Hundreds of thousands of previously uninsured Texans have signed up for health insurance since the federal government began requiring it last year. Still, Texas continues to have the highest rate of uninsured people in the country. The state doesn’t spend any money to promote the federal health insurance marketplace under the Affordable Care Act.
Last year, nonprofits spent much of the enrollment period educating people on the ACA. Their efforts were slowed by the botched rollout of the healthcare.gov website. In the second year of the insurance marketplace, some Texas nonprofits are changing their strategy, and insurers, hospitals, and city governments are also doing more to help people enroll.