RANKING · 2024 ACS · 254 SHOWN OF 254

Most uninsured people, Texas counties

Texas 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 254 counties in Texas that qualify, ranked against each other statewide.

TexasAll 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

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

02Dallas County, TXTX2,661,397558,186+3%

03Tarrant County, TXTX2,248,466359,852+7%

04Bexar County, TXTX2,160,088323,074+4%

05Hidalgo County, TXTX921,549249,883−4%

06El Paso County, TXTX877,858182,797+10%

07Travis County, TXTX1,389,670160,065+5%

08Collin County, TXTX1,297,179110,313+4%

09Cameron County, TXTX433,946109,395−9%

10Fort Bend County, TXTX975,191103,492+7%

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

12Montgomery County, TXTX781,194102,877+19%

13Webb County, TXTX281,22473,141−7%

14Williamson County, TXTX752,82765,764+21%

15Nueces County, TXTX352,99261,051−3%

16Bell County, TXTX402,24850,786+13%

17Jefferson County, TXTX254,32149,278+4%

18Galveston County, TXTX372,20748,254+11%

19Brazoria County, TXTX419,08048,117+1%

20Lubbock County, TXTX328,90643,564+7%

21Smith County, TXTX252,54940,375+7%

22McLennan County, TXTX272,02037,180+4%

23Ector County, TXTX173,80135,999+11%

24Ellis County, TXTX240,86731,738+14%

25Johnson County, TXTX218,04831,523+11%

26Hays County, TXTX304,39031,034+1%

27Brazos County, TXTX249,08829,127+9%

28Kaufman County, TXTX209,23525,723+49%

29Liberty County, TXTX121,36425,703+39%

30Midland County, TXTX187,85525,167−12%

31Bastrop County, TXTX118,90822,630+53%

32Grayson County, TXTX153,61322,279+6%

33Parker County, TXTX184,76721,568+11%

34Potter County, TXTX114,45321,098−14%

35Gregg County, TXTX126,09520,375−5%

36Guadalupe County, TXTX201,11119,913+6%

37Taylor County, TXTX150,07719,597+5%

38Comal County, TXTX209,16619,127+20%

39Starr County, TXTX66,31918,950−11%

40Hunt County, TXTX123,33618,386+21%

41Wichita County, TXTX129,55518,380+5%

42Tom Green County, TXTX120,60217,809+18%

43Randall County, TXTX152,35115,907+23%

44Victoria County, TXTX92,65615,560−1%

45Angelina County, TXTX88,15415,083−5%

46Henderson County, TXTX88,59513,986−7%

47Maverick County, TXTX58,82313,479−20%

48San Patricio County, TXTX72,05312,980+20%

49Orange County, TXTX86,26612,604−6%

50Waller County, TXTX69,85812,317+17%

51Bowie County, TXTX92,69611,563−3%

52Van Zandt County, TXTX66,13011,410+18%

53Wise County, TXTX83,77811,035−4%

54Rockwall County, TXTX140,73810,622+14%

55Walker County, TXTX83,84210,275+42%

56Caldwell County, TXTX55,15010,010+15%

57Navarro County, TXTX57,1819,939+16%

58Nacogdoches County, TXTX66,0359,918−13%

59Harrison County, TXTX71,9569,834−4%

60Atascosa County, TXTX53,5909,810+5%

61Burnet County, TXTX57,0159,783+22%

62Cherokee County, TXTX53,3379,739−5%

63Lamar County, TXTX51,5039,678+16%

64Hood County, TXTX70,5019,229+14%

65Hardin County, TXTX58,7239,080−0%

66Kerr County, TXTX54,0379,053+2%

67Anderson County, TXTX59,8058,931+38%

68Chambers County, TXTX57,5948,148+72%

69Gaines County, TXTX23,9568,080+29%

70Jim Wells County, TXTX38,8048,046+20%

71Val Verde County, TXTX47,8357,895−22%

72Wood County, TXTX49,6887,818+12%

73Polk County, TXTX53,4347,032−15%

74Hopkins County, TXTX39,0636,963+3%

75Cooke County, TXTX44,4616,861+12%

76Hill County, TXTX39,5036,842+16%

77Coryell County, TXTX85,5926,768+7%

78Titus County, TXTX31,5636,703+14%

79Erath County, TXTX43,9116,598+6%

80Rusk County, TXTX54,8546,588−20%

81Matagorda County, TXTX36,4636,430+2%

82Hale County, TXTX31,8196,368−12%

83Medina County, TXTX56,8815,946−8%

84Jasper County, TXTX33,0755,920−10%

85Wharton County, TXTX42,0605,857−26%

86Upshur County, TXTX44,4105,808−6%

87Brown County, TXTX38,7115,766+7%

88Wilson County, TXTX56,1395,724−16%

89Palo Pinto County, TXTX30,7915,290+9%

90Washington County, TXTX38,2885,185+29%

91Kendall County, TXTX53,2895,159+11%

92Austin County, TXTX33,6255,155+19%

93Grimes County, TXTX34,2525,098+36%

94Shelby County, TXTX24,2865,017−8%

95San Jacinto County, TXTX29,4885,002−6%

96Fannin County, TXTX39,2654,938−12%

97Kleberg County, TXTX30,3154,850+5%

98Moore County, TXTX21,8914,833+17%

99Bee County, TXTX32,5154,592−1%

100Uvalde County, TXTX24,9634,533−15%

101Willacy County, TXTX19,9714,427−19%

102Andrews County, TXTX18,9144,133+13%

103Hockley County, TXTX21,6004,053−5%

104Howard County, TXTX30,5043,988−26%

105Milam County, TXTX26,2583,921+3%

106Deaf Smith County, TXTX18,6263,835−6%

107Limestone County, TXTX22,8493,835−10%

108Cass County, TXTX28,6513,823−5%

109Panola County, TXTX23,0183,819+2%

110Gillespie County, TXTX28,5273,788−28%

111Zapata County, TXTX13,7533,748+2%

112Llano County, TXTX23,3533,522−1%

113Gonzales County, TXTX20,1593,511−5%

114Gray County, TXTX20,9193,424−19%

115Young County, TXTX18,1543,314−2%

116Bosque County, TXTX18,9183,222+5%

117Lamb County, TXTX12,5793,166+4%

118Aransas County, TXTX26,1463,162−25%

119DeWitt County, TXTX20,3093,104+20%

120Montague County, TXTX21,9663,006+2%

121Terry County, TXTX11,7202,930+2%

122Bandera County, TXTX22,8762,921−24%

123Lampasas County, TXTX23,6572,885−1%

124Comanche County, TXTX14,4322,853+57%

125Tyler County, TXTX20,4432,850−12%

126Lee County, TXTX18,7292,820+10%

127Jones County, TXTX20,8612,786+24%

128Leon County, TXTX16,8942,773−16%

129Eastland County, TXTX18,1432,726−10%

130Hutchinson County, TXTX19,6332,619−31%

131Falls County, TXTX17,8692,598+15%

132Colorado County, TXTX21,4392,594−24%

133Jackson County, TXTX15,3932,516−4%

134Scurry County, TXTX16,1622,495−18%

135Ochiltree County, TXTX9,2842,486+7%

136Camp County, TXTX13,3802,482+9%

137Frio County, TXTX18,8232,479−19%

138Fayette County, TXTX25,4592,447−7%

139Burleson County, TXTX20,5492,348−6%

140Freestone County, TXTX20,8112,342−2%

141Parmer County, TXTX9,6782,323+49%

142Dawson County, TXTX11,7762,314+29%

143Newton County, TXTX11,9542,291−21%

144Houston County, TXTX22,3162,244−23%

145Rains County, TXTX13,5422,222+3%

146Trinity County, TXTX14,3842,222−20%

147Callahan County, TXTX14,4912,187−13%

148Lavaca County, TXTX20,6512,124+15%

149Pecos County, TXTX14,5602,115−17%

150Ward County, TXTX11,1252,089+12%

151Reeves County, TXTX12,1382,041−32%

152Duval County, TXTX9,4022,025−2%

153Presidio County, TXTX5,4331,989+16%

154Bailey County, TXTX6,9631,936−11%

155Robertson County, TXTX17,8391,915−19%

156Nolan County, TXTX14,1171,893−25%

157Red River County, TXTX11,8161,884+9%

158Live Oak County, TXTX11,9291,841−4%

159Clay County, TXTX10,7641,834+39%

160Karnes County, TXTX15,0181,834−0%

161Blanco County, TXTX13,5811,815+7%

162Dallam County, TXTX7,5081,775−11%

163Yoakum County, TXTX7,4381,689−23%

164Coleman County, TXTX7,9151,663−19%

165Runnels County, TXTX9,6931,613+23%

166Castro County, TXTX7,2951,602−6%

167Franklin County, TXTX10,9941,581−4%

168Morris County, TXTX12,1331,521+0%

169San Augustine County, TXTX7,7221,489+22%

170Madison County, TXTX14,2261,471−17%

171McCulloch County, TXTX7,4721,470−1%

172Swisher County, TXTX6,7031,469+0%

173Brewster County, TXTX9,4581,451−13%

174Brooks County, TXTX6,5791,416−15%

175Jack County, TXTX9,5631,407+14%

176Winkler County, TXTX7,5401,399−27%

177Zavala County, TXTX9,0371,391−27%

178Marion County, TXTX9,8961,379+40%

179San Saba County, TXTX5,7871,373+5%

180Jim Hogg County, TXTX4,5551,349+42%

181Calhoun County, TXTX19,5991,340−60%

182Mitchell County, TXTX8,9471,336+21%

183Sabine County, TXTX10,0121,270+3%

184Archer County, TXTX9,1291,223−7%

185Stephens County, TXTX9,3801,216−33%

186Floyd County, TXTX4,8811,213−9%

187Dimmit County, TXTX8,0241,195−45%

188Somervell County, TXTX10,2611,177−2%

189Hamilton County, TXTX8,6801,109−18%

190Wilbarger County, TXTX12,4811,097−29%

191Hansford County, TXTX4,9441,075+15%

192Refugio County, TXTX6,6571,053+8%

193Wheeler County, TXTX4,7731,014−6%

194Crosby County, TXTX4,8521,001−13%

195La Salle County, TXTX6,517999−35%

196Goliad County, TXTX7,208946+29%

197Hudspeth County, TXTX3,433921−21%

198Martin County, TXTX5,284881+91%

199Haskell County, TXTX5,499847−9%

200Crane County, TXTX4,554832−4%

201Childress County, TXTX6,643754−21%

202Lynn County, TXTX6,017737−10%

203Baylor County, TXTX3,472703+37%

204Garza County, TXTX4,510684+66%

205Carson County, TXTX5,805672+43%

206Cochran County, TXTX2,546665+0%

207Hartley County, TXTX4,904629−17%

208Reagan County, TXTX3,166613−26%

209Kinney County, TXTX3,128612+3%

210Kimble County, TXTX4,438595−30%

211Hemphill County, TXTX3,083586−33%

212Upton County, TXTX3,131585+117%

213Knox County, TXTX3,192566−3%

214Donley County, TXTX3,213561+12%

215Collingsworth County, TXTX2,487560−18%

216Hardeman County, TXTX3,292545+5%

217Schleicher County, TXTX2,245534−27%

218Mason County, TXTX3,990533−13%

219Lipscomb County, TXTX2,955519−17%

220Sutton County, TXTX3,203515−21%

221Delta County, TXTX5,549514+1%

222Mills County, TXTX4,580472−51%

223Menard County, TXTX1,956451−29%

224Real County, TXTX2,745440−42%

225Hall County, TXTX2,737432−34%

226Concho County, TXTX3,607429+218%

227Fisher County, TXTX3,692423+7%

228Shackelford County, TXTX3,197421−15%

229Culberson County, TXTX2,267418−28%

230Sterling County, TXTX1,349379−13%

231Sherman County, TXTX2,781369−29%

232Coke County, TXTX3,412359−2%

233Throckmorton County, TXTX1,554338+54%

234Oldham County, TXTX1,783334+80%

235Jeff Davis County, TXTX1,711269−49%

236Glasscock County, TXTX1,128268−15%

237Briscoe County, TXTX1,474258−12%

238Motley County, TXTX1,043245−5%

239Edwards County, TXTX1,370240−41%

240Irion County, TXTX1,463209−8%

241Dickens County, TXTX1,692205−45%

242Foard County, TXTX1,044181+6%

243Cottle County, TXTX1,224152−16%

244Stonewall County, TXTX1,186150−46%

245Terrell County, TXTX702127+44%

246McMullen County, TXTX544105−42%

247Roberts County, TXTX86792+16%

248Armstrong County, TXTX1,84374−44%

249Crockett County, TXTX2,76963−91%

250Kenedy County, TXTX31936−66%

251Kent County, TXTX67426+0%

252Borden County, TXTX56719−41%

253King County, TXTX19216−76%

254Loving County, TXTX520−100%

SHOWING 1–254 OF 254

Download CSV (full list, 254 rows)

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