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Story perspectives

1.7 Million Texans at Risk of Losing Health Coverage

7/27/2025

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Story summary
  • Changes in the Affordable Care Act (ACA) marketplace could result in 1.7 million Texans losing health insurance.
  • Texas currently has the highest uninsured rate in the U.S., with nearly 4 million enrolled in ACA plans.
  • New Republican bill imposes stricter enrollment requirements and eliminates automatic renewals, potentially increasing the uninsured rate.
  • Medicaid enrollment in Texas has decreased by 1.8 million since the pandemic, impacting access to care for low-income individuals.