RANKING · 2020 CENSUS · 254 SHOWN OF 254

Highest Medicaid coverage, Texas counties · 2020

Texas counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2020 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

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

RANKPLACESTATEPOPMEDICAIDVS –

01Zavala County, TXTX9,03742.5%–

02Kenedy County, TXTX31942.2%–

03Hudspeth County, TXTX3,43335.8%–

04Starr County, TXTX66,31935.7%–

05Jim Hogg County, TXTX4,55534.4%–

06Brooks County, TXTX6,57933.3%–

07Presidio County, TXTX5,43333.2%–

08Dimmit County, TXTX8,02432.6%–

09Loving County, TXTX5232.5%–

10Willacy County, TXTX19,97132.4%–

11Zapata County, TXTX13,75332.1%–

12Cottle County, TXTX1,22431.1%–

13Culberson County, TXTX2,26729.9%–

14Hidalgo County, TXTX921,54929.4%–

15Duval County, TXTX9,40228.3%–

16Cameron County, TXTX433,94628.2%–

17Maverick County, TXTX58,82327.1%–

18Collingsworth County, TXTX2,48726.8%–

19Uvalde County, TXTX24,96326.8%–

20Webb County, TXTX281,22426.8%–

21Edwards County, TXTX1,37026.5%–

22Cochran County, TXTX2,54626.1%–

23Terry County, TXTX11,72025.7%–

24Dawson County, TXTX11,77625.1%–

25Falls County, TXTX17,86925.0%–

26Crosby County, TXTX4,85224.6%–

27Wilbarger County, TXTX12,48124.3%–

28Hall County, TXTX2,73724.2%–

29San Augustine County, TXTX7,72224.2%–

30Real County, TXTX2,74523.9%–

31Castro County, TXTX7,29523.7%–

32Limestone County, TXTX22,84923.6%–

33Bailey County, TXTX6,96323.5%–

34Freestone County, TXTX20,81123.5%–

35Jim Wells County, TXTX38,80423.1%–

36Kleberg County, TXTX30,31523.1%–

37El Paso County, TXTX877,85822.9%–

38Angelina County, TXTX88,15422.2%–

39Frio County, TXTX18,82322.2%–

40Titus County, TXTX31,56322.1%–

41Motley County, TXTX1,04322.1%–

42Camp County, TXTX13,38021.9%–

43Stephens County, TXTX9,38021.9%–

44Trinity County, TXTX14,38421.9%–

45San Jacinto County, TXTX29,48821.8%–

46Morris County, TXTX12,13321.6%–

47Haskell County, TXTX5,49921.5%–

48Lamar County, TXTX51,50321.5%–

49Refugio County, TXTX6,65721.4%–

50Val Verde County, TXTX47,83521.4%–

51Floyd County, TXTX4,88120.9%–

52Marion County, TXTX9,89620.8%–

53Shelby County, TXTX24,28620.8%–

54Knox County, TXTX3,19220.8%–

55Deaf Smith County, TXTX18,62620.7%–

56Robertson County, TXTX17,83920.7%–

57Matagorda County, TXTX36,46320.6%–

58Bee County, TXTX32,51520.5%–

59Tyler County, TXTX20,44320.5%–

60Houston County, TXTX22,31620.3%–

61Cherokee County, TXTX53,33720.2%–

62Swisher County, TXTX6,70320.2%–

63Dickens County, TXTX1,69220.1%–

64Live Oak County, TXTX11,92920.1%–

65Mitchell County, TXTX8,94720.1%–

66Palo Pinto County, TXTX30,79120.0%–

67Hale County, TXTX31,81919.9%–

68Upshur County, TXTX44,41019.9%–

69Henderson County, TXTX88,59519.8%–

70Nueces County, TXTX352,99219.8%–

71Panola County, TXTX23,01819.8%–

72Potter County, TXTX114,45319.8%–

73San Patricio County, TXTX72,05319.7%–

74Gonzales County, TXTX20,15919.5%–

75Gregg County, TXTX126,09519.5%–

76Hockley County, TXTX21,60019.5%–

77Red River County, TXTX11,81619.5%–

78Concho County, TXTX3,60719.4%–

79Polk County, TXTX53,43419.3%–

80Aransas County, TXTX26,14619.3%–

81Jasper County, TXTX33,07519.3%–

82Nolan County, TXTX14,11719.3%–

83McCulloch County, TXTX7,47219.2%–

84Wichita County, TXTX129,55519.1%–

85Bexar County, TXTX2,160,08819.0%–

86Grimes County, TXTX34,25219.0%–

87Nacogdoches County, TXTX66,03519.0%–

88Bowie County, TXTX92,69618.9%–

89Lynn County, TXTX6,01718.9%–

90Eastland County, TXTX18,14318.9%–

91Hardeman County, TXTX3,29218.8%–

92Ward County, TXTX11,12518.8%–

93Pecos County, TXTX14,56018.7%–

94Brown County, TXTX38,71118.6%–

95Harris County, TXTX5,045,02618.5%–

96Lamb County, TXTX12,57918.5%–

97Dallas County, TXTX2,661,39718.5%–

98Cass County, TXTX28,65118.4%–

99Jefferson County, TXTX254,32118.4%–

100Runnels County, TXTX9,69318.4%–

101Gray County, TXTX20,91918.3%–

102Harrison County, TXTX71,95618.3%–

103Anderson County, TXTX59,80518.2%–

104Madison County, TXTX14,22618.2%–

105Parmer County, TXTX9,67818.2%–

106Sabine County, TXTX10,01218.2%–

107Howard County, TXTX30,50418.2%–

108DeWitt County, TXTX20,30918.1%–

109Jack County, TXTX9,56318.0%–

110McMullen County, TXTX54418.0%–

111Milam County, TXTX26,25818.0%–

112Newton County, TXTX11,95418.0%–

113Liberty County, TXTX121,36417.9%–

114Rusk County, TXTX54,85417.9%–

115Kimble County, TXTX4,43817.8%–

116Navarro County, TXTX57,18117.8%–

117San Saba County, TXTX5,78717.8%–

118Hamilton County, TXTX8,68017.7%–

119Jeff Davis County, TXTX1,71117.7%–

120Ochiltree County, TXTX9,28417.6%–

121Stonewall County, TXTX1,18617.6%–

122McLennan County, TXTX272,02017.5%–

123Taylor County, TXTX150,07717.5%–

124Wheeler County, TXTX4,77317.5%–

125Garza County, TXTX4,51017.4%–

126Lampasas County, TXTX23,65717.4%–

127Hunt County, TXTX123,33617.3%–

128Karnes County, TXTX15,01817.3%–

129Martin County, TXTX5,28417.3%–

130Delta County, TXTX5,54917.2%–

131Gaines County, TXTX23,95617.2%–

132Dallam County, TXTX7,50817.0%–

133Hill County, TXTX39,50317.0%–

134Atascosa County, TXTX53,59016.9%–

135Bell County, TXTX402,24816.8%–

136Smith County, TXTX252,54916.7%–

137Bosque County, TXTX18,91816.5%–

138Jones County, TXTX20,86116.5%–

139Wharton County, TXTX42,06016.5%–

140Caldwell County, TXTX55,15016.4%–

141Leon County, TXTX16,89416.4%–

142Lubbock County, TXTX328,90616.4%–

143Sutton County, TXTX3,20316.4%–

144Van Zandt County, TXTX66,13016.4%–

145Victoria County, TXTX92,65616.4%–

146Reeves County, TXTX12,13816.3%–

147Kinney County, TXTX3,12816.2%–

148Wood County, TXTX49,68816.1%–

149Menard County, TXTX1,95616.0%–

150Orange County, TXTX86,26616.0%–

151Coryell County, TXTX85,59215.8%–

152Briscoe County, TXTX1,47415.7%–

153La Salle County, TXTX6,51715.7%–

154Coke County, TXTX3,41215.6%–

155Fisher County, TXTX3,69215.5%–

156Hardin County, TXTX58,72315.4%–

157Callahan County, TXTX14,49115.2%–

158Grayson County, TXTX153,61315.2%–

159Jackson County, TXTX15,39315.2%–

160Bastrop County, TXTX118,90815.1%–

161Calhoun County, TXTX19,59915.1%–

162Ector County, TXTX173,80115.1%–

163Tarrant County, TXTX2,248,46614.9%–

164Bandera County, TXTX22,87614.9%–

165Austin County, TXTX33,62514.8%–

166Fannin County, TXTX39,26514.8%–

167Young County, TXTX18,15414.8%–

168Burleson County, TXTX20,54914.8%–

169Rains County, TXTX13,54214.7%–

170Comanche County, TXTX14,43214.6%–

171Hopkins County, TXTX39,06314.6%–

172Tom Green County, TXTX120,60214.6%–

173Childress County, TXTX6,64314.5%–

174Shackelford County, TXTX3,19714.5%–

175Kaufman County, TXTX209,23514.5%–

176Franklin County, TXTX10,99414.5%–

177Goliad County, TXTX7,20814.4%–

178Medina County, TXTX56,88114.4%–

179Kerr County, TXTX54,03714.2%–

180Scurry County, TXTX16,16214.1%–

181Washington County, TXTX38,28814.0%–

182Andrews County, TXTX18,91413.9%–

183Clay County, TXTX10,76413.9%–

184Throckmorton County, TXTX1,55413.9%–

185Montague County, TXTX21,96613.8%–

186Sherman County, TXTX2,78113.8%–

187Coleman County, TXTX7,91513.7%–

188Foard County, TXTX1,04413.7%–

189Hutchinson County, TXTX19,63313.5%–

190Wilson County, TXTX56,13913.5%–

191Cooke County, TXTX44,46113.4%–

192Hartley County, TXTX4,90413.4%–

193Yoakum County, TXTX7,43813.4%–

194Sterling County, TXTX1,34913.1%–

195Galveston County, TXTX372,20713.1%–

196Upton County, TXTX3,13112.9%–

197Lee County, TXTX18,72912.8%–

198Guadalupe County, TXTX201,11112.7%–

199Wise County, TXTX83,77812.4%–

200Archer County, TXTX9,12912.3%–

201Johnson County, TXTX218,04812.3%–

202Llano County, TXTX23,35312.3%–

203Baylor County, TXTX3,47212.2%–

204Erath County, TXTX43,91112.1%–

205Brazos County, TXTX249,08812.0%–

206Walker County, TXTX83,84212.0%–

207Chambers County, TXTX57,59411.9%–

208Somervell County, TXTX10,26111.9%–

209Burnet County, TXTX57,01511.8%–

210Moore County, TXTX21,89111.7%–

211Waller County, TXTX69,85811.7%–

212Travis County, TXTX1,389,67011.5%–

213Hemphill County, TXTX3,08311.5%–

214Colorado County, TXTX21,43911.4%–

215Ellis County, TXTX240,86711.4%–

216Glasscock County, TXTX1,12811.4%–

217Lavaca County, TXTX20,65111.4%–

218Randall County, TXTX152,35111.4%–

219Montgomery County, TXTX781,19411.2%–

220Brazoria County, TXTX419,08011.1%–

221Midland County, TXTX187,85511.1%–

222Kendall County, TXTX53,28911.0%–

223Lipscomb County, TXTX2,95510.9%–

224Hansford County, TXTX4,94410.8%–

225Hood County, TXTX70,50110.6%–

226Fort Bend County, TXTX975,19110.5%–

227King County, TXTX19210.0%–

228Mills County, TXTX4,58010.0%–

229Donley County, TXTX3,2139.9%–

230Parker County, TXTX184,7679.8%–

231Hays County, TXTX304,3909.7%–

232Terrell County, TXTX7029.7%–

233Fayette County, TXTX25,4599.5%–

234Comal County, TXTX209,1669.4%–

235Gillespie County, TXTX28,5279.1%–

236Williamson County, TXTX752,8279.1%–

237Reagan County, TXTX3,1668.7%–

238Schleicher County, TXTX2,2458.7%–

239Armstrong County, TXTX1,8438.6%–

240Blanco County, TXTX13,5818.6%–

241Brewster County, TXTX9,4588.3%–

242Crane County, TXTX4,5548.0%–

243Carson County, TXTX5,8057.8%–

244Crockett County, TXTX2,7697.7%–

245Rockwall County, TXTX140,7387.7%–

246Denton County, TXTX1,069,3467.5%–

247Winkler County, TXTX7,5406.7%–

248Oldham County, TXTX1,7836.6%–

249Collin County, TXTX1,297,1796.2%–

250Borden County, TXTX5675.8%–

251Kent County, TXTX6745.5%–

252Irion County, TXTX1,4635.0%–

253Roberts County, TXTX8674.8%–

254Mason County, TXTX3,9904.0%–

SHOWING 1–254 OF 254

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS