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.
Map of counties, 2024
- Under 16
- 16 to 18
- 18 to 20
- 20 to 21
- 21 to 24
- 24 and over
Top 40 counties, 2024
Full ranking
| Rank | Counties | 2024 (%) | Change on 2023 |
|---|---|---|---|
| 1 | Gaines County | 38.5 | +5 pts |
| 2 | Presidio County | 29.6 | 0 pts |
| 3 | Moore County | 28.5 | +2.7 pts |
| 4 | Ochiltree County | 27.6 | +0.5 pts |
| 5 | Edwards County | 27.2 | -1.6 pts |
| 5 | Parmer County | 27.2 | +0.6 pts |
| 7 | Starr County | 27.1 | +2 pts |
| 8 | Crockett County | 26.8 | +2.3 pts |
| 8 | San Saba County | 26.8 | +1.2 pts |
| 8 | Zapata County | 26.8 | +0.7 pts |
| 11 | Hidalgo County | 26.7 | -0.8 pts |
| 12 | Cameron County | 26.6 | +0.6 pts |
| 13 | Dallam County | 26.4 | -0.4 pts |
| 14 | Webb County | 26.2 | -2.5 pts |
| 15 | Bailey County | 25.9 | -0.4 pts |
| 15 | King County | 25.9 | +2.3 pts |
| 17 | Collingsworth County | 25.7 | +3 pts |
| 17 | Hansford County | 25.7 | -3.4 pts |
| 19 | Mason County | 25.6 | +4.3 pts |
| 19 | Terry County | 25.6 | +1.1 pts |
| 21 | Gonzales County | 25.5 | +1.4 pts |
| 22 | Deaf Smith County | 25.4 | +1.9 pts |
| 23 | Titus County | 25.1 | +1.2 pts |
| 23 | Wheeler County | 25.1 | -0.2 pts |
| 25 | Comanche County | 25 | +1.7 pts |
| 26 | Cochran County | 24.9 | -2.4 pts |
| 27 | Hudspeth County | 24.6 | -1.1 pts |
| 28 | Kimble County | 24.5 | +4.3 pts |
| 28 | Madison County | 24.5 | +2 pts |
| 30 | Ector County | 24.4 | +1.8 pts |
| 31 | Dallas County | 24.2 | +0.9 pts |
| 31 | Maverick County | 24.2 | +0.5 pts |
| 31 | Menard County | 24.2 | +0.5 pts |
| 34 | Floyd County | 24.1 | +1.2 pts |
| 34 | Hall County | 24.1 | -1.2 pts |
| 34 | Lee County | 24.1 | +3.3 pts |
| 34 | Liberty County | 24.1 | +0.3 pts |
| 38 | Lamb County | 24 | +0.7 pts |
| 38 | Shelby County | 24 | +2.1 pts |
| 38 | Wood County | 24 | +3.4 pts |
| 41 | Sherman County | 23.9 | -2.8 pts |
| 42 | Lipscomb County | 23.8 | +1.8 pts |
| 43 | Castro County | 23.7 | +0.8 pts |
| 43 | El Paso County | 23.7 | +0.3 pts |
| 45 | Jack County | 23.6 | +1 pts |
| 46 | Caldwell County | 23.5 | +1 pts |
| 46 | Swisher County | 23.5 | +0.3 pts |
| 48 | Hamilton County | 23.3 | +1.4 pts |
| 49 | Bastrop County | 23.2 | +2 pts |
| 49 | Kenedy County | 23.2 | -6 pts |
| 51 | Haskell County | 23.1 | +1.1 pts |
| 52 | Eastland County | 23 | +2.8 pts |
| 52 | Hopkins County | 23 | +1.7 pts |
| 52 | Potter County | 23 | -0.7 pts |
| 55 | Harris County | 22.8 | +0.6 pts |
| 55 | Yoakum County | 22.8 | -2.2 pts |
| 57 | Burnet County | 22.7 | +2.1 pts |
| 58 | Camp County | 22.6 | +1.8 pts |
| 58 | Hale County | 22.6 | -1.2 pts |
| 60 | Live Oak County | 22.5 | +1.6 pts |
| 60 | Real County | 22.5 | +3.1 pts |
| 62 | Frio County | 22.3 | +1.1 pts |
| 62 | Navarro County | 22.3 | -0.6 pts |
| 62 | Uvalde County | 22.3 | -0.7 pts |
| 62 | Willacy County | 22.3 | +0.7 pts |
| 66 | Crosby County | 22.2 | +1.9 pts |
| 66 | Dawson County | 22.2 | -1.6 pts |
| 66 | Nacogdoches County | 22.2 | +1.3 pts |
| 69 | San Jacinto County | 22.1 | +1.6 pts |
| 70 | Donley County | 22 | +1.2 pts |
| 70 | Montague County | 22 | +1.8 pts |
| 70 | Van Zandt County | 22 | +0.7 pts |
| 73 | Gillespie County | 21.9 | +0.4 pts |
| 73 | McCulloch County | 21.9 | +0.3 pts |
| 75 | Leon County | 21.8 | +0.5 pts |
| 76 | Gray County | 21.5 | -0.4 pts |
| 76 | Palo Pinto County | 21.5 | 0 pts |
| 78 | Bosque County | 21.4 | +1.9 pts |
| 78 | Burleson County | 21.4 | +1.2 pts |
| 78 | Cherokee County | 21.4 | 0 pts |
| 78 | Newton County | 21.4 | +1.4 pts |
| 78 | Reeves County | 21.4 | +0.1 pts |
| 83 | Andrews County | 21.3 | -0.2 pts |
| 83 | Erath County | 21.3 | 0 pts |
| 83 | Limestone County | 21.3 | +2.1 pts |
| 83 | Rains County | 21.3 | +0.8 pts |
| 87 | La Salle County | 21.2 | -2.3 pts |
| 87 | Red River County | 21.2 | +0.2 pts |
| 89 | Knox County | 21.1 | -2.9 pts |
| 90 | Austin County | 21 | +1.6 pts |
| 90 | Briscoe County | 21 | +0.3 pts |
| 90 | Polk County | 21 | +2 pts |
| 90 | San Augustine County | 21 | +0.6 pts |
| 90 | Smith County | 21 | +2 pts |
| 95 | Angelina County | 20.9 | +1.5 pts |
| 95 | Waller County | 20.9 | +0.6 pts |
| 95 | Wilbarger County | 20.9 | +0.7 pts |
| 98 | Hardeman County | 20.8 | +0.4 pts |
| 98 | Wharton County | 20.8 | -0.1 pts |
| 100 | Colorado County | 20.7 | -0.8 pts |
| 100 | Robertson County | 20.7 | +2.4 pts |
| 100 | Stephens County | 20.7 | +1.1 pts |
| 100 | Val Verde County | 20.7 | +1.7 pts |
| 104 | Grimes County | 20.5 | +0.5 pts |
| 105 | Crane County | 20.3 | +0.3 pts |
| 105 | Freestone County | 20.3 | -0.6 pts |
| 105 | Jefferson County | 20.3 | -1.2 pts |
| 105 | Matagorda County | 20.3 | -0.7 pts |
| 109 | Cooke County | 20.2 | +0.4 pts |
| 109 | Hill County | 20.2 | +0.2 pts |
| 109 | Jim Hogg County | 20.2 | +0.6 pts |
| 112 | Houston County | 20.1 | +0.2 pts |
| 113 | Bandera County | 20 | +2.1 pts |
| 113 | Hockley County | 20 | -0.4 pts |
| 113 | Jim Wells County | 20 | +0.9 pts |
| 113 | Schleicher County | 20 | -0.8 pts |
| 117 | Sutton County | 19.9 | -1.9 pts |
| 117 | Victoria County | 19.9 | +1.5 pts |
| 119 | Dickens County | 19.8 | +1.9 pts |
| 119 | Pecos County | 19.8 | -1.5 pts |
| 119 | Tyler County | 19.8 | +1.1 pts |
| 119 | Wise County | 19.8 | +1.9 pts |
| 123 | Coleman County | 19.7 | -0.1 pts |
| 124 | Johnson County | 19.6 | +1.5 pts |
| 124 | Kerr County | 19.6 | -1.1 pts |
| 124 | Walker County | 19.6 | +1 pts |
| 127 | Henderson County | 19.5 | -0.6 pts |
| 127 | Runnels County | 19.5 | -0.8 pts |
| 129 | Hunt County | 19.4 | -0.3 pts |
| 129 | Throckmorton County | 19.4 | 0 pts |
| 131 | Fayette County | 19.3 | +0.9 pts |
| 131 | Foard County | 19.3 | -0.8 pts |
| 131 | Jones County | 19.3 | +0.7 pts |
| 134 | Garza County | 19.2 | +0.8 pts |
| 134 | Hemphill County | 19.2 | +0.8 pts |
| 134 | Winkler County | 19.2 | 0 pts |
| 137 | Jackson County | 19.1 | -1.2 pts |
| 137 | Lamar County | 19.1 | +0.9 pts |
| 137 | Nueces County | 19.1 | +0.7 pts |
| 140 | Grayson County | 19 | +0.3 pts |
| 140 | Lynn County | 19 | +3.5 pts |
| 142 | Fannin County | 18.9 | +1.1 pts |
| 142 | Gregg County | 18.9 | -0.9 pts |
| 142 | Tarrant County | 18.9 | +1.3 pts |
| 145 | Llano County | 18.8 | +0.1 pts |
| 145 | Martin County | 18.8 | +2.1 pts |
| 145 | Mills County | 18.8 | -1.1 pts |
| 148 | Kaufman County | 18.7 | +1.2 pts |
| 148 | Motley County | 18.7 | +2.6 pts |
| 148 | Trinity County | 18.7 | +0.4 pts |
| 151 | Atascosa County | 18.6 | -0.1 pts |
| 151 | Sabine County | 18.6 | +0.4 pts |
| 153 | Brewster County | 18.5 | -1.2 pts |
| 153 | DeWitt County | 18.5 | +1.2 pts |
| 153 | Lampasas County | 18.5 | -0.2 pts |
| 153 | Milam County | 18.5 | 0 pts |
| 153 | Stonewall County | 18.5 | +0.5 pts |
| 153 | Ward County | 18.5 | -1.7 pts |
| 159 | Brooks County | 18.4 | +0.5 pts |
| 159 | Franklin County | 18.4 | +2.2 pts |
| 159 | Tom Green County | 18.4 | +0.4 pts |
| 159 | Young County | 18.4 | -2.3 pts |
| 163 | Calhoun County | 18.3 | +1.1 pts |
| 163 | Lavaca County | 18.3 | +0.8 pts |
| 163 | McLennan County | 18.3 | +1.1 pts |
| 163 | Rusk County | 18.3 | +0.5 pts |
| 163 | San Patricio County | 18.3 | 0 pts |
| 168 | Anderson County | 18.2 | -0.6 pts |
| 168 | Brown County | 18.2 | +1 pts |
| 168 | Morris County | 18.2 | +0.6 pts |
| 171 | Bexar County | 18.1 | +1.2 pts |
| 172 | Falls County | 18 | -0.4 pts |
| 172 | Hartley County | 18 | +3.1 pts |
| 174 | Concho County | 17.9 | +3.1 pts |
| 174 | Jasper County | 17.9 | +1.6 pts |
| 174 | Kleberg County | 17.9 | -0.9 pts |
| 174 | Marion County | 17.9 | 0 pts |
| 178 | Goliad County | 17.8 | +0.1 pts |
| 178 | Howard County | 17.8 | +0.6 pts |
| 178 | Scurry County | 17.8 | -0.7 pts |
| 181 | Baylor County | 17.7 | +2 pts |
| 181 | Panola County | 17.7 | +0.1 pts |
| 181 | Wichita County | 17.7 | +0.9 pts |
| 184 | Aransas County | 17.6 | 0 pts |
| 185 | Callahan County | 17.5 | +1.5 pts |
| 185 | Upshur County | 17.5 | +1.8 pts |
| 187 | Blanco County | 17.4 | -1.4 pts |
| 187 | Montgomery County | 17.4 | -0.2 pts |
| 187 | Nolan County | 17.4 | -0.3 pts |
| 187 | Refugio County | 17.4 | -0.4 pts |
| 191 | Brazos County | 17.3 | +0.7 pts |
| 191 | Coke County | 17.3 | -0.1 pts |
| 191 | Duval County | 17.3 | +0.4 pts |
| 194 | Cass County | 17.2 | +1.2 pts |
| 194 | Cottle County | 17.2 | +0.6 pts |
| 196 | Zavala County | 17.1 | -0.5 pts |
| 197 | Harrison County | 17 | +1.4 pts |
| 197 | Midland County | 17 | +1.6 pts |
| 199 | Archer County | 16.9 | +0.4 pts |
| 199 | Shackelford County | 16.9 | +0.6 pts |
| 199 | Upton County | 16.9 | -1.2 pts |
| 202 | Mitchell County | 16.8 | +1.9 pts |
| 203 | Hutchinson County | 16.7 | +0.5 pts |
| 204 | Dimmit County | 16.6 | -0.7 pts |
| 204 | Lubbock County | 16.6 | +0.9 pts |
| 204 | Washington County | 16.6 | -1.1 pts |
| 207 | Medina County | 16.5 | -0.3 pts |
| 208 | Hood County | 16.3 | +0.1 pts |
| 208 | Parker County | 16.3 | +1 pts |
| 210 | Clay County | 16.2 | +1.3 pts |
| 210 | Somervell County | 16.2 | +1.5 pts |
| 210 | Taylor County | 16.2 | +0.4 pts |
| 213 | Ellis County | 16.1 | -0.2 pts |
| 214 | Bowie County | 16 | +1.8 pts |
| 215 | Culberson County | 15.9 | -0.5 pts |
| 216 | Irion County | 15.8 | -1.7 pts |
| 217 | Bee County | 15.5 | +1 pts |
| 217 | Jeff Davis County | 15.5 | +2.2 pts |
| 219 | Galveston County | 15.4 | -0.4 pts |
| 219 | Reagan County | 15.4 | -2.6 pts |
| 221 | Karnes County | 15.3 | -2.5 pts |
| 222 | Brazoria County | 15.2 | +0.9 pts |
| 222 | Kendall County | 15.2 | +0.2 pts |
| 222 | Oldham County | 15.2 | -2.3 pts |
| 225 | Bell County | 15 | 0 pts |
| 225 | Hardin County | 15 | +0.4 pts |
| 227 | Delta County | 14.9 | +1.4 pts |
| 227 | Hays County | 14.9 | +0.9 pts |
| 227 | Wilson County | 14.9 | +1.7 pts |
| 230 | Fisher County | 14.8 | -0.7 pts |
| 230 | Randall County | 14.8 | +1.2 pts |
| 232 | McMullen County | 14.7 | -2.4 pts |
| 233 | Guadalupe County | 14.6 | +1.6 pts |
| 233 | Travis County | 14.6 | +1.5 pts |
| 235 | Chambers County | 14.3 | +1 pts |
| 236 | Coryell County | 14.1 | +0.9 pts |
| 237 | Armstrong County | 13.9 | +5.5 pts |
| 238 | Borden County | 13.7 | +2.2 pts |
| 239 | Orange County | 13.1 | -2 pts |
| 240 | Fort Bend County | 13 | -0.2 pts |
| 240 | Glasscock County | 13 | -0.3 pts |
| 242 | Carson County | 12.9 | -0.2 pts |
| 242 | Kent County | 12.9 | +3.3 pts |
| 244 | Childress County | 12.5 | -5.2 pts |
| 244 | Comal County | 12.5 | +0.1 pts |
| 244 | Sterling County | 12.5 | -3.5 pts |
| 247 | Roberts County | 11.9 | -2 pts |
| 248 | Denton County | 11.7 | -0.3 pts |
| 249 | Rockwall County | 11.6 | +0.2 pts |
| 250 | Kinney County | 11.5 | -1 pts |
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
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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
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
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.