Texas’ Uninsured Rate Continues to Fall

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A physician wears a stethoscope around his neck. Photo by Callie Richmond for The Texas Tribune.

A physician wears a stethoscope around his neck. Photo by Callie Richmond for The Texas Tribune.

Texas’ rate of uninsured people fell to 17.1% in 2015 as part of a steady decline in the share of uninsured residents following the implementation of the Affordable Care Act, according to new Census estimates released Tuesday.

The state’s rate of uninsured fell two percentage points from 2014 to 2015, but Texas still has the highest percentage of people without health insurance in the country. Texas is also home to the largest number of uninsured people in the country with about 4.6 million uninsured residents.

About 5 million Texans were uninsured in 2014, or 19%. That’s down from 5.75 million the year before. The 2014 rate – part of the first comprehensive Census data to include a full year of enrollment under President Obama’s signature health law – marked the first time Texas’ uninsured rate fell below 20% in more than a decade.

Advocates for the uninsured have argued that Texas could grant insurance coverage to more than 800,000 adults living in poverty here if the State were to expand Medicaid – an optional tenet of the federal health law. But the State’s Republican leadership remains vehemently opposed to any sort of expansion. They’ve criticized Medicaid, the federal-state insurer for the poor and disabled, as an inefficient and broken program.

The U.S. Census Bureau found that in general the 2015 uninsured rate in states that expanded Medicaid eligibility was lower than in states that did not expand eligibility.

Only four other states had insurance rates higher than 13% – Alaska, Oklahoma, Florida, and Georgia. None of them expanded Medicaid. California, which expanded Medicaid, had the second-largest number of uninsured people with 3.3 million uninsured residents.

This article originally appeared in The Texas Tribune, a nonpartisan, nonprofit media organization that informs Texans — and engages with them – about public policy, politics, government and statewide issues.




Top image: A physician wears a stethoscope around his neck.  Photo by Callie Richmond for The Texas Tribune. 

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One thought on “Texas’ Uninsured Rate Continues to Fall

  1. A word of caution with respect to looking at statistics such as the rate of uninsured. Perhaps a larger concern are the underinsured. The act of providing an health insurance card to a patient is not the same as providing needed health care services.

    There have been proliferation of health care plans with limited benefits, limited provider networks and high deductibles which have led to barriers to care sometimes surpassing that of the uninsured. For example, the “insurance” price on a number of prescription medications actually may exceed the cash price. Additionally, I have encountered cases where uninsured patients obtained charity or reduced cost care at hospitals which ended when such individuals signed up for health plans that were restrictive as the hospitals then became contractually bound by the terms of such plans.

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