RANKING · 2024 ACS · 66 SHOWN OF 66

Most uninsured people, South Dakota counties

South Dakota 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 66 counties in South Dakota that qualify, ranked against each other statewide.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros

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

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Minnehaha County, SDSD212,69116,331+12%

02Pennington County, SDSD116,79211,217−8%

03Oglala Lakota County, SDSD13,3385,887+10%

04Lincoln County, SDSD77,1452,900+6%

05Meade County, SDSD30,7112,701−14%

06Lawrence County, SDSD29,4592,407−4%

07Brown County, SDSD37,5612,126−22%

08Todd County, SDSD8,8632,084−30%

09Roberts County, SDSD10,2551,820−14%

10Brookings County, SDSD37,6351,793−7%

11Codington County, SDSD29,5621,782−11%

12Davison County, SDSD20,0691,579+7%

13Charles Mix County, SDSD9,3031,548−11%

14Beadle County, SDSD19,6241,398−17%

15Clay County, SDSD15,0311,359+37%

16Yankton County, SDSD23,6351,250−32%

17Butte County, SDSD10,8561,220−16%

18Hughes County, SDSD17,5701,128+8%

19Dewey County, SDSD5,4191,086−27%

20Custer County, SDSD9,431948+49%

21Fall River County, SDSD7,467926+23%

22Bennett County, SDSD3,307914+13%

23Union County, SDSD17,402868−10%

24Lyman County, SDSD3,694789+25%

25Buffalo County, SDSD1,802777−4%

26Tripp County, SDSD5,708762+71%

27Jackson County, SDSD2,666756−14%

28Moody County, SDSD6,632693+44%

29Corson County, SDSD3,781645−35%

30Ziebach County, SDSD2,389617−22%

31Turner County, SDSD9,314606+25%

32Grant County, SDSD7,534576−4%

33Spink County, SDSD6,155573+61%

34Walworth County, SDSD5,217547+20%

35Hamlin County, SDSD6,900475−5%

36Mellette County, SDSD2,137474−37%

37Day County, SDSD5,484450−12%

38McCook County, SDSD5,964437−6%

39Douglas County, SDSD2,888435−1%

40Lake County, SDSD10,993428−32%

41Hutchinson County, SDSD7,413365+5%

42Brule County, SDSD5,278351+5%

43Hanson County, SDSD3,456340+122%

44Gregory County, SDSD4,037326−18%

45Perkins County, SDSD2,853316+17%

46Deuel County, SDSD4,408296−9%

47Bon Homme County, SDSD7,244287−13%

48Kingsbury County, SDSD5,284274+5%

49Clark County, SDSD4,031269+29%

50Edmunds County, SDSD4,022175−20%

51Marshall County, SDSD4,426169−52%

52Hand County, SDSD3,121153+63%

53Aurora County, SDSD2,801133−41%

54Miner County, SDSD2,281132+5%

55Faulk County, SDSD2,178130−4%

56Sanborn County, SDSD2,388124−32%

57Haakon County, SDSD1,802113−34%

58Stanley County, SDSD3,018104−17%

59Sully County, SDSD1,479101+173%

60Potter County, SDSD2,37799−31%

61Jones County, SDSD91387−9%

62Campbell County, SDSD1,37777+250%

63Hyde County, SDSD1,19170+19%

64Jerauld County, SDSD1,65459−43%

65McPherson County, SDSD2,34739−76%

66Harding County, SDSD1,33132−60%

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