RANKING · 2024 ACS · 254 SHOWN OF 254

Highest uninsured rate, Texas counties

Texas counties ranked by the share of residents without health insurance (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

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

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Gaines County, TXTX23,95636.7%+23%

02Presidio County, TXTX5,43333.6%+33%

03Hudspeth County, TXTX3,43331.4%+3%

04Jim Hogg County, TXTX4,55529.0%+57%

05Starr County, TXTX66,31928.9%−13%

06Bailey County, TXTX6,96328.6%−11%

07Hidalgo County, TXTX921,54928.2%−8%

08Zapata County, TXTX13,75327.6%+7%

09Webb County, TXTX281,22427.3%−5%

10Cochran County, TXTX2,54627.2%+16%

11San Saba County, TXTX5,78727.0%+10%

12Terry County, TXTX11,72026.9%+8%

13Sterling County, TXTX1,34926.4%−25%

14Liberty County, TXTX121,36426.2%+12%

15Cameron County, TXTX433,94625.8%−10%

16Ochiltree County, TXTX9,28425.6%+8%

17Glasscock County, TXTX1,12825.1%+15%

18Lamb County, TXTX12,57925.1%+6%

19Kenedy County, TXTX31924.8%−9%

20Dallam County, TXTX7,50824.4%−11%

21Parmer County, TXTX9,67824.1%+48%

22Willacy County, TXTX19,97123.9%−12%

23Menard County, TXTX1,95623.6%−23%

24Maverick County, TXTX58,82323.4%−20%

25Swisher County, TXTX6,70323.3%+7%

26Floyd County, TXTX4,88123.3%+0%

27Moore County, TXTX21,89122.8%+16%

28Schleicher County, TXTX2,24522.8%−11%

29Yoakum County, TXTX7,43822.5%−12%

30Dawson County, TXTX11,77622.5%+40%

31Andrews County, TXTX18,91422.4%+11%

32Duval County, TXTX9,40222.2%+14%

33Castro County, TXTX7,29522.2%−3%

34Ector County, TXTX173,80122.1%+9%

35Collingsworth County, TXTX2,48722.1%−6%

36Bastrop County, TXTX118,90821.8%+25%

37Kinney County, TXTX3,12821.7%+25%

38El Paso County, TXTX877,85821.6%+5%

39Titus County, TXTX31,56321.5%+19%

40Dallas County, TXTX2,661,39721.5%+3%

41Brooks County, TXTX6,57921.4%−16%

42Caldwell County, TXTX55,15021.4%−0%

43Hansford County, TXTX4,94421.3%+22%

44Coleman County, TXTX7,91521.3%−14%

45Wheeler County, TXTX4,77321.2%+0%

46Deaf Smith County, TXTX18,62621.0%−5%

47Hale County, TXTX31,81921.0%−8%

48Harris County, TXTX5,045,02620.9%+2%

49Jim Wells County, TXTX38,80420.9%+26%

50Shelby County, TXTX24,28620.9%−4%

51Comanche County, TXTX14,43220.7%+52%

52Motley County, TXTX1,04320.7%+10%

53Baylor County, TXTX3,47220.6%+40%

54Jefferson County, TXTX254,32120.6%+4%

55Throckmorton County, TXTX1,55420.6%+40%

56Crosby County, TXTX4,85220.2%−0%

57Waller County, TXTX69,85820.1%+2%

58Cherokee County, TXTX53,33719.9%−4%

59Briscoe County, TXTX1,47419.8%−9%

60McCulloch County, TXTX7,47219.8%+4%

61Atascosa County, TXTX53,59019.5%+4%

62Camp County, TXTX13,38019.5%+11%

63San Augustine County, TXTX7,72219.4%+28%

64Jones County, TXTX20,86119.3%+10%

65Potter County, TXTX114,45319.3%−13%

66Lamar County, TXTX51,50319.3%+14%

67Culberson County, TXTX2,26719.2%−28%

68Edwards County, TXTX1,37019.2%−9%

69Newton County, TXTX11,95419.2%−9%

70Hockley County, TXTX21,60019.1%+2%

71Foard County, TXTX1,04419.1%+32%

72Reagan County, TXTX3,16619.0%−14%

73Winkler County, TXTX7,54019.0%−23%

74Oldham County, TXTX1,78318.9%+69%

75Burnet County, TXTX57,01518.9%+11%

76Ward County, TXTX11,12518.9%+18%

77Bee County, TXTX32,51518.8%+1%

78Jasper County, TXTX33,07518.8%−1%

79Upton County, TXTX3,13118.8%+151%

80Hopkins County, TXTX39,06318.7%+1%

81San Patricio County, TXTX72,05318.7%+14%

82Uvalde County, TXTX24,96318.7%−7%

83Crane County, TXTX4,55418.6%+0%

84Hill County, TXTX39,50318.6%+12%

85Young County, TXTX18,15418.6%−2%

86Anderson County, TXTX59,80518.5%+28%

87Hemphill County, TXTX3,08318.4%−19%

88Navarro County, TXTX57,18118.4%+5%

89Van Zandt County, TXTX66,13018.4%+5%

90Grimes County, TXTX34,25218.3%+20%

91Live Oak County, TXTX11,92918.3%+3%

92Palo Pinto County, TXTX30,79118.2%+7%

93Lipscomb County, TXTX2,95518.1%−6%

94Garza County, TXTX4,51018.0%+89%

95Gonzales County, TXTX20,15918.0%+0%

96Jack County, TXTX9,56318.0%+13%

97Matagorda County, TXTX36,46317.9%+3%

98Donley County, TXTX3,21317.9%+16%

99Angelina County, TXTX88,15417.7%−5%

100Gray County, TXTX20,91917.7%−15%

101San Jacinto County, TXTX29,48817.7%−5%

102Limestone County, TXTX22,84917.7%−6%

103Knox County, TXTX3,19217.7%+7%

104Bosque County, TXTX18,91817.6%+4%

105Clay County, TXTX10,76417.6%+39%

106Nueces County, TXTX352,99217.6%−1%

107La Salle County, TXTX6,51717.5%−25%

108Mitchell County, TXTX8,94717.5%+1%

109Rains County, TXTX13,54217.5%−3%

110Reeves County, TXTX12,13817.5%−18%

111Val Verde County, TXTX47,83517.5%−20%

112Concho County, TXTX3,60717.4%+164%

113Kerr County, TXTX54,03717.3%+1%

114Leon County, TXTX16,89417.2%−10%

115Victoria County, TXTX92,65617.2%−1%

116Martin County, TXTX5,28417.1%+109%

117Wood County, TXTX49,68817.1%+8%

118DeWitt County, TXTX20,30917.0%+21%

119Hunt County, TXTX123,33617.0%+6%

120Panola County, TXTX23,01817.0%+4%

121Falls County, TXTX17,86916.9%+16%

122Smith County, TXTX252,54916.9%+2%

123Jackson County, TXTX15,39316.8%−7%

124Scurry County, TXTX16,16216.8%−15%

125Austin County, TXTX33,62516.7%+14%

126Henderson County, TXTX88,59516.7%−10%

127Runnels County, TXTX9,69316.7%+28%

128Tarrant County, TXTX2,248,46616.7%+2%

129Gregg County, TXTX126,09516.5%−7%

130Hartley County, TXTX4,90416.5%−12%

131Pecos County, TXTX14,56016.5%−14%

132Red River County, TXTX11,81616.5%+13%

133Johnson County, TXTX218,04816.3%−2%

134Sherman County, TXTX2,78116.3%−6%

135Haskell County, TXTX5,49916.2%−9%

136Real County, TXTX2,74516.2%−29%

137Kleberg County, TXTX30,31516.2%+5%

138Cooke County, TXTX44,46116.1%+5%

139Lee County, TXTX18,72916.1%+5%

140Refugio County, TXTX6,65716.1%+13%

141Bexar County, TXTX2,160,08816.0%+1%

142Trinity County, TXTX14,38416.0%−17%

143Chambers County, TXTX57,59415.9%+42%

144Hardin County, TXTX58,72315.9%−1%

145Karnes County, TXTX15,01815.8%+7%

146Llano County, TXTX23,35315.8%−5%

147Sutton County, TXTX3,20315.8%−9%

148Grayson County, TXTX153,61315.7%−1%

149Milam County, TXTX26,25815.7%+0%

150Tyler County, TXTX20,44315.7%−9%

151Hall County, TXTX2,73715.6%−29%

152Hardeman County, TXTX3,29215.6%+19%

153Wichita County, TXTX129,55515.6%+5%

154Callahan County, TXTX14,49115.5%−14%

155Tom Green County, TXTX120,60215.5%+17%

156Brown County, TXTX38,71115.5%+5%

157Nacogdoches County, TXTX66,03515.4%−13%

158Brewster County, TXTX9,45815.4%−15%

159Walker County, TXTX83,84215.4%+25%

160Eastland County, TXTX18,14315.3%−8%

161Erath County, TXTX43,91115.2%+2%

162Terrell County, TXTX70215.2%+57%

163Montgomery County, TXTX781,19415.1%+3%

164Frio County, TXTX18,82315.1%−22%

165Ellis County, TXTX240,86715.0%−4%

166McMullen County, TXTX54415.0%−40%

167Kaufman County, TXTX209,23515.0%+12%

168Franklin County, TXTX10,99415.0%−3%

169Orange County, TXTX86,26614.9%−8%

170Wise County, TXTX83,77814.9%−13%

171Zavala County, TXTX9,03714.9%−8%

172Irion County, TXTX1,46314.8%+1%

173Blanco County, TXTX13,58114.7%+1%

174Jeff Davis County, TXTX1,71114.5%−40%

175Midland County, TXTX187,85514.5%−14%

176Montague County, TXTX21,96614.5%−5%

177Dimmit County, TXTX8,02414.5%−32%

178Washington County, TXTX38,28814.5%+24%

179Polk County, TXTX53,43414.4%−19%

180Fannin County, TXTX39,26514.3%−18%

181Marion County, TXTX9,89614.3%+43%

182Childress County, TXTX6,64314.2%−16%

183Hood County, TXTX70,50114.2%+4%

184McLennan County, TXTX272,02014.2%−1%

185Wharton County, TXTX42,06014.2%−26%

186Taylor County, TXTX150,07714.1%−1%

187Harrison County, TXTX71,95614.1%−10%

188Bell County, TXTX402,24814.0%+4%

189Archer County, TXTX9,12913.9%−8%

190Gillespie County, TXTX28,52713.9%−30%

191Lubbock County, TXTX328,90613.9%+5%

192Stephens County, TXTX9,38013.8%−31%

193Upshur County, TXTX44,41013.8%−9%

194Kimble County, TXTX4,43813.7%−30%

195Rusk County, TXTX54,85413.7%−18%

196Galveston County, TXTX372,20713.6%+5%

197Howard County, TXTX30,50413.6%−19%

198Cass County, TXTX28,65113.5%−1%

199Hamilton County, TXTX8,68013.5%−18%

200Mason County, TXTX3,99013.5%−7%

201Bowie County, TXTX92,69613.4%−1%

202Goliad County, TXTX7,20813.4%+37%

203Shackelford County, TXTX3,19713.4%−11%

204Nolan County, TXTX14,11713.3%−22%

205Bandera County, TXTX22,87613.3%−22%

206Parker County, TXTX184,76713.2%−6%

207Hutchinson County, TXTX19,63313.1%−28%

208Lampasas County, TXTX23,65712.9%−7%

209Lynn County, TXTX6,01712.9%−9%

210Madison County, TXTX14,22612.9%−15%

211Aransas County, TXTX26,14612.8%−28%

212Sabine County, TXTX10,01212.8%+8%

213Brazoria County, TXTX419,08012.7%−5%

214Morris County, TXTX12,13312.7%+2%

215Stonewall County, TXTX1,18612.7%−37%

216Colorado County, TXTX21,43912.6%−22%

217Burleson County, TXTX20,54912.6%−9%

218Freestone County, TXTX20,81112.6%−5%

219Somervell County, TXTX10,26112.4%−10%

220Brazos County, TXTX249,08812.2%+1%

221Travis County, TXTX1,389,67012.1%−2%

222Dickens County, TXTX1,69212.0%−33%

223Carson County, TXTX5,80511.7%+48%

224Fisher County, TXTX3,69211.7%+12%

225Fort Bend County, TXTX975,19111.7%−5%

226Hays County, TXTX304,39011.6%−17%

227Medina County, TXTX56,88111.6%−13%

228Houston County, TXTX22,31611.5%−22%

229Robertson County, TXTX17,83911.3%−19%

230Cottle County, TXTX1,22411.2%+0%

231Coke County, TXTX3,41211.2%−2%

232Roberts County, TXTX86711.1%+10%

233Guadalupe County, TXTX201,11111.0%−6%

234Randall County, TXTX152,35111.0%+15%

235Wilson County, TXTX56,13911.0%−20%

236Kendall County, TXTX53,28910.8%+4%

237Mills County, TXTX4,58010.8%−48%

238Coryell County, TXTX85,59210.6%−4%

239Denton County, TXTX1,069,34610.6%−2%

240Comal County, TXTX209,16610.5%−3%

241Lavaca County, TXTX20,65110.5%+12%

242Fayette County, TXTX25,4599.9%−7%

243Williamson County, TXTX752,8279.8%+2%

244Delta County, TXTX5,5499.5%−2%

245Collin County, TXTX1,297,1799.5%−10%

246Wilbarger County, TXTX12,4818.9%−29%

247Rockwall County, TXTX140,7388.7%−6%

248King County, TXTX1927.6%−68%

249Calhoun County, TXTX19,5996.8%−56%

250Armstrong County, TXTX1,8434.2%−40%

251Kent County, TXTX6743.8%−5%

252Borden County, TXTX5672.7%−45%

253Crockett County, TXTX2,7692.3%−89%

254Loving County, TXTX520.0%−100%

SHOWING 1–254 OF 254

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES