Counties in Texas by uninsured rate, under 65 (US model-based estimate)
Gaines County had the highest uninsured rate, under 65 (US model-based estimate) of 254 counties in 2017, at 33.7%. Williamson County had the lowest, at 11.4%. The median was 21.2% and the figure for Texas was 19.4%. Source: the U.S. Census Bureau.
Map of counties, 2017
- Under 18
- 18 to 20
- 20 to 21
- 21 to 22
- 22 to 25
- 25 and over
Top 40 counties, 2017
Full ranking
| Rank | Counties | 2017 (%) | Change on 2016 |
|---|---|---|---|
| 1 | Gaines County | 33.7 | +2.8 pts |
| 2 | Collingsworth County | 32.7 | +3 pts |
| 3 | Briscoe County | 31.4 | +0.3 pts |
| 4 | Hidalgo County | 31.2 | +1.5 pts |
| 5 | Dallam County | 30.5 | +4.5 pts |
| 6 | Sherman County | 29.6 | +2 pts |
| 7 | Lipscomb County | 29.5 | +5.1 pts |
| 8 | Jeff Davis County | 29.4 | +0.5 pts |
| 9 | Zapata County | 29.2 | +0.3 pts |
| 10 | Cameron County | 29 | -0.5 pts |
| 10 | Presidio County | 29 | +0.1 pts |
| 12 | Castro County | 28.9 | +1.3 pts |
| 12 | San Saba County | 28.9 | +2.5 pts |
| 12 | Starr County | 28.9 | +0.7 pts |
| 15 | Parmer County | 28.7 | +3.6 pts |
| 16 | Ochiltree County | 28.6 | +2 pts |
| 16 | Webb County | 28.6 | +1.1 pts |
| 18 | Cochran County | 28.5 | +0.1 pts |
| 18 | Hudspeth County | 28.5 | -2.5 pts |
| 20 | Mason County | 28.1 | +1.4 pts |
| 21 | Moore County | 27.7 | +1.9 pts |
| 21 | Terrell County | 27.7 | +6.1 pts |
| 23 | Cottle County | 27.4 | +1.1 pts |
| 24 | Bailey County | 27.3 | +0.9 pts |
| 24 | Throckmorton County | 27.3 | +6.3 pts |
| 26 | Hall County | 27 | -2.5 pts |
| 26 | Maverick County | 27 | -0.5 pts |
| 28 | Hardeman County | 26.7 | +2.5 pts |
| 29 | Hansford County | 26.4 | -0.3 pts |
| 30 | Culberson County | 26.1 | +0.8 pts |
| 30 | Stephens County | 26.1 | +3.3 pts |
| 32 | Mills County | 25.8 | +1.8 pts |
| 33 | Menard County | 25.6 | -0.7 pts |
| 33 | Schleicher County | 25.6 | +2.9 pts |
| 35 | Haskell County | 25.3 | +3 pts |
| 36 | Comanche County | 25.2 | +0.7 pts |
| 36 | Deaf Smith County | 25.2 | +1.2 pts |
| 36 | Titus County | 25.2 | +0.9 pts |
| 39 | Lamb County | 25.1 | +0.8 pts |
| 40 | Gonzales County | 25 | +0.1 pts |
| 40 | Knox County | 25 | +2.5 pts |
| 42 | Garza County | 24.9 | +2.6 pts |
| 43 | Wheeler County | 24.8 | +3.5 pts |
| 44 | Leon County | 24.7 | +2.2 pts |
| 45 | Edwards County | 24.6 | +0.1 pts |
| 45 | Shelby County | 24.6 | -0.6 pts |
| 47 | Dickens County | 24.5 | +0.5 pts |
| 47 | Foard County | 24.5 | +0.4 pts |
| 47 | Terry County | 24.5 | +0.3 pts |
| 50 | Jack County | 24.4 | +3.5 pts |
| 51 | Hamilton County | 24.3 | +1.4 pts |
| 52 | Yoakum County | 24.2 | +0.6 pts |
| 53 | King County | 24.1 | +3.8 pts |
| 53 | Waller County | 24.1 | +0.2 pts |
| 55 | Hemphill County | 24 | +3.7 pts |
| 56 | Gray County | 23.9 | +1.5 pts |
| 57 | Gillespie County | 23.8 | +0.2 pts |
| 58 | Floyd County | 23.6 | +0.8 pts |
| 58 | Montague County | 23.6 | +2.1 pts |
| 60 | Potter County | 23.5 | +0.4 pts |
| 61 | Erath County | 23.4 | +1.6 pts |
| 61 | Reagan County | 23.4 | +1.7 pts |
| 63 | Hale County | 23.1 | +0.1 pts |
| 63 | San Jacinto County | 23.1 | +1.6 pts |
| 63 | Young County | 23.1 | +1.9 pts |
| 66 | Coleman County | 23 | +2.6 pts |
| 66 | Dallas County | 23 | +1.4 pts |
| 68 | Nacogdoches County | 22.9 | +1.7 pts |
| 68 | Pecos County | 22.9 | +1.3 pts |
| 68 | Val Verde County | 22.9 | +0.4 pts |
| 71 | Grimes County | 22.8 | +1.8 pts |
| 71 | Kenedy County | 22.8 | +2.7 pts |
| 73 | Martin County | 22.7 | +1.6 pts |
| 73 | Wise County | 22.7 | +5.1 pts |
| 75 | El Paso County | 22.6 | +1.4 pts |
| 75 | Rains County | 22.6 | +1.4 pts |
| 75 | Upton County | 22.6 | +2.1 pts |
| 78 | Kerr County | 22.5 | +2.3 pts |
| 78 | Polk County | 22.5 | +0.6 pts |
| 78 | Real County | 22.5 | -2 pts |
| 78 | Swisher County | 22.5 | -0.4 pts |
| 78 | Uvalde County | 22.5 | 0 pts |
| 83 | Navarro County | 22.4 | +0.9 pts |
| 84 | Aransas County | 22.3 | +1 pts |
| 84 | Bosque County | 22.3 | -0.4 pts |
| 84 | Reeves County | 22.3 | +1.5 pts |
| 84 | Sterling County | 22.3 | +3.3 pts |
| 84 | Stonewall County | 22.3 | +3.9 pts |
| 84 | Willacy County | 22.3 | -0.5 pts |
| 90 | Colorado County | 22.2 | +2.6 pts |
| 90 | Crockett County | 22.2 | +1.5 pts |
| 90 | Frio County | 22.2 | +2.1 pts |
| 90 | Kinney County | 22.2 | +1.6 pts |
| 94 | Andrews County | 22.1 | +3.9 pts |
| 94 | Crosby County | 22.1 | +0.5 pts |
| 94 | Eastland County | 22.1 | +1.3 pts |
| 94 | Falls County | 22.1 | +2.4 pts |
| 94 | Harris County | 22.1 | +1.4 pts |
| 99 | Hopkins County | 22 | +0.8 pts |
| 99 | Lee County | 22 | +3.4 pts |
| 99 | Motley County | 22 | -3.7 pts |
| 99 | Palo Pinto County | 22 | +0.5 pts |
| 103 | Fannin County | 21.9 | +0.8 pts |
| 103 | Glasscock County | 21.9 | +1.7 pts |
| 103 | Wilbarger County | 21.9 | +2.6 pts |
| 106 | Bastrop County | 21.8 | +0.7 pts |
| 106 | Madison County | 21.8 | -0.2 pts |
| 106 | Matagorda County | 21.8 | +1.8 pts |
| 106 | Sutton County | 21.8 | +1.1 pts |
| 110 | Angelina County | 21.7 | +1.9 pts |
| 110 | Caldwell County | 21.7 | +0.8 pts |
| 110 | Liberty County | 21.7 | +1.1 pts |
| 110 | Wharton County | 21.7 | +0.2 pts |
| 110 | Winkler County | 21.7 | +2.6 pts |
| 115 | Cherokee County | 21.6 | -0.9 pts |
| 115 | Kimble County | 21.6 | -0.7 pts |
| 117 | Blanco County | 21.5 | -0.9 pts |
| 117 | Sabine County | 21.5 | +2.3 pts |
| 119 | Burnet County | 21.3 | +1.5 pts |
| 119 | Gregg County | 21.3 | +1.8 pts |
| 119 | Van Zandt County | 21.3 | -0.8 pts |
| 119 | Ward County | 21.3 | +1.9 pts |
| 123 | Camp County | 21.2 | +0.6 pts |
| 123 | Dawson County | 21.2 | -0.6 pts |
| 123 | Henderson County | 21.2 | 0 pts |
| 123 | McCulloch County | 21.2 | +0.4 pts |
| 123 | Mitchell County | 21.2 | +1.1 pts |
| 128 | Concho County | 21.1 | +2.7 pts |
| 128 | Ector County | 21.1 | +0.2 pts |
| 128 | Hill County | 21.1 | -1.5 pts |
| 128 | Limestone County | 21.1 | +0.4 pts |
| 128 | Loving County | 21.1 | -0.1 pts |
| 133 | Runnels County | 21 | +1 pts |
| 134 | Hartley County | 20.9 | -0.3 pts |
| 135 | Fisher County | 20.8 | +3.1 pts |
| 135 | Live Oak County | 20.8 | +1.3 pts |
| 137 | Cooke County | 20.7 | +0.3 pts |
| 137 | Llano County | 20.7 | +1.3 pts |
| 137 | Shackelford County | 20.7 | 0 pts |
| 140 | Fayette County | 20.6 | +1.3 pts |
| 140 | Hockley County | 20.6 | +0.9 pts |
| 142 | Rusk County | 20.5 | -0.2 pts |
| 142 | Wood County | 20.5 | +0.5 pts |
| 144 | Childress County | 20.4 | +3.7 pts |
| 144 | Donley County | 20.4 | -1.8 pts |
| 144 | Trinity County | 20.4 | -1.3 pts |
| 147 | Hutchinson County | 20.3 | +0.8 pts |
| 148 | Austin County | 20.2 | +1.9 pts |
| 148 | Crane County | 20.2 | +0.4 pts |
| 148 | Jefferson County | 20.2 | +0.2 pts |
| 148 | Jim Wells County | 20.2 | +1.1 pts |
| 148 | Lampasas County | 20.2 | +0.9 pts |
| 148 | Milam County | 20.2 | +0.7 pts |
| 154 | Houston County | 20.1 | +1 pts |
| 155 | Coke County | 20 | +2.8 pts |
| 155 | Duval County | 20 | +1.3 pts |
| 157 | Freestone County | 19.9 | -0.4 pts |
| 157 | McMullen County | 19.9 | +3.8 pts |
| 159 | Brewster County | 19.8 | +2.1 pts |
| 159 | Burleson County | 19.8 | +0.7 pts |
| 159 | Midland County | 19.8 | +2.3 pts |
| 159 | Smith County | 19.8 | +1.4 pts |
| 163 | Kleberg County | 19.7 | -1.3 pts |
| 163 | Somervell County | 19.7 | +1 pts |
| 163 | Washington County | 19.7 | +1.8 pts |
| 166 | Anderson County | 19.6 | +2 pts |
| 166 | Jones County | 19.6 | 0 pts |
| 166 | Red River County | 19.6 | -0.9 pts |
| 169 | Grayson County | 19.5 | +0.1 pts |
| 169 | Jackson County | 19.5 | +0.8 pts |
| 169 | Lamar County | 19.5 | -0.1 pts |
| 172 | Dimmit County | 19.3 | +1.1 pts |
| 172 | Walker County | 19.3 | +1.4 pts |
| 174 | Calhoun County | 19.2 | +0.8 pts |
| 174 | Zavala County | 19.2 | -0.9 pts |
| 176 | Franklin County | 19.1 | +1.4 pts |
| 176 | Jim Hogg County | 19.1 | -0.7 pts |
| 178 | Archer County | 19 | +1.1 pts |
| 178 | Atascosa County | 19 | +0.7 pts |
| 178 | Lynn County | 19 | -1.6 pts |
| 178 | Marion County | 19 | +1.6 pts |
| 178 | Nueces County | 19 | +0.7 pts |
| 183 | Baylor County | 18.9 | +2.1 pts |
| 183 | Bee County | 18.9 | +0.7 pts |
| 183 | San Augustine County | 18.9 | +0.5 pts |
| 183 | San Patricio County | 18.9 | +0.4 pts |
| 187 | Howard County | 18.8 | +1.8 pts |
| 188 | Bandera County | 18.7 | +0.7 pts |
| 188 | Brown County | 18.7 | +1.6 pts |
| 188 | Hunt County | 18.7 | -0.9 pts |
| 188 | Victoria County | 18.7 | -0.1 pts |
| 192 | Panola County | 18.6 | +1.3 pts |
| 192 | Robertson County | 18.6 | -1 pts |
| 194 | Callahan County | 18.5 | -0.4 pts |
| 194 | Clay County | 18.5 | +1 pts |
| 196 | Scurry County | 18.4 | +0.8 pts |
| 196 | Tarrant County | 18.4 | +1.4 pts |
| 198 | Karnes County | 18.3 | +2.7 pts |
| 198 | Refugio County | 18.3 | +1.3 pts |
| 200 | Ellis County | 18.2 | +0.9 pts |
| 200 | Kent County | 18.2 | -2 pts |
| 200 | Lavaca County | 18.2 | +1.1 pts |
| 200 | Upshur County | 18.2 | -0.1 pts |
| 204 | Delta County | 18.1 | -0.1 pts |
| 205 | DeWitt County | 17.9 | +1 pts |
| 205 | McLennan County | 17.9 | -0.5 pts |
| 205 | Nolan County | 17.9 | +0.5 pts |
| 205 | Tom Green County | 17.9 | +0.7 pts |
| 209 | Johnson County | 17.8 | -0.1 pts |
| 210 | Armstrong County | 17.6 | +2 pts |
| 210 | Wichita County | 17.6 | +1.9 pts |
| 212 | Hood County | 17.5 | -0.4 pts |
| 212 | Newton County | 17.5 | +0.5 pts |
| 214 | Harrison County | 17.3 | -0.1 pts |
| 214 | Jasper County | 17.3 | +1.2 pts |
| 216 | Montgomery County | 17.2 | +0.3 pts |
| 217 | Tyler County | 17.1 | +0.6 pts |
| 218 | Carson County | 17 | +2 pts |
| 218 | Kaufman County | 17 | -0.5 pts |
| 220 | Bexar County | 16.9 | +0.3 pts |
| 220 | Brazos County | 16.9 | +0.4 pts |
| 220 | Morris County | 16.9 | -2.9 pts |
| 223 | Medina County | 16.8 | +0.2 pts |
| 224 | Brooks County | 16.7 | -1.3 pts |
| 224 | Hays County | 16.7 | +1.1 pts |
| 226 | La Salle County | 16.6 | -0.4 pts |
| 226 | Taylor County | 16.6 | +0.2 pts |
| 226 | Wilson County | 16.6 | +1.3 pts |
| 229 | Bowie County | 16.4 | +0.7 pts |
| 229 | Chambers County | 16.4 | +0.7 pts |
| 231 | Borden County | 16.2 | +2.6 pts |
| 232 | Oldham County | 16.1 | +1.1 pts |
| 233 | Cass County | 16 | +0.5 pts |
| 233 | Lubbock County | 16 | +0.6 pts |
| 235 | Goliad County | 15.6 | +1.4 pts |
| 236 | Galveston County | 15.4 | -0.3 pts |
| 237 | Parker County | 15.3 | -0.4 pts |
| 238 | Coryell County | 15.1 | +1.7 pts |
| 238 | Irion County | 15.1 | +1 pts |
| 238 | Kendall County | 15.1 | +1.1 pts |
| 238 | Orange County | 15.1 | +1.3 pts |
| 242 | Travis County | 14.6 | -0.6 pts |
| 243 | Comal County | 14.4 | +0.3 pts |
| 244 | Brazoria County | 14.2 | -0.8 pts |
| 245 | Hardin County | 13.9 | -0.8 pts |
| 246 | Guadalupe County | 13.8 | -1.2 pts |
| 247 | Fort Bend County | 13.5 | +1.5 pts |
| 248 | Rockwall County | 13.4 | +0.1 pts |
| 249 | Bell County | 13.3 | -0.4 pts |
| 250 | Randall County | 13.2 | +0.3 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017.
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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2017,
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), 2017}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2017.
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-2017-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 33.7% in 2017, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 65 (US model-based estimate)?
Williamson County, with 11.4% in 2017.
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.