Larger percentage of Texas Hispanics have enrolled in Health Insurance Marketplace plans

May 9, 2014
Larger percentage of Texas Hispanics have enrolled in Health Insurance Marketplace plans

Texas Hispanics were more than twice as likely as whites to have enrolled in health insurance plans offered through the Affordable Care Act's Health Insurance Marketplace between September 2013 and March 2014, according to a report released today by Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation.

The also found that Hispanic adults in Texas experience more difficulty in affording health services than white adults and are three times as likely to be uninsured. In addition, Hispanic respondents were more optimistic about the Affordable Care Act (ACA) than their white counterparts.

The Health Reform Monitoring Survey (HRMS)-Texas report is based on a national project that provides timely information on implementation issues under the ACA and changes in and related health outcomes. The Baker Institute and the Episcopal Health Foundation are partnering to fund and report on key factors about Texans obtained from an expanded representative sample of Texas residents. Today's report contains responses from 1,595 Texans in September 2013 and 1,538 in March 2014. White survey respondents outnumbered Hispanic respondents, with 803 and 581, respectively, in September 2013 and 732 and 595, respectively, in March 2014.

"The ability of Hispanics to obtain affordable under the ACA is important if we are to reduce the overall rate of uninsured residents in Texas," said Vivian Ho, the chair in health economics at Rice's Baker Institute, a professor of economics at Rice and a professor of medicine at Baylor College of Medicine. Ho co-authored the study with Elena Marks, the president and CEO of the Episcopal Health Foundation and a policy scholar at the Baker Institute.

Hispanics make up 39 percent of the Texas population and account for a disproportionate share of the 6 million uninsured Texans. Census data from 2012 indicate that 39 percent of Texas Hispanics were uninsured, compared with 17 percent of whites and 22 percent of blacks.

"The full impact of the ACA on the Hispanic population will not be known for some time," Marks said. "As the implementation of the act continues and a second enrollment period begins later this year, the coverage gap between Hispanic and white adults may be reduced."

Today's HRMS-Texas report is the fourth in a series on the implementation of the ACA in the state. The survey was developed by the Urban Institute, conducted by the company GfK and jointly funded by the Robert Wood Johnson Foundation, the Ford Foundation and the Urban Institute.

The analyses and conclusions based on HRMS-Texas are those of the authors and do not represent the views of the Urban Institute, the Robert Wood Johnson Foundation or the Ford Foundation.

Explore further: Survey: Percent of uninsured Texans has declined since September 2013

More information: Report:

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not rated yet May 09, 2014
Texas also has a large share of 'Hispanics' (called Tejanos) who are citizens, who have lived in Texas for generations (since before 1836), who have steady, tax-paying jobs, who have attended school, and who are not afraid of being deported.
Undocumented Hispanics are notoriously afraid of anything that can create a paper trail that can lead INS to their doorsteps.
In my first grade class in San Antonio (1954) I was the ONLY non-Spanish-speaking student.

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