Half a million Texans — mainly children, but also disabled adults and women who recently gave birth — have lost coverage since then, leaving them in limbo without access to medical treatment. Some had become ineligible over the pandemic, whether they were children who aged out of the program, mothers who were past the time of prenatal coverage or those who have exceeded Texas’ strict income limit. But many remained eligible and were kicked off as a result of procedural issues, such as not receiving messages from the state, responding to them late or not including the correct documentation in their renewal application.