Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024

Gaines County had the highest uninsured rate, under 65 (US model-based estimate) of 254 counties in 2024, at 38.5%. Loving County had the lowest, at 3.8%. The median was 19.5% and the figure for Texas was 19.1%. Source: the U.S. Census Bureau.

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Highest38.5Gaines County
Lowest3.8Loving County
Median19.5254 counties
Texas19.1History

Map of counties, 2024

Anderson County: 18.2 %Andrews County: 21.3 %Angelina County: 20.9 %Aransas County: 17.6 %Archer County: 16.9 %Armstrong County: 13.9 %Atascosa County: 18.6 %Austin County: 21 %Bailey County: 25.9 %Bandera County: 20 %Bastrop County: 23.2 %Baylor County: 17.7 %Bee County: 15.5 %Bell County: 15 %Bexar County: 18.1 %Blanco County: 17.4 %Borden County: 13.7 %Bosque County: 21.4 %Bowie County: 16 %Brazoria County: 15.2 %Brazos County: 17.3 %Brewster County: 18.5 %Briscoe County: 21 %Brooks County: 18.4 %Brown County: 18.2 %Burleson County: 21.4 %Burnet County: 22.7 %Caldwell County: 23.5 %Calhoun County: 18.3 %Callahan County: 17.5 %Cameron County: 26.6 %Camp County: 22.6 %Carson County: 12.9 %Cass County: 17.2 %Castro County: 23.7 %Chambers County: 14.3 %Cherokee County: 21.4 %Childress County: 12.5 %Clay County: 16.2 %Cochran County: 24.9 %Coke County: 17.3 %Coleman County: 19.7 %Collin County: 11 %Collingsworth County: 25.7 %Colorado County: 20.7 %Comal County: 12.5 %Comanche County: 25 %Concho County: 17.9 %Cooke County: 20.2 %Coryell County: 14.1 %Cottle County: 17.2 %Crane County: 20.3 %Crockett County: 26.8 %Crosby County: 22.2 %Culberson County: 15.9 %Dallam County: 26.4 %Dallas County: 24.2 %Dawson County: 22.2 %Deaf Smith County: 25.4 %Delta County: 14.9 %Denton County: 11.7 %DeWitt County: 18.5 %Dickens County: 19.8 %Dimmit County: 16.6 %Donley County: 22 %Duval County: 17.3 %Eastland County: 23 %Ector County: 24.4 %Edwards County: 27.2 %Ellis County: 16.1 %El Paso County: 23.7 %Erath County: 21.3 %Falls County: 18 %Fannin County: 18.9 %Fayette County: 19.3 %Fisher County: 14.8 %Floyd County: 24.1 %Foard County: 19.3 %Fort Bend County: 13 %Franklin County: 18.4 %Freestone County: 20.3 %Frio County: 22.3 %Gaines County: 38.5 %Galveston County: 15.4 %Garza County: 19.2 %Gillespie County: 21.9 %Glasscock County: 13 %Goliad County: 17.8 %Gonzales County: 25.5 %Gray County: 21.5 %Grayson County: 19 %Gregg County: 18.9 %Grimes County: 20.5 %Guadalupe County: 14.6 %Hale County: 22.6 %Hall County: 24.1 %Hamilton County: 23.3 %Hansford County: 25.7 %Hardeman County: 20.8 %Hardin County: 15 %Harris County: 22.8 %Harrison County: 17 %Hartley County: 18 %Haskell County: 23.1 %Hays County: 14.9 %Hemphill County: 19.2 %Henderson County: 19.5 %Hidalgo County: 26.7 %Hill County: 20.2 %Hockley County: 20 %Hood County: 16.3 %Hopkins County: 23 %Houston County: 20.1 %Howard County: 17.8 %Hudspeth County: 24.6 %Hunt County: 19.4 %Hutchinson County: 16.7 %Irion County: 15.8 %Jack County: 23.6 %Jackson County: 19.1 %Jasper County: 17.9 %Jeff Davis County: 15.5 %Jefferson County: 20.3 %Jim Hogg County: 20.2 %Jim Wells County: 20 %Johnson County: 19.6 %Jones County: 19.3 %Karnes County: 15.3 %Kaufman County: 18.7 %Kendall County: 15.2 %Kenedy County: 23.2 %Kent County: 12.9 %Kerr County: 19.6 %Kimble County: 24.5 %King County: 25.9 %Kinney County: 11.5 %Kleberg County: 17.9 %Knox County: 21.1 %Lamar County: 19.1 %Lamb County: 24 %Lampasas County: 18.5 %La Salle County: 21.2 %Lavaca County: 18.3 %Lee County: 24.1 %Leon County: 21.8 %Liberty County: 24.1 %Limestone County: 21.3 %Lipscomb County: 23.8 %Live Oak County: 22.5 %Llano County: 18.8 %Loving County: 3.8 %Lubbock County: 16.6 %Lynn County: 19 %McCulloch County: 21.9 %McLennan County: 18.3 %McMullen County: 14.7 %Madison County: 24.5 %Marion County: 17.9 %Martin County: 18.8 %Mason County: 25.6 %Matagorda County: 20.3 %Maverick County: 24.2 %Medina County: 16.5 %Menard County: 24.2 %Midland County: 17 %Milam County: 18.5 %Mills County: 18.8 %Mitchell County: 16.8 %Montague County: 22 %Montgomery County: 17.4 %Moore County: 28.5 %Morris County: 18.2 %Motley County: 18.7 %Nacogdoches County: 22.2 %Navarro County: 22.3 %Newton County: 21.4 %Nolan County: 17.4 %Nueces County: 19.1 %Ochiltree County: 27.6 %Oldham County: 15.2 %Orange County: 13.1 %Palo Pinto County: 21.5 %Panola County: 17.7 %Parker County: 16.3 %Parmer County: 27.2 %Pecos County: 19.8 %Polk County: 21 %Potter County: 23 %Presidio County: 29.6 %Rains County: 21.3 %Randall County: 14.8 %Reagan County: 15.4 %Real County: 22.5 %Red River County: 21.2 %Reeves County: 21.4 %Refugio County: 17.4 %Roberts County: 11.9 %Robertson County: 20.7 %Rockwall County: 11.6 %Runnels County: 19.5 %Rusk County: 18.3 %Sabine County: 18.6 %San Augustine County: 21 %San Jacinto County: 22.1 %San Patricio County: 18.3 %San Saba County: 26.8 %Schleicher County: 20 %Scurry County: 17.8 %Shackelford County: 16.9 %Shelby County: 24 %Sherman County: 23.9 %Smith County: 21 %Somervell County: 16.2 %Starr County: 27.1 %Stephens County: 20.7 %Sterling County: 12.5 %Stonewall County: 18.5 %Sutton County: 19.9 %Swisher County: 23.5 %Tarrant County: 18.9 %Taylor County: 16.2 %Terrell County: 11.3 %Terry County: 25.6 %Throckmorton County: 19.4 %Titus County: 25.1 %Tom Green County: 18.4 %Travis County: 14.6 %Trinity County: 18.7 %Tyler County: 19.8 %Upshur County: 17.5 %Upton County: 16.9 %Uvalde County: 22.3 %Val Verde County: 20.7 %Van Zandt County: 22 %Victoria County: 19.9 %Walker County: 19.6 %Waller County: 20.9 %Ward County: 18.5 %Washington County: 16.6 %Webb County: 26.2 %Wharton County: 20.8 %Wheeler County: 25.1 %Wichita County: 17.7 %Wilbarger County: 20.9 %Willacy County: 22.3 %Williamson County: 10.8 %Wilson County: 14.9 %Winkler County: 19.2 %Wise County: 19.8 %Wood County: 24 %Yoakum County: 22.8 %Young County: 18.4 %Zapata County: 26.8 %Zavala County: 17.1 %
  • Under 16
  • 16 to 18
  • 18 to 20
  • 20 to 21
  • 21 to 24
  • 24 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Gaines County: 38.5 %Gaines County38.5Presidio County: 29.6 %Presidio County29.6Moore County: 28.5 %Moore County28.5Ochiltree County: 27.6 %Ochiltree County27.6Edwards County: 27.2 %Edwards County27.2Parmer County: 27.2 %Parmer County27.2Starr County: 27.1 %Starr County27.1Crockett County: 26.8 %Crockett County26.8San Saba County: 26.8 %San Saba County26.8Zapata County: 26.8 %Zapata County26.8Hidalgo County: 26.7 %Hidalgo County26.7Cameron County: 26.6 %Cameron County26.6Dallam County: 26.4 %Dallam County26.4Webb County: 26.2 %Webb County26.2Bailey County: 25.9 %Bailey County25.9King County: 25.9 %King County25.9Collingsworth County: 25.7 %Collingsworth County25.7Hansford County: 25.7 %Hansford County25.7Mason County: 25.6 %Mason County25.6Terry County: 25.6 %Terry County25.6Gonzales County: 25.5 %Gonzales County25.5Deaf Smith County: 25.4 %Deaf Smith County25.4Titus County: 25.1 %Titus County25.1Wheeler County: 25.1 %Wheeler County25.1Comanche County: 25 %Comanche County25Cochran County: 24.9 %Cochran County24.9Hudspeth County: 24.6 %Hudspeth County24.6Kimble County: 24.5 %Kimble County24.5Madison County: 24.5 %Madison County24.5Ector County: 24.4 %Ector County24.4Dallas County: 24.2 %Dallas County24.2Maverick County: 24.2 %Maverick County24.2Menard County: 24.2 %Menard County24.2Floyd County: 24.1 %Floyd County24.1Hall County: 24.1 %Hall County24.1Lee County: 24.1 %Lee County24.1Liberty County: 24.1 %Liberty County24.1Lamb County: 24 %Lamb County24Shelby County: 24 %Shelby County24Wood County: 24 %Wood County24Gaines County: 38.5 %Gaines County38.5Presidio County: 29.6 %Presidio County29.6Moore County: 28.5 %Moore County28.5Ochiltree County: 27.6 %Ochiltree County27.6Edwards County: 27.2 %Edwards County27.2Parmer County: 27.2 %Parmer County27.2Starr County: 27.1 %Starr County27.1Crockett County: 26.8 %Crockett County26.8San Saba County: 26.8 %San Saba County26.8Zapata County: 26.8 %Zapata County26.8Hidalgo County: 26.7 %Hidalgo County26.7Cameron County: 26.6 %Cameron County26.6Dallam County: 26.4 %Dallam County26.4Webb County: 26.2 %Webb County26.2Bailey County: 25.9 %Bailey County25.9King County: 25.9 %King County25.9Collingsworth County: 25.7 %Collingsworth County25.7Hansford County: 25.7 %Hansford County25.7Mason County: 25.6 %Mason County25.6Terry County: 25.6 %Terry County25.6Gonzales County: 25.5 %Gonzales County25.5Deaf Smith County: 25.4 %Deaf Smith County25.4Titus County: 25.1 %Titus County25.1Wheeler County: 25.1 %Wheeler County25.1Comanche County: 25 %Comanche County25Cochran County: 24.9 %Cochran County24.9Hudspeth County: 24.6 %Hudspeth County24.6Kimble County: 24.5 %Kimble County24.5Madison County: 24.5 %Madison County24.5Ector County: 24.4 %Ector County24.4Dallas County: 24.2 %Dallas County24.2Maverick County: 24.2 %Maverick County24.2Menard County: 24.2 %Menard County24.2Floyd County: 24.1 %Floyd County24.1Hall County: 24.1 %Hall County24.1Lee County: 24.1 %Lee County24.1Liberty County: 24.1 %Liberty County24.1Lamb County: 24 %Lamb County24Shelby County: 24 %Shelby County24Wood County: 24 %Wood County24
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Gaines County38.5+5 pts
2Presidio County29.60 pts
3Moore County28.5+2.7 pts
4Ochiltree County27.6+0.5 pts
5Edwards County27.2-1.6 pts
5Parmer County27.2+0.6 pts
7Starr County27.1+2 pts
8Crockett County26.8+2.3 pts
8San Saba County26.8+1.2 pts
8Zapata County26.8+0.7 pts
11Hidalgo County26.7-0.8 pts
12Cameron County26.6+0.6 pts
13Dallam County26.4-0.4 pts
14Webb County26.2-2.5 pts
15Bailey County25.9-0.4 pts
15King County25.9+2.3 pts
17Collingsworth County25.7+3 pts
17Hansford County25.7-3.4 pts
19Mason County25.6+4.3 pts
19Terry County25.6+1.1 pts
21Gonzales County25.5+1.4 pts
22Deaf Smith County25.4+1.9 pts
23Titus County25.1+1.2 pts
23Wheeler County25.1-0.2 pts
25Comanche County25+1.7 pts
26Cochran County24.9-2.4 pts
27Hudspeth County24.6-1.1 pts
28Kimble County24.5+4.3 pts
28Madison County24.5+2 pts
30Ector County24.4+1.8 pts
31Dallas County24.2+0.9 pts
31Maverick County24.2+0.5 pts
31Menard County24.2+0.5 pts
34Floyd County24.1+1.2 pts
34Hall County24.1-1.2 pts
34Lee County24.1+3.3 pts
34Liberty County24.1+0.3 pts
38Lamb County24+0.7 pts
38Shelby County24+2.1 pts
38Wood County24+3.4 pts
41Sherman County23.9-2.8 pts
42Lipscomb County23.8+1.8 pts
43Castro County23.7+0.8 pts
43El Paso County23.7+0.3 pts
45Jack County23.6+1 pts
46Caldwell County23.5+1 pts
46Swisher County23.5+0.3 pts
48Hamilton County23.3+1.4 pts
49Bastrop County23.2+2 pts
49Kenedy County23.2-6 pts
51Haskell County23.1+1.1 pts
52Eastland County23+2.8 pts
52Hopkins County23+1.7 pts
52Potter County23-0.7 pts
55Harris County22.8+0.6 pts
55Yoakum County22.8-2.2 pts
57Burnet County22.7+2.1 pts
58Camp County22.6+1.8 pts
58Hale County22.6-1.2 pts
60Live Oak County22.5+1.6 pts
60Real County22.5+3.1 pts
62Frio County22.3+1.1 pts
62Navarro County22.3-0.6 pts
62Uvalde County22.3-0.7 pts
62Willacy County22.3+0.7 pts
66Crosby County22.2+1.9 pts
66Dawson County22.2-1.6 pts
66Nacogdoches County22.2+1.3 pts
69San Jacinto County22.1+1.6 pts
70Donley County22+1.2 pts
70Montague County22+1.8 pts
70Van Zandt County22+0.7 pts
73Gillespie County21.9+0.4 pts
73McCulloch County21.9+0.3 pts
75Leon County21.8+0.5 pts
76Gray County21.5-0.4 pts
76Palo Pinto County21.50 pts
78Bosque County21.4+1.9 pts
78Burleson County21.4+1.2 pts
78Cherokee County21.40 pts
78Newton County21.4+1.4 pts
78Reeves County21.4+0.1 pts
83Andrews County21.3-0.2 pts
83Erath County21.30 pts
83Limestone County21.3+2.1 pts
83Rains County21.3+0.8 pts
87La Salle County21.2-2.3 pts
87Red River County21.2+0.2 pts
89Knox County21.1-2.9 pts
90Austin County21+1.6 pts
90Briscoe County21+0.3 pts
90Polk County21+2 pts
90San Augustine County21+0.6 pts
90Smith County21+2 pts
95Angelina County20.9+1.5 pts
95Waller County20.9+0.6 pts
95Wilbarger County20.9+0.7 pts
98Hardeman County20.8+0.4 pts
98Wharton County20.8-0.1 pts
100Colorado County20.7-0.8 pts
100Robertson County20.7+2.4 pts
100Stephens County20.7+1.1 pts
100Val Verde County20.7+1.7 pts
104Grimes County20.5+0.5 pts
105Crane County20.3+0.3 pts
105Freestone County20.3-0.6 pts
105Jefferson County20.3-1.2 pts
105Matagorda County20.3-0.7 pts
109Cooke County20.2+0.4 pts
109Hill County20.2+0.2 pts
109Jim Hogg County20.2+0.6 pts
112Houston County20.1+0.2 pts
113Bandera County20+2.1 pts
113Hockley County20-0.4 pts
113Jim Wells County20+0.9 pts
113Schleicher County20-0.8 pts
117Sutton County19.9-1.9 pts
117Victoria County19.9+1.5 pts
119Dickens County19.8+1.9 pts
119Pecos County19.8-1.5 pts
119Tyler County19.8+1.1 pts
119Wise County19.8+1.9 pts
123Coleman County19.7-0.1 pts
124Johnson County19.6+1.5 pts
124Kerr County19.6-1.1 pts
124Walker County19.6+1 pts
127Henderson County19.5-0.6 pts
127Runnels County19.5-0.8 pts
129Hunt County19.4-0.3 pts
129Throckmorton County19.40 pts
131Fayette County19.3+0.9 pts
131Foard County19.3-0.8 pts
131Jones County19.3+0.7 pts
134Garza County19.2+0.8 pts
134Hemphill County19.2+0.8 pts
134Winkler County19.20 pts
137Jackson County19.1-1.2 pts
137Lamar County19.1+0.9 pts
137Nueces County19.1+0.7 pts
140Grayson County19+0.3 pts
140Lynn County19+3.5 pts
142Fannin County18.9+1.1 pts
142Gregg County18.9-0.9 pts
142Tarrant County18.9+1.3 pts
145Llano County18.8+0.1 pts
145Martin County18.8+2.1 pts
145Mills County18.8-1.1 pts
148Kaufman County18.7+1.2 pts
148Motley County18.7+2.6 pts
148Trinity County18.7+0.4 pts
151Atascosa County18.6-0.1 pts
151Sabine County18.6+0.4 pts
153Brewster County18.5-1.2 pts
153DeWitt County18.5+1.2 pts
153Lampasas County18.5-0.2 pts
153Milam County18.50 pts
153Stonewall County18.5+0.5 pts
153Ward County18.5-1.7 pts
159Brooks County18.4+0.5 pts
159Franklin County18.4+2.2 pts
159Tom Green County18.4+0.4 pts
159Young County18.4-2.3 pts
163Calhoun County18.3+1.1 pts
163Lavaca County18.3+0.8 pts
163McLennan County18.3+1.1 pts
163Rusk County18.3+0.5 pts
163San Patricio County18.30 pts
168Anderson County18.2-0.6 pts
168Brown County18.2+1 pts
168Morris County18.2+0.6 pts
171Bexar County18.1+1.2 pts
172Falls County18-0.4 pts
172Hartley County18+3.1 pts
174Concho County17.9+3.1 pts
174Jasper County17.9+1.6 pts
174Kleberg County17.9-0.9 pts
174Marion County17.90 pts
178Goliad County17.8+0.1 pts
178Howard County17.8+0.6 pts
178Scurry County17.8-0.7 pts
181Baylor County17.7+2 pts
181Panola County17.7+0.1 pts
181Wichita County17.7+0.9 pts
184Aransas County17.60 pts
185Callahan County17.5+1.5 pts
185Upshur County17.5+1.8 pts
187Blanco County17.4-1.4 pts
187Montgomery County17.4-0.2 pts
187Nolan County17.4-0.3 pts
187Refugio County17.4-0.4 pts
191Brazos County17.3+0.7 pts
191Coke County17.3-0.1 pts
191Duval County17.3+0.4 pts
194Cass County17.2+1.2 pts
194Cottle County17.2+0.6 pts
196Zavala County17.1-0.5 pts
197Harrison County17+1.4 pts
197Midland County17+1.6 pts
199Archer County16.9+0.4 pts
199Shackelford County16.9+0.6 pts
199Upton County16.9-1.2 pts
202Mitchell County16.8+1.9 pts
203Hutchinson County16.7+0.5 pts
204Dimmit County16.6-0.7 pts
204Lubbock County16.6+0.9 pts
204Washington County16.6-1.1 pts
207Medina County16.5-0.3 pts
208Hood County16.3+0.1 pts
208Parker County16.3+1 pts
210Clay County16.2+1.3 pts
210Somervell County16.2+1.5 pts
210Taylor County16.2+0.4 pts
213Ellis County16.1-0.2 pts
214Bowie County16+1.8 pts
215Culberson County15.9-0.5 pts
216Irion County15.8-1.7 pts
217Bee County15.5+1 pts
217Jeff Davis County15.5+2.2 pts
219Galveston County15.4-0.4 pts
219Reagan County15.4-2.6 pts
221Karnes County15.3-2.5 pts
222Brazoria County15.2+0.9 pts
222Kendall County15.2+0.2 pts
222Oldham County15.2-2.3 pts
225Bell County150 pts
225Hardin County15+0.4 pts
227Delta County14.9+1.4 pts
227Hays County14.9+0.9 pts
227Wilson County14.9+1.7 pts
230Fisher County14.8-0.7 pts
230Randall County14.8+1.2 pts
232McMullen County14.7-2.4 pts
233Guadalupe County14.6+1.6 pts
233Travis County14.6+1.5 pts
235Chambers County14.3+1 pts
236Coryell County14.1+0.9 pts
237Armstrong County13.9+5.5 pts
238Borden County13.7+2.2 pts
239Orange County13.1-2 pts
240Fort Bend County13-0.2 pts
240Glasscock County13-0.3 pts
242Carson County12.9-0.2 pts
242Kent County12.9+3.3 pts
244Childress County12.5-5.2 pts
244Comal County12.5+0.1 pts
244Sterling County12.5-3.5 pts
247Roberts County11.9-2 pts
248Denton County11.7-0.3 pts
249Rockwall County11.6+0.2 pts
250Kinney County11.5-1 pts

Showing the top 250 of 254. The Excel download has every row.

Other periods

About this ranking

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. 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. People 65 and over are left out because nearly all of them have Medicare.

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 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 65, all races, both sexes, all income levels, states and counties (Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Texas by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=province&within=Texas&limit=10

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Questions

Which county has the highest uninsured rate, under 65 (US model-based estimate)?

Gaines County, with 38.5% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 65 (US model-based estimate)?

Loving County, with 3.8% in 2024.

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 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 65 (US model-based estimate): other rankings

Counties in Texas: more rankings