KFF's 2023-Data Estimate: Texas Holds ~42% of the U.S. Medicaid Coverage Gap (~588,000 Adults)

February 25, 2025TexasMore from Texas

Issue

Medicaid financing and eligibility operationsTaking effect

KFF's February 2025 brief uses 2023 American Community Survey data to estimate 1.4 million uninsured adults in the coverage gap across the 10 non-expansion states. Texas accounts for 42% — about 588,000 people by applying that share — the largest state share.

The estimate is a 2023-data snapshot rather than a live 2026 count, but it documents the scale of the uninsured population served by Texas FQHCs.

Sources for this story

KFF

Sources for your board packet

This story's source plus 4 related stories and their sources, ready to print for your team or board.

Free. Unlocking the packet subscribes you to Intel Brief. You'll be subscribed right away, with no confirmation email. Unsubscribe with one click in any issue. If you unsubscribed before, we won't re-add you. We never sell your email. You can open each source above without an email.

#medicaid#non-expansion#coverage-gap#uninsured#texas#section-330

Part of

Medicaid financing and eligibility operations
Feb 20 · Arizona's 2025 HB 2926 proposal would have raised the Medicaid expansion trigger from 80% to 90% FMAP Feb 28 · Vermont's 11 FQHCs report an $8.5M combined deficit alongside an estimated $65 loss per Medicaid visit

Cite this analysis

FQHC Talent. (2025, February 25). KFF's 2023-Data Estimate: Texas Holds ~42% of the U.S. Medicaid Coverage Gap (~588,000 Adults). Source: KFF. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-medicaid-coverage-gap-42pct

KFF's 2023-Data Estimate: Texas Holds ~42% of the U.S. Medicaid Coverage Gap (~588,000 Adults)

Issue

Part of

More in Funding & Budget

Cookie notice