Public Release: 

New report shows fewer Texans have problems paying medical bills

15 percent drop includes both insured and uninsured adults

Rice University

HOUSTON - (Jan. 7, 2015) -- Fewer Texans say they have problems paying their medical bills in 2015 compared with 2013, according to a new report released today by Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation (EHF).

The report found that since enrollment began in the Affordable Care Act (ACA) health insurance marketplace, the percentage of Texans who reported problems paying health care bills dropped almost 15 percent (25.8 percent in 2013 to 22 percent in 2015). The drop was consistent across income levels and health insurance status and corresponds with national data showing the percentage of adults reporting problems paying medical bills dropped across the U.S.

Data released this week in a nationwide Kaiser Family Foundation/New York Times survey show 26 percent of U.S. adults reported having problems paying medical bills in the past year.

"The fact that Texans had fewer problems paying their medical bills in 2015 is good news," said Vivian Ho, the chair in health economics at Rice's Baker Institute and director of the institute's Center for Health and Biosciences, a professor of economics at Rice and a professor of medicine at Baylor College of Medicine. "One reason fewer Texans are having problems paying medical bills is because more Texans now have health insurance. However, one in five Texans still has problems affording health care. And it's no surprise our data show the uninsured and those with lower incomes continue to struggle paying those bills more than anyone else."

The report found that 30 percent of uninsured Texans reported problems paying their health care costs in 2015, down from 35 percent in 2013. Researchers found just 20 percent of those with health insurance said they had problems paying medical bills last year, down from 23 percent in 2013.

When it comes to skipping health care services because of cost, the report found uninsured Texans are more likely to skip all services (primary care, specialist care, prescription drugs, etc.) than those with insurance. However, researchers discovered fewer uninsured Texans said they skipped getting care in 2015 compared with 2013.

"On the whole, uninsured Texans reported fewer problems with affording health care in 2015," said Elena Marks, EHF's president and CEO, and a nonresident health policy fellow at the Baker Institute. "While our data doesn't explain exactly why that is happening, the Texas economy improved during that time, which might have helped the uninsured pay for care."

In addition, Marks said that because the number of insured patients across the state increased, more charitable care may have been available to the uninsured. New 1115 Medicaid waiver projects across Texas also may have enabled more uninsured adults to access affordable health services, Marks said.

Researchers found those with the lowest incomes were much more likely to say they skipped getting primary care, prescription drugs and dental care than those with higher incomes.

The report shows all groups reported dental care was the most likely health service they skipped because of cost.

"The connection between oral health and overall health is well-documented, yet we often regard dental care as 'extra' rather than essential," Marks said. "Most plans, including in the ACA marketplace, offer dental care coverage as only an 'add on.'"

The report is the 17th in a series on the implementation of the ACA in Texas co-authored by Marks and Ho.

The Health Reform Monitoring Survey (HRMS) is a quarterly survey of adults ages 18-64 that began in 2013. This report is a summary of data extracted from the HRMS surveys in Texas administered between September 2013 and September 2015.

The HRMS is designed to provide timely information on implementation issues under the ACA and to document changes in health-insurance coverage and related health outcomes. The Baker Institute and EHF are partnering to fund and report on key factors about Texans obtained from an expanded, representative sample of Texas residents (HRMS-Texas).

The HRMS was developed by the Urban Institute, conducted by 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 view of the Urban Institute, the Robert Wood Johnson Foundation or the Ford Foundation.


To schedule an interview with Ho, contact Jeff Falk, associate director of national media relations at Rice, at or 713-348-6775.

To schedule an interview with Marks, contact Brian Sasser, director of communications at the Episcopal Health Foundation, at or 832-795-9404.

Related materials:

Full survey report:

Episcopal Health Foundation:

Marks bio:

Ho bio:

The Episcopal Health Foundation was established in 2013 and is based in Houston. With more than $1.2 billion in estimated assets, the Foundation is a 501(c)(3) not-for-profit corporation that operates as a supporting organization of the Episcopal Diocese of Texas. EHF works to improve the health and well-being of the 10 million people in the 57 counties of the Diocese by investing in communities through grant-making, outreach to Diocesan churches and critical research to advance community health.

Founded in 1993, Rice University's Baker Institute ranks among the top 10 university-affiliated think tanks in the world. As a premier nonpartisan think tank, the institute conducts research on domestic and foreign policy issues with the goal of bridging the gap between the theory and practice of public policy. The institute's strong track record of achievement reflects the work of its endowed fellows, Rice University faculty scholars and staff, coupled with its outreach to the Rice student body through fellow-taught classes -- including a public policy course -- and student leadership and internship programs. Learn more about the institute at or on the institute's blog,

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