Result 2. All children are healthy in mind, body and spirit

Indicator 2.1. % of children 0 to 17 without health insurance coverage


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About the Data

This indicator includes all children age 0-17 and the margin of error based on a 90-percent confidence interval is presented alongside each estimate. All quantitative data and narrative related to the data on this page was prepared by CI NOW for ReadyKidSA.

Why Is This Important?

Children not covered at all by health insurance, or who experience gaps in coverage, are less likely than those with continuous insurance coverage to have a regular source of health care, and are more likely than children continuously insured to have medical care delayed or unmet, and to have prescriptions unfilled. Because children without health insurance are also more likely than others to receive late or no care for health problems, they are at greater risk for hospitalization. In addition to resulting in reduced access to health care, a lack of health insurance can also negatively influence children’s school attendance and participation in extracurricular activities, and increase parental financial and emotional stress. There is preliminary evidence that enrolling children in more comprehensive health insurance plans has a beneficial effect, not only on access to services, but on health outcomes, as reported by parents. (Child Trends Databank, 2016)

For more information see:


RACE/ETHNICITY: Bexar County, 2020


Black or African American

American Indian or Alaska Native


Native Hawaiian or Pacific Islander


Two or More Races

White, Not Hispanic


% or Children Uninsured 5.0% 12.1% 10.0% 16.7% 15.9% 9.2% 6.2% 10.0%
MOE (±1%) (±6.2%) (±3.7%) (±19%) (±2.8%) (±2.2%) (±1%) (±0.7%)

Source: US Census Bureau; 2020 ACS 5-Year Estimates, Table C27001 A-I

Geographic Distribution

Bexar County, 2020

Story Behind the Curve

What factors are pushing up on the data?

  • Costs for EBR vs Public Sub.
  • Benefits Cliff
  • Difficult System To Navigate
  • Legal Status
  • Economic Priorities
  • Penalty/Fine Cheaper
  • Mothers under 17

What factors are pushing down on the data?

  • Affordable care Act
  • Increased product selection
  • Outreach/Education Camp
  • Case Management Services
  • Increased Access to Info
  • More Community based clinics
  • Public Education Screening for Insurance
  • Schools
  • Emergency Rooms
  • Early Childhood Centers
  • Churches
  • Health and Human Services Commission
  • HEB
  • Wal-Mart
  • Sports organizations
  • Elected Officials
  • Community Based Organizationsafafafafaffsfs
  • Parents/guardians/caregivers
What Works

Evidence-based practices

  • Early Head Start/Head Start Modelafafafafafafdaefafefw3fafafaaweafafafa
  • Earned income disregard (SAHA)

Promising Practices

  • Marketing campaign
  • Collection Practices (UHS)
  • Mass enrollment events
  • SAISD includes in registration and requires

No Cost Low Cost

  • Education Advocacy
  • Consumer
  • Provider
  • Intermediary

Outside the Box Thinking

  • Enrollment Process for public health insurance
  • Policy to create effective transitions (B/C)
  • Dependent only coverage; offer emancipation option for emergency medical care
  • Replicate retail business cent (HEB)
  • Privatize enrollment
Solutions and Strategies

Direct Service

  • To promote the healthiest starts for children possible, provide more education to parents and caregivers about preventative health and care
  • Recognizing that peer-to-peer education is an important method for learning, engage more Community Health Workers/Promotoras to serve as health education ambassadors to the community-at-large
  • To prevent lapses in insurance, implement processes that remind individuals when their policies are set to expire
  • Increase civic engagement through voter registration


  • To expand health coverage to more children, encourage the State of Texas to accept federal funding that expands Medicaid services
  • Develop partnerships with employers and the business sector that help to set mandates and requirements to pay for health care

System Change

  • Continue to promote discourse in the public domain over the long-term benefits of insuring all children
  • To afford basic health care services to children who are not insured, bring an additional Mobile Health Care Clinic online and locate the fleet at typical locations where children and families congregate

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy