Texas is the most uninsured state in America, and now, with new federal policies taking effect and pandemic-era benefits winding down, the number of Texans without health care coverage could grow.
Across the state, families who rely on Medicaid or Affordable Care Act marketplace coverage are bracing for big shifts in how they qualify for coverage, how much they pay, and whether they’ll even be eligible to stay insured at all.
Here’s what to know about Medicaid and ACA-related changes coming to Texas in 2025 and who’s most likely to feel them.
Will Medicaid eligibility rules change in Texas?
Yes, but not as drastically as in other states.
Texas never expanded Medicaid under the Affordable Care Act, which means the state already has stricter limits on who qualifies.