However, expansion in Texas isn't likely to happen anytime soon, despite a poll by the Texas Medical Center Health Policy Institute that showed 63 percent of residents favoring expansion, and despite calls by hospitals and business groups for such a move as a way to reduce uncollectable medical debt that's incurred for the treating of the poor.
Texas' Republican governor, Greg Abbott, has been dead set against expansion, calling it "wrong for Texas." Abbott also has said the ACA underwrites a "massive expansion of an already broken and bloated Medicaid program."
Abbott's spokesman, John Wittman, when asked about the new report about the uninsured, said, "I can confirm that the governor's position has not changed."
Rachel Garfield, a senior researcher at the Kaiser Family Foundation, said that while much of the opposition to Medicaid expansion "is politically driven, there are other arguments that have been put forward" for not expanding coverage to more of the poor.
Among those arguments is concern about the cost to state budgets, even with the higher federal level of support, and worry that the federal guarantee of at least 90 percent costs will not be there in the future. Medicaid expansion critics have also objected to the idea of providing coverage to able-bodied adults who can work.