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 2023, at 33.5%. Loving County had the lowest, at 6%. The median was 19.1% and the figure for Texas was 18.6%. Source: the U.S. Census Bureau.

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Highest33.5Gaines County
Lowest6Loving County
Median19.1254 counties
Texas18.6History

Map of counties, 2023

Anderson County: 18.8 %Andrews County: 21.5 %Angelina County: 19.4 %Aransas County: 17.6 %Archer County: 16.5 %Armstrong County: 8.4 %Atascosa County: 18.7 %Austin County: 19.4 %Bailey County: 26.3 %Bandera County: 17.9 %Bastrop County: 21.2 %Baylor County: 15.7 %Bee County: 14.5 %Bell County: 15 %Bexar County: 16.9 %Blanco County: 18.8 %Borden County: 11.5 %Bosque County: 19.5 %Bowie County: 14.2 %Brazoria County: 14.3 %Brazos County: 16.6 %Brewster County: 19.7 %Briscoe County: 20.7 %Brooks County: 17.9 %Brown County: 17.2 %Burleson County: 20.2 %Burnet County: 20.6 %Caldwell County: 22.5 %Calhoun County: 17.2 %Callahan County: 16 %Cameron County: 26 %Camp County: 20.8 %Carson County: 13.1 %Cass County: 16 %Castro County: 22.9 %Chambers County: 13.3 %Cherokee County: 21.4 %Childress County: 17.7 %Clay County: 14.9 %Cochran County: 27.3 %Coke County: 17.4 %Coleman County: 19.8 %Collin County: 11 %Collingsworth County: 22.7 %Colorado County: 21.5 %Comal County: 12.4 %Comanche County: 23.3 %Concho County: 14.8 %Cooke County: 19.8 %Coryell County: 13.2 %Cottle County: 16.6 %Crane County: 20 %Crockett County: 24.5 %Crosby County: 20.3 %Culberson County: 16.4 %Dallam County: 26.8 %Dallas County: 23.3 %Dawson County: 23.8 %Deaf Smith County: 23.5 %Delta County: 13.5 %Denton County: 12 %DeWitt County: 17.3 %Dickens County: 17.9 %Dimmit County: 17.3 %Donley County: 20.8 %Duval County: 16.9 %Eastland County: 20.2 %Ector County: 22.6 %Edwards County: 28.8 %Ellis County: 16.3 %El Paso County: 23.4 %Erath County: 21.3 %Falls County: 18.4 %Fannin County: 17.8 %Fayette County: 18.4 %Fisher County: 15.5 %Floyd County: 22.9 %Foard County: 20.1 %Fort Bend County: 13.2 %Franklin County: 16.2 %Freestone County: 20.9 %Frio County: 21.2 %Gaines County: 33.5 %Galveston County: 15.8 %Garza County: 18.4 %Gillespie County: 21.5 %Glasscock County: 13.3 %Goliad County: 17.7 %Gonzales County: 24.1 %Gray County: 21.9 %Grayson County: 18.7 %Gregg County: 19.8 %Grimes County: 20 %Guadalupe County: 13 %Hale County: 23.8 %Hall County: 25.3 %Hamilton County: 21.9 %Hansford County: 29.1 %Hardeman County: 20.4 %Hardin County: 14.6 %Harris County: 22.2 %Harrison County: 15.6 %Hartley County: 14.9 %Haskell County: 22 %Hays County: 14 %Hemphill County: 18.4 %Henderson County: 20.1 %Hidalgo County: 27.5 %Hill County: 20 %Hockley County: 20.4 %Hood County: 16.2 %Hopkins County: 21.3 %Houston County: 19.9 %Howard County: 17.2 %Hudspeth County: 25.7 %Hunt County: 19.7 %Hutchinson County: 16.2 %Irion County: 17.5 %Jack County: 22.6 %Jackson County: 20.3 %Jasper County: 16.3 %Jeff Davis County: 13.3 %Jefferson County: 21.5 %Jim Hogg County: 19.6 %Jim Wells County: 19.1 %Johnson County: 18.1 %Jones County: 18.6 %Karnes County: 17.8 %Kaufman County: 17.5 %Kendall County: 15 %Kenedy County: 29.2 %Kent County: 9.6 %Kerr County: 20.7 %Kimble County: 20.2 %King County: 23.6 %Kinney County: 12.5 %Kleberg County: 18.8 %Knox County: 24 %Lamar County: 18.2 %Lamb County: 23.3 %Lampasas County: 18.7 %La Salle County: 23.5 %Lavaca County: 17.5 %Lee County: 20.8 %Leon County: 21.3 %Liberty County: 23.8 %Limestone County: 19.2 %Lipscomb County: 22 %Live Oak County: 20.9 %Llano County: 18.7 %Loving County: 6 %Lubbock County: 15.7 %Lynn County: 15.5 %McCulloch County: 21.6 %McLennan County: 17.2 %McMullen County: 17.1 %Madison County: 22.5 %Marion County: 17.9 %Martin County: 16.7 %Mason County: 21.3 %Matagorda County: 21 %Maverick County: 23.7 %Medina County: 16.8 %Menard County: 23.7 %Midland County: 15.4 %Milam County: 18.5 %Mills County: 19.9 %Mitchell County: 14.9 %Montague County: 20.2 %Montgomery County: 17.6 %Moore County: 25.8 %Morris County: 17.6 %Motley County: 16.1 %Nacogdoches County: 20.9 %Navarro County: 22.9 %Newton County: 20 %Nolan County: 17.7 %Nueces County: 18.4 %Ochiltree County: 27.1 %Oldham County: 17.5 %Orange County: 15.1 %Palo Pinto County: 21.5 %Panola County: 17.6 %Parker County: 15.3 %Parmer County: 26.6 %Pecos County: 21.3 %Polk County: 19 %Potter County: 23.7 %Presidio County: 29.6 %Rains County: 20.5 %Randall County: 13.6 %Reagan County: 18 %Real County: 19.4 %Red River County: 21 %Reeves County: 21.3 %Refugio County: 17.8 %Roberts County: 13.9 %Robertson County: 18.3 %Rockwall County: 11.4 %Runnels County: 20.3 %Rusk County: 17.8 %Sabine County: 18.2 %San Augustine County: 20.4 %San Jacinto County: 20.5 %San Patricio County: 18.3 %San Saba County: 25.6 %Schleicher County: 20.8 %Scurry County: 18.5 %Shackelford County: 16.3 %Shelby County: 21.9 %Sherman County: 26.7 %Smith County: 19 %Somervell County: 14.7 %Starr County: 25.1 %Stephens County: 19.6 %Sterling County: 16 %Stonewall County: 18 %Sutton County: 21.8 %Swisher County: 23.2 %Tarrant County: 17.6 %Taylor County: 15.8 %Terrell County: 11.9 %Terry County: 24.5 %Throckmorton County: 19.4 %Titus County: 23.9 %Tom Green County: 18 %Travis County: 13.1 %Trinity County: 18.3 %Tyler County: 18.7 %Upshur County: 15.7 %Upton County: 18.1 %Uvalde County: 23 %Val Verde County: 19 %Van Zandt County: 21.3 %Victoria County: 18.4 %Walker County: 18.6 %Waller County: 20.3 %Ward County: 20.2 %Washington County: 17.7 %Webb County: 28.7 %Wharton County: 20.9 %Wheeler County: 25.3 %Wichita County: 16.8 %Wilbarger County: 20.2 %Willacy County: 21.6 %Williamson County: 11.4 %Wilson County: 13.2 %Winkler County: 19.2 %Wise County: 17.9 %Wood County: 20.6 %Yoakum County: 25 %Young County: 20.7 %Zapata County: 26.1 %Zavala County: 17.6 %
  • Under 16
  • 16 to 18
  • 18 to 19
  • 19 to 21
  • 21 to 23
  • 23 and over
%, 2023. 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, 2023

Gaines County: 33.5 %Gaines County33.5Presidio County: 29.6 %Presidio County29.6Kenedy County: 29.2 %Kenedy County29.2Hansford County: 29.1 %Hansford County29.1Edwards County: 28.8 %Edwards County28.8Webb County: 28.7 %Webb County28.7Hidalgo County: 27.5 %Hidalgo County27.5Cochran County: 27.3 %Cochran County27.3Ochiltree County: 27.1 %Ochiltree County27.1Dallam County: 26.8 %Dallam County26.8Sherman County: 26.7 %Sherman County26.7Parmer County: 26.6 %Parmer County26.6Bailey County: 26.3 %Bailey County26.3Zapata County: 26.1 %Zapata County26.1Cameron County: 26 %Cameron County26Moore County: 25.8 %Moore County25.8Hudspeth County: 25.7 %Hudspeth County25.7San Saba County: 25.6 %San Saba County25.6Hall County: 25.3 %Hall County25.3Wheeler County: 25.3 %Wheeler County25.3Starr County: 25.1 %Starr County25.1Yoakum County: 25 %Yoakum County25Crockett County: 24.5 %Crockett County24.5Terry County: 24.5 %Terry County24.5Gonzales County: 24.1 %Gonzales County24.1Knox County: 24 %Knox County24Titus County: 23.9 %Titus County23.9Dawson County: 23.8 %Dawson County23.8Hale County: 23.8 %Hale County23.8Liberty County: 23.8 %Liberty County23.8Maverick County: 23.7 %Maverick County23.7Menard County: 23.7 %Menard County23.7Potter County: 23.7 %Potter County23.7King County: 23.6 %King County23.6Deaf Smith County: 23.5 %Deaf Smith County23.5La Salle County: 23.5 %La Salle County23.5El Paso County: 23.4 %El Paso County23.4Comanche County: 23.3 %Comanche County23.3Dallas County: 23.3 %Dallas County23.3Lamb County: 23.3 %Lamb County23.3Gaines County: 33.5 %Gaines County33.5Presidio County: 29.6 %Presidio County29.6Kenedy County: 29.2 %Kenedy County29.2Hansford County: 29.1 %Hansford County29.1Edwards County: 28.8 %Edwards County28.8Webb County: 28.7 %Webb County28.7Hidalgo County: 27.5 %Hidalgo County27.5Cochran County: 27.3 %Cochran County27.3Ochiltree County: 27.1 %Ochiltree County27.1Dallam County: 26.8 %Dallam County26.8Sherman County: 26.7 %Sherman County26.7Parmer County: 26.6 %Parmer County26.6Bailey County: 26.3 %Bailey County26.3Zapata County: 26.1 %Zapata County26.1Cameron County: 26 %Cameron County26Moore County: 25.8 %Moore County25.8Hudspeth County: 25.7 %Hudspeth County25.7San Saba County: 25.6 %San Saba County25.6Hall County: 25.3 %Hall County25.3Wheeler County: 25.3 %Wheeler County25.3Starr County: 25.1 %Starr County25.1Yoakum County: 25 %Yoakum County25Crockett County: 24.5 %Crockett County24.5Terry County: 24.5 %Terry County24.5Gonzales County: 24.1 %Gonzales County24.1Knox County: 24 %Knox County24Titus County: 23.9 %Titus County23.9Dawson County: 23.8 %Dawson County23.8Hale County: 23.8 %Hale County23.8Liberty County: 23.8 %Liberty County23.8Maverick County: 23.7 %Maverick County23.7Menard County: 23.7 %Menard County23.7Potter County: 23.7 %Potter County23.7King County: 23.6 %King County23.6Deaf Smith County: 23.5 %Deaf Smith County23.5La Salle County: 23.5 %La Salle County23.5El Paso County: 23.4 %El Paso County23.4Comanche County: 23.3 %Comanche County23.3Dallas County: 23.3 %Dallas County23.3Lamb County: 23.3 %Lamb County23.3
%. 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

RankCounties2023 (%)Change on 2022
1Gaines County33.5+1.5 pts
2Presidio County29.6-3.9 pts
3Kenedy County29.2-8.5 pts
4Hansford County29.1+2 pts
5Edwards County28.8-0.6 pts
6Webb County28.7+1.6 pts
7Hidalgo County27.5-2.7 pts
8Cochran County27.3+3.8 pts
9Ochiltree County27.1-1 pts
10Dallam County26.8-1.2 pts
11Sherman County26.7-0.6 pts
12Parmer County26.6+2.2 pts
13Bailey County26.3-0.3 pts
14Zapata County26.1+2.4 pts
15Cameron County26+0.8 pts
16Moore County25.8-0.3 pts
17Hudspeth County25.7+0.1 pts
18San Saba County25.6-1.6 pts
19Hall County25.3+0.2 pts
19Wheeler County25.3-0.4 pts
21Starr County25.1+0.1 pts
22Yoakum County25-1.6 pts
23Crockett County24.5-2.2 pts
23Terry County24.5+0.9 pts
25Gonzales County24.1+1.5 pts
26Knox County24+3.1 pts
27Titus County23.9-0.3 pts
28Dawson County23.8+1.7 pts
28Hale County23.8+1.5 pts
28Liberty County23.8+1.2 pts
31Maverick County23.7-2.6 pts
31Menard County23.7-2.1 pts
31Potter County23.7+0.8 pts
34King County23.6+3.3 pts
35Deaf Smith County23.5+0.8 pts
35La Salle County23.5+1.2 pts
37El Paso County23.4-0.1 pts
38Comanche County23.3+1.4 pts
38Dallas County23.3-0.3 pts
38Lamb County23.3+0.3 pts
41Swisher County23.2-4.9 pts
42Uvalde County23+0.1 pts
43Castro County22.9-2.4 pts
43Floyd County22.9-2 pts
43Navarro County22.9+4.2 pts
46Collingsworth County22.7-3.3 pts
47Ector County22.6+0.8 pts
47Jack County22.6+0.3 pts
49Caldwell County22.5-0.3 pts
49Madison County22.5-1.8 pts
51Harris County22.20 pts
52Haskell County22-1.6 pts
52Lipscomb County22+0.3 pts
54Gray County21.9+0.4 pts
54Hamilton County21.9-0.4 pts
54Shelby County21.9-0.5 pts
57Sutton County21.8+0.5 pts
58McCulloch County21.6-0.7 pts
58Willacy County21.60 pts
60Andrews County21.5-1.4 pts
60Colorado County21.5-1.1 pts
60Gillespie County21.5-3.2 pts
60Jefferson County21.5+1 pts
60Palo Pinto County21.5+0.8 pts
65Cherokee County21.4+1.8 pts
66Erath County21.3+0.7 pts
66Hopkins County21.3+1 pts
66Leon County21.3-0.5 pts
66Mason County21.3-2.7 pts
66Pecos County21.3-1.1 pts
66Reeves County21.3-0.7 pts
66Van Zandt County21.3+2.1 pts
73Bastrop County21.2+0.4 pts
73Frio County21.2-0.7 pts
75Matagorda County21-0.6 pts
75Red River County21+1.9 pts
77Freestone County20.9+2 pts
77Live Oak County20.9-0.4 pts
77Nacogdoches County20.9+1.7 pts
77Wharton County20.9+0.3 pts
81Camp County20.8+0.6 pts
81Donley County20.8-0.7 pts
81Lee County20.8+0.5 pts
81Schleicher County20.8-2.3 pts
85Briscoe County20.7-0.8 pts
85Kerr County20.7+1.7 pts
85Young County20.7-0.4 pts
88Burnet County20.6+1.1 pts
88Wood County20.6+0.8 pts
90Rains County20.5-1.2 pts
90San Jacinto County20.5+0.3 pts
92Hardeman County20.4+0.5 pts
92Hockley County20.4-2.1 pts
92San Augustine County20.4+0.8 pts
95Crosby County20.3-1.7 pts
95Jackson County20.3+0.5 pts
95Runnels County20.3-0.4 pts
95Waller County20.3+2 pts
99Burleson County20.2-0.9 pts
99Eastland County20.20 pts
99Kimble County20.2-1.4 pts
99Montague County20.2-0.7 pts
99Ward County20.2-3.1 pts
99Wilbarger County20.2-0.7 pts
105Foard County20.1+1.8 pts
105Henderson County20.1-2.3 pts
107Crane County20-3.2 pts
107Grimes County20+0.3 pts
107Hill County20+0.4 pts
107Newton County20-0.4 pts
111Houston County19.9+0.1 pts
111Mills County19.9-1.7 pts
113Coleman County19.8-1.8 pts
113Cooke County19.8+1.4 pts
113Gregg County19.8-0.1 pts
116Brewster County19.7-3 pts
116Hunt County19.7+0.8 pts
118Jim Hogg County19.6-1.8 pts
118Stephens County19.6-1.1 pts
120Bosque County19.5-0.8 pts
121Angelina County19.4-0.2 pts
121Austin County19.4+0.3 pts
121Real County19.4-1.3 pts
121Throckmorton County19.40 pts
125Limestone County19.2-0.6 pts
125Winkler County19.2-0.5 pts
127Jim Wells County19.1+0.1 pts
128Polk County190 pts
128Smith County19+0.4 pts
128Val Verde County19-2.4 pts
131Anderson County18.8+1.1 pts
131Blanco County18.8+0.6 pts
131Kleberg County18.8-0.3 pts
134Atascosa County18.7-1.5 pts
134Grayson County18.7+0.2 pts
134Lampasas County18.7+1.2 pts
134Llano County18.7-0.9 pts
134Tyler County18.7-0.4 pts
139Jones County18.6+0.7 pts
139Walker County18.60 pts
141Milam County18.5-0.8 pts
141Scurry County18.5-2.4 pts
143Falls County18.4+0.1 pts
143Fayette County18.4-0.6 pts
143Garza County18.4-3.8 pts
143Hemphill County18.4-2.4 pts
143Nueces County18.4-1 pts
143Victoria County18.4-0.7 pts
149Robertson County18.3+0.9 pts
149San Patricio County18.3-0.6 pts
149Trinity County18.3+0.7 pts
152Lamar County18.20 pts
152Sabine County18.2-1.1 pts
154Johnson County18.1-0.2 pts
154Upton County18.1-1.6 pts
156Reagan County18-2.9 pts
156Stonewall County18+1.6 pts
156Tom Green County18-0.1 pts
159Bandera County17.9-1.6 pts
159Brooks County17.90 pts
159Dickens County17.9-1 pts
159Marion County17.9+1.2 pts
159Wise County17.90 pts
164Fannin County17.8+1.2 pts
164Karnes County17.8-0.5 pts
164Refugio County17.8-0.7 pts
164Rusk County17.8-1.2 pts
168Childress County17.7-0.7 pts
168Goliad County17.7+1.2 pts
168Nolan County17.7-1.2 pts
168Washington County17.7+1.4 pts
172Aransas County17.6-3 pts
172Montgomery County17.6+2.1 pts
172Morris County17.6+0.9 pts
172Panola County17.6-0.6 pts
172Tarrant County17.6-0.6 pts
172Zavala County17.6+0.5 pts
178Irion County17.5-3 pts
178Kaufman County17.5+0.7 pts
178Lavaca County17.5+2.5 pts
178Oldham County17.5+1.9 pts
182Coke County17.4-0.8 pts
183DeWitt County17.3-1.5 pts
183Dimmit County17.3-2.1 pts
185Brown County17.2-0.6 pts
185Calhoun County17.2+0.4 pts
185Howard County17.2-2.6 pts
185McLennan County17.2-1.3 pts
189McMullen County17.1+1.2 pts
190Bexar County16.9-1.1 pts
190Duval County16.9-1.1 pts
192Medina County16.8+0.1 pts
192Wichita County16.80 pts
194Martin County16.7-4.4 pts
195Brazos County16.6+0.9 pts
195Cottle County16.6-0.1 pts
197Archer County16.5-0.2 pts
198Culberson County16.4-6.8 pts
199Ellis County16.3-0.2 pts
199Jasper County16.3-3.9 pts
199Shackelford County16.3-4.2 pts
202Franklin County16.2+1.6 pts
202Hood County16.2-0.4 pts
202Hutchinson County16.2-0.2 pts
205Motley County16.1-0.4 pts
206Callahan County16-1.8 pts
206Cass County16-1.6 pts
206Sterling County16+1.8 pts
209Galveston County15.80 pts
209Taylor County15.8-2.9 pts
211Baylor County15.7-0.9 pts
211Lubbock County15.7-0.6 pts
211Upshur County15.7-1.8 pts
214Harrison County15.6-1.8 pts
215Fisher County15.5-0.3 pts
215Lynn County15.5-1.2 pts
217Midland County15.4-3.5 pts
218Parker County15.3-0.4 pts
219Orange County15.1+0.5 pts
220Bell County15-1.4 pts
220Kendall County15-0.3 pts
222Clay County14.9-1.2 pts
222Hartley County14.9-1.8 pts
222Mitchell County14.9-1.8 pts
225Concho County14.8-1.7 pts
226Somervell County14.7-1.7 pts
227Hardin County14.6-2 pts
228Bee County14.5-1.5 pts
229Brazoria County14.3-0.6 pts
230Bowie County14.2-2.1 pts
231Hays County14+0.2 pts
232Roberts County13.9+1.6 pts
233Randall County13.6+0.6 pts
234Delta County13.5-0.2 pts
235Chambers County13.3-0.7 pts
235Glasscock County13.3-4 pts
235Jeff Davis County13.3-8.9 pts
238Coryell County13.2-1.5 pts
238Fort Bend County13.2+0.8 pts
238Wilson County13.2-1.8 pts
241Carson County13.1-2.1 pts
241Travis County13.1+0.3 pts
243Guadalupe County13-0.8 pts
244Kinney County12.5-0.4 pts
245Comal County12.4-0.9 pts
246Denton County12+0.5 pts
247Terrell County11.9-7.2 pts
248Borden County11.5-1.7 pts
249Rockwall County11.4+0.2 pts
249Williamson County11.4+1 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties?period=2023.
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-2023-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 33.5% in 2023, according to the U.S. Census Bureau.

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

Loving County, with 6% in 2023.

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