Here's your latest roundup of innovation news you may have missed. Photo via Getty Images

Houston startup news is in full swing this year, and there might be some headlines you may have missed.

In this roundup of short stories within Houston startups and tech, Venus Aerospace makes an impressive appointment, a sportstech startup is headed to SXSW, and more.

Houston space startup names former NASA administrator to board

Jim Bridenstine, formerly NASA's administrator, has joined Venus Aerospace. Photo courtesy of Venus

A Houston-based company that's creating reusable hypersonic drones and spaceplanes has named its latest adviser. Jim Bridenstine, who served as the 13th administrator for NASA, is Venus Aerospace's latest addition to the team.

"I'm excited to be on the board of advisors for Venus Aerospace," Bridenstine says in a statement. "We have been plowing through the atmosphere at Mach 0.7 for over 70 years. This not only wastes time, but it also costs too much money and places greenhouse gasses in the atmosphere. It's time to disrupt the transportation business and Venus Aerospace has the talent to do it."

"Now we're going above the atmosphere, at hypersonic speeds, to get from one side of the planet to the other in a much cleaner way," he continues.

Founded in California in 2020 and then relocated to the Houston Spaceport, Venus is scaling after raising a $20M series A last spring.

"Jim brings a very unique perspective and capabilities from aviator to congressman to administrator," says Andrew Duggleby, CTO and co-founder, in the release. "The thing that gets me most excited is his ability to jump in, understand the context, and know exactly where he can make an immediate difference."

Houston startup snags spot as SXSW Pitch alternate

This Houston tech company has been named an alternate for the 2023 SXSW pitch. Photo via SXSW

SXSW announced 40 finalists for the 15th annual SXSW Pitch competition taking place March 11 to 12.

"Since its inception, SXSW Pitch has been front row to some of the most ambitious startups from around the world, using creative ideas to change their industry’s future," says SXSW Pitch Event Producer Chris Valentine in a news release. "We are thrilled to play a role in helping shape these early-stage ventures and connect them with the resources they need to thrive. This year’s competition will be a representation of the incredible and innovative work being done around the world."

In addition to the finalists for each category, SXSW names a handful of alternates. This year, Houston-based AiKYNETIX was included in the Artificial Intelligence, Robotics & Voice category.

AiKYNETIX, which was founded in January 2021, uses real-time video analytics technology to provide a new option for runners on treadmills. App users — runners and their coaches — then can measure running form and running performance metrics to improve training.

Houston IT and software services company claims spot on 2023 cloud tech awards

Rajasekhar Gummadapu is the CEO of Techwave. Photo via Techwave

Houston-based Techwave has won a prestigious award. The company claimed the “Best Cloud Migration or Systems Integration Solution” award at the 2022-2023 International Cloud Awards.

The award, which recognizes and honors industry leaders, innovators, and organizational transformation in cloud computing, was announced earlier this month.

"It is an honor to receive the Best Cloud Migration award at the International Cloud Awards," says Raj Gummadapu, co-founder and CEO, in a news release. "This accolade is a reflection of our relentless pursuit of innovation and delivering exceptional solutions."

Techwave is a global IT and engineering services and solutions company revolutionizing digital transformations.

Houston startup secures latest level of compliance

Koda Health has cleared a new level of compliance. Image via kodahealthcare.com

Growing Houston company Koda Health has announced that it achieved SOC 2 Type II compliance, a distinction that indicates a certain standard of securing customer data.

"This compliance demonstrates our commitment to protecting our partners and their data through enterprise-level security protocol and standards," the company announced on LinkedIn.

Koda Health was audited by Prescient Assurance, a leader in security and compliance attestation for B2B, SAAS companies worldwide, according to the company.

Get a sneak peek into the inaugural InnovationMap Awards presented by Techwave. Photo by Queen's Photoworks

Photos: InnovationMap shares scenes from its 2021 awards celebration

event highlights

Last week, the inaugural InnovationMap Awards presented by Techwave honored 28 companies across eight categories.

The hybrid event, which took place on September 8, was hosted at The Cannon West Houston as well as streamed online. The in-person attendees included finalists, judges, partners, and sponsors as well as their guests. Missed the event? We rounded up some moments in an episode of the Houston Innovators Podcast as well as the slideshow below.

Click here to read more articles about the InnovationMap Awards.

Scenes from the 2021 InnovationMap Awards

Photo by Queen's Photoworks

The crowd of startup founders, corporate innovators, and more attended the event at The Cannon West Houston.

Want more from the awards?

And the finalists for the inaugural InnovationMap Awards are... Graphic via Gow Media

InnovationMap names 28 Houston startup finalists for inaugural awards

who will take home the win?

Who are Houston's rising stars across energy transition, sports tech, health, and more? InnovationMap set out on a quest to discover that for its inaugural awards. Ahead of the September 8 event, we're revealing the finalists across all categories.

Eight judges evaluated over 100 applications across eight categories for the 2021 InnovationMap Awards presented by Techwave. This year's judges included: JulianaGaraizar, head of the Houston incubator and vice president of innovation at Greentown Labs; Alex Gras, managing director at The Cannon; Rajasekhar Gummadapu, co-founder and CEO of Techwave; Natalie Harms, editor of InnovationMap; Serafina Lalany, interim president at Houston Exponential; Jon Nordby, managing director at MassChallenge; Emily Reiser, senior manager of innovation community engagement at the Texas Medical Center; and Grace Rodriguez, CEO and executive director of Impact Hub Houston.

The winners will be announced and celebrated — along with this year's previously announced Trailblazer Award recipient, Barbara Burger of Chevron Technology Ventures — at the September 8 event at The Cannon - West Houston. Honorees, sponsors, judges, and their guests will celebrate in person, and the rest of the innovation community is invited to tune in to the livestream. Click here to RSVP.

Sponsorships are still available! If you are interested in partnering with InnovationMap as a sponsor of this event, send an email to awards@innovationmap.com.

Without further adieu, here are this year's finalists:

BIPOC-Founded Business Finalists

The finalists for the BIPOC-Founded Business Award category, honoring innovative tech companies founded or co-founded by BIPOC representation, are:

  • Allotrope Medical — creator of StimSite, a device that improves surgical safety and efficiency in millions of operations performed every year.
  • Hello Alice — a small business owner's passport through entrepreneurship that helps with networking, raising capital, and accessing growth tools.
  • LAMIK Beauty — a tech-enabled clean color cosmetics company focusing on women of all diverse backgrounds
  • Molecule Software — creator of a leading cloud-native energy trading software.

Female-Founded Business Finalists

The finalists for the Female-Founded Business Award category presented by Veritex Community Bank, honoring innovative tech companies founded or co-founded by women, include:

  • DonateStock — simplifying the process of donating stock and helping nonprofits solicit, process, and manage stock donations.
  • Hello Alice — a small business owner's passport through entrepreneurship that helps with networking, raising capital, and accessing growth tools.
  • re:3D Inc. — producer of large, affordable industrial 3D printers, and services that can print with new or recycled filament, pellets, or flake.
  • RingOn — wearable GPS tracker that is also a panic button that's designed for school kids and with an impact-driven mission of ending child trafficking.
  • Topl — impact monetization engine that enables digital and sustainable transformation across value chains and empowers the monetization of impact verified on the Topl Blockchain.
  • Zibrio Inc. — a fall prevention solution that empowers both clinicians and patients for better outcomes.

Health Care Business Finalists

The finalists for the Health Care Business Award category presented by Gray Reed, which honors health care businesses with an innovative solution within life sciences, include:

  • Allotrope Medical — creator of StimSite, a device that improves surgical safety and efficiency in millions of operations performed every year.
  • Medical Informatics Corp. — creator of Sickbay, which features web-based applications that transform data into actionable information to help care teams make better, faster decisions.
  • Saranas — creator of the Early Bird, the first and only FDA-approved bleed detection system for endovascular procedures.
  • Starling Medical — using AI and telehealth enabled medical devices to enable millions with bladder dysfunctions to be able to urinate safely and conveniently again.

Energy Transition Business Finalists

The finalists for the Energy Transition Business category, which honors energy business with innovative solutions within renewables, climatetech, clean energy, and beyond, are:

  • Cemvita Factory — engineering microbes that eat CO2 and produce valuable chemicals.
  • Data Gumbo — creator of an interconnected industrial smart contract network secured and powered by blockchain.
  • Enercross LLC — automation software for the energy industry.
  • Nanotech — a material science company with a mission to fireproof the world and reduce energy consumption.
  • re:3D Inc. — producer of large, affordable industrial 3D printers, and services that can print with new or recycled filament, pellets, or flake.
  • Renewell Energy — converting idle oil and gas wells into flexible energy storage.

Sports Tech Business Finalists

The finalists for the Sports Tech Business category, which is honoring a sports tech business with an innovative solution within sports are:

  • FitLift — a wearable device and mobile platform that tracks motion and gives real-time feedback on lifting technique, allowing trainers, and athletes to drive results.
  • Mainline — an esports tournament management system, tournament organizer, and event production company.
  • sEATz — a mobile ordering and delivery platform for food, drinks, and merchandise at large events.

Space Tech Business Finalists

The finalists for the Space Tech Business category, which is honoring an aerospace business with an innovative solution within space exploration. are:

  • Cemvita Factory — engineering microbes that eat CO2 and produce valuable chemicals.
  • Cognitive Space — providing a scalable satellite constellation management solution to the space industry.
  • NANCO Aero — developing package- and person-carrying air vehicles.

Top Founder Under 40 Finalists

The finalists for the Top Founder Under 40 category, which honors an innovative founder younger than 40 by Sept. 8, 2021, are:

  • Pamela Singh of CaseCTRL — using artificial intelligence and automation to streamline surgical scheduling.
  • Timothy Neal of GoExpedi — an e-commerce, supply chain, and analytics company that is streamlining procurement for industrial and energy MRO (maintenance, repair and operations).
  • Kim Roxie of LAMIK Beauty — a tech-enabled clean color cosmetics company focusing on women of all diverse backgrounds.
  • Emma Fauss of Medical Informatics Corp. — creator of Sickbay, which features web-based applications that transform data into actionable information to help care teams make better, faster decisions.
  • Emily Cisek of The Postage — a legacy planning platform using tech to make afterlife decision making easier.

People’s Choice: Startup of the Year Finalists

The finalists for the People's Choice: Startup of the Year category, which will each present a 60-second live elevator pitch at the event on September 8, are:

    • Cheers Health — creating products that are designed to support your liver and help you feel better after consuming alcohol.
    • GoCo — all-in-one employee management platform.
    • Hello Alice — a small business owner's passport through entrepreneurship that helps with networking, raising capital, and accessing growth tools.
    • Liongard — a platform that helps Information Technology companies automatically discover, document, and audit their customers' IT systems.
    • Nanotech — a material science company with a mission to fireproof the world and reduce energy consumption.
    • re:3D Inc. — producer of large, affordable industrial 3D printers, and services that can print with new or recycled filament, pellets, or flake.
    • Topl — impact monetization engine that enables digital and sustainable transformation across value chains and empowers the monetization of impact verified on the Topl Blockchain.

    Raj Gummadapu, CEO and co-founder of Techwave, is excited to be working among the tech scene in Houston. Photo courtesy of Techwave

    Software co. leader shares why he bet on Houston's tech talent with HQ move

    houston innovators podcast episode 96

    A couple years ago, Raj Gummadapu and his executive team moved the Techwave headquarters to Houston from the Northeast in order to access a diverse workforce in a city with a developing tech scene. He's never looked back.

    Gummadapu joined this week's episode of the Houston Innovators Podcast to discuss why he placed his bets on Houston and took his global IT services and solutions company from the suburbs of Philadelphia to the Bayou City — a move that happened as Techwave became more globally focused.

    "When we started looking at various cities, Houston presented itself as a great opportunity," Gummadapu says on the episode. "Houston is home to large Fortune 500 companies, and the talent pool we get here has really attracted us to make this as our home."

    The company, which employs 1,800 people, provides end-to-end software solutions for companies from scaling startups to massive corporations.

    "We are widely spread in terms of our service offerings," Gummadapu says. "Our unique positioning on Techwave is it's the right sized organization for companies that are looking for services partners with strong domain knowledge and great expertise with the technology, but has a quality of being a good transition partner."

    Gummadapu says Techwave has several startups in its portfolio of clients across industries, including health tech, education tech, and blockchain.

    "We service a lot of technology companies in startup stage," Gummadapu says. "We bring that core knowledge to the table and help startups think from a different angle, as well as bring our services from the domain knowledge standpoint to work collaboratively to deliver a solution to startups. We're the perfect fit for startups and bring a 360-degree view."

    Techwave is again betting on Houston and its startup ecosystem as the presenting sponsor for the inaugural InnovationMap Awards. Nominations for the awards have closed, but online registration for the hybrid event is open.

    Gummadapu shares more on how he's seen the software services industry evolve over his 20-plus years in the industry, as well as the challenges he's facing today on the episode. Stream the show below or wherever you get your podcasts.


    You have an extra week to submit your nominations. Graphic via Gow Media

    Deadline extended for inaugural InnovationMap Awards nominations

    nominate now

    If you didn't get a chance to submit your nomination for the inaugural InnovationMap Awards presented by Techwave by the July 23 deadline — you're in luck. The nomination period has been extended, and you now have an extra week to submit.

    The new — and final — deadline for nominations is July 30 by midnight. Submissions can be made online at InnovationMapAwards.com.

    Following nominations, the nominated companies will receive an application to submit by August 13. The already nominated companies will receive their applications today. So, if you're interested in being a part of the awards and you haven't received an application from InnovationMap by the end of Monday, July 26, your company has not already been nominated.

    The categories for the awards are:

    • BIPOC-Owned Business honoring an innovative tech company founded or co-founded by BIPOC representation
    • Female-Owned Business honoring an innovative tech company founded or co-founded by a woman
    • Health Care Business honoring a health care business with an innovative solution within life sciences
    • Energy Transition Business honoring an energy business with an innovative solution within renewables, climatetech, clean energy, and beyond
    • Space Tech Business honoring an aerospace business with an innovative solution within space exploration
    • Sports Tech Business honoring a tech business with an innovative solution within sports
    • Top Founder Under 40 honoring an innovative founder younger than 40 by Sept. 8, 2021
    • Lifetime Achievement Award honoring an innovator who's made a lasting impact on the Houston innovation community
    • People's Choice: Startup of the Year selected via an internet voting portal ahead of the event
    • Techwave's Texas Advocate Awards honoring two non-Houston based companies selected by our presenting sponsor, Techwave

    Earlier this month, InnovationMap named the eight judges for this year's awards. Click here to see who will be selecting the award finalists and winners.

    Follow along on InnovationMap as we learn more about the program's inaugural nominees. Then, on September 8, we will host the finalists and a group of special guests at The Cannon for a celebration of the city's top innovators. A livestream of the event will be open to everyone on the night of the awards — tune in to find out who takes home the big win across all 10 categories.

    Click here to RSVP for what will surely be a can't-miss event in Houston innovation.

    Here's who's making the call for the inaugural InnovationMap Awards. Photos courtesy

    InnovationMap names judges for inaugural awards program

    in the hot seat

    It's been two weeks since InnovationMap announced its inaugural awards program presented by Techwave — and the ecosystem is already buzzing with excitement to find out the top innovative companies in town.

    The InnovationMap Awards will honor Houston's innovators and their breakthrough technologies across industries. The program and hybrid event — which will take place September 8 — will shine a spotlight on the movers and shakers within Houston's burgeoning innovation community. Nominations are open for the awards now — and the deadline to submit your nomination is July 23.

    Click here to nominate a deserving company.

    But who will decide this year's finalists and winners for the event? A cohort of eight of the best innovation leaders in the Bayou City. Introducing: The 2021 InnovationMap Awards judges:

    Juliana Garaizar, head of Greentown Houston and vice president of Greentown Labs

    Courtesy photo

    A longtime angel investor and Houston innovation leader, Juliana Garaizar is no stranger to the local ecosystem. Prior to her current role leading Greentown Labs in Houston, she served as director of the Texas Medical Center's Venture Fund and managing director at the Houston Angel Network. She's also involved with Houston-based Business Angel Minority Association, or baMa, and has worked with Portfolia for over five years.

    Jon Nordby, managing director at MassChallenge

    Photo courtesy of MassChallenge

    ​A leader in Houston innovation for several years now, Jon Nordby oversees Boston-based MassChallenge's entire Texas operation. MassChallenge's global accelerator program supports an annual cohort of startups across industries. Prior to his current role, he served as director of strategy at Houston Exponential and vice president of talent and innovation at the Greater Houston Partnership.

    Grace Rodriguez, CEO and executive director of Impact Hub Houston

    Photo courtesy of Impact Hub Houston

    Grace Rodriguez has dedicated herself to helping do-gooders do greater, as her LinkedIn page proudly boasts, and for the past three years, she's been doing that by leading Impact Hub Houston, a locally rooted, globally connected 501c3 nonprofit that champions inclusive, impact-driven innovation. She also co-founded Station Houston in 2016.

    Emily Reiser, senior manager of innovation community engagement at the Texas Medical Center

    Photo courtesy of TMC Innovation

    Emily Reiser is like a switchboard operator for TMC Innovation, where she's worked with health tech startups since 2019. She supports clinicians, innovators, corporate partners, and business advisers who are dedicated to advancing healthcare innovation all while providing a common ground for collaboration, connection, and innovation.

    Serafina Lalany, vice president of operations at Houston Exponential

    Photo courtesy of Serafina Lalany

    Serafina Lalany leads operations at Houston Exponential, the city's nonprofit focused on accelerating the development of Houston's innovation economy. She's also a board member of Diversity Fund Houston — a micro venture fund created to invest in minority tech founders during the "friends and family round."

    Alex Gras, managing director at The Cannon

    Photo via LinkedIn

    After spending eight years in oil and gas, Alex Gras took his management skills to The Cannon Houston — a network of entrepreneurial hubs across Houston. The Cannon is the InnovationMap Awards venue for the September 8 event.

    Rajasekhar Gummadapu, CEO of Techwave

    Photo courtesy

    Raj Gummadapu is the co-founder of Techwave, the award program's presenting sponsor. An accountant by trade, he has about 17 years of experience with combination of working with "big 5" consulting companies and various midsize to Fortune 100 companies across different industries on various strategic initiatives and global process and systems transformations.

    Natalie Harms, editor of InnovationMap

    Photo courtesy

    Natalie Harms has been at the helm of InnovationMap — Houston's voice for Innovation — since its inception in October 2018. She oversees all editorial operations of the site and hosts its weekly podcast, the Houston Innovators Podcast.

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    Texas Space Commission launches, Houston execs named to leadership

    future of space

    Governor Greg Abbott announced the Texas Space Commission, naming its inaugural board of directors and Texas Aerospace Research and Space Economy Consortium Executive Committee.

    The announcement came at NASA's Johnson Space Center, and the governor was joined by Speaker Dade Phelan, Representative Greg Bonnen, Representative Dennis Paul, NASA's Johnson Space Center Director Vanessa Wyche, and various aerospace industry leaders.

    According to a news release, the Texas Space Commission will aim to strengthen commercial, civil, and military aerospace activity by promoting innovation in space exploration and commercial aerospace opportunities, which will include the integration of space, aeronautics, and aviation industries as part of the Texas economy.

    The Commission will be governed by a nine-member board of directors. The board will also administer the legislatively created Space Exploration and Aeronautics Research Fund to provide grants to eligible entities.

    “Texas is home to trailblazers and innovators, and we have a rich history of traversing the final frontier: space,” Lieutenant Governor Dan Patrick says in a news release. “Texas is and will continue to be the epicenter for the space industry across the globe, and I have total confidence that my appointees to the Texas Space Commission Board of Directors and the Texas Aerospace Research and Space Economy Consortium Executive Committee will ensure the Texas space industry remains an international powerhouse for cutting-edge space innovation.”

    TARSEC will independently identify research opportunities that will assist the state’s position in aeronautics research and development, astronautics, space commercialization, and space flight infrastructure. It also plans to fuel the integration of space, aeronautics, astronautics, and aviation industries into the Texas economy. TARSEC will be governed by an executive committee and will be composed of representatives of each higher education institution in the state.

    “Since its very inception, NASA’s Johnson Space Center has been home to manned spaceflight, propelling Texas as the national leader in the U.S. space program,” Abbott says during the announcement. “It was at Rice University where President John F. Kennedy announced that the U.S. would put a man on the moon—not because it was easy, but because it was hard.

    "Now, with the Texas Space Commission, our great state will have a group that is responsible for dreaming and achieving the next generation of human exploration in space," he continues. "Texas is the launchpad for Mars, innovating the technology that will colonize humanity’s first new planet. As we look into the future of space, one thing is clear: those who reach for the stars do so from the great state of Texas. I look forward to working with the Texas Space Commission, and I thank the Texas Legislature for partnering with industry and higher education institutions to secure the future of Texas' robust space industry."

    The Houston-area board of directors appointees included:

    • Gwen Griffin, chief executive officer of the Griffin Communications Group
    • John Shannon, vice president of Exploration Systems at the Boeing Company
    • Sarah "Sassie" Duggleby, co-founder and CEO of Venus Aerospace
    • Kirk Shireman, vice president of Lunar Exploration Campaigns at Lockheed Martin
    • Dr. Nancy Currie-Gregg, director of the Texas A&M Space Institute

    Additionally, a few Houstonians were named to the TARSEC committee, including:

    • Stephanie Murphy, CEO and executive chairman of Aegis Aerospace
    • Matt Ondler, president and former chief technology officer at Axiom Space
    • Jack “2fish” Fischer, vice president of production and operations at Intuitive Machines
    • Brian Freedman, president of the Bay Area Houston Economic Partnership and vice chairman of Wellby Financial
    • David Alexander, professor of physics and astronomy and director of the Rice Space Institute at Rice University

    To see the full list of appointed board and committee members, along with their extended bios, click here.

    City of Houston approves $13M for new security tech at renovated IAH​ terminal

    hi, tech

    A new terminal currently under construction at George Bush Intercontinental Airport just got the green light for new security technology.

    This week, Houston City Council unanimously approved the funding for the new Mickey Leland International Terminal's security equipment. The Mickey Leland International Terminal Project is part of the $1.43 billion IAH Terminal Redevelopment Program, or ITRP, which is expected to be completed by early next year.

    This new IAH International Terminal will feature an International Central Processor, or ICP, with state-of-the-art technology in a 17-lane security checkpoint — among the largest in the country — as well as ticket counters and baggage claim.

    “Houston Airports strives to get passengers through TSA Security in 20 minutes or less. Today, we meet that goal at Bush Airport more than 90 percent of the time,” Jim Szczesniak, director of aviation for Houston Airports, says in a news release. “This investment in innovative technology will enhance our efficiency and ensure that our passengers have a world-class experience each time they visit our airports.”

    Going through security at IAH is about to be smoother sailing. Rendering courtesy of Houston Airports

    The funding approval came from two ordinances, and the first one appropriates $11.8 million from the Airports Improvement Fund to buy, service, install, and train staff on nine new automated screening lanes, called Scarabee Checkpoint Property Screening Systems, or CPSS.

    Per the news release, each of these CCPS automated lanes "is capable of screening more than 100 additional people and bags/hour than existing equipment used today." Currently, Terminal D's TSA is using eight CPSS Lanes, so the additional nine lanes will bring the total to 17 lanes of security.

    The other appropriates another $1.2 million from the Airports Improvement Fund to buy, install, maintain, and train staff on six new Advanced Imaging Technology Quick Personnel Security Scanners.

    The new scanners, which don't require the traveler to raise their arms, "is capable of screening more than 100 additional people/hour than existing equipment used today," per the release.

    “These new security screening machines are faster, have fewer false alarms and have improved detection rates, which creates a safer experience for our passengers and airlines,” Federal Security Director for TSA at IAH Juan Sanchez adds.

    The Mickey Leland International Terminal originally opened in 1990 and is currently under renovation. Rendering courtesy of Houston Airports

    Texas has the 5th highest health care costs in the nation, Forbes says

    dollar signs

    A new Forbes Advisor study shedding light on Americans' top financial worries has revealed Texas has the fifth highest health care costs in the nation.

    Forbes Advisor's annual report compared all 50 states and Washington, D.C. across nine different metrics to determine which states have the most and least expensive health care costs in 2024.

    Factors include the average annual deductibles and premiums for employees using single and family coverage through employer-provided health insurances and the percentage of adults who chose not to see a health care provider due to costs within the last year, among others. Each state was ranked based on its score out of a total 100 possible points.

    Texas was No. 5 with a score of 91.38 points. North Carolina was No. 1, followed in order by South Dakota, Nebraska, and Florida.

    According to Forbes, out-of-state families considering a move to the Lone Star State should be aware of the state's troubling statistics when it comes to family health care. More specifically, nearly 15 percent of Texas children had families who struggled to pay for their medical bills in the past 12 months, the highest percentage in the nation.

    Furthermore, Texans have the highest likelihood in the U.S. to skip seeing a doctor because of cost. The report showed 16 percent of Texas adults chose not to see a doctor in the past 12 months due to the cost of health care.

    "Unexpected medical bills and the cost of health care services are the top two financial worries for Americans this year, according to a recent KFF health tracking poll," the report said. "These financial fears have real-world consequences. The high cost of healthcare is leading some Americans to make tough choices—often at the expense of their health."

    In the category for the percentage of adults who reported 14 or more "mentally unhealthy" days out of a month, who could not seek health care services due to cost, Texas ranked No. 3 in the U.S. with 31.5 percent of adults experiencing these issues.

    The report also highlighted the crystal clear inequality in the distribution of health care costs across the U.S.

    "In some states, residents face much steeper health care expenses, including higher premiums and deductibles, which make them more likely to delay medical care due to costs," the report said.

    For example, Texas' average annual premiums for both plus-one health insurance coverage ($4,626, according to the study) and family coverage ($7,051.33) through employer-provided policies was the No. 4-highest in the nation.

    Elsewhere in the U.S.

    The state with the most expensive health care costs is North Carolina, with a score of 100 points. 27 percent of adults in North Carolina reported struggling with their mental health who could not seek a doctor due to cost, and 11.3 percent of all adults in the state chose not to see a doctor within the last 12 months because of costs.

    Hawaii (No. 50) is the state with the least expensive health care costs, according to Forbes. Hawaii had the lowest percentages of adults struggling with mental health (11.6 percent) and adults who chose not to see a doctor within the last year (5.7 percent). The average annual premium for employees in Hawaii using a family coverage plan through employer-provided health insurance is $5,373.67, and the average annual deductible for the same family coverage plan is $3,115.

    The top 10 states with the most expensive health care are:

    • No. 1 – North Carolina
    • No. 2 – South Dakota
    • No. 3 – Nebraska
    • No. 4 – Florida
    • No. 5 – Texas
    • No. 6 – South Carolina
    • No. 7 – Arizona
    • No. 8 – Georgia
    • No. 9 – New Hampshire
    • No. 10 – Louisiana

    The full report and its methodology can be found on forbes.com.

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    This article originally ran on CultureMap.