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 2022, at 37.7%. Loving County had the lowest, at 2.2%. The median was 19.6% and the figure for Texas was 18.8%. Source: the U.S. Census Bureau.
Map of counties, 2022
- Under 16
- 16 to 18
- 18 to 20
- 20 to 21
- 21 to 23
- 23 and over
Top 40 counties, 2022
Full ranking
| Rank | Counties | 2022 (%) | Change on 2021 |
|---|---|---|---|
| 1 | Kenedy County | 37.7 | -8.6 pts |
| 2 | Presidio County | 33.5 | -5.2 pts |
| 3 | Gaines County | 32 | -0.5 pts |
| 4 | Hidalgo County | 30.2 | -1.8 pts |
| 5 | Edwards County | 29.4 | +0.2 pts |
| 6 | Ochiltree County | 28.1 | -3.5 pts |
| 6 | Swisher County | 28.1 | -0.4 pts |
| 8 | Dallam County | 28 | -4.4 pts |
| 9 | Sherman County | 27.3 | -5.4 pts |
| 10 | San Saba County | 27.2 | -0.4 pts |
| 11 | Hansford County | 27.1 | -2.6 pts |
| 11 | Webb County | 27.1 | -2.6 pts |
| 13 | Crockett County | 26.7 | -0.6 pts |
| 14 | Bailey County | 26.6 | -1.9 pts |
| 14 | Yoakum County | 26.6 | -1.6 pts |
| 16 | Maverick County | 26.3 | -1.6 pts |
| 17 | Moore County | 26.1 | -5 pts |
| 18 | Collingsworth County | 26 | -5.1 pts |
| 19 | Menard County | 25.8 | -3.7 pts |
| 20 | Wheeler County | 25.7 | -2.5 pts |
| 21 | Hudspeth County | 25.6 | -3.6 pts |
| 22 | Castro County | 25.3 | -1.1 pts |
| 23 | Cameron County | 25.2 | -4.9 pts |
| 24 | Hall County | 25.1 | -3.4 pts |
| 25 | Starr County | 25 | -4 pts |
| 26 | Floyd County | 24.9 | -0.8 pts |
| 27 | Gillespie County | 24.7 | +0.9 pts |
| 28 | Parmer County | 24.4 | -4.2 pts |
| 29 | Madison County | 24.3 | +0.2 pts |
| 30 | Titus County | 24.2 | -2.6 pts |
| 31 | Mason County | 24 | -4.7 pts |
| 32 | Zapata County | 23.7 | -2.6 pts |
| 33 | Dallas County | 23.6 | -0.6 pts |
| 33 | Haskell County | 23.6 | -1.2 pts |
| 33 | Terry County | 23.6 | -3.9 pts |
| 36 | Cochran County | 23.5 | -5.1 pts |
| 36 | El Paso County | 23.5 | 0 pts |
| 38 | Ward County | 23.3 | +0.1 pts |
| 39 | Crane County | 23.2 | -2.1 pts |
| 39 | Culberson County | 23.2 | -8.1 pts |
| 41 | Schleicher County | 23.1 | -6.6 pts |
| 42 | Lamb County | 23 | -3.1 pts |
| 43 | Andrews County | 22.9 | -1.4 pts |
| 43 | Potter County | 22.9 | -1.5 pts |
| 43 | Uvalde County | 22.9 | -1 pts |
| 46 | Caldwell County | 22.8 | -2.6 pts |
| 47 | Brewster County | 22.7 | -2.3 pts |
| 47 | Deaf Smith County | 22.7 | -5.2 pts |
| 49 | Colorado County | 22.6 | -0.4 pts |
| 49 | Gonzales County | 22.6 | -4.2 pts |
| 49 | Liberty County | 22.6 | -0.6 pts |
| 52 | Hockley County | 22.5 | -2.7 pts |
| 53 | Henderson County | 22.4 | +0.7 pts |
| 53 | Pecos County | 22.4 | -2.3 pts |
| 53 | Shelby County | 22.4 | -4.3 pts |
| 56 | Hale County | 22.3 | -1.9 pts |
| 56 | Hamilton County | 22.3 | -0.5 pts |
| 56 | Jack County | 22.3 | -2.2 pts |
| 56 | La Salle County | 22.3 | +0.7 pts |
| 56 | McCulloch County | 22.3 | -2.2 pts |
| 61 | Garza County | 22.2 | -1 pts |
| 61 | Harris County | 22.2 | -1.6 pts |
| 61 | Jeff Davis County | 22.2 | -2.5 pts |
| 64 | Dawson County | 22.1 | -1.3 pts |
| 65 | Crosby County | 22 | -2.5 pts |
| 65 | Reeves County | 22 | -0.7 pts |
| 67 | Comanche County | 21.9 | -1 pts |
| 67 | Frio County | 21.9 | -1.7 pts |
| 69 | Ector County | 21.8 | -3.5 pts |
| 69 | Leon County | 21.8 | -1.1 pts |
| 71 | Lipscomb County | 21.7 | -7.2 pts |
| 71 | Rains County | 21.7 | -2.9 pts |
| 73 | Coleman County | 21.6 | -0.9 pts |
| 73 | Kimble County | 21.6 | -3.2 pts |
| 73 | Matagorda County | 21.6 | -1.6 pts |
| 73 | Mills County | 21.6 | -5.9 pts |
| 73 | Willacy County | 21.6 | -1.5 pts |
| 78 | Briscoe County | 21.5 | -5.5 pts |
| 78 | Donley County | 21.5 | -1.3 pts |
| 78 | Gray County | 21.5 | -3.9 pts |
| 81 | Jim Hogg County | 21.4 | +0.1 pts |
| 81 | Val Verde County | 21.4 | -3.1 pts |
| 83 | Live Oak County | 21.3 | -2.2 pts |
| 83 | Sutton County | 21.3 | -2.5 pts |
| 85 | Burleson County | 21.1 | -0.8 pts |
| 85 | Martin County | 21.1 | -2.8 pts |
| 85 | Young County | 21.1 | -0.6 pts |
| 88 | Knox County | 20.9 | -4.8 pts |
| 88 | Montague County | 20.9 | -0.8 pts |
| 88 | Reagan County | 20.9 | -1.6 pts |
| 88 | Scurry County | 20.9 | -1.4 pts |
| 88 | Wilbarger County | 20.9 | -2.9 pts |
| 93 | Bastrop County | 20.8 | -2 pts |
| 93 | Hemphill County | 20.8 | -4.5 pts |
| 95 | Palo Pinto County | 20.7 | -0.7 pts |
| 95 | Real County | 20.7 | -4.3 pts |
| 95 | Runnels County | 20.7 | -0.9 pts |
| 95 | Stephens County | 20.7 | -3.4 pts |
| 99 | Aransas County | 20.6 | -2.6 pts |
| 99 | Erath County | 20.6 | -0.9 pts |
| 99 | Wharton County | 20.6 | -3 pts |
| 102 | Irion County | 20.5 | +1.8 pts |
| 102 | Jefferson County | 20.5 | -2.2 pts |
| 102 | Shackelford County | 20.5 | -3.8 pts |
| 105 | Newton County | 20.4 | -2.1 pts |
| 106 | Bosque County | 20.3 | -1.3 pts |
| 106 | Hopkins County | 20.3 | -2.3 pts |
| 106 | King County | 20.3 | -6.4 pts |
| 106 | Lee County | 20.3 | -2.6 pts |
| 110 | Atascosa County | 20.2 | -1.8 pts |
| 110 | Camp County | 20.2 | -0.5 pts |
| 110 | Eastland County | 20.2 | -3 pts |
| 110 | Jasper County | 20.2 | +0.7 pts |
| 110 | San Jacinto County | 20.2 | -3.1 pts |
| 115 | Gregg County | 19.9 | -2.1 pts |
| 115 | Hardeman County | 19.9 | -7.5 pts |
| 117 | Houston County | 19.8 | -0.7 pts |
| 117 | Howard County | 19.8 | -0.8 pts |
| 117 | Jackson County | 19.8 | -1.1 pts |
| 117 | Limestone County | 19.8 | -2.5 pts |
| 117 | Wood County | 19.8 | -2.8 pts |
| 122 | Grimes County | 19.7 | -2.5 pts |
| 122 | Upton County | 19.7 | -2.6 pts |
| 122 | Winkler County | 19.7 | -3.7 pts |
| 125 | Angelina County | 19.6 | -2.9 pts |
| 125 | Cherokee County | 19.6 | -4.6 pts |
| 125 | Hill County | 19.6 | -2 pts |
| 125 | Llano County | 19.6 | -3.3 pts |
| 125 | San Augustine County | 19.6 | -5.7 pts |
| 130 | Bandera County | 19.5 | -1.3 pts |
| 130 | Burnet County | 19.5 | -2.2 pts |
| 132 | Dimmit County | 19.4 | -2.1 pts |
| 132 | Nueces County | 19.4 | -1.8 pts |
| 132 | Throckmorton County | 19.4 | -4.8 pts |
| 135 | Milam County | 19.3 | -1.5 pts |
| 135 | Sabine County | 19.3 | -2 pts |
| 137 | Nacogdoches County | 19.2 | -2.8 pts |
| 137 | Van Zandt County | 19.2 | -1.5 pts |
| 139 | Austin County | 19.1 | -2.8 pts |
| 139 | Kleberg County | 19.1 | -1.9 pts |
| 139 | Red River County | 19.1 | +0.9 pts |
| 139 | Terrell County | 19.1 | -4.5 pts |
| 139 | Tyler County | 19.1 | -3.2 pts |
| 139 | Victoria County | 19.1 | -1.3 pts |
| 145 | Fayette County | 19 | -1.5 pts |
| 145 | Jim Wells County | 19 | -2.7 pts |
| 145 | Kerr County | 19 | -3.5 pts |
| 145 | Polk County | 19 | -1.2 pts |
| 145 | Rusk County | 19 | -1.3 pts |
| 150 | Dickens County | 18.9 | -6.6 pts |
| 150 | Freestone County | 18.9 | -2 pts |
| 150 | Hunt County | 18.9 | -1.6 pts |
| 150 | Midland County | 18.9 | +0.4 pts |
| 150 | Nolan County | 18.9 | -2.7 pts |
| 150 | San Patricio County | 18.9 | -1.8 pts |
| 156 | DeWitt County | 18.8 | -2.1 pts |
| 157 | Navarro County | 18.7 | -5.8 pts |
| 157 | Taylor County | 18.7 | -0.2 pts |
| 159 | Smith County | 18.6 | -2.6 pts |
| 159 | Walker County | 18.6 | -1.5 pts |
| 161 | Grayson County | 18.5 | -0.9 pts |
| 161 | McLennan County | 18.5 | -1 pts |
| 161 | Refugio County | 18.5 | -1.3 pts |
| 164 | Childress County | 18.4 | -3.1 pts |
| 164 | Cooke County | 18.4 | -3.7 pts |
| 166 | Falls County | 18.3 | -2 pts |
| 166 | Foard County | 18.3 | -0.8 pts |
| 166 | Johnson County | 18.3 | -1.1 pts |
| 166 | Karnes County | 18.3 | -1.4 pts |
| 166 | Waller County | 18.3 | -5.5 pts |
| 171 | Blanco County | 18.2 | -1.8 pts |
| 171 | Coke County | 18.2 | -2.2 pts |
| 171 | Lamar County | 18.2 | -2.8 pts |
| 171 | Panola County | 18.2 | -1.2 pts |
| 171 | Tarrant County | 18.2 | -1.7 pts |
| 176 | Tom Green County | 18.1 | -2.1 pts |
| 177 | Bexar County | 18 | -0.9 pts |
| 177 | Duval County | 18 | -5.3 pts |
| 179 | Brooks County | 17.9 | -3.2 pts |
| 179 | Jones County | 17.9 | -1.3 pts |
| 179 | Wise County | 17.9 | -3 pts |
| 182 | Brown County | 17.8 | -1.4 pts |
| 182 | Callahan County | 17.8 | -0.6 pts |
| 184 | Anderson County | 17.7 | -2.1 pts |
| 185 | Cass County | 17.6 | -0.8 pts |
| 185 | Trinity County | 17.6 | -2.7 pts |
| 187 | Lampasas County | 17.5 | -1.9 pts |
| 187 | Upshur County | 17.5 | -1.6 pts |
| 189 | Harrison County | 17.4 | -2.1 pts |
| 189 | Robertson County | 17.4 | -1.9 pts |
| 191 | Glasscock County | 17.3 | -8.9 pts |
| 192 | Zavala County | 17.1 | -3.3 pts |
| 193 | Calhoun County | 16.8 | -3.2 pts |
| 193 | Kaufman County | 16.8 | -2.2 pts |
| 193 | Wichita County | 16.8 | -1.1 pts |
| 196 | Archer County | 16.7 | -2.3 pts |
| 196 | Cottle County | 16.7 | -2.7 pts |
| 196 | Hartley County | 16.7 | -2.8 pts |
| 196 | Lynn County | 16.7 | -5.4 pts |
| 196 | Marion County | 16.7 | -4.8 pts |
| 196 | Medina County | 16.7 | -2.2 pts |
| 196 | Mitchell County | 16.7 | -0.5 pts |
| 196 | Morris County | 16.7 | -1.3 pts |
| 204 | Baylor County | 16.6 | -1.4 pts |
| 204 | Fannin County | 16.6 | -3.4 pts |
| 204 | Hardin County | 16.6 | +0.3 pts |
| 204 | Hood County | 16.6 | -1.1 pts |
| 208 | Concho County | 16.5 | -0.9 pts |
| 208 | Ellis County | 16.5 | -2.4 pts |
| 208 | Goliad County | 16.5 | -3.7 pts |
| 208 | Motley County | 16.5 | -0.9 pts |
| 212 | Bell County | 16.4 | +1 pts |
| 212 | Hutchinson County | 16.4 | -3.5 pts |
| 212 | Somervell County | 16.4 | -1.7 pts |
| 212 | Stonewall County | 16.4 | -6.7 pts |
| 216 | Bowie County | 16.3 | -0.9 pts |
| 216 | Lubbock County | 16.3 | -1.1 pts |
| 216 | Washington County | 16.3 | -3.7 pts |
| 219 | Clay County | 16.1 | -1.2 pts |
| 220 | Bee County | 16 | -1.5 pts |
| 221 | McMullen County | 15.9 | -5.5 pts |
| 222 | Fisher County | 15.8 | -1.8 pts |
| 222 | Galveston County | 15.8 | -0.3 pts |
| 224 | Brazos County | 15.7 | -2.5 pts |
| 224 | Parker County | 15.7 | -1.2 pts |
| 226 | Oldham County | 15.6 | +0.4 pts |
| 227 | Montgomery County | 15.5 | -2.4 pts |
| 228 | Kendall County | 15.3 | -0.6 pts |
| 229 | Carson County | 15.2 | -1.9 pts |
| 230 | Lavaca County | 15 | -4.1 pts |
| 230 | Wilson County | 15 | -1.9 pts |
| 232 | Brazoria County | 14.9 | -0.7 pts |
| 233 | Coryell County | 14.7 | -0.5 pts |
| 234 | Franklin County | 14.6 | -1 pts |
| 234 | Orange County | 14.6 | -1.4 pts |
| 236 | Sterling County | 14.2 | -7.3 pts |
| 237 | Chambers County | 14 | -1.4 pts |
| 238 | Guadalupe County | 13.8 | -1 pts |
| 238 | Hays County | 13.8 | -2.6 pts |
| 240 | Delta County | 13.7 | -3.5 pts |
| 241 | Comal County | 13.3 | -1.5 pts |
| 242 | Borden County | 13.2 | +0.5 pts |
| 243 | Randall County | 13 | -2.7 pts |
| 244 | Kinney County | 12.9 | -1.8 pts |
| 245 | Travis County | 12.8 | -2.2 pts |
| 246 | Fort Bend County | 12.4 | -1.3 pts |
| 247 | Roberts County | 12.3 | -3.5 pts |
| 248 | Armstrong County | 11.6 | -5.1 pts |
| 249 | Denton County | 11.5 | -0.6 pts |
| 250 | Kent County | 11.3 | +2.1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022.
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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2022,
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), 2022}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2022.
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-2022-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)?
Kenedy County, with 37.7% in 2022, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, under 65 (US model-based estimate)?
Loving County, with 2.2% in 2022.
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.