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Posts Tagged ‘Medicaid’

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 […]

What’s the health insurance enrollment status in Texas?

The short answer is that we don’t know. The longer answer, as this Express-News story indicates, is that we’ll never really know. Self-sufficiency. Distrust. Desire for flexibility. Those are some reasons many consumers bypassed health insurance plans sold on government-run exchanges and instead chose to buy coverage directly from insurance agents or brokers before open […]

We really should have expanded Medicaid

We know it would have done a lot of good, at a very reasonable cost. Turns out that cost was even less than what we had been told. News reports and state officials have commonly stated that expanding the Medicaid program in this fashion would cost the state about $15 billion over 10 years. Except, that figure, provided […]

And the first open enrollment period comes to an end

Lots of people signed up in the last few days of enrollment. Some tried but came away empty. Some of the hundreds of Houstonians who sought last-minute help enrolling for the Affordable Care Act on Sunday left thrilled to have health insurance for the first time in their lives, while others walked away frustrated by […]

Last minute health insurance enrollment help

From the inbox: The Houston Department of Health and Human Services (HDHHS) will open four of its multi-service centers on Sunday and extend their business hours next Monday to help people sign up for a health insurance plan by the Affordable Care Act’s March 31 deadline. HDHHS will open Acres Homes, Denver Harbor, Northeast and Southwest […]

We have ways of making you talk

Poor Greg. Republican Attorney General Greg Abbott, under fire for dodging the details on some policy questions, is filling in the blanks on issues that could be key in his race for governor against Democratic Sen. Wendy Davis. The answers are coming as Abbott faces pressure not only from Davis but from the potential fallout […]

Once again, the cost of not expanding Medicaid

Short answer: It’s a lot. A team of Harvard researchers recently released a deeply sobering study quantifying how many Americans stand to die needlessly in the unflinching states hellbent on denying Medicaid expansion, as provided by the Affordable Care Act. The study singles out Texas: “In Texas, the largest state opting out of Medicaid expansion, […]

More Obamacare enrollments, still lots more needed

That’s pretty much the story. Texas enrollment in the online insurance marketplace created by the Affordable Care Act rose steadily in February but did not meet expectations set forth by the Obama administration, according to figures that the U.S. Department of Health and Human Services released Tuesday. “As more Americans learn just how affordable marketplace […]