• Texas is the uninsured capital of the United States. More than 4.3 million Texans - including 623,000 children - lack health insurance. Texas' uninsurance rates, 1.75 times the national average, create significant problems in the financing and delivery of health care to all Texans. Those who lack insurance coverage typically enjoy far-worse health status than their insured counterparts. 

    View 2015 Health Insurance Stats

  • Medical Impact of Lacking Health Insurance

    The uninsured are up to four times less likely to have a regular source of health care and are more likely to die from health-related problems. They are much less likely to receive needed medical care, even for symptoms that can have serious health consequences if not treated. About one in six Texans lives at or below the poverty level; for children, it's nearly one in five. Extending health coverage to the uninsured could improve their overall health by 7 to 8 percent. Lack of insurance increases their dependence on Medicaid.

    Financial Impact of Texas' Uninsured Crisis

    Lacking a medical home, uninsured people tend to look for health care in the emergency room, the most expensive setting they could possibly choose. Nationally, patients made over 136 million emergency room visits in 2011. The U.S. Centers for Disease Control and Prevention says that about 7 percent (9.1 million) of ER visits are for non-urgent issues that could be treated in a doctor's office or clinic.

  • Health Insurance Coverage Among Children and Young Adults in Texas

    Texas' share of uninsured children is higher than the U.S. average. In 2015, almost 9 percent of Texas children were uninsured, compared to 5 percent nationally.

    CHIP Re-enrollment Requirement in Texas

    More than half of the uninsured children are eligible for public programs, but are not enrolled. In Texas, this could be a result of the SCHIP program requirement to re-enroll every six months or the lack of parent coverage in the program.

  • Health Insurance Coverage Among Special Populations in Texas

    Health Insurance Coverage in Relation to Race and Ethnicity 

    Disparities based on race and ethnicity also exist. People of racial and ethnic minorities are more likely to go without health insurance than whites. In Texas, 59 percent of Hispanics/Latinos were uninsured, compared to 27 percent of whites

    Uninsured Among Non-Citizens in Texas  

    In Texas, non-citizens are almost three times as likely to be uninsured as native U.S. citizens. Immigrants, many of whom are Hispanics, often work in economic sectors less likely to offer health insurance than others, such as construction.

    Foreign Born Residents and Non Citizens in Relation to Uninsured Population

    Non-citizens are almost three times as likely to be uninsured as are native US citizens. Over 63 percent of non-citizens went without insurance in 2015, compared to 10 percent of US native citizens and 26.2 percent of naturalized citizens. In Texas, 38 percent of the uninsured are non-citizens.

  • Health Insurance Coverage in Relation to Level of Educational Attainment

    Another factor that increases the likelihood of being uninsured is the level of educational attainment. Texas has lower rates of high school and college graduates than the national average (Murdoch, 2003). There is a strong correlation between education and income as well as between income and insurance.

    Those who have more education on average earn more money and have insurance coverage.

    • Among uninsured adults born in the US, 34.7 percent have a high school diploma as their highest level of education; 28.3 percent have not completed high school and 37 percent have a post high school education.
    • Among uninsured adults born outside the US, 28.1 percent have at most a high school diploma; 48.1 percent have not completed high school and 23.8 percent have a post high school education. (ERIU, 2005)

    In 2015 estimates from the America Community Survey, Texas had a lower percentage of high school (82.4 percent vs. 87.1 percent) and college graduates (28.4 percent vs. 30.6 percent) in the 25-and-older-population compared to the national average. In addition, over half of all Hispanics in Texas over the age of 25 did not have a high school diploma (Murdock et al., 2003). This is significantly higher than other ethnic populations in the state.

    Health Insurance Coverage By Geographic Areas in Texas


    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?