RANKING · 2024 ACS · 254 SHOWN OF 254

Highest Medicaid coverage, Texas counties

Texas counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 254 counties in Texas that qualify, ranked against each other statewide.

TexasAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Loving County, TXTX5263.6%+31.1 pts

02Dimmit County, TXTX8,02443.7%+11.1 pts

03Zavala County, TXTX9,03739.1%−3.4 pts

04Starr County, TXTX66,31936.4%+0.7 pts

05Zapata County, TXTX13,75333.1%+1.0 pts

06Cochran County, TXTX2,54632.8%+6.7 pts

07Brooks County, TXTX6,57931.5%−1.8 pts

08Maverick County, TXTX58,82331.1%+4.0 pts

09Duval County, TXTX9,40230.7%+2.4 pts

10Jim Hogg County, TXTX4,55530.5%−3.9 pts

11Willacy County, TXTX19,97129.6%−2.8 pts

12Culberson County, TXTX2,26729.2%−0.7 pts

13Hidalgo County, TXTX921,54928.7%−0.7 pts

14Terry County, TXTX11,72028.0%+2.3 pts

15Webb County, TXTX281,22427.9%+1.1 pts

16San Augustine County, TXTX7,72227.3%+3.1 pts

17Cameron County, TXTX433,94627.2%−1.0 pts

18Hale County, TXTX31,81926.9%+7.0 pts

19Nolan County, TXTX14,11726.2%+6.9 pts

20Crosby County, TXTX4,85226.0%+1.4 pts

21Camp County, TXTX13,38025.6%+3.7 pts

22Jim Wells County, TXTX38,80425.2%+2.1 pts

23Cottle County, TXTX1,22425.1%−6.0 pts

24Delta County, TXTX5,54925.1%+7.9 pts

25Limestone County, TXTX22,84924.9%+1.3 pts

26Dickens County, TXTX1,69224.8%+4.7 pts

27Stonewall County, TXTX1,18624.6%+7.0 pts

28McMullen County, TXTX54424.4%+6.4 pts

29Wilbarger County, TXTX12,48124.0%−0.3 pts

30Presidio County, TXTX5,43323.9%−9.3 pts

31Anderson County, TXTX59,80523.2%+5.0 pts

32Angelina County, TXTX88,15423.1%+0.9 pts

33Uvalde County, TXTX24,96323.1%−3.7 pts

34Houston County, TXTX22,31622.9%+2.6 pts

35Gaines County, TXTX23,95622.9%+5.7 pts

36Val Verde County, TXTX47,83522.8%+1.4 pts

37Frio County, TXTX18,82322.6%+0.4 pts

38Swisher County, TXTX6,70322.5%+2.3 pts

39El Paso County, TXTX877,85822.4%−0.5 pts

40Shelby County, TXTX24,28622.4%+1.6 pts

41Kleberg County, TXTX30,31522.4%−0.7 pts

42Coke County, TXTX3,41222.2%+6.6 pts

43Deaf Smith County, TXTX18,62622.0%+1.3 pts

44Hall County, TXTX2,73721.9%−2.3 pts

45Newton County, TXTX11,95421.9%+3.9 pts

46Trinity County, TXTX14,38421.9%+0.0 pts

47Palo Pinto County, TXTX30,79121.9%+1.9 pts

48Potter County, TXTX114,45321.7%+1.9 pts

49Tyler County, TXTX20,44321.7%+1.2 pts

50Titus County, TXTX31,56321.6%−0.5 pts

51Menard County, TXTX1,95621.5%+5.5 pts

52San Jacinto County, TXTX29,48821.5%−0.3 pts

53Coleman County, TXTX7,91521.5%+7.8 pts

54Castro County, TXTX7,29521.4%−2.3 pts

55Henderson County, TXTX88,59521.2%+1.4 pts

56Dawson County, TXTX11,77621.2%−3.9 pts

57Morris County, TXTX12,13321.1%−0.5 pts

58Howard County, TXTX30,50421.1%+2.9 pts

59Cass County, TXTX28,65121.0%+2.6 pts

60Cherokee County, TXTX53,33720.8%+0.6 pts

61Jefferson County, TXTX254,32120.8%+2.4 pts

62Red River County, TXTX11,81620.7%+1.2 pts

63Gregg County, TXTX126,09520.6%+1.1 pts

64Nueces County, TXTX352,99220.5%+0.7 pts

65Grimes County, TXTX34,25220.4%+1.4 pts

66Karnes County, TXTX15,01820.4%+3.1 pts

67Callahan County, TXTX14,49120.3%+5.1 pts

68Matagorda County, TXTX36,46320.3%−0.3 pts

69Lamar County, TXTX51,50320.3%−1.2 pts

70Freestone County, TXTX20,81120.3%−3.2 pts

71McCulloch County, TXTX7,47220.2%+1.0 pts

72Upshur County, TXTX44,41020.2%+0.3 pts

73Brown County, TXTX38,71120.2%+1.6 pts

74Atascosa County, TXTX53,59020.1%+3.2 pts

75Stephens County, TXTX9,38020.1%−1.8 pts

76Throckmorton County, TXTX1,55420.1%+6.2 pts

77Eastland County, TXTX18,14320.1%+1.2 pts

78Fisher County, TXTX3,69220.0%+4.5 pts

79Jasper County, TXTX33,07519.9%+0.6 pts

80Navarro County, TXTX57,18119.9%+2.1 pts

81Polk County, TXTX53,43419.8%+0.5 pts

82Nacogdoches County, TXTX66,03519.6%+0.6 pts

83Hockley County, TXTX21,60019.5%+0.0 pts

84Reeves County, TXTX12,13819.5%+3.2 pts

85Motley County, TXTX1,04319.5%−2.6 pts

86Collingsworth County, TXTX2,48719.5%−7.3 pts

87Hamilton County, TXTX8,68019.4%+1.7 pts

88Liberty County, TXTX121,36419.4%+1.5 pts

89Hudspeth County, TXTX3,43319.3%−16.5 pts

90Wichita County, TXTX129,55519.3%+0.2 pts

91Harrison County, TXTX71,95619.2%+0.9 pts

92Haskell County, TXTX5,49919.1%−2.4 pts

93Mitchell County, TXTX8,94719.1%−1.0 pts

94Montague County, TXTX21,96619.1%+5.3 pts

95Rusk County, TXTX54,85419.1%+1.2 pts

96Bee County, TXTX32,51519.0%−1.5 pts

97Edwards County, TXTX1,37018.9%−7.6 pts

98Marion County, TXTX9,89618.7%−2.1 pts

99Bowie County, TXTX92,69618.6%−0.3 pts

100Refugio County, TXTX6,65718.6%−2.8 pts

101Bexar County, TXTX2,160,08818.5%−0.5 pts

102Dallam County, TXTX7,50818.5%+1.5 pts

103Gonzales County, TXTX20,15918.5%−1.0 pts

104Wheeler County, TXTX4,77318.5%+1.0 pts

105Harris County, TXTX5,045,02618.4%−0.1 pts

106Baylor County, TXTX3,47218.2%+6.0 pts

107Fannin County, TXTX39,26518.2%+3.4 pts

108Lamb County, TXTX12,57918.2%−0.3 pts

109Smith County, TXTX252,54918.2%+1.5 pts

110Bell County, TXTX402,24818.1%+1.3 pts

111Gray County, TXTX20,91918.1%−0.2 pts

112Childress County, TXTX6,64317.9%+3.4 pts

113Coryell County, TXTX85,59217.9%+2.1 pts

114Medina County, TXTX56,88117.9%+3.5 pts

115Lynn County, TXTX6,01717.8%−1.1 pts

116Robertson County, TXTX17,83917.8%−2.9 pts

117Lampasas County, TXTX23,65717.6%+0.2 pts

118Dallas County, TXTX2,661,39717.6%−0.9 pts

119Caldwell County, TXTX55,15017.5%+1.1 pts

120Orange County, TXTX86,26617.5%+1.5 pts

121Runnels County, TXTX9,69317.4%−1.0 pts

122Lee County, TXTX18,72917.3%+4.5 pts

123Madison County, TXTX14,22617.3%−0.9 pts

124Panola County, TXTX23,01817.3%−2.5 pts

125San Patricio County, TXTX72,05317.3%−2.4 pts

126DeWitt County, TXTX20,30917.2%−0.9 pts

127Colorado County, TXTX21,43917.2%+5.8 pts

128Yoakum County, TXTX7,43817.1%+3.7 pts

129McLennan County, TXTX272,02017.0%−0.5 pts

130Briscoe County, TXTX1,47416.9%+1.2 pts

131Wood County, TXTX49,68816.9%+0.8 pts

132Knox County, TXTX3,19216.9%−3.9 pts

133Floyd County, TXTX4,88116.9%−4.0 pts

134Victoria County, TXTX92,65616.9%+0.5 pts

135Falls County, TXTX17,86916.8%−8.2 pts

136Bailey County, TXTX6,96316.7%−6.8 pts

137Hartley County, TXTX4,90416.7%+3.3 pts

138Jones County, TXTX20,86116.7%+0.2 pts

139Milam County, TXTX26,25816.7%−1.3 pts

140Hill County, TXTX39,50316.6%−0.4 pts

141Hunt County, TXTX123,33616.5%−0.8 pts

142Comanche County, TXTX14,43216.1%+1.5 pts

143Scurry County, TXTX16,16216.1%+2.0 pts

144Taylor County, TXTX150,07716.0%−1.5 pts

145Bandera County, TXTX22,87615.9%+1.0 pts

146Wharton County, TXTX42,06015.9%−0.6 pts

147La Salle County, TXTX6,51715.8%+0.1 pts

148Lipscomb County, TXTX2,95515.8%+4.9 pts

149Lubbock County, TXTX328,90615.8%−0.6 pts

150Burleson County, TXTX20,54915.8%+1.0 pts

151Waller County, TXTX69,85815.8%+4.1 pts

152Bosque County, TXTX18,91815.7%−0.8 pts

153Cooke County, TXTX44,46115.7%+2.3 pts

154Tom Green County, TXTX120,60215.7%+1.1 pts

155Van Zandt County, TXTX66,13015.7%−0.7 pts

156Mills County, TXTX4,58015.6%+5.6 pts

157Pecos County, TXTX14,56015.6%−3.1 pts

158Real County, TXTX2,74515.6%−8.3 pts

159Young County, TXTX18,15415.6%+0.8 pts

160Aransas County, TXTX26,14615.5%−3.8 pts

161Kimble County, TXTX4,43815.5%−2.3 pts

162Ector County, TXTX173,80115.4%+0.3 pts

163Kent County, TXTX67415.4%+9.9 pts

164Ward County, TXTX11,12515.4%−3.4 pts

165Shackelford County, TXTX3,19715.3%+0.8 pts

166Jackson County, TXTX15,39315.2%+0.0 pts

167Live Oak County, TXTX11,92915.2%−4.9 pts

168Walker County, TXTX83,84215.2%+3.2 pts

169Franklin County, TXTX10,99415.1%+0.6 pts

170Grayson County, TXTX153,61315.0%−0.2 pts

171Concho County, TXTX3,60715.0%−4.4 pts

172Andrews County, TXTX18,91414.8%+0.9 pts

173Garza County, TXTX4,51014.8%−2.6 pts

174Rains County, TXTX13,54214.8%+0.1 pts

175Hardeman County, TXTX3,29214.7%−4.1 pts

176Hopkins County, TXTX39,06314.5%−0.1 pts

177Parmer County, TXTX9,67814.5%−3.7 pts

178Sutton County, TXTX3,20314.4%−2.0 pts

179Washington County, TXTX38,28814.4%+0.4 pts

180Goliad County, TXTX7,20814.3%−0.1 pts

181Bastrop County, TXTX118,90814.2%−0.9 pts

182Ochiltree County, TXTX9,28414.2%−3.4 pts

183Sterling County, TXTX1,34914.2%+1.1 pts

184Winkler County, TXTX7,54014.2%+7.5 pts

185Crane County, TXTX4,55414.1%+6.1 pts

186Sherman County, TXTX2,78114.1%+0.3 pts

187Tarrant County, TXTX2,248,46614.1%−0.8 pts

188Hardin County, TXTX58,72313.9%−1.5 pts

189Austin County, TXTX33,62513.7%−1.1 pts

190Llano County, TXTX23,35313.7%+1.4 pts

191San Saba County, TXTX5,78713.7%−4.1 pts

192Jack County, TXTX9,56313.6%−4.4 pts

193Kaufman County, TXTX209,23513.6%−0.9 pts

194Calhoun County, TXTX19,59913.5%−1.6 pts

195Hood County, TXTX70,50113.5%+2.9 pts

196Midland County, TXTX187,85513.5%+2.4 pts

197Wilson County, TXTX56,13913.2%−0.3 pts

198Wise County, TXTX83,77813.1%+0.7 pts

199Armstrong County, TXTX1,84312.9%+4.3 pts

200Chambers County, TXTX57,59412.9%+1.0 pts

201Galveston County, TXTX372,20712.9%−0.2 pts

202Guadalupe County, TXTX201,11112.8%+0.1 pts

203Leon County, TXTX16,89412.8%−3.6 pts

204Sabine County, TXTX10,01212.8%−5.4 pts

205Burnet County, TXTX57,01512.8%+1.0 pts

206Clay County, TXTX10,76412.6%−1.3 pts

207Brazos County, TXTX249,08812.5%+0.5 pts

208Reagan County, TXTX3,16612.4%+3.7 pts

209Brazoria County, TXTX419,08012.3%+1.2 pts

210Hutchinson County, TXTX19,63312.3%−1.2 pts

211Ellis County, TXTX240,86711.8%+0.4 pts

212Erath County, TXTX43,91111.8%−0.3 pts

213Johnson County, TXTX218,04811.8%−0.5 pts

214Moore County, TXTX21,89111.8%+0.1 pts

215Somervell County, TXTX10,26111.4%−0.5 pts

216Brewster County, TXTX9,45811.4%+3.1 pts

217Kinney County, TXTX3,12811.3%−4.9 pts

218Montgomery County, TXTX781,19411.1%−0.1 pts

219Randall County, TXTX152,35111.0%−0.4 pts

220Travis County, TXTX1,389,67010.8%−0.7 pts

221Gillespie County, TXTX28,52710.8%+1.7 pts

222Lavaca County, TXTX20,65110.7%−0.7 pts

223Donley County, TXTX3,21310.7%+0.8 pts

224Kerr County, TXTX54,03710.6%−3.6 pts

225Fort Bend County, TXTX975,19110.6%+0.1 pts

226Hemphill County, TXTX3,08310.4%−1.1 pts

227Archer County, TXTX9,12910.3%−2.0 pts

228Fayette County, TXTX25,45910.2%+0.7 pts

229Hays County, TXTX304,39010.1%+0.4 pts

230Oldham County, TXTX1,78310.0%+3.4 pts

231Irion County, TXTX1,4639.9%+4.9 pts

232Comal County, TXTX209,1669.5%+0.1 pts

233Parker County, TXTX184,7679.5%−0.3 pts

234Crockett County, TXTX2,7699.3%+1.6 pts

235Martin County, TXTX5,2848.9%−8.4 pts

236Kendall County, TXTX53,2898.6%−2.4 pts

237Williamson County, TXTX752,8278.5%−0.6 pts

238Carson County, TXTX5,8058.4%+0.6 pts

239Blanco County, TXTX13,5818.3%−0.3 pts

240Borden County, TXTX5677.7%+1.9 pts

241Rockwall County, TXTX140,7387.6%−0.1 pts

242Schleicher County, TXTX2,2457.5%−1.2 pts

243Hansford County, TXTX4,9447.4%−3.4 pts

244Denton County, TXTX1,069,3467.2%−0.3 pts

245Mason County, TXTX3,9907.1%+3.1 pts

246Jeff Davis County, TXTX1,7117.0%−10.7 pts

247Terrell County, TXTX7026.8%−2.9 pts

248Collin County, TXTX1,297,1796.8%+0.6 pts

249King County, TXTX1926.6%−3.4 pts

250Upton County, TXTX3,1315.5%−7.4 pts

251Foard County, TXTX1,0445.5%−8.2 pts

252Kenedy County, TXTX3194.8%−37.4 pts

253Roberts County, TXTX8674.8%+0.0 pts

254Glasscock County, TXTX1,1284.6%−6.8 pts

SHOWING 1–254 OF 254

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES