A scorecard issued by a federal agency has ranked Texas health care services and delivery as among the worst in the nation.
The Agency for Health Care Research and Quality issued the ratings as part of a national review of state health care programs.
In nine out of 12 categories Texas rated weak or very weak. The only area where Texas ranked good was in maternal and child health care measures.
A spokeswoman for the Texas Health and Human Services Commission did not immediately reply to a request for comment.
Texas offers one of the most limited health care programs in the nation for the disabled and the poor, and more than 25 percent of Texans do not have health insurance of any kind, the highest in the nation.