Black Health
NBCCEDP Texas

Free pap smears in Texas — Breast and Cervical Cancer Services

Breast and Cervical Cancer Services

The program, the phone, the eligibility

Texas offers free pap smears and HPV testing through Breast and Cervical Cancer Services — call 1-800-399-8838 (ages 21-64, income up to 250% of the federal poverty line).

Call 1-800-399-8838 Visit Texas program

Primary source: https://www.dshs.texas.gov/breast-cervical-cancer-services/

What the program pays for

  • Pap test
  • HPV test (co-testing for ages 30+)
  • Colposcopy for abnormal results
  • Case management to treatment if cancer is found

How Texas's program works

Breast and Cervical Cancer Services is Texas's NBCCEDP grantee — the channel through which women in Texas get a free pap smear plus diagnostic follow-up. Call 1-800-399-8838 or visit https://www.dshs.texas.gov/breast-cervical-cancer-services/ to start the eligibility check. Intake usually takes 15-20 minutes and can be done by phone.

Who qualifies. Women ages 21-64, uninsured or with coverage that leaves a deductible or copay above what you can afford, with household income up to 250% of the federal poverty level (roughly $36,000 for a single woman at 250% FPL, $65,000 for a family of three). Most states serve women regardless of immigration status through NBCCEDP; the program was designed to backstop gaps the ACA marketplace and Medicaid miss. Some states — California at 200% FPL, Massachusetts at 300% FPL — adjust the threshold upward; others cap at the federal 250%.

What's covered. If a Pap or HPV test is abnormal, the program pays for colposcopy, cervical biopsy, LEEP, and cone biopsy at no charge. If cervical cancer is found, the federal Breast and Cervical Cancer Prevention and Treatment Act (Public Law 106-354) triggers Medicaid treatment eligibility — no separate Medicaid application is required. Transportation and interpretation are covered in most state programs where they are a barrier to completing a scheduled appointment — ask the intake coordinator specifically.

BCCS covers Pap, HPV co-testing, colposcopy, LEEP, and cone biopsy. Treatment eligibility flows through the Medicaid for Breast and Cervical Cancer program (MBCC).

For Black families in Texas

Texas Black women's cervical-cancer incidence is 10.2 per 100,000 versus 7.5 for white women (TCR, 2022).

For Black women and families in Texas, the practical route is rarely an abstract national program. It is a local clinic or community navigator who answers the phone, walks you through the intake, and follows up when the appointment letter is delayed. The state program line above is the fastest way to be matched to a navigator serving your county.

Community partners that have historically carried this work — Sisters Network chapters, the Black Mamas Matter Alliance network, the National Black Nurses Association, local churches affiliated with Faith in Public Life, and the NAACP health committees — often maintain navigator lists outside the state portal. If the state line doesn't route cleanly, call the nearest FQHC (every FQHC has certified navigators on staff under federal 330-grant rules).

Where to get help in Texas

  • Federally Qualified Health Centers in Texas: every FQHC takes Medicaid, charges a sliding scale for uninsured patients, and participates in free-screening pathways. See our FQHC directory for this state at /clinics/tx/.
  • Obstetrics and Gynecology providers in Texas: our provider directory filters to this state and specialty. See /providers/tx/.
  • Medicaid in Texas: if you qualify for Medicaid, the free-screening pathway extends to treatment if cancer is found (BCCPTA, Public Law 106-354). See our Medicaid navigator at /medicaid/texas/.
  • Black Health outcomes in Texas: see state-level race-stratified data at /health/texas/.
  • Cervivor — cervical-cancer survivor network with Black-women-led community chapters: cervivor.org.

References & primary sources

Data refreshed:

Other free screening programs in Texas

Breast cancer Colorectal cancer Cardiovascular Diabetes prevention