Health
5:53 am
Wed January 9, 2013

Does Texas Medicaid Spend Too Much on Braces?

A new study by The Pew Center on the States gave Texas “D” for its pediatric dental health.  This as a leading state legislator says the state of Texas spent more Medicaid money on orthodontia for children than all the other states--combined.

The Austin American Statesman’s PolitiFact Texas unit wondered about that. And KUT’s Emily Donahue checked in with head fact-checker Gardner Selby to get the scoop.

Lois Kolkhorst, who heads the Texas House Committee on Public Health said at the Texas Tribune Festival in September that Texas spent more than all the other states combined on Medicaid-backed orthodontic procedures--meaning braces and the like--quote “according to many, many reports and even our own data."

Politifact Texas checked references by her office to multiple news reports by a Dallas TV station, WFAA, Channel 8, which starting in May 2011 laid out many accounts of needless procedures performed on children and funded by Medicaid partly, it reported, because requests for payment were not being denied. For instance, an anchor introduced a June 2011 report by saying Texas "spent $184 million last year on free braces for kids covered by Medicaid. That’s more than the rest of the country combined."

Reporter Byron Harris told Politifact that the station checked on 2010 spending in Texas and the nine other most populous states. Texas, that $184 million, the other states, $127 million. He also said there was not enough time to check on the other 40 states. All the reports Politifact found tied to WFAA’s research. Yet Kolkhorst also emailed us handwritten notes that she described as House research into spending in the nine other big states plus five others--which all together still spent less than TX alone that year.

The claim rated Half True. Why? WFAA's reporting clearly demonstrates the state spent more on orthodontic procedures funded by Medicaid in 2010 than the other nine most-populous states, combined. But we’re about 40 states shy of the full picture.