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CensusEasy
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. The median across all 254 is 17.2%. Biggest climber in the top 100 since 2020: Coleman County, TX, up 134 places to #53.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01▲8Loving County, TXTX5263.6%+31.1 pts
02▲6Dimmit County, TXTX8,02443.7%+11.1 pts
03▼2Zavala County, TXTX9,03739.1%−3.4 pts
04Starr County, TXTX66,31936.4%+0.7 pts
05▲6Zapata County, TXTX13,75333.1%+1.0 pts
06▲16Cochran County, TXTX2,54632.8%+6.7 pts
07▼1Brooks County, TXTX6,57931.5%−1.8 pts
08▲9Maverick County, TXTX58,82331.1%+4.0 pts
09▲6Duval County, TXTX9,40230.7%+2.4 pts
10▼5Jim Hogg County, TXTX4,55530.5%−3.9 pts
11▼1Willacy County, TXTX19,97129.6%−2.8 pts
12▲1Culberson County, TXTX2,26729.2%−0.7 pts
13▲1Hidalgo County, TXTX921,54928.7%−0.7 pts
14▲9Terry County, TXTX11,72028.0%+2.3 pts
15▲4Webb County, TXTX281,22427.9%+1.1 pts
16▲13San Augustine County, TXTX7,72227.3%+3.1 pts
17▼1Cameron County, TXTX433,94627.2%−1.0 pts
18▲49Hale County, TXTX31,81926.9%+7.0 pts
19▲63Nolan County, TXTX14,11726.2%+6.9 pts
20▲6Crosby County, TXTX4,85226.0%+1.4 pts
21▲21Camp County, TXTX13,38025.6%+3.7 pts
22▲13Jim Wells County, TXTX38,80425.2%+2.1 pts
23▼11Cottle County, TXTX1,22425.1%−6.0 pts
24▲106Delta County, TXTX5,54925.1%+7.9 pts
25▲7Limestone County, TXTX22,84924.9%+1.3 pts
26▲37Dickens County, TXTX1,69224.8%+4.7 pts
27▲94Stonewall County, TXTX1,18624.6%+7.0 pts
28▲82McMullen County, TXTX54424.4%+6.4 pts
29▼2Wilbarger County, TXTX12,48124.0%−0.3 pts
30▼23Presidio County, TXTX5,43323.9%−9.3 pts
31▲72Anderson County, TXTX59,80523.2%+5.0 pts
32▲6Angelina County, TXTX88,15423.1%+0.9 pts
33▼15Uvalde County, TXTX24,96323.1%−3.7 pts
34▲26Houston County, TXTX22,31622.9%+2.6 pts
35▲96Gaines County, TXTX23,95622.9%+5.7 pts
36▲14Val Verde County, TXTX47,83522.8%+1.4 pts
37▲2Frio County, TXTX18,82322.6%+0.4 pts
38▲24Swisher County, TXTX6,70322.5%+2.3 pts
39▼2El Paso County, TXTX877,85822.4%−0.5 pts
40▲13Shelby County, TXTX24,28622.4%+1.6 pts
41▼5Kleberg County, TXTX30,31522.4%−0.7 pts
42▲112Coke County, TXTX3,41222.2%+6.6 pts
43▲12Deaf Smith County, TXTX18,62622.0%+1.3 pts
44▼16Hall County, TXTX2,73721.9%−2.3 pts
45▲67Newton County, TXTX11,95421.9%+3.9 pts
46▼2Trinity County, TXTX14,38421.9%0.0 pts
47▲19Palo Pinto County, TXTX30,79121.9%+1.9 pts
48▲24Potter County, TXTX114,45321.7%+1.9 pts
49▲10Tyler County, TXTX20,44321.7%+1.2 pts
50▼10Titus County, TXTX31,56321.6%−0.5 pts
51▲98Menard County, TXTX1,95621.5%+5.5 pts
52▼7San Jacinto County, TXTX29,48821.5%−0.3 pts
53▲134Coleman County, TXTX7,91521.5%+7.8 pts
54▼23Castro County, TXTX7,29521.4%−2.3 pts
55▲14Henderson County, TXTX88,59521.2%+1.4 pts
56▼32Dawson County, TXTX11,77621.2%−3.9 pts
57▼11Morris County, TXTX12,13321.1%−0.5 pts
58▲49Howard County, TXTX30,50421.1%+2.9 pts
59▲39Cass County, TXTX28,65121.0%+2.6 pts
60▲1Cherokee County, TXTX53,33720.8%+0.6 pts
61▲38Jefferson County, TXTX254,32120.8%+2.4 pts
62▲15Red River County, TXTX11,81620.7%+1.2 pts
63▲12Gregg County, TXTX126,09520.6%+1.1 pts
64▲6Nueces County, TXTX352,99220.5%+0.7 pts
65▲21Grimes County, TXTX34,25220.4%+1.4 pts
66▲62Karnes County, TXTX15,01820.4%+3.1 pts
67▲90Callahan County, TXTX14,49120.3%+5.1 pts
68▼11Matagorda County, TXTX36,46320.3%−0.3 pts
69▼21Lamar County, TXTX51,50320.3%−1.2 pts
70▼36Freestone County, TXTX20,81120.3%−3.2 pts
71▲12McCulloch County, TXTX7,47220.2%+1.0 pts
72▼4Upshur County, TXTX44,41020.2%+0.3 pts
73▲21Brown County, TXTX38,71120.2%+1.6 pts
74▲60Atascosa County, TXTX53,59020.1%+3.2 pts
75▼32Stephens County, TXTX9,38020.1%−1.8 pts
76▲108Throckmorton County, TXTX1,55420.1%+6.2 pts
77▲13Eastland County, TXTX18,14320.1%+1.2 pts
78▲77Fisher County, TXTX3,69220.0%+4.5 pts
79▲2Jasper County, TXTX33,07519.9%+0.6 pts
80▲36Navarro County, TXTX57,18119.9%+2.1 pts
81▼2Polk County, TXTX53,43419.8%+0.5 pts
82▲5Nacogdoches County, TXTX66,03519.6%+0.6 pts
83▼7Hockley County, TXTX21,60019.5%0.0 pts
84▲62Reeves County, TXTX12,13819.5%+3.2 pts
85▼44Motley County, TXTX1,04319.5%−2.6 pts
86▼66Collingsworth County, TXTX2,48719.5%−7.3 pts
87▲31Hamilton County, TXTX8,68019.4%+1.7 pts
88▲25Liberty County, TXTX121,36419.4%+1.5 pts
89▼86Hudspeth County, TXTX3,43319.3%−16.5 pts
90▼6Wichita County, TXTX129,55519.3%+0.2 pts
91▲11Harrison County, TXTX71,95619.2%+0.9 pts
92▼45Haskell County, TXTX5,49919.1%−2.4 pts
93▼28Mitchell County, TXTX8,94719.1%−1.0 pts
94▲91Montague County, TXTX21,96619.1%+5.3 pts
95▲19Rusk County, TXTX54,85419.1%+1.2 pts
96▼38Bee County, TXTX32,51519.0%−1.5 pts
97▼76Edwards County, TXTX1,37018.9%−7.6 pts
98▼46Marion County, TXTX9,89618.7%−2.1 pts
99▼11Bowie County, TXTX92,69618.6%−0.3 pts
100▼51Refugio County, TXTX6,65718.6%−2.8 pts
101▼16Bexar County, TXTX2,160,08818.5%−0.5 pts
102▲30Dallam County, TXTX7,50818.5%+1.5 pts
103▼29Gonzales County, TXTX20,15918.5%−1.0 pts
104▲20Wheeler County, TXTX4,77318.5%+1.0 pts
105▼10Harris County, TXTX5,045,02618.4%−0.1 pts
106▲97Baylor County, TXTX3,47218.2%+6.0 pts
107▲59Fannin County, TXTX39,26518.2%+3.4 pts
108▼12Lamb County, TXTX12,57918.2%−0.3 pts
109▲27Smith County, TXTX252,54918.2%+1.5 pts
110▲25Bell County, TXTX402,24818.1%+1.3 pts
111▼10Gray County, TXTX20,91918.1%−0.2 pts
112▲61Childress County, TXTX6,64317.9%+3.4 pts
113▲38Coryell County, TXTX85,59217.9%+2.1 pts
114▲64Medina County, TXTX56,88117.9%+3.5 pts
115▼26Lynn County, TXTX6,01717.8%−1.1 pts
116▼60Robertson County, TXTX17,83917.8%−2.9 pts
117▲9Lampasas County, TXTX23,65717.6%+0.2 pts
118▼21Dallas County, TXTX2,661,39717.6%−0.9 pts
119▲21Caldwell County, TXTX55,15017.5%+1.1 pts
120▲30Orange County, TXTX86,26617.5%+1.5 pts
121▼21Runnels County, TXTX9,69317.4%−1.0 pts
122▲75Lee County, TXTX18,72917.3%+4.5 pts
123▼19Madison County, TXTX14,22617.3%−0.9 pts
124▼53Panola County, TXTX23,01817.3%−2.5 pts
125▼52San Patricio County, TXTX72,05317.3%−2.4 pts
126▼18DeWitt County, TXTX20,30917.2%−0.9 pts
127▲87Colorado County, TXTX21,43917.2%+5.8 pts
128▲65Yoakum County, TXTX7,43817.1%+3.7 pts
129▼7McLennan County, TXTX272,02017.0%−0.5 pts
130▲22Briscoe County, TXTX1,47416.9%+1.2 pts
131▲17Wood County, TXTX49,68816.9%+0.8 pts
132▼78Knox County, TXTX3,19216.9%−3.9 pts
133▼82Floyd County, TXTX4,88116.9%−4.0 pts
134▲11Victoria County, TXTX92,65616.9%+0.5 pts
135▼110Falls County, TXTX17,86916.8%−8.2 pts
136▼103Bailey County, TXTX6,96316.7%−6.8 pts
137▲55Hartley County, TXTX4,90416.7%+3.3 pts
138Jones County, TXTX20,86116.7%+0.2 pts
139▼28Milam County, TXTX26,25816.7%−1.3 pts
140▼7Hill County, TXTX39,50316.6%−0.4 pts
141▼14Hunt County, TXTX123,33616.5%−0.8 pts
142▲28Comanche County, TXTX14,43216.1%+1.5 pts
143▲37Scurry County, TXTX16,16216.1%+2.0 pts
144▼21Taylor County, TXTX150,07716.0%−1.5 pts
145▲19Bandera County, TXTX22,87615.9%+1.0 pts
146▼7Wharton County, TXTX42,06015.9%−0.6 pts
147▲6La Salle County, TXTX6,51715.8%+0.1 pts
148▲75Lipscomb County, TXTX2,95515.8%+4.9 pts
149▼7Lubbock County, TXTX328,90615.8%−0.6 pts
150▲18Burleson County, TXTX20,54915.8%+1.0 pts
151▲60Waller County, TXTX69,85815.8%+4.1 pts
152▼15Bosque County, TXTX18,91815.7%−0.8 pts
153▲38Cooke County, TXTX44,46115.7%+2.3 pts
154▲18Tom Green County, TXTX120,60215.7%+1.1 pts
155▼11Van Zandt County, TXTX66,13015.7%−0.7 pts
156▲72Mills County, TXTX4,58015.6%+5.6 pts
157▼64Pecos County, TXTX14,56015.6%−3.1 pts
158▼128Real County, TXTX2,74515.6%−8.3 pts
159▲8Young County, TXTX18,15415.6%+0.8 pts
160▼80Aransas County, TXTX26,14615.5%−3.8 pts
161▼46Kimble County, TXTX4,43815.5%−2.3 pts
162Ector County, TXTX173,80115.4%+0.3 pts
163▲88Kent County, TXTX67415.4%+9.9 pts
164▼72Ward County, TXTX11,12515.4%−3.4 pts
165▲9Shackelford County, TXTX3,19715.3%+0.8 pts
166▼7Jackson County, TXTX15,39315.2%0.0 pts
167▼103Live Oak County, TXTX11,92915.2%−4.9 pts
168▲38Walker County, TXTX83,84215.2%+3.2 pts
169▲7Franklin County, TXTX10,99415.1%+0.6 pts
170▼12Grayson County, TXTX153,61315.0%−0.2 pts
171▼93Concho County, TXTX3,60715.0%−4.4 pts
172▲10Andrews County, TXTX18,91414.8%+0.9 pts
173▼48Garza County, TXTX4,51014.8%−2.6 pts
174▼5Rains County, TXTX13,54214.8%+0.1 pts
175▼84Hardeman County, TXTX3,29214.7%−4.1 pts
176▼5Hopkins County, TXTX39,06314.5%−0.1 pts
177▼72Parmer County, TXTX9,67814.5%−3.7 pts
178▼35Sutton County, TXTX3,20314.4%−2.0 pts
179▲2Washington County, TXTX38,28814.4%+0.4 pts
180▼3Goliad County, TXTX7,20814.3%−0.1 pts
181▼21Bastrop County, TXTX118,90814.2%−0.9 pts
182▼62Ochiltree County, TXTX9,28414.2%−3.4 pts
183▲11Sterling County, TXTX1,34914.2%+1.1 pts
184▲63Winkler County, TXTX7,54014.2%+7.5 pts
185▲57Crane County, TXTX4,55414.1%+6.1 pts
186Sherman County, TXTX2,78114.1%+0.3 pts
187▼24Tarrant County, TXTX2,248,46614.1%−0.8 pts
188▼32Hardin County, TXTX58,72313.9%−1.5 pts
189▼24Austin County, TXTX33,62513.7%−1.1 pts
190▲12Llano County, TXTX23,35313.7%+1.4 pts
191▼74San Saba County, TXTX5,78713.7%−4.1 pts
192▼83Jack County, TXTX9,56313.6%−4.4 pts
193▼18Kaufman County, TXTX209,23513.6%−0.9 pts
194▼33Calhoun County, TXTX19,59913.5%−1.6 pts
195▲30Hood County, TXTX70,50113.5%+2.9 pts
196▲25Midland County, TXTX187,85513.5%+2.4 pts
197▼7Wilson County, TXTX56,13913.2%−0.3 pts
198▲1Wise County, TXTX83,77813.1%+0.7 pts
199▲40Armstrong County, TXTX1,84312.9%+4.3 pts
200▲7Chambers County, TXTX57,59412.9%+1.0 pts
201▼6Galveston County, TXTX372,20712.9%−0.2 pts
202▼4Guadalupe County, TXTX201,11112.8%+0.1 pts
203▼62Leon County, TXTX16,89412.8%−3.6 pts
204▼98Sabine County, TXTX10,01212.8%−5.4 pts
205▲4Burnet County, TXTX57,01512.8%+1.0 pts
206▼23Clay County, TXTX10,76412.6%−1.3 pts
207▼2Brazos County, TXTX249,08812.5%+0.5 pts
208▲29Reagan County, TXTX3,16612.4%+3.7 pts
209▲11Brazoria County, TXTX419,08012.3%+1.2 pts
210▼21Hutchinson County, TXTX19,63312.3%−1.2 pts
211▲4Ellis County, TXTX240,86711.8%+0.4 pts
212▼8Erath County, TXTX43,91111.8%−0.3 pts
213▼12Johnson County, TXTX218,04811.8%−0.5 pts
214▼4Moore County, TXTX21,89111.8%+0.1 pts
215▼7Somervell County, TXTX10,26111.4%−0.5 pts
216▲25Brewster County, TXTX9,45811.4%+3.1 pts
217▼70Kinney County, TXTX3,12811.3%−4.9 pts
218▲1Montgomery County, TXTX781,19411.1%−0.1 pts
219▼1Randall County, TXTX152,35111.0%−0.4 pts
220▼8Travis County, TXTX1,389,67010.8%−0.7 pts
221▲14Gillespie County, TXTX28,52710.8%+1.7 pts
222▼5Lavaca County, TXTX20,65110.7%−0.7 pts
223▲6Donley County, TXTX3,21310.7%+0.8 pts
224▼45Kerr County, TXTX54,03710.6%−3.6 pts
225▲1Fort Bend County, TXTX975,19110.6%+0.1 pts
226▼13Hemphill County, TXTX3,08310.4%−1.1 pts
227▼27Archer County, TXTX9,12910.3%−2.0 pts
228▲5Fayette County, TXTX25,45910.2%+0.7 pts
229▲2Hays County, TXTX304,39010.1%+0.4 pts
230▲18Oldham County, TXTX1,78310.0%+3.4 pts
231▲21Irion County, TXTX1,4639.9%+4.9 pts
232▲2Comal County, TXTX209,1669.5%+0.1 pts
233▼3Parker County, TXTX184,7679.5%−0.3 pts
234▲10Crockett County, TXTX2,7699.3%+1.6 pts
235▼106Martin County, TXTX5,2848.9%−8.4 pts
236▼14Kendall County, TXTX53,2898.6%−2.4 pts
237▼1Williamson County, TXTX752,8278.5%−0.6 pts
238▲5Carson County, TXTX5,8058.4%+0.6 pts
239▲1Blanco County, TXTX13,5818.3%−0.3 pts
240▲10Borden County, TXTX5677.7%+1.9 pts
241▲4Rockwall County, TXTX140,7387.6%−0.1 pts
242▼4Schleicher County, TXTX2,2457.5%−1.2 pts
243▼19Hansford County, TXTX4,9447.4%−3.4 pts
244▲2Denton County, TXTX1,069,3467.2%−0.3 pts
245▲9Mason County, TXTX3,9907.1%+3.1 pts
246▼127Jeff Davis County, TXTX1,7117.0%−10.7 pts
247▼15Terrell County, TXTX7026.8%−2.9 pts
248▲1Collin County, TXTX1,297,1796.8%+0.6 pts
249▼22King County, TXTX1926.6%−3.4 pts
250▼54Upton County, TXTX3,1315.5%−7.4 pts
251▼63Foard County, TXTX1,0445.5%−8.2 pts
252▼250Kenedy County, TXTX3194.8%−37.4 pts
253Roberts County, TXTX8674.8%0.0 pts
254▼38Glasscock County, TXTX1,1284.6%−6.8 pts
SHOWING 1–254 OF 254

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES