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Posts Tagged ‘Medicaid’

A different push for health care expansion

This ought to spark some interesting conversations. Two Democratic lawmakers called Wednesday for Texas leaders to explore a new type of Medicaid waiver that they say could provide health coverage to many of the state’s millions of uninsured. The waiver, characterized by the legislators as the kind of block grant that Republicans favor, is not […]

No, seriously, expand Medicaid or else

Bring. It. On. The federal government is officially holding state leaders’ feet to the fire, hoping to get Texas to expand its Medicaid program to provide health insurance to more low-income Texans. Federal officials called the state’s health agency this week to say that Texas’ reluctance to expand Medicaid — a key tenet of President […]

Let the budgetary games begin

The House takes up the budget today, with over 300 amendments and riders queued up for votes. A couple of things to watch for as the debate goes on: Killing vouchers. Lawmakers in the Texas House will have a chance to draw a line in the sand over private school vouchers during the upcoming battle […]

Diabetes

What happens when you expand access to health care in America? More people with previously undiagnosed illnesses can get the diagnosis and treatment that they need. Putting off visits to the doctor because you don’t have insurance is common, says Dr. Vivian Fonseca, a professor of medicine and endocrinology at Tulane University, in New Orleans. […]

Rural hospitals

If this story was meant to evoke my sympathy, I’m afraid it failed. Since the hospital closed in Paducah, a town 30 miles to the north, patients in Guthrie have 60 long miles to travel to Childress for care. It’s a feeling of isolation that has crept up on other rural corners of the state […]

The cost of unplanned pregnancies

From Wonkblog: Unintended pregnancies cost American taxpayers $21 billion each year, according to a new analysis released by the Guttmacher Institute. That averages out to a cost of about $366 per every woman of childbearing age in the U.S. Overall, more than half of U.S. pregnancies are unintended, and roughly 1-in-20 American women of reproductive […]

Bill filing deadline has passed

Believe it or not, we are almost halfway through the legislative session, and we have now passed the point where new bills can be filed. Racing to beat a deadline for filing bills, state lawmakers on Friday submitted hundreds of measures on everything from abolishing the death penalty to the licensing of auctioneers. By the […]

Republicans demand something for nothing on Medicaid

Um, okay. Leading Texas Republicans on Monday asked the Obama administration for greater flexibility to administer Medicaid — a move that has gotten little traction in the past — while reiterating that they would not participate in an expansion of the program under the Affordable Care Act. “Any expansion of Medicaid in Texas is simply […]

One point two million Obamacare signups in Texas

Not too shabby. McCarter was one of nearly 1.2 million Texans who signed up or were re-enrolled in health coverage before open enrollment ended Sunday. The newly released numbers show Texas ranking behind only Florida in the number of people it signed up or re-enrolled in coverage among the 37 states that rely on the […]

State of the county 2015: Please cooperate more

Harris County Judge Ed Emmett makes his eighth State if the County address. In his eighth State of the County address, Emmett had choice words for both Austin – which is weighing a reduction in property taxes that form the backbone of county revenue – and for Houston – which has adopted a strategy of […]

We still have those outsourcing blues

We never learn from history. That’s just how we roll in this state. In 1991, the Texas attorney general’s office signed an $11 million contract to computerize its child-support payments system. By 1997, the deal with Andersen Consulting had ballooned to more than $68 million and was three years behind schedule. A state audit found […]

Texas Obamacare enrollments top 850K

And counting. Officials at the Department of Health and Human Services Wednesday announced nearly 860,000 Texans so far have enrolled in health insurance marketplace coverage with a month left still left to go until the 2015 open enrollment period ends. It’s unclear how many of those signups are new marketplace customers. Last year, nearly 734,000 […]

From the Bad Editorial Timing department

From the Houston Chronicle Saturday edition: State Rep. Garnet Coleman, D-Houston, called Harris Health’s impending budget shortfall “one more casualty of Texas not participating in the Medicaid expansion. “We could at least stop the bleeding if we had the additional Medicaid funding,” said Coleman. “Treating people without insurance cards, particularly county hospitals but private hospitals, […]

Texas: Still not expanding Medicaid

This should put a stake through the heart of these stories. Governor-Elect Greg Abbott (R., Texas) will not expand Medicaid despite hopes by Obamacare supporters that he would do so following a report that he inquired about Utah’s variation of the health program. “Fear not — Governor-elect Abbott has fought Obamacare and will continue to […]

Bringing health insurance to the customers

It’s learning from experience. The federal government and insurers learned from the last year’s inaugural open enrollment period under the Affordable Care Act that it takes more than low premiums to persuade the uninsured to buy federally mandated health coverage, especially in a state like Texas, where leaders oppose the health care law. These consumers, […]

Does any of this sound like “Medicaid Expansion” to you?

So Wonkblog, TPM, and BOR, all riffing off the same news story in which Greg Abbott had a clandestine meeting with Houston-area legislators and may have said some things that made them think he might be open to “Medicaid expansion”, are all talking about it as though it’s a thing that could happen. Here’s Wonkblog, […]

From the “Hope springs eternal” department

Texas Democrats have hope that the upcoming legislative session won’t be any worse than preceding ones. Despite all of the turnover in state government in 2014, the Texas Legislature will reconvene in January with a familiar balance of power. Democrats, resigned to a perennial minority, remain outnumbered by Republicans by a two-to-one margin. The majority […]

It’s still not Medicaid expansion

The Legislature may do something that could sort of be called “Medicaid expansion”, if only for lack of a better term, but we would all do well to remain deeply skeptical of what they might consider. The once taboo subject of expanding Medicaid in Texas has been broached in recent weeks by some Republicans and […]

Obamacare 2.0

The open enrollment period for the Obamacare insurance exchanges is going on right now. This year, the feds are taking a more direct approach to getting people to enroll. Secretary for Health and Human Services Sylvia Burwell, whose appearance at Monday’s news conference [in San Antonio] is part of a national tour to talk up […]

Even Rick Perry appointees back Medicaid expansion

It’s just the right thing to do. A board of medical professionals appointed by Gov. Rick Perry said Wednesday that the state should provide health coverage to low-income Texans under the Affordable Care Act — a move the Republican-led Legislature has opposed. The 15-member Texas Institute of Health Care Quality and Efficiency recommended that the […]

Expand Medicaid or else

Turns out the federal government has more leverage over Texas than you might think. If Texas wants to keep receiving billions of federal dollars to help hospitals care for uninsured patients, state lawmakers may have to look again at expanding Medicaid coverage for impoverished adults, some political observers say. That’s because in 2016, Texas will […]

More on the initial bill filings

From the Trib, a sampling: As of Monday afternoon, a bill repealing the Texas Dream Act, which allows undocumented immigrant students to pay in-state college tuition rates, had yet to emerge. Lt. Gov.-elect Dan Patrick promised while campaigning that he would work to repeal the act. The bill could part of legislation that is reserved for priorities […]

Gov debate II: That’s more like it

The second Governor’s debate was a lively affair. Republican Attorney General Greg Abbott, who has mostly avoided direct confrontation with his opponent in the race for Texas governor, took a hard swing at Democratic Sen. Wendy Davis over her ethics as a lawmaker in a televised debate Tuesday night. And she let him have it […]

Abbott’s health care small ball

Is that all there is? Increased funding for preventive care and luring medical professionals to Texas are at the center of gubernatorial candidate Greg Abbott’s health care plan, unveiled at St. Joseph’s Women’s Medical Center here on Wednesday. The Republican attorney general, running to replace Gov. Rick Perry, unveiled a proposal that includes a $50 […]

LVdP for Medicaid expansion

No surprise here. Democratic state Sen. Leticia Van de Putte vowed to overturn Republican opposition to expanding the state’s Medicaid program under the Affordable Care Act if elected lieutenant governor, saying the state should act to protect poor, uninsured adults. The San Antonio Democrat’s “Texas First Health Care Plan,” which she announced Friday at the […]

Just don’t call it “Medicaid expansion”

It’s the public policy that dare not have its name spoken, at least by Republican legislators. State lawmakers renewed efforts Thursday to find a “Texas solution” to expand health-insurance coverage for low-income residents without accepting the Medicaid expansion in President Barack Obama’s signature health care law. Social-services advocates and local officials are among those pushing […]

Just a reminder: Medicaid expansion is still a great deal

But only if you do it. We learned late last week that the decision by 24 states to reject Obamacare’s Medicaid expansion comes as a startling cost — $423.6 billion in lost federal funds from 2013 to 2022, according to researchers at the Urban Institute. So how are states justifying their decisions to leave that […]

Abbott’s appellate brief on same sex marriage is a complete loser

How weak does your case have to be to have to rely on this? Texas Attorney General Greg Abbott filed an appeal with the U.S. 5th Circuit Monday regarding the state’s same-sex marriage ban, which was ruled unconstitutional by a federal judge in February. According to the brief, Abbott said Texas can ban same-sex marriage […]

Expanding Medicaid the hard way

A lot smaller than it should have been, but it’s still something. More than 80,000 additional Texans have enrolled in Medicaid or the Children’s Health Insurance Program since the rollout of the Affordable Care Act last fall despite Republican state leaders’ decision not to expand eligibility to poor adults, according to federal figures. The 80,435 […]

If Louisiana can do it…

By “it” I mean expand Medicaid. What’s Texas’ excuse if that happens? Republican U.S. Sen. David Vitter on Monday left open the possibility of expanding Louisiana’s Medicaid program to cover more of the working poor. Vitter, a candidate for governor and ardent critic of the health overhaul championed by President Barack Obama, said he’s not […]

Medicaid expansion: Still a great deal, especially for cities

So many uninsured people could get covered if Medicaid expansion were universal instead of just here and there. Expanding Medicaid under the new health care law would do a lot to slash the number of uninsured people, at least in some of the nation’s largest cities, according to a new report. A review of 14 […]

The Texarkana experience

The city of Texarcana literally sits on the border between Texas and Arkansas, partly in one state and partly in the other. That means that some of its residents may be eligible for a health insurance subsidy under Arkansas’ Medicaid expansion/privatization hybrid. Or they may be in Texas and be screwed like anyone else. Arkansas […]

734K ACA enrollments in Texas

Pretty damn impressive, all things considered. New numbers out show that 734,000 Texans bought health insurance through the federal marketplace from last October to April 19, 2014, a report released by Health and Human Services shows. Prior to March 1, an anemic 295,000 people had signed up, but in the final stretch of the Affordable […]

Texas insurance enrollment update

Enrollments are up and the number of uninsured are down, though both could have been a lot better. The sky-high rate of Texans without health insurance has dropped only slightly since the launch of the federal Affordable Care Act’s online health insurance marketplace, according to a new report from Rice University’s Baker Institute for Public […]