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Texas removes 1.8 million people from health care plan
The unwinding process has resulted in significant drops in Medicaid enrollment across the U.S. in recent years.

7.26.25
Almost 1.8 million Americans have been disenrolled from Medicaid health coverage in Texas in the last two years, according to data by KFF, a nonprofit health policy research and news organization. In Texas, there were 5,922,450 covered by Medicaid in March 2023, but by March 2025, that number was 4,164,694. This marks a change of almost 1.8 million, a rate of decline faster than in Florida, California and New York. Reasons for Texas' steeper drop in Medicaid enrollment could be because of the fact it, combined with Florida, New York and California, made up a significant proportion of Medicaid enrollment. This is in part because the states have large populations, but also because they have some of lowest percentages of health insurance coverage by employers or private plans. This is due to "higher poverty rates, especially in Florida and Texas, fewer good jobs that offer health insurance, and a higher percentage of nonwhite persons, especially in Florida, Texas, and California. More reductions in enrollment are expected in the state, and across the country. With millions already having lost health coverage, concerns remain about access to care for low-income individuals and families.
A drop in the proverbial bucket compared to the approaching tsunami of December 2026 when massive Medicaid cuts due to the Trump/GOP "Big Ugly Bill" take effect.
Economists say these Medicaid health insurance cuts may impact 17 million Americans nationwide. Texas and Florida are "right-to-work" states with low union representation and thus fewer labor contracts with mandatory healthcare.