RANKING · 2024 ACS · 500 SHOWN OF 3,144

Most uninsured people, US counties

US counties with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. Harris County, Texas leads at 1,005,342. 3,144 counties qualify in total. Texas carries 7 of the top 25 entries.

All statesAll rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

USUnited States8.3% of US population334,922,49927,734,911–

01Harris County, TXTX5,045,0261,005,342+6%

02Los Angeles County, CACA9,694,934800,248−12%

03Dallas County, TXTX2,661,397558,186+3%

04Maricopa County, AZAZ4,689,558478,419+0%

05Cook County, ILIL5,194,625454,597+1%

06Miami-Dade County, FLFL2,802,029368,969−15%

07Tarrant County, TXTX2,248,466359,852+7%

08Bexar County, TXTX2,160,088323,074+4%

09Clark County, NVNV2,407,226280,274+8%

10Hidalgo County, TXTX921,549249,883−4%

11Broward County, FLFL2,013,317244,680−11%

12San Diego County, CACA3,282,248203,475−17%

13Orange County, CACA3,149,507202,047−10%

14Palm Beach County, FLFL1,575,726200,373+1%

15Riverside County, CACA2,544,916189,888−7%

16Queens County, NYNY2,358,182188,936−6%

17El Paso County, TXTX877,858182,797+10%

18Orange County, FLFL1,528,002175,523−2%

19San Bernardino County, CACA2,224,091173,351−1%

20Hillsborough County, FLFL1,574,115167,911−5%

21Travis County, TXTX1,389,670160,065+5%

22Kings County, NYNY2,653,963152,898−11%

23Gwinnett County, GAGA1,018,099147,756+2%

24Mecklenburg County, NCNC1,233,383132,127+6%

25King County, WAWA2,344,939119,199+2%

26Franklin County, OHOH1,361,536116,715+16%

27Philadelphia County, PAPA1,574,281111,385−7%

28Collin County, TXTX1,297,179110,313+4%

29Duval County, FLFL1,062,963110,121+1%

30Salt Lake County, UTUT1,220,916109,550−4%

31Cameron County, TXTX433,946109,395−9%

32Shelby County, TNTN910,226108,730+2%

33Oklahoma County, OKOK822,125108,398−2%

34Prince George's County, MDMD970,374108,313+17%

35Lee County, FLFL875,607105,022+5%

36Fort Bend County, TXTX975,191103,492+7%

37Denton County, TXTX1,069,346103,414+11%

38Montgomery County, TXTX781,194102,877+19%

39Fulton County, GAGA1,098,791101,723−3%

40Essex County, NJNJ896,379101,587+15%

41Pinellas County, FLFL948,56399,098−4%

42Bronx County, NYNY1,406,33299,033−12%

43Wayne County, MIMI1,769,03898,765−5%

44Polk County, FLFL874,79097,022+7%

45DeKalb County, GAGA774,39496,640−3%

46Cobb County, GAGA793,34592,403+1%

47Tulsa County, OKOK698,78289,731−2%

48Pima County, AZAZ1,074,68589,182−2%

49Davidson County, TNTN745,90489,025+12%

50Wake County, NCNC1,257,23588,222−4%

51Marion County, ININ992,19684,807−9%

52Hudson County, NJNJ735,03380,971−2%

53Fairfax County, VAVA1,167,87380,532−12%

54Sacramento County, CACA1,618,46077,190−7%

55Jackson County, MOMO732,99476,545−3%

56Union County, NJNJ601,86374,705+21%

57Santa Clara County, CACA1,914,39173,684−9%

58Montgomery County, MDMD1,074,58273,432+4%

59Webb County, TXTX281,22473,141−7%

60Suffolk County, NYNY1,546,09071,945+17%

61Cuyahoga County, OHOH1,232,92570,503+6%

62Kern County, CACA927,06869,993+5%

63New York County, NYNY1,664,86268,373−10%

64Fresno County, CACA1,035,45666,826−12%

65Milwaukee County, WIWI924,21665,984−3%

66Williamson County, TXTX752,82765,764+21%

67Alameda County, CACA1,636,63065,034−8%

68Denver County, COCO740,61364,240−6%

69Middlesex County, NJNJ883,33562,487+12%

70Jefferson County, ALAL665,74262,109+6%

71Passaic County, NJNJ531,62462,104−1%

72Lancaster County, PAPA563,15961,761−2%

73Brevard County, FLFL663,98261,493+3%

74Adams County, COCO554,66861,088+18%

75Nueces County, TXTX352,99261,051−3%

76Arapahoe County, COCO673,82060,758+20%

77Ventura County, CACA830,85160,259−14%

78Pasco County, FLFL674,51660,201−2%

79Volusia County, FLFL606,57358,454−4%

80Bernalillo County, NMNM667,60158,311+10%

81Bergen County, NJNJ977,02658,139−10%

82Hennepin County, MNMN1,284,78456,653−4%

83Sedgwick County, KSKS538,43356,356+6%

84St. Louis County, MOMO990,91156,318−6%

85Greenville County, SCSC583,12554,468+2%

86Contra Costa County, CACA1,170,07053,742−6%

87Pierce County, WAWA946,28853,478+4%

88Utah County, UTUT759,85952,811+11%

89Nassau County, NYNY1,398,93952,524−5%

90Snohomish County, WAWA870,65651,757+6%

91Bell County, TXTX402,24850,786+13%

92El Paso County, COCO757,04050,686+5%

93Clayton County, GAGA297,47150,380−3%

94Manatee County, FLFL468,20050,165+8%

95Westchester County, NYNY1,015,74349,995−5%

96San Joaquin County, CACA823,81549,452+6%

97Pinal County, AZAZ539,38049,299+33%

98Jefferson County, TXTX254,32149,278+4%

99Marion County, FLFL442,66049,167+20%

100Washoe County, NVNV509,38648,845+9%

101Jefferson Parish, LALA431,39848,775+2%

102Oakland County, MIMI1,288,33748,728−7%

103Douglas County, NENE606,46048,442−8%

104Galveston County, TXTX372,20748,254+11%

105Brazoria County, TXTX419,08048,117+1%

106Lake County, ILIL719,33948,085+9%

107Hamilton County, OHOH838,41847,911+8%

108Prince William County, VAVA502,96647,872−3%

109DuPage County, ILIL934,29847,841−3%

110Allegheny County, PAPA1,225,03547,146+2%

111Baltimore County, MDMD847,65045,873+6%

112Guilford County, NCNC562,23445,704−6%

113Seminole County, FLFL491,88445,606+5%

114Osceola County, FLFL481,71845,163−6%

115Western Connecticut Planning Region, CTCT640,48244,977–

116Multnomah County, OROR795,39144,948−14%

117Collier County, FLFL417,13144,846−12%

118Sarasota County, FLFL479,95844,825−3%

119Horry County, SCSC427,55144,420−6%

120Jefferson County, KYKY795,22244,205+18%

121Lubbock County, TXTX328,90643,564+7%

122Capitol Planning Region, CTCT994,11543,135–

123Mobile County, ALAL411,65842,502−7%

124Macomb County, MIMI886,22142,414−6%

125St. Lucie County, FLFL402,44940,803−6%

126Knox County, TNTN511,45340,620+15%

127Monterey County, CACA433,72940,441+3%

128Smith County, TXTX252,54940,375+7%

129Kane County, ILIL525,75740,060−7%

130Lake County, FLFL456,06839,165+5%

131Middlesex County, MAMA1,669,97938,355−7%

132Tulare County, CACA485,14638,327+7%

133Pulaski County, ARAR404,61138,248+26%

134Forsyth County, NCNC401,71837,873−5%

135Santa Barbara County, CACA442,06537,873−13%

136Chatham County, GAGA311,85537,678−4%

137McLennan County, TXTX272,02037,180+4%

138East Baton Rouge Parish, LALA456,18036,944−1%

139Spartanburg County, SCSC380,85736,913+15%

140Will County, ILIL712,25336,416+4%

141Hamilton County, TNTN390,83336,308+10%

142Escambia County, FLFL333,83436,218+11%

143Ector County, TXTX173,80135,999+11%

144Rutherford County, TNTN386,35235,954+25%

145Durham County, NCNC347,24035,571−4%

146Providence County, RIRI678,17935,411+8%

147Richland County, SCSC434,95634,898−4%

148Hall County, GAGA226,56834,826+3%

149Clark County, WAWA532,11934,370+17%

150Montgomery County, OHOH539,59834,248−0%

151Charleston County, SCSC436,20034,200−17%

152Monmouth County, NJNJ651,03533,733+3%

153New Castle County, DEDE588,02633,622+19%

154Baltimore, MDMD569,99733,620−5%

155Camden County, NJNJ535,79933,189+4%

156Montgomery County, PAPA877,64333,124+15%

157Ada County, IDID546,14132,848−8%

158Lake County, ININ504,61232,752−1%

159Yakima County, WAWA259,18532,507+7%

160Allen County, ININ402,32932,211+8%

161Kent County, MIMI675,23231,772−13%

162Ellis County, TXTX240,86731,738+14%

163Washington County, ARAR271,21331,690+16%

164Johnson County, TXTX218,04831,523+11%

165Greene County, MOMO309,28631,157−5%

166Berks County, PAPA440,07231,112+21%

167Stanislaus County, CACA557,71931,089+2%

168Washington County, OROR611,70831,088−5%

169Hays County, TXTX304,39031,034+1%

170Madison County, ALAL433,51630,981+6%

171Honolulu County, HIHI988,70330,949−1%

172Canyon County, IDID275,12330,542+4%

173Jefferson County, COCO580,45130,167−0%

174Mercer County, NJNJ399,28930,077+17%

175Johnson County, KSKS636,90630,003−13%

176Summit County, OHOH538,37629,845−3%

177Ramsey County, MNMN541,62329,787+9%

178Orleans Parish, LALA362,15429,700−16%

179Marion County, OROR355,77729,501+5%

180Buncombe County, NCNC277,41729,382+3%

181Elkhart County, ININ208,77429,247−4%

182Brazos County, TXTX249,08829,127+9%

183Cherokee County, GAGA299,27328,979+4%

184Cumberland County, NCNC338,47328,811−8%

185Benton County, ARAR332,55428,592+21%

186Cleveland County, OKOK303,97328,480−1%

187Wyandotte County, KSKS170,59728,274+0%

188Yuma County, AZAZ224,44928,264+10%

189San Mateo County, CACA743,56828,082−4%

190Weld County, COCO378,42628,015+1%

191Greater Bridgeport Planning Region, CTCT337,69727,983–

192Hinds County, MSMS211,88827,901−5%

193South Central Connecticut Planning Region, CTCT578,74127,814–

194Spokane County, WAWA558,34427,567+6%

195Erie County, NYNY946,74127,497−2%

196Anne Arundel County, MDMD603,38027,369+16%

197Virginia Beach, VAVA453,73727,294−13%

198San Francisco County, CACA826,07927,184−12%

199Anchorage, AKAK287,15527,166−8%

200Ocean County, NJNJ673,74626,620−10%

201Harrison County, MSMS217,13626,562−7%

202St. Louis, MOMO278,14426,533−13%

203Delaware County, PAPA580,93726,354−4%

204Bay County, FLFL204,47926,234+10%

205Polk County, IAIA516,54626,186+18%

206Lexington County, SCSC317,58826,159−8%

207Kaufman County, TXTX209,23525,723+49%

208Liberty County, TXTX121,36425,703+39%

209Bucks County, PAPA647,82825,315+0%

210Midland County, TXTX187,85525,167−12%

211Doña Ana County, NMNM229,09125,013+10%

212Gaston County, NCNC246,55824,995+10%

213Yavapai County, AZAZ252,55224,640+10%

214Sonoma County, CACA486,44424,564−17%

215District of Columbia, DCDC693,64524,454−3%

216Henry County, GAGA264,92224,377−2%

217Chesterfield County, VAVA397,14824,284−7%

218Butler County, OHOH400,12824,260+15%

219Suffolk County, MAMA791,89124,175−19%

220Lehigh County, PAPA384,38324,159+8%

221Johnston County, NCNC256,44824,131+0%

222Morris County, NJNJ524,25124,058+9%

223Chester County, PAPA557,11623,941−8%

224Okaloosa County, FLFL221,81023,695+4%

225Weber County, UTUT278,17423,413+7%

226Merced County, CACA297,26023,382+8%

227Monroe County, NYNY750,50623,300−2%

228Hillsborough County, NHNH433,41523,278−8%

229Loudoun County, VAVA449,74923,184+4%

230Fayette County, KYKY329,75123,036+9%

231Hernando County, FLFL221,70122,960−3%

232Richmond County, GAGA206,55922,953−10%

233Montgomery County, ALAL225,89122,735+2%

234Bastrop County, TXTX118,90822,630+53%

235Essex County, MAMA826,65322,449−4%

236New Hanover County, NCNC245,95922,445−7%

237Grayson County, TXTX153,61322,279+6%

238York County, SCSC306,88722,244−4%

239York County, PAPA473,19722,068−0%

240Berkeley County, SCSC274,66621,976−3%

241Leon County, FLFL299,04821,833−3%

242Washington County, UTUT213,67021,726+7%

243Naugatuck Valley Planning Region, CTCT463,34921,683–

244Worcester County, MAMA888,50221,623+13%

245Parker County, TXTX184,76721,568+11%

246Muscogee County, GAGA202,17121,545−3%

247Lafayette Parish, LALA257,94921,335+1%

248Anderson County, SCSC219,93021,293+5%

249Lane County, OROR381,58421,276−19%

250Solano County, CACA455,37621,134−3%

251Potter County, TXTX114,45321,098−14%

252Forsyth County, GAGA282,80521,062+6%

253Luzerne County, PAPA332,12621,058+27%

254Davis County, UTUT381,22721,030+3%

255Alachua County, FLFL290,02820,983−4%

256Henrico County, VAVA342,77520,884−12%

257Bibb County, GAGA157,55620,773+15%

258Lucas County, OHOH423,34720,637−17%

259Mohave County, AZAZ228,10220,561+5%

260Larimer County, COCO377,29220,550−1%

261Dane County, WIWI590,37520,491+5%

262Stark County, OHOH373,77120,437−1%

263Gregg County, TXTX126,09520,375−5%

264Richmond County, NYNY501,29020,293+5%

265Baldwin County, ALAL267,76120,193−2%

266Richmond, VAVA237,25720,016−23%

267Montgomery County, TNTN249,93520,011+32%

268Guadalupe County, TXTX201,11119,913+6%

269Taylor County, TXTX150,07719,597+5%

270Genesee County, MIMI401,09319,417−14%

271Clay County, MOMO265,03219,385+1%

272Union County, NCNC267,67419,197−6%

273Santa Rosa County, FLFL211,11519,170+4%

274St. Joseph County, ININ272,86119,137−7%

275Comal County, TXTX209,16619,127+20%

276Charlotte County, FLFL217,21219,049−0%

277Atlantic County, NJNJ278,65719,028−6%

278Lancaster County, NENE334,04919,018−16%

279Bristol County, MAMA593,64018,962+19%

280Starr County, TXTX66,31918,950−11%

281Somerset County, NJNJ356,48618,855+6%

282Norfolk, VAVA231,01318,825−23%

283Orange County, NYNY417,66918,678+4%

284Whitfield County, GAGA106,21218,593+2%

285Dakota County, MNMN457,71018,558+15%

286Cabarrus County, NCNC249,72518,433+11%

287Dauphin County, PAPA293,35118,402+22%

288Hunt County, TXTX123,33618,386+21%

289Wichita County, TXTX129,55518,380+5%

290Clackamas County, OROR426,28018,331−19%

291St. Tammany Parish, LALA279,10818,323−5%

292Clay County, FLFL239,59318,297−11%

293Holmes County, OHOH44,97018,121+1%

294LaGrange County, ININ41,30518,052+8%

295Douglas County, GAGA154,29318,032−3%

296Alamance County, NCNC186,17717,939+0%

297Paulding County, GAGA190,99617,876−7%

298Tom Green County, TXTX120,60217,809+18%

299Sussex County, DEDE277,14017,788+23%

300Burlington County, NJNJ481,43917,661−6%

301Iredell County, NCNC211,79817,588+4%

302Pitt County, NCNC182,93617,454−3%

303Winnebago County, ILIL283,67417,277+1%

304St. Charles County, MOMO426,49917,192+1%

305Catawba County, NCNC170,17217,130−4%

306Kootenai County, IDID191,86416,919+1%

307Navajo County, AZAZ109,94616,879+16%

308Anoka County, MNMN381,60516,778+15%

309Caddo Parish, LALA224,22616,748−19%

310Benton County, WAWA221,72216,743+18%

311Dorchester County, SCSC178,39716,680+2%

312Houston County, GAGA178,21416,677+3%

313Martin County, FLFL166,27216,642+10%

314Citrus County, FLFL171,66616,607+7%

315Bartow County, GAGA120,80016,574+6%

316Indian River County, FLFL172,79916,491−5%

317Lorain County, OHOH323,21916,441−0%

318Jackson County, MSMS147,66616,405−8%

319Lowndes County, GAGA122,86716,395−2%

320Minnehaha County, SDSD212,69116,331+12%

321Robeson County, NCNC119,94116,309−12%

322Randolph County, NCNC149,51616,185−13%

323St. Johns County, FLFL346,32816,173−19%

324Davidson County, NCNC180,18216,073−17%

325Onslow County, NCNC217,17516,018+7%

326Wayne County, OHOH116,75815,991+9%

327Randall County, TXTX152,35115,907+23%

328Coconino County, AZAZ144,36815,845+1%

329DeSoto County, MSMS197,91815,833+2%

330San Luis Obispo County, CACA282,36715,808−4%

331Beaufort County, SCSC204,43315,756−8%

332Tuscaloosa County, ALAL241,36815,735+9%

333Victoria County, TXTX92,65615,560−1%

334Mesa County, COCO162,84515,558+9%

335Calcasieu Parish, LALA208,46615,522−2%

336Canadian County, OKOK187,18915,513+0%

337San Juan County, NMNM120,34015,505−3%

338Lee County, ALAL189,88115,405+21%

339Onondaga County, NYNY466,58415,358−4%

340Cumberland County, NJNJ157,14815,216+16%

341Sumner County, TNTN215,53815,124+5%

342Aiken County, SCSC181,51515,118−7%

343Shawnee County, KSKS178,60715,090+18%

344Angelina County, TXTX88,15415,083−5%

345Jefferson County, MOMO233,13215,051−17%

346Jasper County, MOMO127,42814,863−6%

347Carroll County, GAGA131,03614,837+6%

348Hamilton County, ININ387,03614,790+7%

349Columbia County, GAGA169,18914,699+16%

350Shelby County, ALAL238,55214,658+12%

351Henderson County, NCNC122,37514,594+4%

352Douglas County, COCO399,39614,508+20%

353Newport News, VAVA183,23014,428−20%

354Thurston County, WAWA304,26114,412+11%

355Boulder County, COCO328,56014,405−0%

356Highlands County, FLFL111,12214,402+14%

357Clarke County, GAGA129,92114,352−8%

358Cumberland County, PAPA277,27014,276+9%

359Cumberland County, MEME317,22214,192−15%

360Sullivan County, TNTN163,75914,113+3%

361McHenry County, ILIL317,75114,084−7%

362Rockland County, NYNY357,39714,078−7%

363Washington County, TNTN141,19914,057+19%

364Chesapeake, VAVA255,33214,039−11%

365Howard County, MDMD339,18314,018+18%

366Henderson County, TXTX88,59513,986−7%

367Hampden County, MAMA464,33813,969−0%

368Franklin County, PAPA160,65213,886−2%

369Ingham County, MIMI289,70913,880−4%

370Trumbull County, OHOH198,97213,859+13%

371Santa Fe County, NMNM156,90713,802−13%

372Rowan County, NCNC155,09613,795−13%

373Grant County, WAWA105,72713,787+22%

374Barrow County, GAGA99,77313,753+11%

375Northampton County, PAPA324,41113,748+2%

376Wayne County, NCNC122,27813,715−12%

377Brown County, WIWI275,80313,573+1%

378Norfolk County, MAMA739,74913,511+6%

379Maverick County, TXTX58,82313,479−20%

380Alexandria, VAVA160,66213,416−10%

381Morgan County, ALAL126,48313,399+12%

382Sebastian County, ARAR130,64113,380−2%

383Frederick County, MDMD302,88313,357+17%

384Kitsap County, WAWA283,37413,304+12%

385Plymouth County, MAMA546,82913,266+8%

386Whatcom County, WAWA236,39213,247+1%

387Newton County, GAGA125,58313,236−11%

388Placer County, CACA442,08113,224−8%

389Butte County, CACA209,21113,177−1%

390Flagler County, FLFL140,36013,167−9%

391Floyd County, GAGA101,37813,161−8%

392Sevier County, TNTN101,34213,147−2%

393Matanuska-Susitna, AKAK118,66613,079−12%

394Blount County, TNTN143,82012,982+8%

395San Patricio County, TXTX72,05312,980+20%

396Santa Cruz County, CACA258,85212,976−8%

397Harnett County, NCNC150,13712,917−8%

398Yellowstone County, MTMT172,69212,901+35%

399Rockingham County, NHNH324,07712,883−11%

400Coweta County, GAGA160,24012,870−10%

401Lebanon County, PAPA146,38012,802+9%

402Franklin County, WAWA102,61212,773−1%

403Deschutes County, OROR213,07212,736−9%

404Southeastern Connecticut Planning Region, CTCT284,01512,736–

405Livingston Parish, LALA155,03612,688+14%

406Rankin County, MSMS162,18112,674−5%

407St. Clair County, ILIL250,70812,650−17%

408Orange County, TXTX86,26612,604−6%

409Florence County, SCSC138,50412,544−7%

410Waukesha County, WIWI417,21012,537−4%

411Jackson County, OROR221,79512,512−15%

412Ulster County, NYNY183,33012,434+33%

413Comanche County, OKOK122,15812,356−17%

414Rockdale County, GAGA98,41612,350−0%

415Kalamazoo County, MIMI263,79512,323−14%

416Waller County, TXTX69,85812,317+17%

417Madison County, ILIL263,11012,283−5%

418Arlington County, VAVA243,93112,280−12%

419Vanderburgh County, ININ181,99512,187−12%

420Kent County, DEDE194,78612,153−5%

421Clermont County, OHOH216,97712,149+9%

422Gloucester County, NJNJ312,63812,128−1%

423Washtenaw County, MIMI370,21412,098+5%

424Houston County, ALAL110,31811,973+0%

425Walton County, FLFL93,28811,948+20%

426Marshall County, ALAL103,53711,800+2%

427Bossier Parish, LALA131,86711,777+23%

428Apache County, AZAZ64,44511,751−37%

429McKinley County, NMNM68,11911,697−18%

430Calhoun County, ALAL115,83411,669+4%

431Shasta County, CACA181,64811,616+6%

432Etowah County, ALAL103,88611,596−1%

433Bowie County, TXTX92,69611,563−3%

434Pickens County, SCSC139,19811,546+8%

435Ouachita Parish, LALA158,54211,519−8%

436Williamson County, TNTN272,06111,486−5%

437Brunswick County, NCNC174,70211,413−14%

438Van Zandt County, TXTX66,13011,410+18%

439Madera County, CACA167,92711,373+1%

440Dutchess County, NYNY300,70811,313−12%

441Glynn County, GAGA87,59911,248−2%

442Wilson County, TNTN175,03311,247+25%

443Pennington County, SDSD116,79211,217−8%

444Bradley County, TNTN115,46511,128−4%

445DeKalb County, ALAL74,08511,086+14%

446Racine County, WIWI198,91911,071+19%

447Wise County, TXTX83,77811,035−4%

448Flathead County, MTMT115,42911,025+21%

449Erie County, PAPA265,83211,005−7%

450Mahoning County, OHOH224,70610,992+2%

451Warren County, KYKY149,37510,975+59%

452Boone County, MOMO191,74610,940−10%

453Walton County, GAGA112,69610,914−2%

454Nash County, NCNC99,36510,862+11%

455Bonneville County, IDID135,77110,810+7%

456Lea County, NMNM74,74910,722+20%

457Rogers County, OKOK102,19710,700+7%

458Champaign County, ILIL209,97210,690+17%

459Dougherty County, GAGA82,61610,663−22%

460Rockwall County, TXTX140,73810,622+14%

461Delaware County, OHOH242,03210,591+17%

462Cass County, NDND201,79410,570+4%

463Yolo County, CACA224,41010,557+12%

464Monroe County, PAPA167,17910,499−11%

465Lackawanna County, PAPA216,50210,478+16%

466Lake County, OHOH232,21710,471−6%

467Westmoreland County, PAPA349,32410,469−5%

468Imperial County, CACA181,41110,427−13%

469Putnam County, FLFL77,73410,407−13%

470Fayette County, GAGA125,15610,390+24%

471Sumter County, SCSC105,06710,389−10%

472York County, MEME222,43410,376−12%

473Walker County, TXTX83,84210,275+42%

474Peoria County, ILIL178,55310,225−7%

475Monroe County, FLFL80,40610,216−18%

476Rapides Parish, LALA125,87710,067−14%

477Albany County, NYNY321,22510,037+10%

478Tippecanoe County, ININ190,45610,016−19%

479Caldwell County, TXTX55,15010,010+15%

480Stafford County, VAVA170,8039,975−12%

481Sandoval County, NMNM159,5659,961−13%

482Kings County, CACA154,3279,955−2%

483Navarro County, TXTX57,1819,939+16%

484Nacogdoches County, TXTX66,0359,918−13%

485Madison County, TNTN100,7909,900−0%

486Tangipahoa Parish, LALA141,3469,870−12%

487Harrison County, TXTX71,9569,834−4%

488Cullman County, ALAL94,0099,826+3%

489Atascosa County, TXTX53,5909,810+5%

490Cochise County, AZAZ126,3329,794+6%

491Burnet County, TXTX57,0159,783+22%

492Douglas County, KSKS120,9209,775+12%

493Jackson County, GAGA99,2659,770+29%

494Cherokee County, TXTX53,3379,739−5%

495Ottawa County, MIMI308,4599,737−5%

496Orange County, NCNC152,4989,727+0%

497Berrien County, MIMI152,4449,716−3%

498Wagoner County, OKOK93,2639,713−0%

499Lamar County, TXTX51,5039,678+16%

500Richland County, OHOH124,8939,669+16%

SHOWING 1–500 OF 3,144

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Download CSV (full list, 3,144 rows)

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

Frequently asked

Which county has the highest uninsured residents?

Harris County, Texas ranks #1 with 1,005,342 (2024 American Community Survey).

What are the top 5 counties by uninsured residents?

Harris County, Texas, Los Angeles County, California, Dallas County, Texas, Maricopa County, Arizona, Cook County, Illinois.

How many counties are in this ranking?

3,144 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is uninsured residents measured?

Number of civilian noninstitutionalized residents without health insurance (ACS S2701). The raw-count companion to the uninsured rate. Source: US Census Bureau, American Community Survey 5-year estimates (2024).