The Uninsured & the ACA in Texas

 

EHF's research has become a leading resource looking into the uninsured in Texas and the implementation of the Affordable Care Act across the state. Along with revealing key characteristics of Texans without health insurance, these reports work to inform the policies and practices needed to assist Texans in getting health insurance coverage.

RECENT REPORTS:

  • New report: Affordable Care Act enrollment numbers in Texas highlight concerns about proposed replacement plan in Congress

Texans who are enrolled in Affordable Care Act (ACA) health insurance for 2017 are more likely to be older, have low to moderate incomes, and receive significant financial assistance to buy plans. Those are some of the conclusions of an EHF analysis of new ACA health insurance enrollment data released by the Centers for Medicare & Medicaid Services combined with data from previous ACA enrollment periods.

More than 1.2 million Texans are currently enrolled in ACA health insurance plans. However, the 2017 enrollment numbers combined with consistent data throughout each ACA enrollment period highlight concerns that major groups of Texans will not fare well under the proposed American Health Care Act (AHCA), EHF’s analysis found.

Click here to see the complete analysis report



 

  • EHF report published in American Journal of Public Health shows 1 million Texans gain health insurance coverage due to ACA

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Click here to read the full article in the American Journal of Public Health

Texas has experienced a roughly 6 percentage-point increase in health insurance coverage from the Affordable Care Act (ACA), according to new research by experts at EHF and the Baker Institute for Public Policy. This translates into just under 1 million Texans who have gained coverage due to President Barack Obama's health care law. The new findings published in the American Journal of Public Health examined the effects of the ACA’s Marketplace on Texas residents and determined which population subgroups benefited the most and the least.  


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When open enrollment for the Affordable Care Act (ACA) health insurance marketplace begins November 1, more than one million uninsured Texans may be eligible for federal tax credits that could help them buy health plans. That’s just one of the conclusions of a new EHF analysis of ACA health insurance enrollment data since 2013.

Read the complete report, including county-by-county ACA marketplace enrollment data for all Texas counties

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Latest News

New report: Affordable Care Act enrollment numbers in Texas highlight concerns about proposed replacement plan in Congress

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EHF'S PARTNERSHIP WITH RICE UNIVERSITY'S BAKER INSTITUTE FOR PUBLIC POLICY

EHF also partners with Rice University's Baker Institute to publish important research studies examining the true impact of the Affordable Care Act in Texas.

These on-going, comprehensive reports have become some of the leading sources of information on the ACA and the plight of Texas' uninsured. News outlets across Texas and the nation have reported on these studies more than 100 times.

The EHF-Baker Institute reports use Texas-specific survey information from the Health Reform Monitoring Survey (HRMS). HRMS is based on a national project that provides timely information on implementation issues under the ACA and changes in health insurance coverage and related health outcomes. The surveys are developed by the Urban Institute, conducted by the company GfK and jointly funded by the Robert Wood Johnson Foundation, the Ford Foundation and the Urban Institute.

Below you’ll find our most recent reports using the HRMS-Texas surveys.

Search our Reports

New report: Almost two-thirds of Texans have stable health insurance

Issue Brief #24 — October 4, 2016
Almost two-thirds of Texans ages 18 to 64 stayed insured with health care coverage during the past 12 months, according to a new report released today by EHF and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #24


New EHF report: Rate of uninsured young adults drops by more than one-third in Texas

Issue Brief #23 — August 23, 2016
The percentage of young adults ages 18 to 34 in Texas without health insurance has dropped by 35 percent since the Affordable Care Act (ACA) went into effect, according to a new report released by EHF and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #23


New EHF report: Nearly a third of Hispanics in Texas don't have health insurance

Issue Brief #22 — July 14, 2016
The percentage of Hispanics in Texas without health insurance has dropped by 30 percent since the Affordable Care Act (ACA) went into effect, but almost one-third of Hispanic Texans ages 18 to 64 remain uninsured. That’s one of the conclusions of a new report released by EHF and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #22


New evidence shows Affordable Care Act is working in Texas

Issue Brief #21 — July 1, 2016
The percentage of Texans without health insurance has dropped by 30 percent since the Affordable Care Act (ACA) went into effect, cutting the state’s uninsured rate below 1999 levels. That’s one of the conclusions of a new report released by the Episcopal Health Foundation (EHF) and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #21


New EHF report: Insured Texans lack clear understanding of their health insurance plans

Issue Brief #20 — April 21, 2016
Texans who bought their own health insurance were less likely to understand basic terms and how to use their plans compared with those who have Medicare, Medicaid or employee-sponsored health insurance. That’s one of the findings of a new report released by EHF and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #20


New EHF report shows 25% of Texans say they don't understand basic health insurance terms

Issue Brief #19 — March 9, 2016
Approximately 25 percent of Texans say they lack confidence in understanding some of the most basic terminology about health insurance plans, according to a new report released by Episcopal Health Foundation (EHF) and the Baker Institute for Public Policy at Rice University. The report found uninsured, low-income and Hispanic Texans were least likely to understand health-plan terms like “premium,” “co-payment” and “provider network.”

Download Issue Brief #19


New report: Most uninsured Texans say cost of health insurance too high

Issue Brief #18 — January 27, 2016
Almost 70 percent of uninsured Texans said the high cost of health insurance is the reason they remain uninsured, according to a new report released EHF and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #18


New report shows fewer Texans have problems paying medical bills

Issue Brief #17 — January 6, 2016
Fewer Texans say they have problems paying their medical bills in 2015 compared to 2013, according to a new report released by the Episcopal Health Foundation (EHF) and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #17


New report shows gains in health insurance across Texas fall behind rest of US

Issue Brief #16 — December 16, 2015
The rate of adults without health insurance across the U.S. dropped nearly twice as much as in Texas from 2013 to 2015, according to a new report released by the Episcopal Health Foundation (EHF) and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #16


New report shows more Texas workers getting health insurance from employers

Issue Brief #15 — October 7, 2015
A larger percentage of Texas workers are getting health insurance through their employers now than before the implementation of the Affordable Care Act (ACA), according to a new report released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #15


New report shows uninsured Texans are twice as likely to delay seeking primary care, mental health care

Issue Brief #14 — August 19, 2015
Texans without health insurance are twice as likely to skip seeking primary and mental health care because of cost. That’s one of the findings of a new survey released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #14


New report: Texas’ uninsured population remains predominantly Hispanic, middle-aged, under-educated and poor

Issue Brief #13 — July 29, 2015
Texas' uninsured population remains primarily Hispanic, middle-aged, with low incomes and without a college degree, according to a new report released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #13


New EHF report: Texas Hispanics, women show largest reductions in rates of uninsured

Issue Brief #12 — June 1, 2015
Hispanics and women in Texas showed the largest percentage of reductions in rates of uninsured since enrollment began in the Affordable Care Act’s (ACA) Health Insurance Marketplace, according to a new report released today by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #12


New Survey - Percentage of Texans without health insurance drops dramatically

Issue Brief #11 — May 14, 2015
The percentage of Texans without health insurance dropped 31% since enrollment began in the Affordable Care Act’s (ACA) Health Insurance Marketplace, according to a new report released today by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #11


Analysis: Affordable Care Act health insurance plans differ in cost, coverage and hospital access across Texas

Issue Brief #10 — November 10, 2014
An analysis of more than 100 health insurance plans across Texas offered under the Affordable Care Act (ACA) shows that plans can differ significantly in premium cost and the number of hospitals included in insurance networks. That’s just one of the findings of a report released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #10


Preparing for the Second Marketplace Open Enrollment Period in Texas

Issue Brief #9 — October 16, 2014
While most Texans used healthcare.gov earlier this year to get information or to enroll in a health insurance plan under the Affordable Care Act (ACA), larger percentages of Texans found talking to the call center or a navigator was the most helpful. Those are just some of the lessons learned in a report released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #9


Affordability of Marketplace Plans in the Largest Metropolitan Areas of Texas

Issue Brief #8 — September 29, 2014
The cost of monthly premiums for health insurance plans for Texans under the Affordable Care Act (ACA) can vary by hundreds of dollars, depending on a person's income and the level of coverage chosen, according to a report released today by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #8


Insurance Status of Adult Texans and Characteristics of the Uninsured as of June 2014

Issue Brief #7 — September 3, 2014
The percentage of Texans without health insurance dropped after the first enrollment period of the Affordable Care Act (ACA), according to a report released by the Episcopal Health Foundation and Rice University’s Baker Institute for Public Policy.

Download Issue Brief #7


Affordability of Marketplace Plans for the Marketplace Target Population

Issue Brief #6 — July 8, 2014
Many Texans eligible for subsidies from Affordable Care Act's Health Insurance Marketplace still believe coverage is too expensive.

Download Issue Brief #6


The Experience of Texans with healthcare.gov

Issue Brief #5 — June 11, 2014
Almost all adult Texans were aware of the Affordable Care Act's Health Insurance Marketplace before the open-enrollment period ended March 31, according to a report released by the Episcopal Health Foundation and Rice University's Baker Institute for Public Policy.

Download Issue Brief #5


The Affordable Care Act and Hispanics in Texas

Issue Brief #4 — May 7, 2014
Texas Hispanics were more than twice as likely as whites to have enrolled in health insurance plans offered through the Affordable Care Act's Health Insurance Marketplace.

Download Issue Brief #4


Early Effects of the Affordable Care Act on Health Insurance Coverage in Texas for 2014

Issue Brief #3 — April 16, 2014
The percentage of uninsured adults ages 18 to 64 in Texas declined from 24.8 to 23.5 between September 2013 and March 2014, according to a report released by Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation.

Download Issue Brief #3


The Affordable Care Act and Texas’ “Young Invincibles”

Issue Brief #2 — March 31, 2014
Texas “Young Invincibles have little knowledge, low opinion of the Affordable Care Act

Download Issue Brief #2