The State Removed Two Million Texans from Medicaid Health Coverage

Texas is in the final stages of reviewing Medicaid eligibility for 5.9 million Texans as part of the “unwinding” of Medicaid rules that allowed enrollees to maintain their health insurance without renewing it during the pandemic. According to data released in April 2024 by the Texas Health and Human Services Commission (HHSC), the state removed slightly more than two million Texans from Medicaid health insurance during the unwinding. That includes almost 1.4 million who were “procedurally denied” —  double the 700,000 who were confirmed ineligible and appropriately removed. Another 2.1 million Texans went through the renewal process during the unwinding and successfully kept their Medicaid coverage. Most Texans enrolled in Medicaid are children — and most of the Texans removed from Medicaid were children.

The recent blog post from Texans Care for Children breaks down what happened, where we are now, and what comes next.