Short answer
Yes. In 2024, the latest year with Census Bureau state figures, 16.7% of Texans had no health insurance, the highest rate of any state and about double the national rate of 8.2% [1]. Texas also had the highest uninsured rate for every age group [1]. The Census Bureau's 2025 national report did not include state figures [2][3].
The latest Census figure
According to the U.S. Census Bureau's American Community Survey (ACS), 16.7% of Texas residents were uninsured in 2024, the highest rate in the country [1]. Uninsured rates ranged from a low of 2.8% in Massachusetts to that high of 16.7% in Texas [1]. The national rate was 8.2% in 2024, a statistically significant increase from 7.9% in 2023 [1]. Texas's rate was 16.4% in 2023 [1].
These figures come from the Census Bureau brief "Health Insurance Coverage by State: 2023 and 2024," published in September 2025 [1].
By age group
The Census Bureau found that Texas had higher uninsured rates than any other state for all age groups in 2024 [1]. Among working-age adults ages 19 to 64, Texas had the highest rate at 21.6%, compared with a low of 3.7% in Massachusetts [1]. Among children under 19, state rates ranged from 2.1% to 13.6%, with Texas having the highest [1].
KFF, a health policy research organization, analyzed the same 2024 survey for people under 65 and found Texas had the highest uninsured rate at 19.2%, nearly double the national rate of 9.8% for that age group [4]. The KFF and Census figures differ because they cover different age ranges [1][4].
Why there is no 2025 state figure yet
On Sept. 15, 2026, the Census Bureau reported that 26.7 million people, or 7.9% of the U.S. population, were uninsured for all of 2025, not statistically different from 2024 [2][5]. That national report, based on the Current Population Survey, does not give individual state rates [2][3].
State-level estimates come from the American Community Survey. The State Health Access Data Assistance Center (SHADAC) reported that the 2026 release of ACS data was delayed in response to a new U.S. Commerce Department policy on disclosure avoidance for statistical products [3]. On Oct. 13, 2026, the Census Bureau announced that the 2025 ACS 1-year estimates are scheduled for release on Oct. 29, 2026 [6].
Medicaid expansion and the uninsured rate
Texas has not adopted the Affordable Care Act's Medicaid expansion [4]. The Census Bureau noted that nearly half of the 15 states with uninsured rates above the national average in 2024 had not expanded Medicaid eligibility [1]. KFF reported that in 2024 the uninsured rate for people under 65 was 14.5% in non-expansion states and 8.0% in expansion states [4].
Common questions
- What is the uninsured rate in Texas?
- 16.7% in 2024, according to the Census Bureau's American Community Survey [1].
- What is the national uninsured rate?
- 8.2% in 2024 by the American Community Survey [1]. A separate Census survey put it at 7.9% for 2025 [2].
- Which state has the lowest uninsured rate?
- Massachusetts, at 2.8% in 2024 [1].
- When will 2025 state uninsured rates be released?
- The release of 2025 American Community Survey data, the source of state estimates, was delayed in response to a new Commerce Department disclosure-avoidance policy, according to SHADAC [3]. As of Oct. 13, 2026, the Census Bureau scheduled the 2025 ACS 1-year estimates for release on Oct. 29, 2026 [6].
Sources
- Health Insurance Coverage by State: 2023 and 2024 (ACSBR-024), U.S. Census Bureau, 2025-09
- Health Insurance Coverage in the United States: 2025, U.S. Census Bureau, 2026-09-15
- CPS ASEC: 2025 National Health Insurance Coverage Rates Held Largely Steady, State Health Access Data Assistance Center (SHADAC), 2026-09-15
- Key Facts about the Uninsured Population, KFF, 2026-06-16
- Income, Poverty and Health Insurance Coverage in the United States: 2025, U.S. Census Bureau, 2026-09-15
- Census Bureau Announces Release Dates, Webinars, and Embargo of 2025 American Community Survey 1-Year Estimates, U.S. Census Bureau, 2026-10-13