REPORT: Texas Is The Worst State For Health Care Delivery | Despite Gov. Rick Perry (R) holding up Texas as a model for health care during the GOP presidential primary, Texas ranked last out of all the states in the federal government’s latest ranking of state health care delivery. In the Agency for Healthcare Research and Quality’s annual ratings, the state fell short in nine out of 12 categories. Texas, where 25 percent of the state population is uninsured, was below average in those areas for people without insurance and those covered by Medicaid or Medicare. Even though it could help thousands of uninsured in the state, Perry could follow the example of other GOP governors and refuse Obamacare funds to expand the state’s Medicaid program.