RANKING · 2024 ACS · 62 SHOWN OF 62

Most uninsured people, New York counties

New York counties with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 62 counties in New York that qualify, ranked against each other statewide. The median across all 62 is 4,357. Biggest climber in the top 100 since 2020: Wayne County, NY, up 7 places to #22.

New YorkAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Queens County, NYNY2,358,182188,936−6%

02Kings County, NYNY2,653,963152,898−11%

03Bronx County, NYNY1,406,33299,033−12%

04▲1Suffolk County, NYNY1,546,09071,945+17%

05▼1New York County, NYNY1,664,86268,373−10%

06Nassau County, NYNY1,398,93952,524−5%

07Westchester County, NYNY1,015,74349,995−5%

08Erie County, NYNY946,74127,497−2%

09Monroe County, NYNY750,50623,300−2%

10Richmond County, NYNY501,29020,293+5%

11Orange County, NYNY417,66918,678+4%

12Onondaga County, NYNY466,58415,358−4%

13Rockland County, NYNY357,39714,078−7%

14▲1Ulster County, NYNY183,33012,434+33%

15▼1Dutchess County, NYNY300,70811,313−12%

16Albany County, NYNY321,22510,037+10%

17Oneida County, NYNY226,3927,354−13%

18Broome County, NYNY195,7366,678−9%

19Chautauqua County, NYNY124,1266,578−2%

20▲2St. Lawrence County, NYNY105,4886,254+2%

21Saratoga County, NYNY241,3436,149−4%

22▲7Wayne County, NYNY91,2506,139+41%

23▼3Niagara County, NYNY208,9126,122−4%

24▲4Jefferson County, NYNY111,5405,663+20%

25▼1Rensselaer County, NYNY160,5105,393−6%

26▼3Schenectady County, NYNY162,5814,940−14%

27▼1Oswego County, NYNY118,5694,9300%

28▲3Yates County, NYNY24,5474,772+16%

29▼2Cattaraugus County, NYNY75,3904,616−4%

30▲4Tompkins County, NYNY104,0474,526+24%

31▼6Steuben County, NYNY91,8554,357−15%

32▼2Sullivan County, NYNY80,5864,293+2%

33▲2Ontario County, NYNY113,1303,638+3%

34▼2Putnam County, NYNY99,0283,549−13%

35▲7Montgomery County, NYNY50,0463,491+27%

36▼3Chemung County, NYNY80,4153,272−11%

37▼1Cayuga County, NYNY74,3653,266+2%

38▼1Otsego County, NYNY60,5893,094+2%

39▲4Herkimer County, NYNY59,2192,903+7%

40▼1Washington County, NYNY59,3532,8640%

41▲5Seneca County, NYNY32,8832,827+7%

42▼2Madison County, NYNY67,1202,568−9%

43▼5Franklin County, NYNY46,5002,520−15%

44▼3Allegany County, NYNY46,8002,421−13%

45▲5Orleans County, NYNY39,8252,414+28%

46▼1Warren County, NYNY65,0202,414−10%

47Clinton County, NYNY78,1382,377−8%

48▲3Livingston County, NYNY61,4382,362+26%

49▼1Delaware County, NYNY44,3052,214−13%

50▲2Genesee County, NYNY58,4162,126+18%

51▲3Cortland County, NYNY45,8502,060+29%

52▼8Columbia County, NYNY60,1682,032−25%

53▼4Fulton County, NYNY52,2161,970−4%

54▲5Essex County, NYNY36,4381,768+43%

55▼2Greene County, NYNY47,2381,680+3%

56▼1Chenango County, NYNY45,7151,569−2%

57▲3Lewis County, NYNY26,4791,512+25%

58Schoharie County, NYNY30,1761,379+6%

59▼2Tioga County, NYNY47,4531,352−10%

60▼4Wyoming County, NYNY39,7411,308−15%

61Schuyler County, NYNY16,924689−9%

62Hamilton County, NYNY5,006179−42%

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