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 2023, at 39%. Norfolk County had the lowest, at 1.1%. The median was 5.5%. Source: the U.S. Census Bureau.

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Highest39LaGrange County
Lowest1.1Norfolk County
Median5.53143 counties

Map of counties, 2023

%, 2023. 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, 2023

LaGrange County: 39 %LaGrange County39Holmes County: 36.4 %Holmes County36.4Gaines County: 26.1 %Gaines County26.1Hansford County: 25 %Hansford County25Clark County: 23.3 %Clark County23.3King County: 23.1 %King County23.1Ochiltree County: 21.2 %Ochiltree County21.2Kenedy County: 21.1 %Kenedy County21.1Sherman County: 20.9 %Sherman County20.9Presidio County: 19.9 %Presidio County19.9Cochran County: 19.5 %Cochran County19.5Yoakum County: 19.5 %Yoakum County19.5Dallam County: 19.4 %Dallam County19.4Parmer County: 19.2 %Parmer County19.2Menard County: 18.8 %Menard County18.8San Saba County: 18.8 %San Saba County18.8Crockett County: 18.6 %Crockett County18.6Edwards County: 18.4 %Edwards County18.4Knox County: 18.2 %Knox County18.2Mason County: 18.1 %Mason County18.1Wheeler County: 18.1 %Wheeler County18.1Bailey County: 17.9 %Bailey County17.9Dawson County: 17.8 %Dawson County17.8Moore County: 17.3 %Moore County17.3Scotland County: 17.2 %Scotland County17.2Gillespie County: 16.6 %Gillespie County16.6Lipscomb County: 16.6 %Lipscomb County16.6Sutton County: 16.6 %Sutton County16.6Hamilton County: 16.5 %Hamilton County16.5Jack County: 16.5 %Jack County16.5Schleicher County: 16.5 %Schleicher County16.5Burnet County: 16.3 %Burnet County16.3Gonzales County: 16.3 %Gonzales County16.3Throckmorton County: 16.3 %Throckmorton County16.3Andrews County: 16.2 %Andrews County16.2Collingsworth County: 16.2 %Collingsworth County16.2Ector County: 16.2 %Ector County16.2Foard County: 16.2 %Foard County16.2Santa Cruz County: 16.2 %Santa Cruz County16.2Webb County: 16.2 %Webb County16.2LaGrange County: 39 %LaGrange County39Holmes County: 36.4 %Holmes County36.4Gaines County: 26.1 %Gaines County26.1Hansford County: 25 %Hansford County25Clark County: 23.3 %Clark County23.3King County: 23.1 %King County23.1Ochiltree County: 21.2 %Ochiltree County21.2Kenedy County: 21.1 %Kenedy County21.1Sherman County: 20.9 %Sherman County20.9Presidio County: 19.9 %Presidio County19.9Cochran County: 19.5 %Cochran County19.5Yoakum County: 19.5 %Yoakum County19.5Dallam County: 19.4 %Dallam County19.4Parmer County: 19.2 %Parmer County19.2Menard County: 18.8 %Menard County18.8San Saba County: 18.8 %San Saba County18.8Crockett County: 18.6 %Crockett County18.6Edwards County: 18.4 %Edwards County18.4Knox County: 18.2 %Knox County18.2Mason County: 18.1 %Mason County18.1Wheeler County: 18.1 %Wheeler County18.1Bailey County: 17.9 %Bailey County17.9Dawson County: 17.8 %Dawson County17.8Moore County: 17.3 %Moore County17.3Scotland County: 17.2 %Scotland County17.2Gillespie County: 16.6 %Gillespie County16.6Lipscomb County: 16.6 %Lipscomb County16.6Sutton County: 16.6 %Sutton County16.6Hamilton County: 16.5 %Hamilton County16.5Jack County: 16.5 %Jack County16.5Schleicher County: 16.5 %Schleicher County16.5Burnet County: 16.3 %Burnet County16.3Gonzales County: 16.3 %Gonzales County16.3Throckmorton County: 16.3 %Throckmorton County16.3Andrews County: 16.2 %Andrews County16.2Collingsworth County: 16.2 %Collingsworth County16.2Ector County: 16.2 %Ector County16.2Foard County: 16.2 %Foard County16.2Santa Cruz County: 16.2 %Santa Cruz County16.2Webb County: 16.2 %Webb County16.2
%. 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

RankCounties2023 (%)Change on 2022
1LaGrange County39-2.2 pts
2Holmes County36.4-4.5 pts
3Gaines County26.1+3.2 pts
4Hansford County25+6.1 pts
5Clark County23.3-1.1 pts
6King County23.1+4.3 pts
7Ochiltree County21.2+1.2 pts
8Kenedy County21.1-11.2 pts
9Sherman County20.9+2 pts
10Presidio County19.9-0.6 pts
11Cochran County19.5+10.3 pts
11Yoakum County19.5+0.4 pts
13Dallam County19.4+2.7 pts
14Parmer County19.2+3.6 pts
15Menard County18.8+3.1 pts
15San Saba County18.8+3.8 pts
17Crockett County18.6+1.1 pts
18Edwards County18.4+3.1 pts
19Knox County18.2+6.2 pts
20Mason County18.1+1.5 pts
20Wheeler County18.1+2.8 pts
22Bailey County17.9+3 pts
23Dawson County17.8+5.8 pts
24Moore County17.3-0.5 pts
25Scotland County17.2-3.7 pts
26Gillespie County16.60 pts
26Lipscomb County16.6+1.1 pts
26Sutton County16.6+1.3 pts
29Hamilton County16.5+1.6 pts
29Jack County16.5+2.5 pts
29Schleicher County16.5+0.3 pts
32Burnet County16.3+3.1 pts
32Gonzales County16.3+3.5 pts
32Throckmorton County16.3+2.2 pts
35Andrews County16.2+1.7 pts
35Collingsworth County16.2-0.4 pts
35Ector County16.2+2.6 pts
35Foard County16.2+5.1 pts
35Santa Cruz County16.2+2.3 pts
35Webb County16.2+5.2 pts
41Comanche County16.1+3.6 pts
41Donley County16.1+2.1 pts
43Cimarron County16+5.8 pts
44McMullen County15.9+4 pts
44Swisher County15.9-2.3 pts
46Castro County15.70 pts
46Daviess County15.7+0.4 pts
46Jackson County15.7+3.3 pts
49Floyd County15.6+1.5 pts
49Stonewall County15.6+3.6 pts
51Colorado County15.5+0.1 pts
51Van Zandt County15.5+3.6 pts
53Lamb County15.4+2.6 pts
53Madison County15.4+0.9 pts
55Freestone County15.3+4.2 pts
55Hall County15.3+3.1 pts
57Pecos County15.2+1.2 pts
57Uvalde County15.2+3.6 pts
57Ward County15.2+0.2 pts
60Bosque County15.1+2.7 pts
60Dallas County15.1+0.7 pts
60Davis County15.1-1.5 pts
60La Salle County15.1+2.6 pts
64Morgan County15-0.6 pts
65Potter County14.9+3.5 pts
65Rains County14.9+1.8 pts
67Deaf Smith County14.8+0.1 pts
67Erath County14.8+1.5 pts
67Leon County14.8+1.4 pts
67Live Oak County14.8+1.2 pts
67Navarro County14.8+4.7 pts
72Mills County14.7+0.4 pts
72Terry County14.7+1.4 pts
74Hale County14.6+2.5 pts
74Haskell County14.6+0.6 pts
74Irion County14.6-1.3 pts
74Runnels County14.6+0.3 pts
74Titus County14.6-1.1 pts
79Kerr County14.5+1.8 pts
80Reeves County14.4+1 pts
80Young County14.4+1.7 pts
82Hardeman County14.3+2.6 pts
82Texas County14.3+2.8 pts
82Yates County14.3+6.2 pts
85Blanco County14.2+2.4 pts
85Burleson County14.2+1.7 pts
85Hemphill County14.20 pts
85Red River County14.2+0.5 pts
89Kimble County14.1+0.5 pts
89Wharton County14.1+2.5 pts
91Union County14+8.2 pts
92Atoka County13.9+3.7 pts
92Brewster County13.9+0.1 pts
92Coke County13.9+1.9 pts
92Harris County13.9+1.7 pts
92Liberty County13.9+2 pts
92McCulloch County13.9+1 pts
92Mifflin County13.9+2.8 pts
99Clark County13.8+3.2 pts
99Glades County13.8+1.8 pts
99Gray County13.8+1.4 pts
99Jim Hogg County13.8+2.2 pts
99Petersburg Borough13.8+2 pts
104Austin County13.7+1.8 pts
104Briscoe County13.7+0.8 pts
104Caldwell County13.7+1.6 pts
104Crane County13.7-1.3 pts
104Franklin County13.7+1 pts
104Juniata County13.7+3 pts
104Llano County13.7+0.8 pts
104Reagan County13.7-0.7 pts
104Wood County13.7+0.8 pts
113Jones County13.6+3.2 pts
113Milam County13.6+2.7 pts
113Palo Pinto County13.6+1.6 pts
116Beaver County13.5-0.1 pts
116Fayette County13.5+0.9 pts
116Zapata County13.5+3.9 pts
119Motley County13.4+3.4 pts
119Shelby County13.4+2.4 pts
119Trinity County13.4+3.6 pts
119Vernon County13.4-2.7 pts
119Washington County13.4+1.8 pts
124Gray County13.3+1.1 pts
124Houston County13.3+2.3 pts
124Montague County13.3+0.9 pts
124Wheatland County13.3+1.3 pts
124Winkler County13.3+1.2 pts
129Eastland County13.2+1.6 pts
129Lee County13.2+1.5 pts
129Liberty County13.2+1.6 pts
129Owyhee County13.2+4.8 pts
133Bastrop County13.1+0.9 pts
133Cochise County13.1+4.5 pts
133Gila County13.1+2.5 pts
133Martin County13.1-2.9 pts
133Matagorda County13.1+0.2 pts
133Newton County13.1+2.4 pts
139Angelina County13+2.4 pts
139Atascosa County13+1.8 pts
139Cameron County13+2.7 pts
139Cherokee County13+2.8 pts
139Ellis County13+3 pts
139Garfield County13+4.2 pts
139Knox County13+3.7 pts
139Major County13+0.7 pts
139Yakutat City and Borough13+0.9 pts
148Camp County12.9+1 pts
148Ellis County12.9+2.7 pts
148Scurry County12.9-0.7 pts
148Upton County12.9+0.1 pts
152Archer County12.8+1 pts
152Dickens County12.8+3.2 pts
152El Paso County12.8+1.9 pts
152Hopkins County12.8+0.6 pts
152Hunt County12.8+3.3 pts
152Lavaca County12.8+3.5 pts
152Refugio County12.8+1.1 pts
152San Augustine County12.8+2.2 pts
160Crosby County12.70 pts
160Esmeralda County12.7+1.7 pts
160Garza County12.7+1 pts
160Grimes County12.7+0.6 pts
160Walker County12.7+1.7 pts
160Wrangell City and Borough12.7-2 pts
166Callahan County12.6+1.9 pts
166Cottle County12.6+3 pts
166Hockley County12.6-0.9 pts
166Sterling County12.6+2.6 pts
170DeWitt County12.5+0.6 pts
170Millard County12.5+3.7 pts
170Real County12.5+1.4 pts
170Shackelford County12.5-1.5 pts
174Coleman County12.4+2.1 pts
174Harper County12.4+0.6 pts
174Robertson County12.4+1.2 pts
174San Patricio County12.4+2.6 pts
174Stephens County12.4+1.3 pts
179Falls County12.3+1.3 pts
179Grayson County12.3+0.6 pts
179Hidalgo County12.3-0.1 pts
179Karnes County12.3+0.8 pts
179Nolan County12.3+0.2 pts
179Parke County12.3+2.6 pts
179Perkins County12.3+2.8 pts
179Tyler County12.3+1.5 pts
179Val Verde County12.3+1.2 pts
188Alfalfa County12.2+1.4 pts
188Aransas County12.20 pts
188Fannin County12.2+3 pts
188Gregg County12.2+0.2 pts
188Hill County12.2+0.8 pts
188Maverick County12.2+1.2 pts
188Polk County12.2+1.7 pts
188Smith County12.2+2.2 pts
188Wilbarger County12.2+0.5 pts
197De Baca County12.1+6.5 pts
197Jasper County12.1+1 pts
197Kleberg County12.1+0.8 pts
197Lampasas County12.1-0.1 pts
197San Jacinto County12.1+2.2 pts
197Wayne County12.1-0.1 pts
203Dixie County12+4.1 pts
203Harmon County12+1.9 pts
203Sanders County12+1.2 pts
206Cooke County11.9+0.7 pts
206Lincoln County11.90 pts
206Sabine County11.9-1 pts
209Golden Valley County11.8+4.9 pts
209Jefferson County11.8+0.8 pts
209Johnson County11.8+1.5 pts
209Loving County11.8+11.8 pts
209Panola County11.8+0.3 pts
209Prince of Wales-Hyder Census Area11.8+1 pts
209Tripp County11.8+1.7 pts
209Waller County11.8+1.3 pts
217Boundary County11.7+3.5 pts
217Duval County11.7+1.9 pts
217Jefferson County11.7+1.4 pts
217Jim Wells County11.7+1.9 pts
217Rich County11.7+3.6 pts
217Starr County11.7+1.1 pts
223Adams County11.6-2.5 pts
223Goliad County11.6+1.7 pts
223Granite County11.6+1.1 pts
223Howard County11.6+0.4 pts
223Moniteau County11.6-4.5 pts
223Montgomery County11.6+2.8 pts
223Sanborn County11.6+3.5 pts
230Hudspeth County11.5+3.8 pts
230Kaufman County11.5-1.1 pts
230Limestone County11.5+0.9 pts
230Parker County11.5+0.4 pts
234Childress County11.4+1.9 pts
234Frio County11.4+0.4 pts
234Graham County11.4+3.8 pts
234Greenlee County11.4+2 pts
234Pinal County11.4+1.1 pts
234Victoria County11.4+0.6 pts
240Baylor County11.3-0.2 pts
240Concho County11.3+2.8 pts
240Franklin County11.3+2.6 pts
240Hanson County11.3+3.4 pts
240Hood County11.3+0.3 pts
240Jerome County11.3+2.4 pts
240Marion County11.3+2.2 pts
240Prairie County11.3+2.5 pts
240Tom Green County11.3-2 pts
249Bandera County11.20 pts
249Clark County11.2+4.2 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/us-counties?period=2023.
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-2023-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 39% in 2023, 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 2023.

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