Selling health insurance in Texas may be especially challenging.
Analysts at the Commonwealth Fund have published data supporting that conclusion in a summary of results from a health coverage trends survey.
The think tank hired a firm to conduct a national telephone survey from July 2014 through December 2014, and extra surveys of California, Florida, New York and Texas from July through December 2014.
California and New York set up state-based Patient Protection and Affordable Care Act (PPACA) exchanges and took PPACA Medicaid expansion money.
Florida and Texas have opposed PPACA. They refused to set up PPACA exchanges or expand their Medicaid programs. The U.S. Department of Health and Human Services (HHS) is running the exchange programs in Florida and Texas through the HealthCare.gov system.
The Commonwealth Fund analysts did not adjust the data for income level, or provide any data showing how uninsured rates or other indicators have changed over time, but they did report that the overall U.S. uninsured rate for adults ages 19 to 65 who participated in the survey was 16 percent.
The uninsured rate for the survey participants was 12 percent in New York, 17 percent in California, 21 percent in Florida and 30 percent in Texas.
Review of the Texas data shows that uninsured rates were much higher in Texas for every demographic subgroup, and that the gap was worse for the highest-income Texans than for other lower-income Texas.
When the analysts broke the adult uninsured rate down by income, for example, they found that the U.S. uninsured rate was 27 percent for people with income under 100 percent of federal poverty level (FPL), 16 percent for people with income of 100 percent to 399 percent of FPL, and 3 percent for people with income of 400 percent of FPL or higher.