Counties in Washington by uninsured rate, under 19 (US model-based estimate)

San Juan County had the highest uninsured rate, under 19 (US model-based estimate) of 39 counties in 2019, at 6.4%. Spokane County had the lowest, at 2.4%. The median was 4% and the figure for Washington was 3.1%. Source: the U.S. Census Bureau.

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Highest6.4San Juan County
Median439 counties
Washington3.1History

Map of counties, 2019

Adams County: 4.5 %Asotin County: 2.7 %Benton County: 3.2 %Chelan County: 4.2 %Clallam County: 4 %Clark County: 2.6 %Columbia County: 3.4 %Cowlitz County: 3 %Douglas County: 4.2 %Ferry County: 5.6 %Franklin County: 4.5 %Garfield County: 3.9 %Grant County: 4.3 %Grays Harbor County: 3.6 %Island County: 3.2 %Jefferson County: 4.1 %King County: 2.8 %Kitsap County: 2.8 %Kittitas County: 3.2 %Klickitat County: 4.6 %Lewis County: 3.5 %Lincoln County: 4.2 %Mason County: 4.6 %Okanogan County: 5.5 %Pacific County: 4.6 %Pend Oreille County: 4.1 %Pierce County: 2.7 %San Juan County: 6.4 %Skagit County: 4.1 %Skamania County: 4 %Snohomish County: 3.2 %Spokane County: 2.4 %Stevens County: 4.4 %Thurston County: 2.7 %Wahkiakum County: 4.3 %Walla Walla County: 3.8 %Whatcom County: 3.6 %Whitman County: 3.4 %Yakima County: 4.9 %
  • Under 2.9
  • 2.9 to 3.4
  • 3.4 to 4
  • 4 to 4.2
  • 4.2 to 4.6
  • 4.6 and over
%, 2019. 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.

All counties, 2019

San Juan County: 6.4 %San Juan County6.4Ferry County: 5.6 %Ferry County5.6Okanogan County: 5.5 %Okanogan County5.5Yakima County: 4.9 %Yakima County4.9Klickitat County: 4.6 %Klickitat County4.6Mason County: 4.6 %Mason County4.6Pacific County: 4.6 %Pacific County4.6Adams County: 4.5 %Adams County4.5Franklin County: 4.5 %Franklin County4.5Stevens County: 4.4 %Stevens County4.4Grant County: 4.3 %Grant County4.3Wahkiakum County: 4.3 %Wahkiakum County4.3Chelan County: 4.2 %Chelan County4.2Douglas County: 4.2 %Douglas County4.2Lincoln County: 4.2 %Lincoln County4.2Jefferson County: 4.1 %Jefferson County4.1Pend Oreille County: 4.1 %Pend Oreille County4.1Skagit County: 4.1 %Skagit County4.1Clallam County: 4 %Clallam County4Skamania County: 4 %Skamania County4Garfield County: 3.9 %Garfield County3.9Walla Walla County: 3.8 %Walla Walla County3.8Grays Harbor County: 3.6 %Grays Harbor County3.6Whatcom County: 3.6 %Whatcom County3.6Lewis County: 3.5 %Lewis County3.5Columbia County: 3.4 %Columbia County3.4Whitman County: 3.4 %Whitman County3.4Benton County: 3.2 %Benton County3.2Island County: 3.2 %Island County3.2Kittitas County: 3.2 %Kittitas County3.2Snohomish County: 3.2 %Snohomish County3.2Cowlitz County: 3 %Cowlitz County3King County: 2.8 %King County2.8Kitsap County: 2.8 %Kitsap County2.8Asotin County: 2.7 %Asotin County2.7Pierce County: 2.7 %Pierce County2.7Thurston County: 2.7 %Thurston County2.7Clark County: 2.6 %Clark County2.6Spokane County: 2.4 %Spokane County2.4San Juan County: 6.4 %San Juan County6.4Ferry County: 5.6 %Ferry County5.6Okanogan County: 5.5 %Okanogan County5.5Yakima County: 4.9 %Yakima County4.9Klickitat County: 4.6 %Klickitat County4.6Mason County: 4.6 %Mason County4.6Pacific County: 4.6 %Pacific County4.6Adams County: 4.5 %Adams County4.5Franklin County: 4.5 %Franklin County4.5Stevens County: 4.4 %Stevens County4.4Grant County: 4.3 %Grant County4.3Wahkiakum County: 4.3 %Wahkiakum County4.3Chelan County: 4.2 %Chelan County4.2Douglas County: 4.2 %Douglas County4.2Lincoln County: 4.2 %Lincoln County4.2Jefferson County: 4.1 %Jefferson County4.1Pend Oreille County: 4.1 %Pend Oreille County4.1Skagit County: 4.1 %Skagit County4.1Clallam County: 4 %Clallam County4Skamania County: 4 %Skamania County4Garfield County: 3.9 %Garfield County3.9Walla Walla County: 3.8 %Walla Walla County3.8Grays Harbor County: 3.6 %Grays Harbor County3.6Whatcom County: 3.6 %Whatcom County3.6Lewis County: 3.5 %Lewis County3.5Columbia County: 3.4 %Columbia County3.4Whitman County: 3.4 %Whitman County3.4Benton County: 3.2 %Benton County3.2Island County: 3.2 %Island County3.2Kittitas County: 3.2 %Kittitas County3.2Snohomish County: 3.2 %Snohomish County3.2Cowlitz County: 3 %Cowlitz County3King County: 2.8 %King County2.8Kitsap County: 2.8 %Kitsap County2.8Asotin County: 2.7 %Asotin County2.7Pierce County: 2.7 %Pierce County2.7Thurston County: 2.7 %Thurston County2.7Clark County: 2.6 %Clark County2.6Spokane County: 2.4 %Spokane County2.4
%. 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
1San Juan County6.4+1.3 pts
2Ferry County5.6+1.4 pts
3Okanogan County5.5+0.6 pts
4Yakima County4.9+0.5 pts
5Klickitat County4.6+0.4 pts
5Mason County4.6+0.6 pts
5Pacific County4.6+0.6 pts
8Adams County4.5+0.4 pts
8Franklin County4.5+0.6 pts
10Stevens County4.4-0.1 pts
11Grant County4.3+0.5 pts
11Wahkiakum County4.30 pts
13Chelan County4.2+0.4 pts
13Douglas County4.2+0.6 pts
13Lincoln County4.2+0.4 pts
16Jefferson County4.1-0.1 pts
16Pend Oreille County4.1+0.1 pts
16Skagit County4.1+0.7 pts
19Clallam County4-0.1 pts
19Skamania County4+0.4 pts
21Garfield County3.9+1.4 pts
22Walla Walla County3.8+0.7 pts
23Grays Harbor County3.6+0.2 pts
23Whatcom County3.6+0.1 pts
25Lewis County3.5+0.4 pts
26Columbia County3.4+0.3 pts
26Whitman County3.4+0.7 pts
28Benton County3.2+0.7 pts
28Island County3.2+0.5 pts
28Kittitas County3.2+0.1 pts
28Snohomish County3.2+0.1 pts
32Cowlitz County3+0.4 pts
33King County2.8+0.6 pts
33Kitsap County2.8+0.1 pts
35Asotin County2.7+0.2 pts
35Pierce County2.7+0.1 pts
35Thurston County2.7+0.1 pts
38Clark County2.60 pts
39Spokane County2.4+0.1 pts

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-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 (Counties in Washington 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, Counties in Washington 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/washington-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. Counties in Washington 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/washington-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, Counties in Washington 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/washington-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_by_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: Counties in Washington 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/washington-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: Counties in Washington 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/washington-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-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)?

San Juan County, with 6.4% in 2019, according to the U.S. Census Bureau.

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

Spokane County, with 2.4% 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.

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

Counties in Washington: more rankings