Has the uninsured rate in Texas gone up or down?

Between 2023 and 2024, the all-ages uninsured rate in Texas moved from 16.4% to 16.7% (+0.3 pp). Nationally the uninsured rate rose from 7.9% to 8.2% over the same period. Source: US Census Bureau ACS 1-year estimates.

What is the uninsured rate for adults and children in Texas?

In 2024, 21.6% of working-age adults (aged 19–64) in Texas were uninsured, compared with 11.3% nationally. Among children under 19, 13.6% were uninsured in Texas, versus 6.0% nationally. Source: US Census Bureau ACS 1-year estimates, 2024.

What is the Gera Coverage Index for Texas?

The Gera Coverage Index (GCI) for Texas is 70 out of 100 in 2024 — a much wider coverage gap than the US average (national index 35). The GCI weights the three real ACS uninsured rates (50% all-ages, 30% working-age, 20% children) and scales the result to 0–100; higher means a wider coverage gap. It is computed transparently from the figures on this page.

Can I see a doctor in Texas without health insurance?

Yes. With 16.7% of Texas residents uninsured in 2024, many people use pay-as-you-go telehealth. GeraClinic offers online consultations with no insurance required, so uninsured or underinsured residents can speak to a clinician about everyday health concerns, prescriptions and referrals. This page is for information only and is not medical advice.

GeraClinic / US health insurance coverage / Texas

Texas: Health Insurance Coverage & Uninsured Rate

In 2024, 16.7% of people in Texas had no health insurance — 8.5 percentage points above the national rate of 8.2% — and the rate moved from 16.4% in 2023 (+0.3 pp). Figures are official US Census Bureau American Community Survey data.

Reference period: 2024 ACS 1-year estimates(US Census Bureau, ACSBR-024, published September 2025) · updated annually · public domain · Texas

What percentage of people in Texas are uninsured?

As of 2024, 16.7% of the population in Texas had no health insurance — 8.5 percentage points above the national rate of 8.2% — up from 16.4% in 2023, per US Census Bureau American Community Survey 1-year estimates published September 2025. Gera re-dates this annually.

Source:US Census Bureau — Health Insurance Coverage by State (ACS 1-Year Estimates)·as of 2024updated annual (last: 18 June 2026)

Gera Coverage Index70 / 100Texas — a much wider coverage gap than the US averageHow this index is calculated

The GCI weights this state's three real ACS uninsured rates — all-ages (16.7% × 0.50 = 8.3), working-age (21.6% × 0.30 = 6.5) and children (13.6% × 0.20 = 2.7) — for a weighted 17.6, scaled ×4 to 70/100. The national index is 35. Higher means a wider coverage gap.

Health insurance: uninsured rates for Texas (2024)
Measure	Texas	Context
Uninsured — all ages	16.7% (±0.2 pp)	US average 8.2%
Uninsured — working-age adults (19–64)	21.6%	US average 11.3%
Uninsured — children (under 19)	13.6%	US average 6.0%
Change since 2023 (all ages)	+0.3 pp	16.4% → 16.7%
National rank (all ages)	1st of 51	1 = highest uninsured rate
Medicaid expansion status	Not expanded (as of 1 Jan 2024)	Per US Census report footnote
Gera Coverage Index	70 / 100	a much wider coverage gap than the US average (higher = wider gap)

Check your state's coverage gap

Pick your state and age group to see the real ACS uninsured rate, how it compares nationally, and the Gera Coverage Index

Choose your stateAge group

In Texas, the latest (2024) ACS data shows 16.7% of all ages were uninsured — 8.5 percentage points above the national rate.

Uninsured (all ages)

16.7%

US 8.2%

Change since 2023

+0.3 pp

Gera Coverage Index

70 / 100

a much wider coverage gap than the US average

Texas ranks 1st of 51 states and DC by all-ages uninsured rate (1 = highest). These are state averages from the US Census Bureau, not a statement about any individual's coverage.

16.7% of all ages in Texas were uninsured in 2024. If you are uninsured or underinsured, you can speak to a clinician online with GeraClinic — no insurance required.

See a doctor online — no insurance needed

Compare health insurance coverage in other states

Sorted by the Gera Coverage Index (widest coverage gap first).

Texas health insurance coverage: FAQs

What percentage of people in Texas are uninsured?: In 2024, 16.7% of the civilian noninstitutionalized population in Texas had no health insurance (±0.2 pp), 8.5 percentage points above the national rate of 8.2%. That ranks Texas 1st of 51 states and DC by uninsured rate (1 = highest). Source: US Census Bureau, 2024 American Community Survey 1-year estimates.
Has the uninsured rate in Texas gone up or down?: Between 2023 and 2024, the all-ages uninsured rate in Texas moved from 16.4% to 16.7% (+0.3 pp). Nationally the uninsured rate rose from 7.9% to 8.2% over the same period. Source: US Census Bureau ACS 1-year estimates.
What is the uninsured rate for adults and children in Texas?: In 2024, 21.6% of working-age adults (aged 19–64) in Texas were uninsured, compared with 11.3% nationally. Among children under 19, 13.6% were uninsured in Texas, versus 6.0% nationally. Source: US Census Bureau ACS 1-year estimates, 2024.
What is the Gera Coverage Index for Texas?: The Gera Coverage Index (GCI) for Texas is 70 out of 100 in 2024 — a much wider coverage gap than the US average (national index 35). The GCI weights the three real ACS uninsured rates (50% all-ages, 30% working-age, 20% children) and scales the result to 0–100; higher means a wider coverage gap. It is computed transparently from the figures on this page.
Can I see a doctor in Texas without health insurance?: Yes. With 16.7% of Texas residents uninsured in 2024, many people use pay-as-you-go telehealth. GeraClinic offers online consultations with no insurance required, so uninsured or underinsured residents can speak to a clinician about everyday health concerns, prescriptions and referrals. This page is for information only and is not medical advice.

Uninsured or underinsured in Texas?

16.7% of Texas residents had no health insurance in 2024. GeraClinic offers affordable online consultations with a clinician — no insurance required — for everyday health concerns, prescriptions and referrals.

See a doctor online — no insurance needed How online consultations work

Methodology

Uninsured rates for Texas are the published US Census Bureau American Community Survey (ACS) 1-year point estimates for 2024(with 2023 for comparison), transcribed verbatim from the Census report “Health Insurance Coverage by State: 2023 and 2024” (ACSBR-024), Appendix Tables 2 (all ages), 3 (working-age adults 19–64) and 4 (children under 19). The ±0.2 pp margin of error is the published 90% confidence interval for the all-ages estimate. The Gera Coverage Index is a transparent weighted average of those three real rates (0.50 all-ages + 0.30 working-age + 0.20 children) scaled ×4 to a 0–100 range — no estimates or invented numbers are mixed in. State averages are not statements about any individual's coverage, and nothing here is medical advice. Reference period: 2024 ACS 1-year estimates.

Source: US Census Bureau — Health Insurance Coverage by State: 2023 and 2024 (ACSBR-024, published September 2025), based on the 2023 and 2024 American Community Survey 1-year estimates. As a work of the US federal government this data is in the public domain. This directory is not affiliated with the US Census Bureau. Figures are for information only and are not medical advice.