{ "dataset": "tx_health_rating_areas", "description": "Texas ACA individual/small-group geographic rating areas mapped to counties. Effective for plan years beginning on or after 2023-01-01.", "source": "28 Tex. Admin. Code \u00a73.504 (current through Reg. 50, No. 26; June 27, 2025); cross-reference: CMS 'State Specific Geographic Rating Areas' (cms.gov/cciio/programs-and-initiatives/health-insurance-market-reforms/tx-gra)", "verified": "2026-08-27", "verification_notes": "27 rating areas; 254 county assignments = all Texas counties, each assigned exactly once (validated programmatically). Houston metro is split across areas 10, 26, 27. No residual non-MSA area since PY2023.", "join_key_note": "Rate PUF field RatingAreaId is formatted like 'Rating Area 10'; join on integer part.", "rating_areas": [ { "rating_area_id": 1, "puf_rating_area_label": "Rating Area 1", "name": "Abilene", "county_count": 18, "counties": [ "Brown", "Callahan", "Coleman", "Comanche", "Eastland", "Fisher", "Haskell", "Jones", "Kent", "Mitchell", "Nolan", "Runnels", "Scurry", "Shackelford", "Stephens", "Stonewall", "Taylor", "Throckmorton" ] }, { "rating_area_id": 2, "puf_rating_area_label": "Rating Area 2", "name": "Amarillo", "county_count": 26, "counties": [ "Armstrong", "Briscoe", "Carson", "Castro", "Childress", "Collingsworth", "Dallam", "Deaf Smith", "Donley", "Gray", "Hall", "Hansford", "Hartley", "Hemphill", "Hutchinson", "Lipscomb", "Moore", "Ochiltree", "Oldham", "Parmer", "Potter", "Randall", "Roberts", "Sherman", "Swisher", "Wheeler" ] }, { "rating_area_id": 3, "puf_rating_area_label": "Rating Area 3", "name": "Austin", "county_count": 10, "counties": [ "Bastrop", "Blanco", "Burnet", "Caldwell", "Fayette", "Hays", "Lee", "Llano", "Travis", "Williamson" ] }, { "rating_area_id": 4, "puf_rating_area_label": "Rating Area 4", "name": "Beaumont", "county_count": 15, "counties": [ "Angelina", "Hardin", "Houston", "Jasper", "Jefferson", "Nacogdoches", "Newton", "Orange", "Polk", "Sabine", "San Augustine", "San Jacinto", "Shelby", "Trinity", "Tyler" ] }, { "rating_area_id": 5, "puf_rating_area_label": "Rating Area 5", "name": "Brownsville", "county_count": 3, "counties": [ "Cameron", "Kenedy", "Willacy" ] }, { "rating_area_id": 6, "puf_rating_area_label": "Rating Area 6", "name": "College Station", "county_count": 8, "counties": [ "Brazos", "Burleson", "Grimes", "Leon", "Madison", "Milam", "Robertson", "Washington" ] }, { "rating_area_id": 7, "puf_rating_area_label": "Rating Area 7", "name": "Corpus Christi", "county_count": 8, "counties": [ "Aransas", "Bee", "Jim Wells", "Kleberg", "Live Oak", "Nueces", "Refugio", "San Patricio" ] }, { "rating_area_id": 8, "puf_rating_area_label": "Rating Area 8", "name": "Dallas", "county_count": 7, "counties": [ "Collin", "Dallas", "Ellis", "Hunt", "Kaufman", "Navarro", "Rockwall" ] }, { "rating_area_id": 9, "puf_rating_area_label": "Rating Area 9", "name": "El Paso", "county_count": 6, "counties": [ "Brewster", "Culberson", "El Paso", "Hudspeth", "Jeff Davis", "Presidio" ] }, { "rating_area_id": 10, "puf_rating_area_label": "Rating Area 10", "name": "Houston", "county_count": 2, "counties": [ "Galveston", "Harris" ] }, { "rating_area_id": 11, "puf_rating_area_label": "Rating Area 11", "name": "Killeen/Temple", "county_count": 6, "counties": [ "Bell", "Coryell", "Hamilton", "Lampasas", "Mills", "San Saba" ] }, { "rating_area_id": 12, "puf_rating_area_label": "Rating Area 12", "name": "Laredo", "county_count": 5, "counties": [ "Duval", "Jim Hogg", "McMullen", "Webb", "Zapata" ] }, { "rating_area_id": 13, "puf_rating_area_label": "Rating Area 13", "name": "Longview", "county_count": 6, "counties": [ "Gregg", "Harrison", "Marion", "Panola", "Rusk", "Upshur" ] }, { "rating_area_id": 14, "puf_rating_area_label": "Rating Area 14", "name": "Lubbock", "county_count": 15, "counties": [ "Bailey", "Cochran", "Crosby", "Dickens", "Floyd", "Garza", "Hale", "Hockley", "King", "Lamb", "Lubbock", "Lynn", "Motley", "Terry", "Yoakum" ] }, { "rating_area_id": 15, "puf_rating_area_label": "Rating Area 15", "name": "McAllen", "county_count": 3, "counties": [ "Brooks", "Hidalgo", "Starr" ] }, { "rating_area_id": 16, "puf_rating_area_label": "Rating Area 16", "name": "Midland/Odessa", "county_count": 17, "counties": [ "Andrews", "Borden", "Crane", "Dawson", "Ector", "Gaines", "Glasscock", "Howard", "Loving", "Martin", "Midland", "Pecos", "Reeves", "Terrell", "Upton", "Ward", "Winkler" ] }, { "rating_area_id": 17, "puf_rating_area_label": "Rating Area 17", "name": "San Angelo", "county_count": 13, "counties": [ "Coke", "Concho", "Crockett", "Irion", "Kimble", "Mason", "McCulloch", "Menard", "Reagan", "Schleicher", "Sterling", "Sutton", "Tom Green" ] }, { "rating_area_id": 18, "puf_rating_area_label": "Rating Area 18", "name": "San Antonio", "county_count": 21, "counties": [ "Atascosa", "Bandera", "Bexar", "Comal", "Dimmit", "Edwards", "Frio", "Gillespie", "Gonzales", "Guadalupe", "Kendall", "Kerr", "Kinney", "La Salle", "Maverick", "Medina", "Real", "Uvalde", "Val Verde", "Wilson", "Zavala" ] }, { "rating_area_id": 19, "puf_rating_area_label": "Rating Area 19", "name": "Sherman/Dennison", "county_count": 3, "counties": [ "Cooke", "Fannin", "Grayson" ] }, { "rating_area_id": 20, "puf_rating_area_label": "Rating Area 20", "name": "Texarkana", "county_count": 10, "counties": [ "Bowie", "Camp", "Cass", "Delta", "Franklin", "Hopkins", "Lamar", "Morris", "Red River", "Titus" ] }, { "rating_area_id": 21, "puf_rating_area_label": "Rating Area 21", "name": "Tyler", "county_count": 7, "counties": [ "Anderson", "Cherokee", "Henderson", "Rains", "Smith", "Van Zandt", "Wood" ] }, { "rating_area_id": 22, "puf_rating_area_label": "Rating Area 22", "name": "Victoria", "county_count": 7, "counties": [ "Calhoun", "DeWitt", "Goliad", "Jackson", "Karnes", "Lavaca", "Victoria" ] }, { "rating_area_id": 23, "puf_rating_area_label": "Rating Area 23", "name": "Waco", "county_count": 6, "counties": [ "Bosque", "Falls", "Freestone", "Hill", "Limestone", "McLennan" ] }, { "rating_area_id": 24, "puf_rating_area_label": "Rating Area 24", "name": "Wichita Falls", "county_count": 12, "counties": [ "Archer", "Baylor", "Clay", "Cottle", "Foard", "Hardeman", "Jack", "Knox", "Montague", "Wichita", "Wilbarger", "Young" ] }, { "rating_area_id": 25, "puf_rating_area_label": "Rating Area 25", "name": "Fort Worth", "county_count": 9, "counties": [ "Denton", "Erath", "Hood", "Johnson", "Palo Pinto", "Parker", "Somervell", "Tarrant", "Wise" ] }, { "rating_area_id": 26, "puf_rating_area_label": "Rating Area 26", "name": "Houston SW", "county_count": 7, "counties": [ "Austin", "Brazoria", "Colorado", "Fort Bend", "Matagorda", "Waller", "Wharton" ] }, { "rating_area_id": 27, "puf_rating_area_label": "Rating Area 27", "name": "Houston NE", "county_count": 4, "counties": [ "Chambers", "Liberty", "Montgomery", "Walker" ] } ] }