Grim report ranks Texas last in nation for children with health insurance

According to a new report from the Public News Service, 13 percent of Texas children went without health insurance in 2019, which is significantly higher than the national average of 6 percent. This puts Texas last in the nation for children’s health insurance coverage. 

Approximately 1 million Texas kids were uninsured in 2019, based on data from the 2021 Kids Count Data Book produced by the Annie E. Casey Foundation. The percentage is even higher for Hispanic children, who are uninsured at a rate of 17 percent. 

The Kids Count index evaluates four domains, including: economic well-being, education, health, and family and community.

Overall, in addition to poor health insurance ratings, Texas ranked 49th out of 50 states overall for overall children’s health, ahead only of Mississippi.

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Considering the impact of the pandemic on jobs and insurance, Amy Knop-Narbutis, a researcher and data director at nonprofit Every Texan, tells Public News Service that a March survey captured even worse numbers, with 23 percent of all Texas households without health insurance, a number that jumps to 38 percent for Hispanic households with children.

Leslie Boissiere, Every Texan’s vice president of external affairs, says Medicaid expansion is at the top of the list for improving health outcomes for children.

“One of the recommendations is to pass Medicaid expansion in those states that have not passed it already,” Boissiere tells the Public News Service. “And we’ve seen the states who have Medicaid expansion have a significantly lower number of children and families who are uninsured.”

Currently, Texas is one of 12 states to opt out of Medicaid expansion, which would ideally allow more lower income people to access affordable insurance. Though some low ranking states in the index, like New Mexico and Louisiana, have expanded Medicaid, states like Texas, Mississippi and Alabama have not. 

According to the data, the only area where Texas outperformed a national average is in the percentage of high school students graduating on time. In 2019, where the 2021 survey data is collected from, only 10 percent of Texas students did not graduate on time in compared to 14 percent nationally. 

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