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. The median across all 66 is 573. Biggest climber in the top 100 since 2020: Tripp County, SD, up 12 places to #26.

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%

04▲3Lincoln County, SDSD77,1452,900+6%

05▼1Meade County, SDSD30,7112,701−14%

06▲2Lawrence County, SDSD29,4592,407−4%

07▼1Brown County, SDSD37,5612,126−22%

08▼3Todd County, SDSD8,8632,084−30%

09Roberts County, SDSD10,2551,820−14%

10▲1Brookings County, SDSD37,6351,793−7%

11▼1Codington County, SDSD29,5621,782−11%

12▲4Davison County, SDSD20,0691,579+7%

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

14Beadle County, SDSD19,6241,398−17%

15▲4Clay County, SDSD15,0311,359+37%

16▼4Yankton County, SDSD23,6351,250−32%

17Butte County, SDSD10,8561,220−16%

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

19▼4Dewey County, SDSD5,4191,086−27%

20▲8Custer County, SDSD9,431948+49%

21▲5Fall River County, SDSD7,467926+23%

22▲1Bennett County, SDSD3,307914+13%

23▼2Union County, SDSD17,402868−10%

24▲5Lyman County, SDSD3,694789+25%

25▼1Buffalo County, SDSD1,802777−4%

26▲12Tripp County, SDSD5,708762+71%

27▼5Jackson County, SDSD2,666756−14%

28▲7Moody County, SDSD6,632693+44%

29▼9Corson County, SDSD3,781645−35%

30▼5Ziebach County, SDSD2,389617−22%

31▲3Turner County, SDSD9,314606+25%

32▼1Grant County, SDSD7,534576−4%

33▲8Spink County, SDSD6,155573+61%

34▲3Walworth County, SDSD5,217547+20%

35▼2Hamlin County, SDSD6,900475−5%

36▼9Mellette County, SDSD2,137474−37%

37▼5Day County, SDSD5,484450−12%

38▼2McCook County, SDSD5,964437−6%

39Douglas County, SDSD2,888435−1%

40▼10Lake County, SDSD10,993428−32%

41▲2Hutchinson County, SDSD7,413365+5%

42▲2Brule County, SDSD5,278351+5%

43▲12Hanson County, SDSD3,456340+122%

44▼4Gregory County, SDSD4,037326−18%

45▲2Perkins County, SDSD2,853316+17%

46Deuel County, SDSD4,408296−9%

47▼2Bon Homme County, SDSD7,244287−13%

48Kingsbury County, SDSD5,284274+5%

49▲2Clark County, SDSD4,031269+29%

50Edmunds County, SDSD4,022175−20%

51▼9Marshall County, SDSD4,426169−52%

52▲10Hand County, SDSD3,121153+63%

53▼4Aurora County, SDSD2,801133−41%

54▲4Miner County, SDSD2,281132+5%

55▲2Faulk County, SDSD2,178130−4%

56▼4Sanborn County, SDSD2,388124−32%

57▼4Haakon County, SDSD1,802113−34%

58▲1Stanley County, SDSD3,018104−17%

59▲6Sully County, SDSD1,479101+173%

60▼4Potter County, SDSD2,37799−31%

61Jones County, SDSD91387−9%

62▲4Campbell County, SDSD1,37777+250%

63▲1Hyde County, SDSD1,19170+19%

64▼4Jerauld County, SDSD1,65459−43%

65▼11McPherson County, SDSD2,34739−76%

66▼3Harding County, SDSD1,33132−60%

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