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RANKING · 2020 CENSUS · 58 SHOWN OF 58

Most uninsured people, California counties · 2020

California counties with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 58 counties in California that qualify, ranked against each other statewide.

CaliforniaAll statesAll rankings
SAME RANKING BYCitiesStatesMetros
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationLargest senior populationMost unmarried peopleMost unmarried men
YEAR20202024
Most uninsured people by state
RANKPLACESTATEPOPUNINSURED RESIDENTSVS –
01Los Angeles County, CACA9,694,934914,046
02San Diego County, CACA3,282,248244,072
03Orange County, CACA3,149,507225,042
04Riverside County, CACA2,544,916204,878
05San Bernardino County, CACA2,224,091175,185
06Sacramento County, CACA1,618,46083,134
07Santa Clara County, CACA1,914,39181,041
08Fresno County, CACA1,035,45676,302
09Ventura County, CACA830,85170,449
10Alameda County, CACA1,636,63070,389
11Kern County, CACA927,06866,775
12Contra Costa County, CACA1,170,07057,133
13San Joaquin County, CACA823,81546,860
14Santa Barbara County, CACA442,06543,302
15Monterey County, CACA433,72939,081
16Tulare County, CACA485,14635,869
17San Francisco County, CACA826,07931,049
18Stanislaus County, CACA557,71930,491
19Sonoma County, CACA486,44429,765
20San Mateo County, CACA743,56829,312
21Solano County, CACA455,37621,737
22Merced County, CACA297,26021,609
23San Luis Obispo County, CACA282,36716,434
24Placer County, CACA442,08114,444
25Santa Cruz County, CACA258,85214,114
26Butte County, CACA209,21113,336
27Imperial County, CACA181,41112,001
28Madera County, CACA167,92711,242
29Shasta County, CACA181,64810,935
30Humboldt County, CACA131,64710,480
31Kings County, CACA154,32710,122
32Yolo County, CACA224,4109,433
33Marin County, CACA253,6948,222
34El Dorado County, CACA192,3238,174
35Mendocino County, CACA88,1228,044
36Napa County, CACA132,9498,025
37Sutter County, CACA98,7876,459
38Nevada County, CACA101,9115,617
39Yuba County, CACA88,6915,344
40Lake County, CACA67,7724,642
41San Benito County, CACA70,0824,012
42Tehama County, CACA64,6653,624
43Tuolumne County, CACA53,1603,137
44Siskiyou County, CACA42,0132,786
45Glenn County, CACA28,1412,549
46Calaveras County, CACA46,6052,424
47Amador County, CACA41,8761,817
48Colusa County, CACA21,8361,815
49Mono County, CACA12,5051,800
50Del Norte County, CACA26,4101,370
51Trinity County, CACA15,7201,280
52Inyo County, CACA18,1581,183
53Mariposa County, CACA16,9181,171
54Modoc County, CACA8,426928
55Lassen County, CACA28,117797
56Plumas County, CACA18,583592
57Sierra County, CACA3,098211
58Alpine County, CACA1,04388
SHOWING 1–58 OF 58
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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS