Ranking Highlights

2019 RankChange from Baseline
Overall Ranking49-6
Access and Affordability51-1
Prevention and Treatment45+3
Avoidable Hospital Use and Cost42-1
Healthy Lives23-4
Medicaid ExpansionNo


Total Population27,844,511320,842,721
Median Household Income$62,694$65,727
Below 200% of Federal Poverty Level (FPL)34%31%
% White Race, Non-Hispanic42%61%
% Black Race, Non-Hispanic12%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy40%18%
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Top Ranked Indicators

  • Adults with any mental illness reporting unmet need
  • Drug poisoning deaths
  • Adults who have lost six or more teeth

Bottom Ranked Indicators

  • Uninsured children
  • Adults who went without care because of cost
  • Uninsured adults

Most Improved Indicators

  • Nursing home residents with an antipsychotic medication
  • Home health patients without improved mobility
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Preventable hospitalizations ages 18-64
  • Children who did not receive needed mental health care

Comparison with the U.S. Average

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Estimated Gains Texas Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Southwest regionGains for Texas
4,131,3032,311,235more adults and children, beyond those who already gained coverage through the ACA, would be insured
2,487,9831,243,992fewer adults would skip needed care because of its cost
1,523,676234,412more adults would receive age- and gender-appropriate cancer screenings
95,5645,973more children (ages 19-35 months) would receive all recommended vaccines
861,902294,764fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
10,8985,852fewer premature deaths (before age 75) would occur from causes that are potentially treatable or preventable with timely and appropriate care

Estimated impact if this state’s performance improved to the rate of two benchmark levels — a national benchmark set at the level of the best-performing state and a regional benchmark set at the level of the top-performing state in region (www.bea.gov: Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).