hansford County: 18.9 %Hansford County18.9Sherman County: 18.9 %Sherman County18.9King County: 18.8 %King County18.8Swisher County: 18.2 %Swisher County18.2Moore County: 17.8 %Moore County17.8Crockett County: 17.5 %Crockett County17.5Dallam County: 16.7 %Dallam County16.7Collingsworth County: 16.6 %Collingsworth County16.6Davis County: 16.6 %Davis County16.6Gillespie County: 16.6 %Gillespie County16.6Mason County: 16.6 %Mason County16.6Schleicher County: 16.2 %Schleicher County16.2Moniteau County: 16.1 %Moniteau County16.1Vernon County: 16.1 %Vernon County16.1Martin County: 16 %Martin County16Irion County: 15.9 %Irion County15.9Castro County: 15.7 %Castro County15.7Menard County: 15.7 %Menard County15.7Titus County: 15.7 %Titus County15.7Morgan County: 15.6 %Morgan County15.6Parmer County: 15.6 %Parmer County15.6Lipscomb County: 15.5 %Lipscomb County15.5Colorado County: 15.4 %Colorado County15.4Daviess County: 15.3 %Daviess County15.3Edwards County: 15.3 %Edwards County15.3Sutton County: 15.3 %Sutton County15.3Wheeler County: 15.3 %Wheeler County15.3Crane County: 15 %Crane County15San Saba County: 15 %San Saba County15Ward County: 15 %Ward County15Bailey County: 14.9 %Bailey County14.9
%. 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

RankCounties2022 (%)Change on 2021
1LaGrange County41.2+15.4 pts
2Holmes County40.9+9.7 pts
3Kenedy County32.3-9.4 pts
4Clark County24.4+5.5 pts
5Gaines County22.9-0.4 pts
6Scotland County20.9+4.1 pts
7Presidio County20.5-4.5 pts
8Ochiltree County20-2.2 pts
9Yoakum County19.1-0.5 pts
10Hansford County18.9-5.1 pts
10Sherman County18.9-11.8 pts
12King County18.8-4.9 pts
13Swisher County18.2+2.1 pts
14Moore County17.8-3.4 pts
15Crockett County17.5-2.7 pts
16Dallam County16.7-8.4 pts
17Collingsworth County16.6-6.4 pts
17Davis County16.6+6.7 pts
17Gillespie County16.6-2.1 pts
17Mason County16.6-5.7 pts
21Schleicher County16.2-8.4 pts
22Moniteau County16.1+5.2 pts
22Vernon County16.1+6.5 pts
24Martin County16-4.7 pts
25Irion County15.9-0.7 pts
26Castro County15.7-1.4 pts
26Menard County15.7-5.9 pts
26Titus County15.7-2.5 pts
29Morgan County15.6-0.1 pts
29Parmer County15.6-6.7 pts
31Lipscomb County15.5-9.6 pts
32Colorado County15.4-0.4 pts
33Daviess County15.3-5.6 pts
33Edwards County15.3-4.6 pts
33Sutton County15.3-0.7 pts
33Wheeler County15.3-5 pts
37Crane County15-2.5 pts
37San Saba County15-1.3 pts
37Ward County15-1.4 pts
40Bailey County14.9-5.1 pts
40Hamilton County14.9+0.4 pts
42Terrell County14.8-6.1 pts
43Deaf Smith County14.7-4.1 pts
43Wrangell City and Borough14.7-2.4 pts
45Andrews County14.5-2.5 pts
45Madison County14.5+2 pts
47Dallas County14.4-0.5 pts
47Reagan County14.4-0.6 pts
49Mills County14.3-4.5 pts
49Runnels County14.3+0.7 pts
51Hemphill County14.2-5.7 pts
52Adams County14.1+3.5 pts
52Floyd County14.1-1.6 pts
52Throckmorton County14.1-5.4 pts
55Donley County14-1.7 pts
55Haskell County14-1.1 pts
55Jack County14+0.2 pts
55Pecos County14-0.7 pts
55Shackelford County14-4.2 pts
60Santa Cruz County13.9+2.9 pts
61Brewster County13.8-3.9 pts
61Lancaster County13.8+2.5 pts
63Red River County13.7+3.9 pts
64Beaver County13.6-4 pts
64Ector County13.6-5 pts
64Haskell County13.6-3 pts
64Jeff Davis County13.6-8.6 pts
64Kimble County13.6-2.9 pts
64Live Oak County13.6-1.9 pts
64Midland County13.6+1.2 pts
64Scurry County13.6-1.2 pts
72Hockley County13.5-2.9 pts
73Issaquena County13.4+2.6 pts
73Leon County13.4-1.7 pts
73Reeves County13.4+0.4 pts
76Erath County13.30 pts
76Terry County13.3-1.6 pts
76Tom Green County13.3+0.4 pts
79Burnet County13.2-1.4 pts
80Rains County13.1-4.2 pts
81Briscoe County12.9-7.5 pts
81Culberson County12.9-9.6 pts
81Llano County12.9-3.3 pts
81Matagorda County12.9-0.3 pts
81McCulloch County12.9-1.6 pts
81Sabine County12.9-0.1 pts
81Wood County12.9+0.4 pts
88Gonzales County12.8-4 pts
88Lamb County12.8-3.2 pts
88Upton County12.8-3.6 pts
91Crosby County12.7-2.6 pts
91Franklin County12.7+0.8 pts
91Kerr County12.7-2.1 pts
91Young County12.7-0.6 pts
95Fayette County12.6-3.4 pts
95Henderson County12.6+0.5 pts
95Kaufman County12.6-0.8 pts
98Burleson County12.5-1.7 pts
98Comanche County12.5-1.2 pts
98Glasscock County12.5-13.7 pts
98La Salle County12.5+2.6 pts
102Bosque County12.4-1.9 pts
102Gray County12.4-3.2 pts
102Hidalgo County12.4-0.2 pts
102Jackson County12.4-0.8 pts
102Montague County12.4-0.9 pts
107Douglas County12.3-0.5 pts
107Major County12.3-0.3 pts
109Aransas County12.2-3.2 pts
109Bastrop County12.2-2.7 pts
109Gray County12.2-2.4 pts
109Hall County12.2-2.5 pts
109Harris County12.2-1.7 pts
109Hopkins County12.2-1.7 pts
109Lampasas County12.2+0.3 pts
109Wayne County12.2-3.1 pts
117Caldwell County12.1-2.7 pts
117Cass County12.1+2.1 pts
117Grimes County12.1-1.4 pts
117Hale County12.1-1.8 pts
117Nolan County12.1-1.6 pts
117Winkler County12.1-3.2 pts
117Yakutat City and Borough12.1-7.5 pts
124Carson County12-2.3 pts
124Coke County12-2.7 pts
124Dawson County12-1.2 pts
124Glades County12-2.9 pts
124Gregg County12-0.7 pts
124Hartley County12-1.9 pts
124Knox County12-5.3 pts
124Kodiak Island Borough12-0.4 pts
124Palo Pinto County12+0.8 pts
124Stonewall County12-6.6 pts
124Wheatland County12-1.9 pts
135Austin County11.9-4.2 pts
135Camp County11.9-0.9 pts
135DeWitt County11.9+0.1 pts
135Jackson County11.9-1.9 pts
135Kingfisher County11.9-0.7 pts
135Liberty County11.9-0.6 pts
135Lincoln County11.9-6.6 pts
135McMullen County11.9-6.9 pts
135Stevens County11.9+1.8 pts
135Van Zandt County11.9-1.1 pts
145Archer County11.8-2.8 pts
145Blanco County11.8-5.2 pts
145Charles Mix County11.8+0.5 pts
145Chugach Census Area11.8+0.5 pts
145Harper County11.8-5.4 pts
145Petersburg Borough11.8-2.7 pts
151Coal County11.7-0.6 pts
151Garza County11.7-0.1 pts
151Grayson County11.7-0.3 pts
151Hardeman County11.7-6.9 pts
151Lee County11.7-2.1 pts
151Refugio County11.7-0.1 pts
151Taylor County11.7+0.5 pts
151Wilbarger County11.7-1.7 pts
159Eastland County11.6-1.7 pts
159Hardin County11.6+1.7 pts
159Jim Hogg County11.6+1.4 pts
159Kendall County11.6-1.1 pts
159Liberty County11.6-6.3 pts
159Uvalde County11.6-1.9 pts
159Washington County11.6-3.3 pts
159Wharton County11.6-2.5 pts
167Baylor County11.5-1 pts
167Karnes County11.5+0.4 pts
167Panola County11.5+0.2 pts
167Texas County11.5-3.3 pts
171Hill County11.4-2.4 pts
171Potter County11.4-2 pts
171Rusk County11.4+0.2 pts
174Audrain County11.3+3.9 pts
174Clay County11.3-1.2 pts
174Kleberg County11.3+0.7 pts
174Medina County11.3-0.5 pts
178Atascosa County11.2-1 pts
178Bandera County11.2-2.9 pts
178Cooke County11.2-3 pts
178Howard County11.2-1.1 pts
178Love County11.2+0.6 pts
178Lynn County11.2-4.6 pts
178Monroe County11.2+2 pts
178Robertson County11.2-0.5 pts
178Yukon-Koyukuk Census Area11.2-0.1 pts
187Borden County11.1-0.2 pts
187Foard County11.1-1.7 pts
187Freestone County11.1-1.3 pts
187Jasper County11.1+0.1 pts
187Mifflin County11.1+4 pts
187Parker County11.10 pts
187Real County11.1-5.2 pts
187Stephens County11.1-3.2 pts
187Todd County11.1+2.7 pts
187Val Verde County11.1-2 pts
197Esmeralda County11-7.8 pts
197Falls County11+0.3 pts
197Frio County110 pts
197Hood County11-1 pts
197Houston County11+0.8 pts
197Jefferson County11-0.5 pts
197Lafayette County11+2.3 pts
197Maverick County11-1.3 pts
197McLennan County11+0.4 pts
197Shelby County11-4.8 pts
197Walker County11+2.2 pts
197Webb County11-1.3 pts
209Bristol Bay Borough10.9-3.5 pts
209El Paso County10.9+0.8 pts
209Milam County10.9-2.5 pts
209Pontotoc County10.9+0.9 pts
209Tarrant County10.9-1.1 pts
214Alfalfa County10.8+2.8 pts
214Nacogdoches County10.8-0.8 pts
214Prince of Wales-Hyder Census Area10.8-2.4 pts
214Sanders County10.8-1 pts
214Tyler County10.8-1.2 pts
214Victoria County10.8-0.1 pts
214Wise County10.8-2.2 pts
221Callahan County10.7+0.4 pts
221Juniata County10.7+1.5 pts
221Levy County10.7+2.8 pts
221Newton County10.7-1.6 pts
221Scott County10.7+1.1 pts
226Angelina County10.6-2.7 pts
226Clark County10.6-10.8 pts
226Gila County10.6-0.7 pts
226Limestone County10.6-2.9 pts
226Matanuska-Susitna Borough10.6+1.6 pts
226San Augustine County10.6-3.2 pts
226Starr County10.6-1.9 pts
233Bryan County10.5+0.3 pts
233Collier County10.5-0.8 pts
233Granite County10.5-5.9 pts
233Hamlin County10.5-0.6 pts
233Lamar County10.5-1.4 pts
233Polk County10.5-1.2 pts
233Skagway Municipality10.5-0.3 pts
233Somervell County10.5-2.1 pts
233Stanton County10.5-0.6 pts
233Waller County10.5-4.8 pts
233Wichita County10.5-2.3 pts
244Big Horn County10.4-5.1 pts
244Daviess County10.4-1.4 pts
244Dillingham Census Area10.4+1.4 pts
244Hutchinson County10.4-3 pts
244Jones County10.4+1.9 pts
244Madison County10.4-1.7 pts
244Northwest Arctic Borough10.4+0.4 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2022.
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-2022-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 41.2% in 2022, 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 2022.

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