RANKING · 2020 CENSUS · 254 SHOWN OF 254

Most uninsured people, Texas counties · 2020

Texas counties with the most residents lacking health insurance, as of the 2020 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 –

01Harris County, TXTX5,045,026951,568–

02Dallas County, TXTX2,661,397542,636–

03Tarrant County, TXTX2,248,466337,553–

04Bexar County, TXTX2,160,088309,185–

05Hidalgo County, TXTX921,549260,885–

06El Paso County, TXTX877,858166,909–

07Travis County, TXTX1,389,670152,633–

08Cameron County, TXTX433,946120,426–

09Collin County, TXTX1,297,179105,647–

10Fort Bend County, TXTX975,19196,371–

11Denton County, TXTX1,069,34692,811–

12Montgomery County, TXTX781,19486,170–

13Webb County, TXTX281,22478,374–

14Nueces County, TXTX352,99263,133–

15Williamson County, TXTX752,82754,481–

16Brazoria County, TXTX419,08047,503–

17Jefferson County, TXTX254,32147,477–

18Bell County, TXTX402,24845,143–

19Galveston County, TXTX372,20743,310–

20Lubbock County, TXTX328,90640,535–

21Smith County, TXTX252,54937,616–

22McLennan County, TXTX272,02035,716–

23Ector County, TXTX173,80132,449–

24Hays County, TXTX304,39030,709–

25Midland County, TXTX187,85528,475–

26Johnson County, TXTX218,04828,287–

27Ellis County, TXTX240,86727,947–

28Brazos County, TXTX249,08826,783–

29Potter County, TXTX114,45324,649–

30Gregg County, TXTX126,09521,555–

31Starr County, TXTX66,31921,240–

32Grayson County, TXTX153,61321,019–

33Parker County, TXTX184,76719,377–

34Guadalupe County, TXTX201,11118,767–

35Taylor County, TXTX150,07718,722–

36Liberty County, TXTX121,36418,475–

37Wichita County, TXTX129,55517,554–

38Kaufman County, TXTX209,23517,262–

39Maverick County, TXTX58,82316,921–

40Comal County, TXTX209,16615,974–

41Angelina County, TXTX88,15415,820–

42Victoria County, TXTX92,65615,732–

43Hunt County, TXTX123,33615,251–

44Tom Green County, TXTX120,60215,148–

45Henderson County, TXTX88,59515,053–

46Bastrop County, TXTX118,90814,838–

47Orange County, TXTX86,26613,438–

48Randall County, TXTX152,35112,962–

49Bowie County, TXTX92,69611,960–

50Wise County, TXTX83,77811,456–

51Nacogdoches County, TXTX66,03511,435–

52San Patricio County, TXTX72,05310,860–

53Waller County, TXTX69,85810,569–

54Cherokee County, TXTX53,33710,292–

55Harrison County, TXTX71,95610,243–

56Val Verde County, TXTX47,83510,094–

57Van Zandt County, TXTX66,1309,666–

58Rockwall County, TXTX140,7389,334–

59Atascosa County, TXTX53,5909,299–

60Hardin County, TXTX58,7239,097–

61Kerr County, TXTX54,0378,854–

62Caldwell County, TXTX55,1508,738–

63Navarro County, TXTX57,1818,554–

64Lamar County, TXTX51,5038,310–

65Polk County, TXTX53,4348,267–

66Rusk County, TXTX54,8548,236–

67Hood County, TXTX70,5018,078–

68Burnet County, TXTX57,0158,035–

69Wharton County, TXTX42,0607,926–

70Hale County, TXTX31,8197,247–

71Walker County, TXTX83,8427,216–

72Wood County, TXTX49,6886,957–

73Wilson County, TXTX56,1396,798–

74Hopkins County, TXTX39,0636,745–

75Jim Wells County, TXTX38,8046,698–

76Jasper County, TXTX33,0756,573–

77Anderson County, TXTX59,8056,462–

78Medina County, TXTX56,8816,454–

79Coryell County, TXTX85,5926,352–

80Matagorda County, TXTX36,4636,322–

81Gaines County, TXTX23,9566,281–

82Erath County, TXTX43,9116,199–

83Upshur County, TXTX44,4106,185–

84Cooke County, TXTX44,4616,100–

85Hill County, TXTX39,5035,898–

86Titus County, TXTX31,5635,898–

87Fannin County, TXTX39,2655,630–

88Willacy County, TXTX19,9715,492–

89Shelby County, TXTX24,2865,437–

90Brown County, TXTX38,7115,409–

91Howard County, TXTX30,5045,359–

92Uvalde County, TXTX24,9635,336–

93San Jacinto County, TXTX29,4885,304–

94Gillespie County, TXTX28,5275,245–

95Palo Pinto County, TXTX30,7914,842–

96Chambers County, TXTX57,5944,749–

97Kendall County, TXTX53,2894,668–

98Kleberg County, TXTX30,3154,627–

99Bee County, TXTX32,5154,624–

100Austin County, TXTX33,6254,314–

101Limestone County, TXTX22,8494,254–

102Hockley County, TXTX21,6004,247–

103Gray County, TXTX20,9194,247–

104Aransas County, TXTX26,1464,229–

105Moore County, TXTX21,8914,118–

106Deaf Smith County, TXTX18,6264,066–

107Cass County, TXTX28,6514,026–

108Washington County, TXTX38,2884,021–

109Bandera County, TXTX22,8763,864–

110Hutchinson County, TXTX19,6333,807–

111Milam County, TXTX26,2583,804–

112Grimes County, TXTX34,2523,756–

113Panola County, TXTX23,0183,749–

114Gonzales County, TXTX20,1593,702–

115Zapata County, TXTX13,7533,679–

116Andrews County, TXTX18,9143,654–

117Llano County, TXTX23,3533,558–

118Colorado County, TXTX21,4393,395–

119Young County, TXTX18,1543,368–

120Calhoun County, TXTX19,5993,316–

121Leon County, TXTX16,8943,287–

122Tyler County, TXTX20,4433,249–

123Frio County, TXTX18,8233,068–

124Bosque County, TXTX18,9183,055–

125Lamb County, TXTX12,5793,036–

126Scurry County, TXTX16,1623,026–

127Eastland County, TXTX18,1433,013–

128Reeves County, TXTX12,1382,996–

129Montague County, TXTX21,9662,941–

130Houston County, TXTX22,3162,916–

131Lampasas County, TXTX23,6572,901–

132Newton County, TXTX11,9542,884–

133Terry County, TXTX11,7202,876–

134Trinity County, TXTX14,3842,792–

135Jackson County, TXTX15,3932,633–

136Fayette County, TXTX25,4592,623–

137DeWitt County, TXTX20,3092,576–

138Pecos County, TXTX14,5602,561–

139Lee County, TXTX18,7292,554–

140Nolan County, TXTX14,1172,513–

141Callahan County, TXTX14,4912,503–

142Burleson County, TXTX20,5492,485–

143Freestone County, TXTX20,8112,400–

144Robertson County, TXTX17,8392,358–

145Ochiltree County, TXTX9,2842,322–

146Camp County, TXTX13,3802,270–

147Falls County, TXTX17,8692,267–

148Jones County, TXTX20,8612,249–

149Yoakum County, TXTX7,4382,202–

150Bailey County, TXTX6,9632,164–

151Rains County, TXTX13,5422,160–

152Dimmit County, TXTX8,0242,159–

153Duval County, TXTX9,4022,069–

154Coleman County, TXTX7,9152,042–

155Dallam County, TXTX7,5081,990–

156Winkler County, TXTX7,5401,917–

157Live Oak County, TXTX11,9291,910–

158Zavala County, TXTX9,0371,908–

159Ward County, TXTX11,1251,859–

160Lavaca County, TXTX20,6511,855–

161Karnes County, TXTX15,0181,835–

162Comanche County, TXTX14,4321,817–

163Stephens County, TXTX9,3801,806–

164Dawson County, TXTX11,7761,788–

165Madison County, TXTX14,2261,776–

166Red River County, TXTX11,8161,735–

167Presidio County, TXTX5,4331,715–

168Castro County, TXTX7,2951,713–

169Blanco County, TXTX13,5811,692–

170Brooks County, TXTX6,5791,674–

171Brewster County, TXTX9,4581,660–

172Franklin County, TXTX10,9941,654–

173Parmer County, TXTX9,6781,554–

174Wilbarger County, TXTX12,4811,544–

175La Salle County, TXTX6,5171,527–

176Morris County, TXTX12,1331,520–

177McCulloch County, TXTX7,4721,492–

178Swisher County, TXTX6,7031,465–

179Hamilton County, TXTX8,6801,347–

180Floyd County, TXTX4,8811,339–

181Archer County, TXTX9,1291,317–

182Clay County, TXTX10,7641,316–

183Runnels County, TXTX9,6931,314–

184San Saba County, TXTX5,7871,308–

185Sabine County, TXTX10,0121,238–

186Jack County, TXTX9,5631,234–

187San Augustine County, TXTX7,7221,218–

188Somervell County, TXTX10,2611,207–

189Hudspeth County, TXTX3,4331,160–

190Crosby County, TXTX4,8521,154–

191Mitchell County, TXTX8,9471,106–

192Wheeler County, TXTX4,7731,081–

193Marion County, TXTX9,896988–

194Refugio County, TXTX6,657974–

195Mills County, TXTX4,580971–

196Childress County, TXTX6,643959–

197Jim Hogg County, TXTX4,555952–

198Hansford County, TXTX4,944935–

199Haskell County, TXTX5,499932–

200Hemphill County, TXTX3,083874–

201Crane County, TXTX4,554865–

202Kimble County, TXTX4,438854–

203Reagan County, TXTX3,166823–

204Lynn County, TXTX6,017820–

205Hartley County, TXTX4,904756–

206Real County, TXTX2,745756–

207Goliad County, TXTX7,208736–

208Schleicher County, TXTX2,245735–

209Crockett County, TXTX2,769726–

210Collingsworth County, TXTX2,487680–

211Cochran County, TXTX2,546664–

212Hall County, TXTX2,737653–

213Sutton County, TXTX3,203652–

214Menard County, TXTX1,956637–

215Lipscomb County, TXTX2,955625–

216Mason County, TXTX3,990613–

217Kinney County, TXTX3,128597–

218Knox County, TXTX3,192585–

219Culberson County, TXTX2,267582–

220Jeff Davis County, TXTX1,711527–

221Sherman County, TXTX2,781522–

222Hardeman County, TXTX3,292517–

223Baylor County, TXTX3,472512–

224Delta County, TXTX5,549508–

225Donley County, TXTX3,213500–

226Shackelford County, TXTX3,197493–

227Carson County, TXTX5,805471–

228Martin County, TXTX5,284462–

229Sterling County, TXTX1,349436–

230Garza County, TXTX4,510412–

231Edwards County, TXTX1,370406–

232Fisher County, TXTX3,692396–

233Dickens County, TXTX1,692371–

234Coke County, TXTX3,412366–

235Glasscock County, TXTX1,128317–

236Briscoe County, TXTX1,474293–

237Stonewall County, TXTX1,186277–

238Upton County, TXTX3,131270–

239Motley County, TXTX1,043258–

240Irion County, TXTX1,463227–

241Throckmorton County, TXTX1,554220–

242Oldham County, TXTX1,783186–

243Cottle County, TXTX1,224182–

244McMullen County, TXTX544180–

245Foard County, TXTX1,044170–

246Concho County, TXTX3,607135–

247Armstrong County, TXTX1,843132–

248Kenedy County, TXTX319107–

249Terrell County, TXTX70288–

250Roberts County, TXTX86779–

251King County, TXTX19266–

252Borden County, TXTX56732–

253Kent County, TXTX67426–

254Loving County, TXTX5213–

SHOWING 1–254 OF 254

Download CSV (full list, 254 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS