Population

How many people are on Medicaid in ?

Updates published annually
On average 4.55 million or 14.6% of Texas's population during 2024. With about 1 in 7 people enrolled in the program, Medicaid is one of the largest health insurers in Texas.

4.55M

enrolled in Medicaid (FY 2024)

14.6%

of the Texas population enrolled in Medicaid (FY 2024)
As of 2024, Texas had a lower Medicaid enrollment rate than the US overall. Enrollment in the state peaked in 2023 at 19.7%.

In 2024, 14.6% of Texas residents were covered by Medicaid.

Average monthly Medicaid enrollment as a share of the population

In 2024, 4.55 million people in Texas were covered by Medicaid, down 24.3% from its FY 2023 peak.
In addition to economic conditions, Medicaid enrollment has been affected by changes in policy. For example, during the pandemic, the federal government provided states with additional Medicaid funding on the condition that they not disenroll anyone from Medicaid. This was in effect between 2020 and 2023.

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Medicaid enrollment peaked in FY 2023.

Average monthly Medicaid enrollment

Eligibility in Medicaid is determined by a combination of federal guidelines and state-level rules, primarily based on income, household size, disability status, age, and other factors such as pregnancy or caretaking responsibilities.

As a part of the Affordable Care Act, states have had the option to extend eligibility to a larger subset of adults than previously possible. Texas is one of 10 states that hasn’t expanded.

In Texas, enrollees are categorized into 5 different categories:
  • Children
  • Pregnant women and parents or caretakers
  • Adults without dependent children
  • People with disabilities (including both adults and children)
  • Seniors (age 65 and over)
    • In FY 2022, the latest data available, children were the largest category in Texas, accounting for 65% of all enrollees. For comparison, children accounted for 35.8% of all enrollees nationwide.

    In FY 2022, children were the largest category of Medicaid enrollees in Texas.

    Average monthly Medicaid enrollment, by eligibility group

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    Methodology

    USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.

    The analysis was generated with the help of AI and reviewed by USAFacts for accuracy.

    Page sources

    USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.

    • Medicaid and CHIP Payment and Access Commission

      MACStats

      Medicaid and CHIP Payment and Access Commission logo

    • Centers for Medicare & Medicaid Services

      Data.Medicaid.gov

      Centers for Medicare & Medicaid Services logo