On November 3, 2026, Democrats won the Texas governorship, which may lead to Medicaid expansion for over a million low-income residents. New Gov.-elect Gina Hinojosa has committed to pursuing this policy, emphasizing its benefits for children. However, with Republicans still controlling the state Senate, the path to expansion remains uncertain. Texas hospitals, which support the initiative, could play a crucial role in negotiations. A 2020 poll showed 69 percent of Texans favoring Medicaid expansion.
Key facts
- Democrats won the Texas governorship on November 3, 2026.
- Over 1.1 million Texans could be eligible for Medicaid expansion.
- Gina Hinojosa is the new governor-elect of Texas.
- Texas has the highest uninsured rate in the U.S. at 19 percent.
- 69 percent of Texas voters supported Medicaid expansion in a 2020 poll.
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