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. The median across all 254 is 2,786. Biggest climber in the top 100 since 2020: Chambers County, TX, up 28 places to #68.

TexasAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

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%

08▲1Collin County, TXTX1,297,179110,313+4%

09▼1Cameron 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%

14▲1Williamson County, TXTX752,82765,764+21%

15▼1Nueces County, TXTX352,99261,051−3%

16▲2Bell County, TXTX402,24850,786+13%

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

18▲1Galveston County, TXTX372,20748,254+11%

19▼3Brazoria 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%

24▲3Ellis County, TXTX240,86731,738+14%

25▲1Johnson County, TXTX218,04831,523+11%

26▼2Hays County, TXTX304,39031,034+1%

27▲1Brazos County, TXTX249,08829,127+9%

28▲10Kaufman County, TXTX209,23525,723+49%

29▲7Liberty County, TXTX121,36425,703+39%

30▼5Midland County, TXTX187,85525,167−12%

31▲15Bastrop County, TXTX118,90822,630+53%

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

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

34▼5Potter County, TXTX114,45321,098−14%

35▼5Gregg County, TXTX126,09520,375−5%

36▼2Guadalupe County, TXTX201,11119,913+6%

37▼2Taylor County, TXTX150,07719,597+5%

38▲2Comal County, TXTX209,16619,127+20%

39▼8Starr County, TXTX66,31918,950−11%

40▲3Hunt County, TXTX123,33618,386+21%

41▼4Wichita County, TXTX129,55518,380+5%

42▲2Tom Green County, TXTX120,60217,809+18%

43▲5Randall County, TXTX152,35115,907+23%

44▼2Victoria County, TXTX92,65615,560−1%

45▼4Angelina County, TXTX88,15415,083−5%

46▼1Henderson County, TXTX88,59513,986−7%

47▼8Maverick County, TXTX58,82313,479−20%

48▲4San Patricio County, TXTX72,05312,980+20%

49▼2Orange County, TXTX86,26612,604−6%

50▲3Waller County, TXTX69,85812,317+17%

51▼2Bowie County, TXTX92,69611,563−3%

52▲5Van Zandt County, TXTX66,13011,410+18%

53▼3Wise County, TXTX83,77811,035−4%

54▲4Rockwall County, TXTX140,73810,622+14%

55▲16Walker County, TXTX83,84210,275+42%

56▲6Caldwell County, TXTX55,15010,010+15%

57▲6Navarro County, TXTX57,1819,939+16%

58▼7Nacogdoches County, TXTX66,0359,918−13%

59▼4Harrison County, TXTX71,9569,834−4%

60▼1Atascosa County, TXTX53,5909,810+5%

61▲7Burnet County, TXTX57,0159,783+22%

62▼8Cherokee County, TXTX53,3379,739−5%

63▲1Lamar County, TXTX51,5039,678+16%

64▲3Hood County, TXTX70,5019,229+14%

65▼5Hardin County, TXTX58,7239,0800%

66▼5Kerr County, TXTX54,0379,053+2%

67▲10Anderson County, TXTX59,8058,931+38%

68▲28Chambers County, TXTX57,5948,148+72%

69▲12Gaines County, TXTX23,9568,080+29%

70▲5Jim Wells County, TXTX38,8048,046+20%

71▼15Val Verde County, TXTX47,8357,895−22%

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

73▼8Polk County, TXTX53,4347,032−15%

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

75▲9Cooke County, TXTX44,4616,861+12%

76▲9Hill County, TXTX39,5036,842+16%

77▲2Coryell County, TXTX85,5926,768+7%

78▲8Titus County, TXTX31,5636,703+14%

79▲3Erath County, TXTX43,9116,598+6%

80▼14Rusk County, TXTX54,8546,588−20%

81▼1Matagorda County, TXTX36,4636,430+2%

82▼12Hale County, TXTX31,8196,368−12%

83▼5Medina County, TXTX56,8815,946−8%

84▼8Jasper County, TXTX33,0755,920−10%

85▼16Wharton County, TXTX42,0605,857−26%

86▼3Upshur County, TXTX44,4105,808−6%

87▲3Brown County, TXTX38,7115,766+7%

88▼15Wilson County, TXTX56,1395,724−16%

89▲6Palo Pinto County, TXTX30,7915,290+9%

90▲18Washington County, TXTX38,2885,185+29%

91▲6Kendall County, TXTX53,2895,159+11%

92▲8Austin County, TXTX33,6255,155+19%

93▲19Grimes County, TXTX34,2525,098+36%

94▼5Shelby County, TXTX24,2865,017−8%

95▼2San Jacinto County, TXTX29,4885,002−6%

96▼9Fannin County, TXTX39,2654,938−12%

97▲1Kleberg County, TXTX30,3154,850+5%

98▲7Moore County, TXTX21,8914,833+17%

99Bee County, TXTX32,5154,592−1%

100▼8Uvalde County, TXTX24,9634,533−15%

101▼13Willacy County, TXTX19,9714,427−19%

102▲14Andrews County, TXTX18,9144,133+13%

103Hockley County, TXTX21,6004,053−5%

104▼13Howard County, TXTX30,5043,988−26%

105▲6Milam County, TXTX26,2583,921+3%

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

107▼6Limestone County, TXTX22,8493,835−10%

108▼1Cass County, TXTX28,6513,823−5%

109▲4Panola County, TXTX23,0183,819+2%

110▼16Gillespie County, TXTX28,5273,788−28%

111▲4Zapata County, TXTX13,7533,748+2%

112▲5Llano County, TXTX23,3533,522−1%

113▲1Gonzales County, TXTX20,1593,511−5%

114▼12Gray County, TXTX20,9193,424−19%

115▲4Young County, TXTX18,1543,314−2%

116▲8Bosque County, TXTX18,9183,222+5%

117▲8Lamb County, TXTX12,5793,166+4%

118▼14Aransas County, TXTX26,1463,162−25%

119▲18DeWitt County, TXTX20,3093,104+20%

120▲9Montague County, TXTX21,9663,006+2%

121▲12Terry County, TXTX11,7202,930+2%

122▼13Bandera County, TXTX22,8762,921−24%

123▲8Lampasas County, TXTX23,6572,885−1%

124▲38Comanche County, TXTX14,4322,853+57%

125▼3Tyler County, TXTX20,4432,850−12%

126▲13Lee County, TXTX18,7292,820+10%

127▲21Jones County, TXTX20,8612,786+24%

128▼7Leon County, TXTX16,8942,773−16%

129▼2Eastland County, TXTX18,1432,726−10%

130▼20Hutchinson County, TXTX19,6332,619−31%

131▲16Falls County, TXTX17,8692,598+15%

132▼14Colorado County, TXTX21,4392,594−24%

133▲2Jackson County, TXTX15,3932,516−4%

134▼8Scurry County, TXTX16,1622,495−18%

135▲10Ochiltree County, TXTX9,2842,486+7%

136▲10Camp County, TXTX13,3802,482+9%

137▼14Frio County, TXTX18,8232,479−19%

138▼2Fayette County, TXTX25,4592,447−7%

139▲3Burleson County, TXTX20,5492,348−6%

140▲3Freestone County, TXTX20,8112,342−2%

141▲32Parmer County, TXTX9,6782,323+49%

142▲22Dawson County, TXTX11,7762,314+29%

143▼11Newton County, TXTX11,9542,291−21%

144▼14Houston County, TXTX22,3162,244−23%

145▲6Rains County, TXTX13,5422,222+3%

146▼12Trinity County, TXTX14,3842,222−20%

147▼6Callahan County, TXTX14,4912,187−13%

148▲12Lavaca County, TXTX20,6512,124+15%

149▼11Pecos County, TXTX14,5602,115−17%

150▲9Ward County, TXTX11,1252,089+12%

151▼23Reeves County, TXTX12,1382,041−32%

152▲1Duval County, TXTX9,4022,025−2%

153▲14Presidio County, TXTX5,4331,989+16%

154▼4Bailey County, TXTX6,9631,936−11%

155▼11Robertson County, TXTX17,8391,915−19%

156▼16Nolan County, TXTX14,1171,893−25%

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

158▼1Live Oak County, TXTX11,9291,841−4%

159▲23Clay County, TXTX10,7641,834+39%

160▲1Karnes County, TXTX15,0181,8340%

161▲8Blanco County, TXTX13,5811,815+7%

162▼7Dallam County, TXTX7,5081,775−11%

163▼14Yoakum County, TXTX7,4381,689−23%

164▼10Coleman County, TXTX7,9151,663−19%

165▲18Runnels County, TXTX9,6931,613+23%

166▲2Castro County, TXTX7,2951,602−6%

167▲5Franklin County, TXTX10,9941,581−4%

168▲8Morris County, TXTX12,1331,5210%

169▲18San Augustine County, TXTX7,7221,489+22%

170▼5Madison County, TXTX14,2261,471−17%

171▲6McCulloch County, TXTX7,4721,470−1%

172▲6Swisher County, TXTX6,7031,4690%

173▼2Brewster County, TXTX9,4581,451−13%

174▼4Brooks County, TXTX6,5791,416−15%

175▲11Jack County, TXTX9,5631,407+14%

176▼20Winkler County, TXTX7,5401,399−27%

177▼19Zavala County, TXTX9,0371,391−27%

178▲15Marion County, TXTX9,8961,379+40%

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

180▲17Jim Hogg County, TXTX4,5551,349+42%

181▼61Calhoun County, TXTX19,5991,340−60%

182▲9Mitchell County, TXTX8,9471,336+21%

183▲2Sabine County, TXTX10,0121,270+3%

184▼3Archer County, TXTX9,1291,223−7%

185▼22Stephens County, TXTX9,3801,216−33%

186▼6Floyd County, TXTX4,8811,213−9%

187▼35Dimmit County, TXTX8,0241,195−45%

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

189▼10Hamilton County, TXTX8,6801,109−18%

190▼16Wilbarger County, TXTX12,4811,097−29%

191▲7Hansford County, TXTX4,9441,075+15%

192▲2Refugio County, TXTX6,6571,053+8%

193▼1Wheeler County, TXTX4,7731,014−6%

194▼4Crosby County, TXTX4,8521,001−13%

195▼20La Salle County, TXTX6,517999−35%

196▲11Goliad County, TXTX7,208946+29%

197▼8Hudspeth County, TXTX3,433921−21%

198▲30Martin County, TXTX5,284881+91%

199Haskell County, TXTX5,499847−9%

200▲1Crane County, TXTX4,554832−4%

201▼5Childress County, TXTX6,643754−21%

202▲2Lynn County, TXTX6,017737−10%

203▲20Baylor County, TXTX3,472703+37%

204▲26Garza County, TXTX4,510684+66%

205▲22Carson County, TXTX5,805672+43%

206▲5Cochran County, TXTX2,5466650%

207▼2Hartley County, TXTX4,904629−17%

208▼5Reagan County, TXTX3,166613−26%

209▲8Kinney County, TXTX3,128612+3%

210▼8Kimble County, TXTX4,438595−30%

211▼11Hemphill County, TXTX3,083586−33%

212▲26Upton County, TXTX3,131585+117%

213▲5Knox County, TXTX3,192566−3%

214▲11Donley County, TXTX3,213561+12%

215▼5Collingsworth County, TXTX2,487560−18%

216▲6Hardeman County, TXTX3,292545+5%

217▼9Schleicher County, TXTX2,245534−27%

218▼2Mason County, TXTX3,990533−13%

219▼4Lipscomb County, TXTX2,955519−17%

220▼7Sutton County, TXTX3,203515−21%

221▲3Delta County, TXTX5,549514+1%

222▼27Mills County, TXTX4,580472−51%

223▼9Menard County, TXTX1,956451−29%

224▼18Real County, TXTX2,745440−42%

225▼13Hall County, TXTX2,737432−34%

226▲20Concho County, TXTX3,607429+218%

227▲5Fisher County, TXTX3,692423+7%

228▼2Shackelford County, TXTX3,197421−15%

229▼10Culberson County, TXTX2,267418−28%

230▼1Sterling County, TXTX1,349379−13%

231▼10Sherman County, TXTX2,781369−29%

232▲2Coke County, TXTX3,412359−2%

233▲8Throckmorton County, TXTX1,554338+54%

234▲8Oldham County, TXTX1,783334+80%

235▼15Jeff Davis County, TXTX1,711269−49%

236▼1Glasscock County, TXTX1,128268−15%

237▼1Briscoe County, TXTX1,474258−12%

238▲1Motley County, TXTX1,043245−5%

239▼8Edwards County, TXTX1,370240−41%

240Irion County, TXTX1,463209−8%

241▼8Dickens County, TXTX1,692205−45%

242▲3Foard County, TXTX1,044181+6%

243Cottle County, TXTX1,224152−16%

244▼7Stonewall County, TXTX1,186150−46%

245▲4Terrell County, TXTX702127+44%

246▼2McMullen County, TXTX544105−42%

247▲3Roberts County, TXTX86792+16%

248▼1Armstrong County, TXTX1,84374−44%

249▼40Crockett County, TXTX2,76963−91%

250▼2Kenedy County, TXTX31936−66%

251▲2Kent County, TXTX674260%

252Borden County, TXTX56719−41%

253▼2King County, TXTX19216−76%

254Loving County, TXTX520−100%

SHOWING 1–254 OF 254

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