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)

Kenedy County had the highest uninsured rate, under 65 (US model-based estimate) of 254 counties in 2020, at 41.4%. Collin County had the lowest, at 11.3%. The median was 21.6% and the figure for Texas was 19.9%. Source: the U.S. Census Bureau.

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Highest41.4Kenedy County
Lowest11.3Collin County
Median21.6254 counties
Texas19.9History

Map of counties, 2020

Anderson County: 19.2 %Andrews County: 25.7 %Angelina County: 22.3 %Aransas County: 24.6 %Archer County: 19.4 %Armstrong County: 18.5 %Atascosa County: 22.3 %Austin County: 21.7 %Bailey County: 28.4 %Bandera County: 18.9 %Bastrop County: 22.4 %Baylor County: 17.6 %Bee County: 18.5 %Bell County: 16.7 %Bexar County: 18.9 %Blanco County: 22 %Borden County: 12.8 %Bosque County: 22.2 %Bowie County: 16.4 %Brazoria County: 14.4 %Brazos County: 16.6 %Brewster County: 23.6 %Briscoe County: 24.4 %Brooks County: 21.5 %Brown County: 17.8 %Burleson County: 20 %Burnet County: 22.4 %Caldwell County: 23.7 %Calhoun County: 20.4 %Callahan County: 19.3 %Cameron County: 29.9 %Camp County: 20.1 %Carson County: 15.8 %Cass County: 19.3 %Castro County: 28 %Chambers County: 14 %Cherokee County: 24.1 %Childress County: 22.4 %Clay County: 18.1 %Cochran County: 29.1 %Coke County: 21.4 %Coleman County: 20.7 %Collin County: 11.3 %Collingsworth County: 30.5 %Colorado County: 23.4 %Comal County: 14.4 %Comanche County: 21.4 %Concho County: 20.8 %Cooke County: 22.6 %Coryell County: 16.5 %Cottle County: 21.8 %Crane County: 23.7 %Crockett County: 25.9 %Crosby County: 23.3 %Culberson County: 29.8 %Dallam County: 32.6 %Dallas County: 22.5 %Dawson County: 23.1 %Deaf Smith County: 28 %Delta County: 18.3 %Denton County: 12.9 %DeWitt County: 19.2 %Dickens County: 21.8 %Dimmit County: 22.3 %Donley County: 22.6 %Duval County: 21.4 %Eastland County: 20.6 %Ector County: 22.9 %Edwards County: 28.1 %Ellis County: 20.2 %El Paso County: 23 %Erath County: 19.3 %Falls County: 19.3 %Fannin County: 20.4 %Fayette County: 21.3 %Fisher County: 19.3 %Floyd County: 27.4 %Foard County: 20.1 %Fort Bend County: 15.3 %Franklin County: 14.4 %Freestone County: 20.8 %Frio County: 21.7 %Gaines County: 33.1 %Galveston County: 15.7 %Garza County: 24.7 %Gillespie County: 23.9 %Glasscock County: 24.4 %Goliad County: 18.6 %Gonzales County: 24.4 %Gray County: 25.8 %Grayson County: 19.5 %Gregg County: 21.6 %Grimes County: 22.5 %Guadalupe County: 15 %Hale County: 23.8 %Hall County: 25.9 %Hamilton County: 23.6 %Hansford County: 31.3 %Hardeman County: 28.4 %Hardin County: 17.3 %Harris County: 22.4 %Harrison County: 18.6 %Hartley County: 22 %Haskell County: 24.7 %Hays County: 16.1 %Hemphill County: 24.5 %Henderson County: 21 %Hidalgo County: 33.1 %Hill County: 23.3 %Hockley County: 24.4 %Hood County: 17.3 %Hopkins County: 21.1 %Houston County: 19 %Howard County: 19.5 %Hudspeth County: 30.3 %Hunt County: 19 %Hutchinson County: 20.3 %Irion County: 17.4 %Jack County: 21.4 %Jackson County: 22.3 %Jasper County: 18.6 %Jeff Davis County: 32.8 %Jefferson County: 23.3 %Jim Hogg County: 21.2 %Jim Wells County: 20.4 %Johnson County: 19.4 %Jones County: 18.9 %Karnes County: 18.5 %Kaufman County: 17 %Kendall County: 16.3 %Kenedy County: 41.4 %Kent County: 15 %Kerr County: 22.1 %Kimble County: 23.2 %King County: 26.8 %Kinney County: 20 %Kleberg County: 21.7 %Knox County: 24.3 %Lamar County: 21.1 %Lamb County: 25.6 %Lampasas County: 19.2 %La Salle County: 22.1 %Lavaca County: 17.1 %Lee County: 19.9 %Leon County: 23.3 %Liberty County: 23.2 %Limestone County: 21.5 %Lipscomb County: 27.2 %Live Oak County: 21.7 %Llano County: 20.9 %Loving County: 18.3 %Lubbock County: 17 %Lynn County: 21.3 %McCulloch County: 24 %McLennan County: 18.7 %McMullen County: 18.2 %Madison County: 21.4 %Marion County: 18.8 %Martin County: 22.7 %Mason County: 28.1 %Matagorda County: 22.7 %Maverick County: 30.3 %Medina County: 18.1 %Menard County: 28.9 %Midland County: 19 %Milam County: 21.2 %Mills County: 26.3 %Mitchell County: 19.5 %Montague County: 21.7 %Montgomery County: 17 %Moore County: 30.9 %Morris County: 18.6 %Motley County: 18.7 %Nacogdoches County: 22.6 %Navarro County: 22.7 %Newton County: 20.3 %Nolan County: 20.3 %Nueces County: 19.6 %Ochiltree County: 30.9 %Oldham County: 17.2 %Orange County: 16.4 %Palo Pinto County: 21 %Panola County: 20.4 %Parker County: 16.7 %Parmer County: 27.4 %Pecos County: 26.2 %Polk County: 20 %Potter County: 24.4 %Presidio County: 37.3 %Rains County: 22.4 %Randall County: 14 %Reagan County: 23.7 %Real County: 25.6 %Red River County: 19.5 %Reeves County: 21.8 %Refugio County: 18.5 %Roberts County: 16.7 %Robertson County: 19.1 %Rockwall County: 12.2 %Runnels County: 22.4 %Rusk County: 21.5 %Sabine County: 19.7 %San Augustine County: 19.8 %San Jacinto County: 22.6 %San Patricio County: 20.6 %San Saba County: 28 %Schleicher County: 26.6 %Scurry County: 21.8 %Shackelford County: 21.6 %Shelby County: 25.6 %Sherman County: 31.5 %Smith County: 21.2 %Somervell County: 17.7 %Starr County: 28.9 %Stephens County: 24.3 %Sterling County: 21.3 %Stonewall County: 22.7 %Sutton County: 24.5 %Swisher County: 29 %Tarrant County: 19.7 %Taylor County: 16.8 %Terrell County: 22.8 %Terry County: 26.4 %Throckmorton County: 22.6 %Titus County: 25.8 %Tom Green County: 17.5 %Travis County: 13.8 %Trinity County: 19.2 %Tyler County: 20 %Upshur County: 18.4 %Upton County: 22.6 %Uvalde County: 24.9 %Val Verde County: 24.8 %Van Zandt County: 20.4 %Victoria County: 20.6 %Walker County: 17.6 %Waller County: 24.5 %Ward County: 23.2 %Washington County: 18.7 %Webb County: 31.8 %Wharton County: 24.5 %Wheeler County: 27.3 %Wichita County: 18.6 %Wilbarger County: 23.2 %Willacy County: 24.1 %Williamson County: 12.4 %Wilson County: 16.7 %Winkler County: 22.8 %Wise County: 21.4 %Wood County: 22 %Yoakum County: 31.1 %Young County: 21.6 %Zapata County: 29.4 %Zavala County: 23.1 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 23
  • 23 to 26
  • 26 and over
%, 2020. 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, 2020

Kenedy County: 41.4 %Kenedy County41.4Presidio County: 37.3 %Presidio County37.3Gaines County: 33.1 %Gaines County33.1Hidalgo County: 33.1 %Hidalgo County33.1Jeff Davis County: 32.8 %Jeff Davis County32.8Dallam County: 32.6 %Dallam County32.6Webb County: 31.8 %Webb County31.8Sherman County: 31.5 %Sherman County31.5Hansford County: 31.3 %Hansford County31.3Yoakum County: 31.1 %Yoakum County31.1Moore County: 30.9 %Moore County30.9Ochiltree County: 30.9 %Ochiltree County30.9Collingsworth County: 30.5 %Collingsworth County30.5Hudspeth County: 30.3 %Hudspeth County30.3Maverick County: 30.3 %Maverick County30.3Cameron County: 29.9 %Cameron County29.9Culberson County: 29.8 %Culberson County29.8Zapata County: 29.4 %Zapata County29.4Cochran County: 29.1 %Cochran County29.1Swisher County: 29 %Swisher County29Menard County: 28.9 %Menard County28.9Starr County: 28.9 %Starr County28.9Bailey County: 28.4 %Bailey County28.4Hardeman County: 28.4 %Hardeman County28.4Edwards County: 28.1 %Edwards County28.1Mason County: 28.1 %Mason County28.1Castro County: 28 %Castro County28Deaf Smith County: 28 %Deaf Smith County28San Saba County: 28 %San Saba County28Floyd County: 27.4 %Floyd County27.4Parmer County: 27.4 %Parmer County27.4Wheeler County: 27.3 %Wheeler County27.3Lipscomb County: 27.2 %Lipscomb County27.2King County: 26.8 %King County26.8Schleicher County: 26.6 %Schleicher County26.6Terry County: 26.4 %Terry County26.4Mills County: 26.3 %Mills County26.3Pecos County: 26.2 %Pecos County26.2Crockett County: 25.9 %Crockett County25.9Hall County: 25.9 %Hall County25.9Kenedy County: 41.4 %Kenedy County41.4Presidio County: 37.3 %Presidio County37.3Gaines County: 33.1 %Gaines County33.1Hidalgo County: 33.1 %Hidalgo County33.1Jeff Davis County: 32.8 %Jeff Davis County32.8Dallam County: 32.6 %Dallam County32.6Webb County: 31.8 %Webb County31.8Sherman County: 31.5 %Sherman County31.5Hansford County: 31.3 %Hansford County31.3Yoakum County: 31.1 %Yoakum County31.1Moore County: 30.9 %Moore County30.9Ochiltree County: 30.9 %Ochiltree County30.9Collingsworth County: 30.5 %Collingsworth County30.5Hudspeth County: 30.3 %Hudspeth County30.3Maverick County: 30.3 %Maverick County30.3Cameron County: 29.9 %Cameron County29.9Culberson County: 29.8 %Culberson County29.8Zapata County: 29.4 %Zapata County29.4Cochran County: 29.1 %Cochran County29.1Swisher County: 29 %Swisher County29Menard County: 28.9 %Menard County28.9Starr County: 28.9 %Starr County28.9Bailey County: 28.4 %Bailey County28.4Hardeman County: 28.4 %Hardeman County28.4Edwards County: 28.1 %Edwards County28.1Mason County: 28.1 %Mason County28.1Castro County: 28 %Castro County28Deaf Smith County: 28 %Deaf Smith County28San Saba County: 28 %San Saba County28Floyd County: 27.4 %Floyd County27.4Parmer County: 27.4 %Parmer County27.4Wheeler County: 27.3 %Wheeler County27.3Lipscomb County: 27.2 %Lipscomb County27.2King County: 26.8 %King County26.8Schleicher County: 26.6 %Schleicher County26.6Terry County: 26.4 %Terry County26.4Mills County: 26.3 %Mills County26.3Pecos County: 26.2 %Pecos County26.2Crockett County: 25.9 %Crockett County25.9Hall County: 25.9 %Hall County25.9
%. 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

RankCounties2020 (%)Change on 2019
1Kenedy County41.4+15.1 pts
2Presidio County37.3+4.7 pts
3Gaines County33.1-2.7 pts
3Hidalgo County33.1-0.1 pts
5Jeff Davis County32.8+5.7 pts
6Dallam County32.6-1.2 pts
7Webb County31.8+1.6 pts
8Sherman County31.5+3.2 pts
9Hansford County31.3+1.7 pts
10Yoakum County31.1+4.9 pts
11Moore County30.9+3.7 pts
11Ochiltree County30.9+3.6 pts
13Collingsworth County30.5-1.8 pts
14Hudspeth County30.3-1.7 pts
14Maverick County30.3+1.8 pts
16Cameron County29.9-0.9 pts
17Culberson County29.8+5.5 pts
18Zapata County29.4+0.1 pts
19Cochran County29.1+0.6 pts
20Swisher County29+2.7 pts
21Menard County28.9+0.4 pts
21Starr County28.9-2.3 pts
23Bailey County28.4+0.3 pts
23Hardeman County28.4+1.7 pts
25Edwards County28.1+2.3 pts
25Mason County28.1-1.3 pts
27Castro County28-1.3 pts
27Deaf Smith County28+1.8 pts
27San Saba County28-2.7 pts
30Floyd County27.4+1.5 pts
30Parmer County27.4-0.8 pts
32Wheeler County27.3+1.1 pts
33Lipscomb County27.2-2 pts
34King County26.8+5.2 pts
35Schleicher County26.6+1.7 pts
36Terry County26.4+0.1 pts
37Mills County26.3-0.6 pts
38Pecos County26.2+1.4 pts
39Crockett County25.9+5 pts
39Hall County25.9-4.3 pts
41Gray County25.8+1.9 pts
41Titus County25.8+0.7 pts
43Andrews County25.7+4.8 pts
44Lamb County25.6-1.3 pts
44Real County25.6+3.4 pts
44Shelby County25.6-0.2 pts
47Uvalde County24.90 pts
48Val Verde County24.8+1.2 pts
49Garza County24.7+1.1 pts
49Haskell County24.7-2.2 pts
51Aransas County24.6-0.3 pts
52Hemphill County24.5+1.2 pts
52Sutton County24.5+3.8 pts
52Waller County24.5+0.6 pts
52Wharton County24.5-1.1 pts
56Briscoe County24.4+0.3 pts
56Glasscock County24.4+5.3 pts
56Gonzales County24.4-0.8 pts
56Hockley County24.4+2.3 pts
56Potter County24.4-0.9 pts
61Knox County24.3-0.7 pts
61Stephens County24.3+0.3 pts
63Cherokee County24.1+1.7 pts
63Willacy County24.1+0.7 pts
65McCulloch County24+3 pts
66Gillespie County23.9-0.3 pts
67Hale County23.8-0.3 pts
68Caldwell County23.7-2 pts
68Crane County23.7+3.3 pts
68Reagan County23.7+3.8 pts
71Brewster County23.6+2.4 pts
71Hamilton County23.6-1.2 pts
73Colorado County23.4-1.4 pts
74Crosby County23.3+1.8 pts
74Hill County23.3+0.7 pts
74Jefferson County23.3+1.7 pts
74Leon County23.3-3 pts
78Kimble County23.2-0.6 pts
78Liberty County23.2+0.4 pts
78Ward County23.2+2 pts
78Wilbarger County23.2+1.4 pts
82Dawson County23.1-0.1 pts
82Zavala County23.1+1.2 pts
84El Paso County23-1.3 pts
85Ector County22.9+0.9 pts
86Terrell County22.8+3.3 pts
86Winkler County22.8+1.8 pts
88Martin County22.7+2.3 pts
88Matagorda County22.7+1.9 pts
88Navarro County22.7-0.9 pts
88Stonewall County22.7+3.2 pts
92Cooke County22.6+0.6 pts
92Donley County22.6+1.3 pts
92Nacogdoches County22.6+1.4 pts
92San Jacinto County22.60 pts
92Throckmorton County22.6-1.7 pts
92Upton County22.6+2.1 pts
98Dallas County22.5-2.6 pts
98Grimes County22.5-0.1 pts
100Bastrop County22.4-0.3 pts
100Burnet County22.4+1.5 pts
100Childress County22.4-0.7 pts
100Harris County22.4-1.8 pts
100Rains County22.4+0.3 pts
100Runnels County22.4+2.2 pts
106Angelina County22.3+0.3 pts
106Atascosa County22.3+0.1 pts
106Dimmit County22.3+1.8 pts
106Jackson County22.3+0.2 pts
110Bosque County22.2-0.8 pts
111Kerr County22.1-1.7 pts
111La Salle County22.1+3.8 pts
113Blanco County22+0.3 pts
113Hartley County22-0.9 pts
113Wood County22-0.2 pts
116Cottle County21.8+0.2 pts
116Dickens County21.8-0.2 pts
116Reeves County21.8-0.4 pts
116Scurry County21.8-0.7 pts
120Austin County21.7+0.1 pts
120Frio County21.7-1.1 pts
120Kleberg County21.7+1.9 pts
120Live Oak County21.7-0.7 pts
120Montague County21.70 pts
125Gregg County21.6-0.8 pts
125Shackelford County21.6-0.9 pts
125Young County21.6-1.9 pts
128Brooks County21.5+2.9 pts
128Limestone County21.5-1.1 pts
128Rusk County21.5+0.8 pts
131Coke County21.4+2.1 pts
131Comanche County21.4-2.7 pts
131Duval County21.4-0.5 pts
131Jack County21.4-3.1 pts
131Madison County21.4-2.6 pts
131Wise County21.4-0.2 pts
137Fayette County21.3-0.3 pts
137Lynn County21.3+0.1 pts
137Sterling County21.3+2.3 pts
140Jim Hogg County21.2+2.9 pts
140Milam County21.2+1.9 pts
140Smith County21.2+0.1 pts
143Hopkins County21.1-2.4 pts
143Lamar County21.1-0.7 pts
145Henderson County21-2.2 pts
145Palo Pinto County21-2.1 pts
147Llano County20.9-2.4 pts
148Concho County20.8-1.1 pts
148Freestone County20.80 pts
150Coleman County20.7-4.9 pts
151Eastland County20.6-3.5 pts
151San Patricio County20.6+1.9 pts
151Victoria County20.6+0.4 pts
154Calhoun County20.4+0.1 pts
154Fannin County20.4-1.1 pts
154Jim Wells County20.4-1.4 pts
154Panola County20.4+0.7 pts
154Van Zandt County20.4-3.5 pts
159Hutchinson County20.3+0.1 pts
159Newton County20.3-1.5 pts
159Nolan County20.3-0.2 pts
162Ellis County20.2+1.3 pts
163Camp County20.1-1.7 pts
163Foard County20.1-2.8 pts
165Burleson County20-0.3 pts
165Kinney County20+1.4 pts
165Polk County20-3 pts
165Tyler County20-0.1 pts
169Lee County19.9-2.2 pts
170San Augustine County19.8-1.3 pts
171Sabine County19.7-0.4 pts
171Tarrant County19.7+0.8 pts
173Nueces County19.6-0.3 pts
174Grayson County19.5-2.3 pts
174Howard County19.5+0.4 pts
174Mitchell County19.5-0.4 pts
174Red River County19.5-1.8 pts
178Archer County19.4-0.3 pts
178Johnson County19.4-0.8 pts
180Callahan County19.3+0.9 pts
180Cass County19.3+2.5 pts
180Erath County19.3-4.4 pts
180Falls County19.3-2.1 pts
180Fisher County19.3-0.2 pts
185Anderson County19.2-1.6 pts
185DeWitt County19.2-0.9 pts
185Lampasas County19.2+0.7 pts
185Trinity County19.2-2.3 pts
189Robertson County19.1-0.9 pts
190Houston County19-2.7 pts
190Hunt County19-0.7 pts
190Midland County19+0.6 pts
193Bandera County18.9-1.6 pts
193Bexar County18.9-0.2 pts
193Jones County18.9-1.5 pts
196Marion County18.8-1.4 pts
197McLennan County18.7+0.7 pts
197Motley County18.7-4 pts
197Washington County18.7-1 pts
200Goliad County18.6+1.6 pts
200Harrison County18.6-1.4 pts
200Jasper County18.6+1 pts
200Morris County18.6-0.1 pts
200Wichita County18.60 pts
205Armstrong County18.5+0.5 pts
205Bee County18.5-0.1 pts
205Karnes County18.5-1 pts
205Refugio County18.5-0.3 pts
209Upshur County18.4-0.2 pts
210Delta County18.3-0.3 pts
210Loving County18.3+6.9 pts
212McMullen County18.2+4.6 pts
213Clay County18.1-0.7 pts
213Medina County18.1-0.1 pts
215Brown County17.8-2.2 pts
216Somervell County17.7-0.1 pts
217Baylor County17.6+1.3 pts
217Walker County17.6-1.6 pts
219Tom Green County17.5-0.1 pts
220Irion County17.4+3.4 pts
221Hardin County17.3+1.1 pts
221Hood County17.3-0.5 pts
223Oldham County17.2-0.9 pts
224Lavaca County17.1-1.8 pts
225Kaufman County17-0.1 pts
225Lubbock County17-0.7 pts
225Montgomery County17-0.3 pts
228Taylor County16.8-1.7 pts
229Bell County16.7+0.1 pts
229Parker County16.7-0.6 pts
229Roberts County16.70 pts
229Wilson County16.7+0.1 pts
233Brazos County16.6-0.9 pts
234Coryell County16.5+0.5 pts
235Bowie County16.4-0.9 pts
235Orange County16.4-0.4 pts
237Kendall County16.3-0.4 pts
238Hays County16.1-0.6 pts
239Carson County15.8+0.4 pts
240Galveston County15.7-1.7 pts
241Fort Bend County15.3+0.3 pts
242Guadalupe County15-0.9 pts
242Kent County15+0.9 pts
244Brazoria County14.4-2 pts
244Comal County14.4-0.6 pts
244Franklin County14.4-2.9 pts
247Chambers County14-1.9 pts
247Randall County14+0.8 pts
249Travis County13.8-2.7 pts
250Denton County12.9-0.5 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2020.
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-2020-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)?

Kenedy County, with 41.4% in 2020, according to the U.S. Census Bureau.

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

Collin County, with 11.3% in 2020.

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