Tag Archives: health insurance

Even the Fifth Circuit occasionally finds a limit

Posted on June 24, 2024 by Charles Kuffner

Remarkable. While it upheld the crux of a right-wing district judge’s ruling on a major Affordable Care Act case Friday, a panel of judges on the 5th Circuit Court of Appeals accused that district judge of abusing his discretion by … Continue reading →

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Senate votes to outlaw transgender people

Posted on April 26, 2023 by Charles Kuffner

Another dismal day at the Capitol. Transgender Texans of all ages could have their access to transition-related medical treatments severely limited — or effectively ended — under a bill the Texas Senate preliminary approved Tuesday. Senate Bill 1029 would make physicians … Continue reading →

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It’s the year 2022 and we’re still litigating the Affordable Care Act

Posted on September 9, 2022 by Charles Kuffner

Isn’t this horse dead yet? A federal judge in Fort Worth agreed Wednesday with a group of Christian conservatives that Affordable Care Act requirements to cover HIV prevention drugs violate their religious freedom. U.S. District Judge Reed O’Connor also agreed … Continue reading →

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At least you’re (probably) not giving birth in West Texas

Posted on August 13, 2022 by Charles Kuffner

This is a long story about the lack of prenatal and obstetric care in West Texas. It’s mostly set in Alpine, Presidio, and Big Bend, which are the “big cities” in the area that actually have doctors and medical facilities … Continue reading →

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There’s a lot of anti-LGBTQ litigation out there

Posted on July 26, 2022 by Charles Kuffner

Sorry to be the bearer of bad news, but this is where we are. In the wake of the toppling of Roe v. Wade and with Justice Clarence Thomas urging the U.S. Supreme Court to revisit rulings on gay sex … Continue reading →

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The empty “mental health” promise

Posted on June 28, 2022 by Charles Kuffner

What’s going on in Uvalde these days. Days after the May 24 shooting, Texas Gov. Greg Abbott promised an “abundance of mental health services” to help “anyone in the community who needs it … the totality of anyone who lives … Continue reading →

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Maybe this is finally the end of that zombie same sex employee lawsuit

Posted on June 2, 2022 by Charles Kuffner

I dream a dream. The Texas Supreme Court has declined to consider a challenge aimed at preventing the city of Houston from offering benefits to employees’ same-sex spouses. The ruling is the latest blow to two Houston residents’ prolonged fight … Continue reading →

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“Silver loading”

Posted on May 17, 2022 by Charles Kuffner

I did not know this. The latest state to take strong action to improve affordability in its ACA marketplace is … Texas? […] But let me explain some background details first. Below 200 percent of the federal poverty level (that … Continue reading →

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Time once again for Texas hospitals to struggle financially

Posted on April 30, 2022 by Charles Kuffner

I feel their pain, but… More than $3 billion in federal money has flowed to Texas health care providers in recent months to help pay for COVID-19 treatments, tests and vaccines for patients without health insurance, according to national health … Continue reading →

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Texas gets its Medicaid 1115 waiver back

Posted on August 22, 2021 by Charles Kuffner

Hrmph. A federal district judge on Friday temporarily reinstated a 10-year extension of a federal health care program that Texas uses to help pay for health care for uninsured Texans and is worth billions of dollars annually. The agreement was … Continue reading →

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An alternate route to Medicaid expansion

Posted on June 21, 2021 by Charles Kuffner

I’m okay with this. Texas Democrats have tried for years to convince Republican state leaders to increase access to Medicaid. Now they think they have found a way to do it with or without their help. U.S. Rep. Lloyd Doggett … Continue reading →

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SCOTUS upholds Obamacare again

Posted on June 18, 2021 by Charles Kuffner

Another Ken Paxton failure, for which we should be grateful and also really pissed off. The U.S. Supreme Court struck down a Texas-led legal challenge to the Affordable Care Act on Thursday, saying the plaintiffs in the 2018 lawsuit are … Continue reading →

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Paxton sues over revocation of Medicaid 1115 waiver

Posted on May 15, 2021 by Charles Kuffner

Someone please explain to me if this has any merit. Texas Attorney General Ken Paxton sued the Biden administration Friday to reinstate an eight-year extension to a federal health care funding agreement, worth billions of dollars annually and set to … Continue reading →

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Zombie same sex employee lawsuit denied again

Posted on May 2, 2021 by Charles Kuffner

Shuffling along like the undead flesh eater that it is. A Texas appellate court struck a challenge Thursday to Houston’s policy giving same-sex spouses of city employees the same benefits as different-sex spouses, saying that the city was immune from … Continue reading →

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Today is not the day we expand Medicaid

Posted on April 23, 2021 by Charles Kuffner

Tomorrow isn’t looking so good either. The Texas House on Thursday rejected an attempt to direct the governor and state health officials to use billions in federal dollars to expand health care coverage for uninsured Texans, including working poor who … Continue reading →

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Medicaid expansion by any means necessary

Posted on April 22, 2021 by Charles Kuffner

Whatever it takes. But I’ll believe it when I see it, and I have a very hard time believing that the current cast of characters will do anything to make it happen. Texas Republicans have been swift to condemn the … Continue reading →

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Now it really is time for Texas to expand Medicaid

Posted on April 18, 2021 by Charles Kuffner

Good for the Biden administration putting the pressure on. The Biden administration on Friday rescinded changes to a federal funding agreement, known as a 1115 waiver, that would have extended for 10 years Texas’ health care safety net for uninsured … Continue reading →

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A brief summary of what the next two years will be like

Posted on January 22, 2021 by Charles Kuffner

What will Republicans do without Trump? “The Republican Party is at a crossroads like it’s never been before, and it’s gonna have to decide who it is,” said Corbin Casteel, a Texas GOP operative who was Trump’s Texas state director … Continue reading →

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Here’s the official budget forecast

Posted on January 12, 2021 by Charles Kuffner

“Could be worse” remains the watchword. Texas lawmakers will enter the legislative session this week with an estimated $112.5 billion available to allocate for general purpose spending in the next two-year state budget, a number that’s down slightly from the … Continue reading →

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We’re number one (million)!

Posted on November 12, 2020 by Charles Kuffner

One million COVID cases in Texas. Hooray? Texas’ grim distinction as the national leader in terms of COVID-19 infections came as little surprise to some local medical experts, who blamed politicians for conflicting messages about the virus and warned the … Continue reading →

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We don’t need a vote to expand Medicaid

Posted on August 13, 2020 by Charles Kuffner

There’s a fundamental truth that needs to be addressed in this. On Tuesday, Missouri became the 38th state to expand Medicaid, opening healthcare to over 230,000 Missourians. It joins a lengthy list of GOP-led states in expanding healthcare, including Nebraska, … Continue reading →

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Matt Glazer: A way to end surprise medical bills

Posted on July 31, 2020 by Charles Kuffner

(Note: The following is a guest post that was submitted to me. I occasionally solicit guest posts, and also occasionally accept them from people I trust.) At a young age, I had to deal with medical issue after medical issue. … Continue reading →

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The extraordinary danger of being pregnant and uninsured in Texas

Posted on December 13, 2019 by Charles Kuffner

So utterly appalling. From 2012 through 2015, at least 382 pregnant women and new mothers died in Texas from causes related to pregnancy and childbirth, according to the most recent data available from the Department of State Health Services; since then, … Continue reading →

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On to the next big financial issue for the city

Posted on August 18, 2019 by Charles Kuffner

It’s always something. Four years ago, the main source of Houston’s deteriorating financial health — billions of dollars in unfunded pension obligations — loomed over the race for mayor, promising a massive test for the winner. Now, Mayor Sylvester Turner, … Continue reading →

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The Fifth Circuit Obamacare hearing

Posted on July 10, 2019 by Charles Kuffner

Remember, the Fifth Circuit is where hope goes to die. Adjust your expectations accordingly. On the left was Judge Carolyn Dineen King, an appointee of Jimmy Carter; on the right sat Judge Kurt Engelhardt, a nominee of Donald Trump, and … Continue reading →

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The lawsuit to kill Obamacare has its hearing at the Fifth Circuit today

Posted on July 9, 2019 by Charles Kuffner

Brace yourselves. Last year, after a federal judge in Texas declared the entirety of the Affordable Care Act unconstitutional, throwing into question millions of Americans’ health coverage, the state’s Republican leaders promised they would come up with a plan to … Continue reading →

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Trump goes all in against health care

Posted on March 27, 2019 by Charles Kuffner

Game on. The Trump administration wants the federal courts to overturn the Affordable Care Act in its entirety, an escalation of its legal assault against the health care law. The Justice Department said in a brief filed on Monday that the administration supports a … Continue reading →

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Texas is not going to expand Medicaid

Posted on February 26, 2019 by Charles Kuffner

Don’t get me wrong, Texas should have expanded Medicaid at its first opportunity. It would do so much to improve health care in the state, including and especially mental health care, which would have significant spillover effects on criminal justice. … Continue reading →

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Same sex employee benefits lawsuit tossed again

Posted on February 25, 2019 by Charles Kuffner

This is great, but as always that’s not the end of it. The lawsuit dates back to 2013, when pastor Jack Pidgeon and accountant Larry Hicks sued the city to end the policy. In 2015, after the U.S. Supreme Court … Continue reading →

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Anti-Obamacare ruling appealed

Posted on January 6, 2019 by Charles Kuffner

The big non-Mueller story to follow for 2019. The Democratic coalition of states battling Texas over the fate of the Affordable Care Act has formally begun the process of challenging a Dec. 14 decision ruling the law unconstitutional in its … Continue reading →

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Ridiculous anti-Obamacare ruling remains on hold

Posted on January 2, 2019 by Charles Kuffner

It is what it is. The federal judge in Texas who ruled the Affordable Care Act unconstitutional said today that the law can stand while his judgment is under appeal. In his order issuing a stay and final partial judgment … Continue reading →

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Now how much would you pay for that emergency room visit?

Posted on December 31, 2018 by Charles Kuffner

Guess higher, and it is a guess because who knows what you’ll wind up getting charged for it. Fifteen months after Texas enacted a law to bring transparency to the state’s for-profit free-standing emergency rooms, many of the facilities continue … Continue reading →

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The ACA decision

Posted on December 16, 2018 by Charles Kuffner

Utterly ridiculous, and likely to be short-lived. A federal judge in Texas threw a dagger on Friday into the Affordable Care Act, ruling that the entire health-care law is unconstitutional because of a recent change in federal tax law. The … Continue reading →

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The AG race and the lawsuit to kill Obamacare

Posted on September 27, 2018 by Charles Kuffner

I feel like this is a better issue for Justin Nelson than it is for Ken Paxton. Of course, on the down side, for it to really be salient millions of people will have lost health insurance. Not that Ken … Continue reading →

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