A collection of resources on health system performance in Texas.
Texas Performance Data
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Access to Health Care
Texas Policy Information
Not yet expanded Medicaid (12 states)
Federally facilitated marketplace (17)
The federal government (HHS) is legally responsible for all marketplace functions.Individuals must use HealthCare.gov to enroll in coverage.
Has not established a public coverage option
Did not extend 2018–2022 open enrollment
Did not extend the open enrollment period for 2022 coverage.
Did not extend the open enrollment period for 2018, 2019, or 2020 coverage. Did not extend the open enrollment period for 2021, but in response to the COVID-19 pandemic, the federal government reopened HealthCare.gov for 2021 coverage from Feb. 15, 2021 through Aug. 15, 2021.**
Provides no premium or cost-sharing subsidies
Does not limit the sale of short-term coverage more strictly than the federal government
Permits non-compliant transitional policies
Permits insurers to sell non-compliant transitional policies in the individual market
Exempts other coverage from insurance rules
– Exempts other coverage products from federal and state rules for individual market insurance*
– Health plans sold by the Texas Farm Bureau are not considered insurance under state law and are exempt from federal and state protections otherwise applicable to the individual insurance market.
No rules to promote marketplace competition
Has not established a rule to promote a competitive ACA marketplace
Does not require standardized cost-sharing plan design
Does not require participating individual market insurers to offer plans with standardized cost-sharing designs