Did Texas have the most uninsured residents in the nation during 2022?
By Georgie London
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YES
Texas has more residents without health insurance than any other state in 2022, the latest year of data available.
The 2022 census showed 4.9 million people in Texas — or 16.6% of all residents — were uninsured.
In 2021, the uninsured rate in Texas was 18%, which is around 5.2 million people.
Oklahoma and Georgia had the next highest rates in 2022 with an uninsured rate of 11.7%.
The decline in the uninsured rate in Texas from 2022 to 2021 was due to more people obtaining private coverage.
Private health insurance coverage increased in Texas in 2021 and 2022, as did employer-sponsored and direct-purchase coverage.
Texas is one of 12 states that has not expanded Medicaid eligibility under the Affordable Care Act.
This fact brief is responsive to conversations such as this one.
Sources
United States Census Bureau Percentage of Population Without Health Insurance Coverage by State: 2021 and 2022
United States Census Bureau Health Insurance Coverage Status and Type by Geography: 2021 and 2022
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