Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Texas

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 2019, at 35.8%. Loving County had the lowest, at 11.4%. The median was 21.6% and the figure for Texas was 20.7%. Source: the U.S. Census Bureau.

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Highest35.8Gaines County
Lowest11.4Loving County
Median21.6254 counties
Texas20.7History

Map of counties, 2019

Anderson County: 20.8 %Andrews County: 20.9 %Angelina County: 22 %Aransas County: 24.9 %Archer County: 19.7 %Armstrong County: 18 %Atascosa County: 22.2 %Austin County: 21.6 %Bailey County: 28.1 %Bandera County: 20.5 %Bastrop County: 22.7 %Baylor County: 16.3 %Bee County: 18.6 %Bell County: 16.6 %Bexar County: 19.1 %Blanco County: 21.7 %Borden County: 12.3 %Bosque County: 23 %Bowie County: 17.3 %Brazoria County: 16.4 %Brazos County: 17.5 %Brewster County: 21.2 %Briscoe County: 24.1 %Brooks County: 18.6 %Brown County: 20 %Burleson County: 20.3 %Burnet County: 20.9 %Caldwell County: 25.7 %Calhoun County: 20.3 %Callahan County: 18.4 %Cameron County: 30.8 %Camp County: 21.8 %Carson County: 15.4 %Cass County: 16.8 %Castro County: 29.3 %Chambers County: 15.9 %Cherokee County: 22.4 %Childress County: 23.1 %Clay County: 18.8 %Cochran County: 28.5 %Coke County: 19.3 %Coleman County: 25.6 %Collin County: 12.5 %Collingsworth County: 32.3 %Colorado County: 24.8 %Comal County: 15 %Comanche County: 24.1 %Concho County: 21.9 %Cooke County: 22 %Coryell County: 16 %Cottle County: 21.6 %Crane County: 20.4 %Crockett County: 20.9 %Crosby County: 21.5 %Culberson County: 24.3 %Dallam County: 33.8 %Dallas County: 25.1 %Dawson County: 23.2 %Deaf Smith County: 26.2 %Delta County: 18.6 %Denton County: 13.4 %DeWitt County: 20.1 %Dickens County: 22 %Dimmit County: 20.5 %Donley County: 21.3 %Duval County: 21.9 %Eastland County: 24.1 %Ector County: 22 %Edwards County: 25.8 %Ellis County: 18.9 %El Paso County: 24.3 %Erath County: 23.7 %Falls County: 21.4 %Fannin County: 21.5 %Fayette County: 21.6 %Fisher County: 19.5 %Floyd County: 25.9 %Foard County: 22.9 %Fort Bend County: 15 %Franklin County: 17.3 %Freestone County: 20.8 %Frio County: 22.8 %Gaines County: 35.8 %Galveston County: 17.4 %Garza County: 23.6 %Gillespie County: 24.2 %Glasscock County: 19.1 %Goliad County: 17 %Gonzales County: 25.2 %Gray County: 23.9 %Grayson County: 21.8 %Gregg County: 22.4 %Grimes County: 22.6 %Guadalupe County: 15.9 %Hale County: 24.1 %Hall County: 30.2 %Hamilton County: 24.8 %Hansford County: 29.6 %Hardeman County: 26.7 %Hardin County: 16.2 %Harris County: 24.2 %Harrison County: 20 %Hartley County: 22.9 %Haskell County: 26.9 %Hays County: 16.7 %Hemphill County: 23.3 %Henderson County: 23.2 %Hidalgo County: 33.2 %Hill County: 22.6 %Hockley County: 22.1 %Hood County: 17.8 %Hopkins County: 23.5 %Houston County: 21.7 %Howard County: 19.1 %Hudspeth County: 32 %Hunt County: 19.7 %Hutchinson County: 20.2 %Irion County: 14 %Jack County: 24.5 %Jackson County: 22.1 %Jasper County: 17.6 %Jeff Davis County: 27.1 %Jefferson County: 21.6 %Jim Hogg County: 18.3 %Jim Wells County: 21.8 %Johnson County: 20.2 %Jones County: 20.4 %Karnes County: 19.5 %Kaufman County: 17.1 %Kendall County: 16.7 %Kenedy County: 26.3 %Kent County: 14.1 %Kerr County: 23.8 %Kimble County: 23.8 %King County: 21.6 %Kinney County: 18.6 %Kleberg County: 19.8 %Knox County: 25 %Lamar County: 21.8 %Lamb County: 26.9 %Lampasas County: 18.5 %La Salle County: 18.3 %Lavaca County: 18.9 %Lee County: 22.1 %Leon County: 26.3 %Liberty County: 22.8 %Limestone County: 22.6 %Lipscomb County: 29.2 %Live Oak County: 22.4 %Llano County: 23.3 %Loving County: 11.4 %Lubbock County: 17.7 %Lynn County: 21.2 %McCulloch County: 21 %McLennan County: 18 %McMullen County: 13.6 %Madison County: 24 %Marion County: 20.2 %Martin County: 20.4 %Mason County: 29.4 %Matagorda County: 20.8 %Maverick County: 28.5 %Medina County: 18.2 %Menard County: 28.5 %Midland County: 18.4 %Milam County: 19.3 %Mills County: 26.9 %Mitchell County: 19.9 %Montague County: 21.7 %Montgomery County: 17.3 %Moore County: 27.2 %Morris County: 18.7 %Motley County: 22.7 %Nacogdoches County: 21.2 %Navarro County: 23.6 %Newton County: 21.8 %Nolan County: 20.5 %Nueces County: 19.9 %Ochiltree County: 27.3 %Oldham County: 18.1 %Orange County: 16.8 %Palo Pinto County: 23.1 %Panola County: 19.7 %Parker County: 17.3 %Parmer County: 28.2 %Pecos County: 24.8 %Polk County: 23 %Potter County: 25.3 %Presidio County: 32.6 %Rains County: 22.1 %Randall County: 13.2 %Reagan County: 19.9 %Real County: 22.2 %Red River County: 21.3 %Reeves County: 22.2 %Refugio County: 18.8 %Roberts County: 16.7 %Robertson County: 20 %Rockwall County: 14.9 %Runnels County: 20.2 %Rusk County: 20.7 %Sabine County: 20.1 %San Augustine County: 21.1 %San Jacinto County: 22.6 %San Patricio County: 18.7 %San Saba County: 30.7 %Schleicher County: 24.9 %Scurry County: 22.5 %Shackelford County: 22.5 %Shelby County: 25.8 %Sherman County: 28.3 %Smith County: 21.1 %Somervell County: 17.8 %Starr County: 31.2 %Stephens County: 24 %Sterling County: 19 %Stonewall County: 19.5 %Sutton County: 20.7 %Swisher County: 26.3 %Tarrant County: 18.9 %Taylor County: 18.5 %Terrell County: 19.5 %Terry County: 26.3 %Throckmorton County: 24.3 %Titus County: 25.1 %Tom Green County: 17.6 %Travis County: 16.5 %Trinity County: 21.5 %Tyler County: 20.1 %Upshur County: 18.6 %Upton County: 20.5 %Uvalde County: 24.9 %Val Verde County: 23.6 %Van Zandt County: 23.9 %Victoria County: 20.2 %Walker County: 19.2 %Waller County: 23.9 %Ward County: 21.2 %Washington County: 19.7 %Webb County: 30.2 %Wharton County: 25.6 %Wheeler County: 26.2 %Wichita County: 18.6 %Wilbarger County: 21.8 %Willacy County: 23.4 %Williamson County: 12.4 %Wilson County: 16.6 %Winkler County: 21 %Wise County: 21.6 %Wood County: 22.2 %Yoakum County: 26.2 %Young County: 23.5 %Zapata County: 29.3 %Zavala County: 21.9 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 23
  • 23 to 25
  • 25 and over
%, 2019. 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, 2019

Gaines County: 35.8 %Gaines County35.8Dallam County: 33.8 %Dallam County33.8Hidalgo County: 33.2 %Hidalgo County33.2Presidio County: 32.6 %Presidio County32.6Collingsworth County: 32.3 %Collingsworth County32.3Hudspeth County: 32 %Hudspeth County32Starr County: 31.2 %Starr County31.2Cameron County: 30.8 %Cameron County30.8San Saba County: 30.7 %San Saba County30.7Hall County: 30.2 %Hall County30.2Webb County: 30.2 %Webb County30.2Hansford County: 29.6 %Hansford County29.6Mason County: 29.4 %Mason County29.4Castro County: 29.3 %Castro County29.3Zapata County: 29.3 %Zapata County29.3Lipscomb County: 29.2 %Lipscomb County29.2Cochran County: 28.5 %Cochran County28.5Maverick County: 28.5 %Maverick County28.5Menard County: 28.5 %Menard County28.5Sherman County: 28.3 %Sherman County28.3Parmer County: 28.2 %Parmer County28.2Bailey County: 28.1 %Bailey County28.1Ochiltree County: 27.3 %Ochiltree County27.3Moore County: 27.2 %Moore County27.2Jeff Davis County: 27.1 %Jeff Davis County27.1Haskell County: 26.9 %Haskell County26.9Lamb County: 26.9 %Lamb County26.9Mills County: 26.9 %Mills County26.9Hardeman County: 26.7 %Hardeman County26.7Kenedy County: 26.3 %Kenedy County26.3Leon County: 26.3 %Leon County26.3Swisher County: 26.3 %Swisher County26.3Terry County: 26.3 %Terry County26.3Deaf Smith County: 26.2 %Deaf Smith County26.2Wheeler County: 26.2 %Wheeler County26.2Yoakum County: 26.2 %Yoakum County26.2Floyd County: 25.9 %Floyd County25.9Edwards County: 25.8 %Edwards County25.8Shelby County: 25.8 %Shelby County25.8Caldwell County: 25.7 %Caldwell County25.7Gaines County: 35.8 %Gaines County35.8Dallam County: 33.8 %Dallam County33.8Hidalgo County: 33.2 %Hidalgo County33.2Presidio County: 32.6 %Presidio County32.6Collingsworth County: 32.3 %Collingsworth County32.3Hudspeth County: 32 %Hudspeth County32Starr County: 31.2 %Starr County31.2Cameron County: 30.8 %Cameron County30.8San Saba County: 30.7 %San Saba County30.7Hall County: 30.2 %Hall County30.2Webb County: 30.2 %Webb County30.2Hansford County: 29.6 %Hansford County29.6Mason County: 29.4 %Mason County29.4Castro County: 29.3 %Castro County29.3Zapata County: 29.3 %Zapata County29.3Lipscomb County: 29.2 %Lipscomb County29.2Cochran County: 28.5 %Cochran County28.5Maverick County: 28.5 %Maverick County28.5Menard County: 28.5 %Menard County28.5Sherman County: 28.3 %Sherman County28.3Parmer County: 28.2 %Parmer County28.2Bailey County: 28.1 %Bailey County28.1Ochiltree County: 27.3 %Ochiltree County27.3Moore County: 27.2 %Moore County27.2Jeff Davis County: 27.1 %Jeff Davis County27.1Haskell County: 26.9 %Haskell County26.9Lamb County: 26.9 %Lamb County26.9Mills County: 26.9 %Mills County26.9Hardeman County: 26.7 %Hardeman County26.7Kenedy County: 26.3 %Kenedy County26.3Leon County: 26.3 %Leon County26.3Swisher County: 26.3 %Swisher County26.3Terry County: 26.3 %Terry County26.3Deaf Smith County: 26.2 %Deaf Smith County26.2Wheeler County: 26.2 %Wheeler County26.2Yoakum County: 26.2 %Yoakum County26.2Floyd County: 25.9 %Floyd County25.9Edwards County: 25.8 %Edwards County25.8Shelby County: 25.8 %Shelby County25.8Caldwell County: 25.7 %Caldwell County25.7
%. 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

RankCounties2019 (%)Change on 2018
1Gaines County35.8+3.6 pts
2Dallam County33.8+3.6 pts
3Hidalgo County33.2+1.1 pts
4Presidio County32.6+0.6 pts
5Collingsworth County32.3+2.3 pts
6Hudspeth County32+3.7 pts
7Starr County31.2+1.3 pts
8Cameron County30.8+0.6 pts
9San Saba County30.7+2.7 pts
10Hall County30.2+1.8 pts
10Webb County30.2+0.4 pts
12Hansford County29.6+1.8 pts
13Mason County29.4+1.8 pts
14Castro County29.3+0.2 pts
14Zapata County29.3+0.9 pts
16Lipscomb County29.2+1.4 pts
17Cochran County28.5+1.5 pts
17Maverick County28.5+0.8 pts
17Menard County28.5+0.2 pts
20Sherman County28.30 pts
21Parmer County28.20 pts
22Bailey County28.1-1 pts
23Ochiltree County27.3+0.1 pts
24Moore County27.2+2 pts
25Jeff Davis County27.1-2.5 pts
26Haskell County26.9+1.1 pts
26Lamb County26.9+1.4 pts
26Mills County26.90 pts
29Hardeman County26.7+1.1 pts
30Kenedy County26.3-0.5 pts
30Leon County26.3+0.5 pts
30Swisher County26.3+2.9 pts
30Terry County26.3+1.6 pts
34Deaf Smith County26.2+0.2 pts
34Wheeler County26.2+0.5 pts
34Yoakum County26.2+3.8 pts
37Floyd County25.9+3.1 pts
38Edwards County25.8+1.6 pts
38Shelby County25.8+0.5 pts
40Caldwell County25.7+4.2 pts
41Coleman County25.6+1.5 pts
41Wharton County25.6+2.3 pts
43Potter County25.3+0.8 pts
44Gonzales County25.2-0.3 pts
45Dallas County25.1+1.1 pts
45Titus County25.1+2.7 pts
47Knox County25-0.5 pts
48Aransas County24.9+0.8 pts
48Schleicher County24.90 pts
48Uvalde County24.9+1.1 pts
51Colorado County24.8+3.1 pts
51Hamilton County24.8+2 pts
51Pecos County24.8+1.3 pts
54Jack County24.5+1.2 pts
55Culberson County24.3-0.4 pts
55El Paso County24.3+0.5 pts
55Throckmorton County24.3-0.2 pts
58Gillespie County24.2+2.1 pts
58Harris County24.2+1.6 pts
60Briscoe County24.1-2.6 pts
60Comanche County24.1-0.9 pts
60Eastland County24.1+2.7 pts
60Hale County24.1+2.1 pts
64Madison County24+3.4 pts
64Stephens County24-0.2 pts
66Gray County23.9+0.6 pts
66Van Zandt County23.9+2.5 pts
66Waller County23.9+0.6 pts
69Kerr County23.8+2.1 pts
69Kimble County23.8+2.9 pts
71Erath County23.7+2.9 pts
72Garza County23.6+0.5 pts
72Navarro County23.6+1.8 pts
72Val Verde County23.6+2 pts
75Hopkins County23.5+0.7 pts
75Young County23.5+1.5 pts
77Willacy County23.4+0.8 pts
78Hemphill County23.3-1.2 pts
78Llano County23.3+2.6 pts
80Dawson County23.2-0.4 pts
80Henderson County23.2+0.9 pts
82Childress County23.1+1.6 pts
82Palo Pinto County23.1+0.5 pts
84Bosque County23-0.4 pts
84Polk County23+1.1 pts
86Foard County22.9+0.2 pts
86Hartley County22.9-0.6 pts
88Frio County22.8+0.6 pts
88Liberty County22.8+1.2 pts
90Bastrop County22.7+0.9 pts
90Motley County22.7+3.3 pts
92Grimes County22.6+0.3 pts
92Hill County22.6-0.2 pts
92Limestone County22.6+0.8 pts
92San Jacinto County22.6-0.2 pts
96Scurry County22.5+3.1 pts
96Shackelford County22.5+1.4 pts
98Cherokee County22.40 pts
98Gregg County22.4+1.3 pts
98Live Oak County22.4+1.3 pts
101Atascosa County22.2+1.9 pts
101Real County22.2-1.6 pts
101Reeves County22.2+0.4 pts
101Wood County22.2+2.2 pts
105Hockley County22.1-0.3 pts
105Jackson County22.1+3.4 pts
105Lee County22.1+1.5 pts
105Rains County22.10 pts
109Angelina County22+0.7 pts
109Cooke County22+1.6 pts
109Dickens County22+0.4 pts
109Ector County22+0.6 pts
113Concho County21.9+1.4 pts
113Duval County21.9+1.6 pts
113Zavala County21.9+2.3 pts
116Camp County21.8+1.2 pts
116Grayson County21.8+1.3 pts
116Jim Wells County21.8+1.7 pts
116Lamar County21.8+1.2 pts
116Newton County21.8+2.2 pts
116Wilbarger County21.8+0.3 pts
122Blanco County21.7-0.3 pts
122Houston County21.7+0.5 pts
122Montague County21.7-1.2 pts
125Austin County21.6+1.9 pts
125Cottle County21.6-3.5 pts
125Fayette County21.6+2.1 pts
125Jefferson County21.6+1.1 pts
125King County21.6-0.4 pts
125Wise County21.6+0.8 pts
131Crosby County21.5+1.6 pts
131Fannin County21.5+1.4 pts
131Trinity County21.5+0.2 pts
134Falls County21.4+0.7 pts
135Donley County21.3+1.6 pts
135Red River County21.3+2.3 pts
137Brewster County21.2+1.5 pts
137Lynn County21.2+1.2 pts
137Nacogdoches County21.2+0.3 pts
137Ward County21.2+2.3 pts
141San Augustine County21.1+1.4 pts
141Smith County21.1-0.6 pts
143McCulloch County21+1.2 pts
143Winkler County21+0.1 pts
145Andrews County20.9-0.1 pts
145Burnet County20.9-2.2 pts
145Crockett County20.9-0.6 pts
148Anderson County20.8+0.9 pts
148Freestone County20.8+0.1 pts
148Matagorda County20.8-0.5 pts
151Rusk County20.7-1 pts
151Sutton County20.7+0.9 pts
153Bandera County20.5-1.4 pts
153Dimmit County20.5-0.2 pts
153Nolan County20.5+2 pts
153Upton County20.5+1.5 pts
157Crane County20.4+0.4 pts
157Jones County20.4+1.3 pts
157Martin County20.4+1.4 pts
160Burleson County20.3-0.1 pts
160Calhoun County20.3+1.1 pts
162Hutchinson County20.2+0.2 pts
162Johnson County20.2+1.2 pts
162Marion County20.2+1 pts
162Runnels County20.2+0.5 pts
162Victoria County20.2+1.9 pts
167DeWitt County20.1+1.9 pts
167Sabine County20.1+0.8 pts
167Tyler County20.1+2.2 pts
170Brown County20+2.2 pts
170Harrison County20+1.4 pts
170Robertson County20-0.8 pts
173Mitchell County19.9-1.2 pts
173Nueces County19.9-0.4 pts
173Reagan County19.9-1.1 pts
176Kleberg County19.8+0.6 pts
177Archer County19.7+3.2 pts
177Hunt County19.7-0.1 pts
177Panola County19.7+0.3 pts
177Washington County19.7+0.4 pts
181Fisher County19.5-0.4 pts
181Karnes County19.5+0.7 pts
181Stonewall County19.5-0.3 pts
181Terrell County19.50 pts
185Coke County19.3+2 pts
185Milam County19.3+0.3 pts
187Walker County19.2-0.7 pts
188Bexar County19.1+1.3 pts
188Glasscock County19.1-0.4 pts
188Howard County19.1+0.6 pts
191Sterling County19+0.8 pts
192Ellis County18.9+0.1 pts
192Lavaca County18.9+1.8 pts
192Tarrant County18.9-0.1 pts
195Clay County18.8+0.2 pts
195Refugio County18.8+1.4 pts
197Morris County18.7+1 pts
197San Patricio County18.7+1 pts
199Bee County18.6+0.3 pts
199Brooks County18.6+0.7 pts
199Delta County18.6+1.3 pts
199Kinney County18.6+0.6 pts
199Upshur County18.6-2.2 pts
199Wichita County18.6+1.3 pts
205Lampasas County18.5-0.2 pts
205Taylor County18.5+1.1 pts
207Callahan County18.4-0.5 pts
207Midland County18.4+2 pts
209Jim Hogg County18.3-0.9 pts
209La Salle County18.3+1.8 pts
211Medina County18.20 pts
212Oldham County18.1+2.9 pts
213Armstrong County18+0.9 pts
213McLennan County18-0.4 pts
215Hood County17.8+0.8 pts
215Somervell County17.8-0.3 pts
217Lubbock County17.7+2.1 pts
218Jasper County17.6+0.9 pts
218Tom Green County17.6+0.8 pts
220Brazos County17.5+0.7 pts
221Galveston County17.40 pts
222Bowie County17.3+1.8 pts
222Franklin County17.3-0.2 pts
222Montgomery County17.3-0.4 pts
222Parker County17.3-0.4 pts
226Kaufman County17.1-0.7 pts
227Goliad County17+1.2 pts
228Cass County16.80 pts
228Orange County16.8+0.5 pts
230Hays County16.7-0.9 pts
230Kendall County16.7+1.3 pts
230Roberts County16.7+3.5 pts
233Bell County16.6+1.5 pts
233Wilson County16.6+0.6 pts
235Travis County16.5+1.7 pts
236Brazoria County16.40 pts
237Baylor County16.3-0.5 pts
238Hardin County16.2+0.8 pts
239Coryell County16+0.8 pts
240Chambers County15.9+0.8 pts
240Guadalupe County15.9+1.4 pts
242Carson County15.4+0.1 pts
243Comal County15-0.4 pts
243Fort Bend County15+1.8 pts
245Rockwall County14.9+1.1 pts
246Kent County14.1-2.4 pts
247Irion County14+1.2 pts
248McMullen County13.6-0.5 pts
249Denton County13.4+0.4 pts
250Randall County13.20 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-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 65, all races, both sexes, all income levels, states and counties (Counties in Texas by uninsured rate, under 65 (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 65, all races, both sexes, all income levels, states and counties, Counties in Texas by uninsured rate, under 65 (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-65/texas-counties?period=2019. 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), 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-65/texas-counties?period=2019.

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), 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-65/texas-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2019,
  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), 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-65/texas-counties?period=2019. 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-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 65, all races, both sexes, all income levels, states and counties: Counties in Texas by uninsured rate, under 65 (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-65/texas-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2019.
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-2019-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 35.8% in 2019, according to the U.S. Census Bureau.

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

Loving County, with 11.4% 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 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