Way to be ahead of the curve, y’all. A resolution endorsing the expansion of Medicaid was approved by Texas Medical Association delegates Saturday at the group’s annual meeting in San Antonio. “The patients need the care and, if we pass Medicaid expansion, it will lower our taxes. How can you be against that?” said the [...]
Posts Tagged ‘Medicaid’
Budget deal reached
And the crowd goes wild. Top House and Senate negotiators agreed to a two-year budget for the state of Texas Friday that restores about $4 billion of $5.4 billion in cuts to public education made in 2011. It also creates a path for lawmakers to put $2 billion toward water infrastructure projects. The five House [...]
Maybe I buried Medicaid expansion too soon
I still think it’s dead, but I could be wrong about that. The fate of Medicaid reform in Texas could rest solely on an up-or-down vote on the 2014-15 budget. State Rep. John Zerwas, R-Simonton, a member of the conference committee that is hashing out the differences between the House and Senate budget plans, said [...]
Where things stand with two weeks to go in the legislative session
With the Thursday midnight deadline for bills to pass on second reading in the House, I figured this would be a good time to take a look at the status of some major legislation and legislative priorities. There are two weeks left in the regular session, and the specter of overtime is hazy but present. [...]
Medicaid “expansion” likely dead
The calendar is a harsh mistress. The House’s lead health care budget writer says his bill to force Gov. Rick Perry’s administration to explore the potential for a “Texas solution” on Medicaid expansion is dead. Rep. John Zerwas, R-Richmond, said Tuesday that his bill outlining an expansion of coverage for poor adults using private insurance, [...]
If Medicaid is broken, who broke it?
Patricia Kilday Hart asks an excellent question. [Rep. Garnet] Coleman’s observation provides part of the answer: Just last session, the Legislature trimmed $486 million in state money paid to Medicaid providers, and ended a student loan-forgiveness program for new doctors exclusively serving Medicaid patients. The federal government, which has established some rules that restrict the [...]
Weekend legislative threefer
That sound you heard on Friday was Rick Perry stamping his feet if he doesn’t get his way. Gov. Rick Perry is warning state legislators that it could be a long, hot summer in Austin if they don’t pass his top priorities: funding water and transportation projects and cutting business taxes. With a month left [...]
Medicaid “expansion” bill passes out of House committee
Forgive me for tempering my excitement about this, but it’s not that much to be excited about. Despite opposition from conservative Republicans, the House Appropriations Committee on Tuesday advanced a proposal that would reform Medicaid by allowing the state to request a block grant from the federal government and expand coverage to low-income Texans. “This [...]
What Obamacare will do for Texas
Even without Medicaid expansion, the Affordable Care Act will help millions of Texans get access to health care. Nearly 2.6 million Texans could qualify for tax credits to purchase health insurance in 2014, according to a report released Thursday by Families USA, a nonprofit that advocates for health care consumers. The tax credits will be [...]
House discusses Medicaid expansion
Sounds like a sincere effort, though whether it can get anywhere is an open question. Amid hours of testimony from advocates in support of Medicaid expansion on Tuesday, state Rep. John Zerwas, R-Simonton, described his proposal to create an alternative program that could draw down federal financing to provide health coverage for poor and uninsured [...]
Fort Bend County Commissioners Court supports Medicaid expansion
Fort Bend County, y’all. RESOLUTION OF THE FORT BEND COUNTY COMMISSIONERS COURT IN SUPPORT OF EXPANSION OF MEDICAIL) COVERAGE WHEREAS, Texas has the highest rate of uninsured [24%) and underinsured in the United States and 23% of the residents of Fort Bend County are uninsured, and WHEREAS, Expanding Medicaid would ensure 1.5 million more Texans [...]
House debates its budget
As you know, yesterday was Budgetpalooza in the House. The House budget puts more money into public education and less into health and human services than a Senate proposal that passed the upper chamber last month. “No one is or will be entirely happy with this bill, but there is something for everyone this year,” [...]
Williams’ “Medicaid” plan
I’m really not sure what to make of this. State Sen. Tommy Williams, R-The Woodlands, is crafting a Medicaid reform plan that would use premium tax revenue to subsidize private health plans for uninsured Texans, his office confirmed on Tuesday night. Gary Scharrer, a spokesman for Williams, said the proposal is “still a concept,” one [...]
Yes, Rick Perry still hates Medicaid
We’re not surprised by this, right? The Texas rhetoric around a key facet of federal health reform — whether the state will expand subsidized insurance to its poorest adults — reached the high water mark on Monday, with back-to-back press conferences at the Capitol featuring political leaders on both sides of the aisle. Republicans including [...]
The limits of the Arkansas option
I’ve mentioned the Arkansas option for expanding Medicaid several times, under which the state uses Medicaid money to buy private health insurance for those who would be eligible for Medicaid under the Affordable Care Act. It’s not my preferred solution, but it has some merits and would certainly be better than doing nothing. However, while [...]
More details on the House budget
Consider this to be written in pencil, because it’s going to change. More than $1.6 billion and disagreements on how much Texas should spend on public education and Medicaid separate the budgets proposed by the House and Senate. The Senate budget proposal, passed 29-2 by the upper chamber last week, spends $195.5 billion, a 2.9 [...]
The politics of refusing Medicaid expansion
Ron Brownstein posits that by his stubborn and increasingly isolated resistance to Medicaid expansion, including via the Arkansas option, Rick Perry is putting Republicans in electoral danger in Texas. Brownstein runs through the economic arguments and touches on the legislative action so far, then gets to the big finish: Rejecting the federal money might not [...]
Businesses say they want Medicaid expansion, too
This really comes down to two things. Chambers of commerce representing companies such as Exxon Mobil Corp. (XOM) and Kimberly-Clark Corp. (KMB) are challenging Texas Governor Rick Perry and lawmakers to expand health care for the poor in the state with the highest percentage of uninsured people. The chambers of five cities are sending lobbyists [...]
You can present that “Texas solution” any time now
State Rep. John Zerwas takes to the op-ed pages to assure us that yes, the Republicans really truly do want to do something about the vast number of uninsured people in this state if only they are given the freedom to do it their way. The Texas Medicaid program as it presently exists has reached [...]
Two hot topics that stay hot together
You got your Medicaid expansion in my Latino outreach efforts! For Republicans nationally, the big takeaway from the 2012 presidential election was that, as a party, they have to get right — or at least do better — with Hispanic voters. With the opening of the 83rd legislative session, the lessons of the 2012 election [...]
Nine hundred million reasons why expanding Medicaid is a good idea
It’s all about the money. Expanding Medicaid could make available at least $900 million in state money that otherwise would be slated for health care as lawmakers work to pay for Texas’ priorities, according to an analysis released Tuesday. “More efficient health spending means there’s more money available for other needs like water and education,” [...]
Straus wants someone to do something on Medicaid
Don’t we all, Joe. Don’t we all. Seeking to light a fire under fellow Republicans to provide health care to more uninsured Texans, House Speaker Joe Straus said Wednesday that it is time to “get our heads out of the sand” and find an alternative to Medicaid expansion that would bring billions of federal dollars [...]
More counties for Medicaid expansion
All of these are from last week. Bexar County: On a bipartisan vote, Bexar County commissioners Tuesday urged Texas lawmakers to expand the state’s Medicaid program and take advantage of federal matching funds under the Affordable Care Act. “From 2014 to 2017, expansion will bring $27.2 billion in federal revenue to Texas for just over [...]
House Republicans reject Medicaid expansion
But that’s not quite the end of the story. House Republicans on Monday agreed not to expand Medicaid as called for under the federal Affordable Care Act — but left the door open to doing so if the Obama administration grants Texas enough flexibility. “The current path as proposed is unsustainable from a fiscal standpoint,” [...]
More concern of convenience
David Dewhurst channels Dan Patrick. Dewhurst, noting his differing view from Straus, said he’s a product of public schools and wants to support them, but said he doesn’t want to leave an estimated 315,000 Texas students in academically unacceptable schools. “I’m mad. I’m mad as hell about that,” Dewhurst said, adding that it takes on [...]
The Arkansas way
The state of Arkansas will move forward with a plan to expand Medicaid, except that it’s not really Medicaid even though it will cover all of the Medicaid-eligible population. Here’s the explanation. Gov. Mike Beebe met with about twenty lawmakers this afternoon to announce the results of his meeting with Sec. Kathleen Sebelius last Friday. [...]
Harris Health System plans to serve more patients via Medicaid waiver
The story about what they’re going to do leaves a few details out, however. Harris Health System leaders plan to serve 100,000 new patients in the next three years. That is a 37 percent increase from today, and is particularly ambitious when you consider how many patients the system added in the last year: about [...]
Yes, Ed Emmett supports Medicaid expansion
As I’m sure you’re aware, I’ve been banging the drum pretty much nonstop for Medicaid expansion. I see it not only as a state issue but a county issue as well, which is why I’ve made a big deal about what Harris County is or isn’t doing about it. I haven’t seen the subject come [...]
Report recommends against privatizing the Harris County jail
Very good news. Privatizing the Harris County jail would be risky and may not result in savings, according to an internal county memo recommending that Commissioners Court keep the state’s largest lockup in Sheriff Adrian Garcia’s hands. The confidential Feb. 11 memo, obtained by the Houston Chronicle, comes after more than a year of study [...]
HISD cold on Patrick’s charter proposal
HISD has a bone to pick with Sen. Dan Patrick’s school choice bill. The Houston Independent School District was charter friendly long before other school districts were, mainly due to the influence of then-Superintendent Rod Paige. The nationally known Knowledge is Power Program, for instance, probably would not exist on the scale and scope it [...]
As if you needed another reason to support Medicaid expansion
Even more data on why Medicaid expansion makes sense from Texas Impact. The study, by former Texas deputy comptroller Billy Hamilton, says Texas shouldn’t pass up the chance to insure up to 2 million of its more than 6 million uninsured people. Hamilton cited other benefits. Expansion of the Medicaid rolls would “provide relief to [...]
Medicaid expansion pressure is having an effect
Despite the mountains of evidence in its favor, I still can’t say that I see a path to Medicaid expansion in Texas. But stories like this do give me some hope. Adamantly opposed to expanding Medicaid coverage under President Barack Obama’s signature health care law, Gov. Rick Perry and Lt. Gov. David Dewhurst had seemingly [...]
The war on women continues apace
Honestly, I’m surprised that it’s taken as long as it has for this to happen. Abortion clinics in Texas may soon face harsh new state requirements that pro-choice advocates say could greatly reduce access to abortion. Sens Bob Deuell (R-Greenville), Donna Campbell (R-New Braunfels) and Charles Schwertner (R-Georgetown) filed a bill this morning that would [...]
LBB calls for expanding Medicaid
From the Quorum Report: LBB CALLS FOR FUNDING MEDICAID EXPANSION AS PART OF ITS ADDITIONAL BUDGET PRIORITIES The recommendation given to the Article II Senate Finance workgroup notes that $50.4 million in state funding would draw down $4 billion in federal match for the next budget cycle The Legislative Budget Board has included funding to extend Medicaid coverage to [...]