Medicaid

Affordable Care Act
10:46 pm
Thu August 14, 2014

Although Texas Leaders Aren't Expanding Medicaid, Enrollment Numbers Slated to Jump

On Aug. 14, 2014, ahead of the next legislative session, state senators talked about one of the most politically divisive federal programs, Medicaid.
Filipa Rodrigues for KUT News

Ahead of the next legislative session, state senators are talking about one of the most politically divisive federal programs – Medicaid. Or more specifically, how to avoid expanding Medicaid eligibility in Texas and still get more people insured.

Under the Affordable Care Act, Texas has at least two options for insuring more people. One is expanding Medicaid eligibility in Texas. The state’s Republican leadership doesn’t support that option.

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Medicaid
8:30 am
Tue August 12, 2014

Feds: Texas Responsible for Misspent Medicaid Dollars

A federal audit found the 3,000 percent increase in dental payments from 2003 to 2010 was ultimately Texas' responsibility.
photo illustration by: Peter Skadberg/Todd Wiseman

Texas is “ultimately responsible” for millions of misspent Medicaid dollars, according to a new federal audit, because a state agency failed to properly oversee the contractor that reviewed the medical necessity of Medicaid claims.

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Affordable Care Act
7:27 pm
Fri January 24, 2014

No Medicaid Expansion Leaves Thousands of Texas Women in 'Coverage Gap'

Todd Wiseman, Texas Tribune

Governor Perry’s decision not to accept federal expansion of Medicaid in Texas means 687,000 women will be left in a "coverage gap," according to a report by the National Women’s Law Center. Those women are too poor to qualify for Medicaid, but don’t make enough money to be eligible for subsidies on the federal health insurance exchange. 

Medicaid eligibility standards in Texas are among the strictest in the nation. A parent in a family of three must make less than $3,737 annually to qualify (19 percent of the federal poverty level), according to the Kaiser Family Foundation. Adults without dependent children are not eligible for Medicaid in Texas. 

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Texas
4:29 pm
Thu January 16, 2014

Physicians Group Gives Texas a Failing Grade for Access to Emergency Care

Texas is failing in several categories when it comes to its emergency care environment, according to a new report card from the American College of Emergency Physicians.
Nathan Bernier, KUT

Texas is failing in several categories when it comes to its emergency care environment, at least according to a report card from the American College of Emergency Physicians.   

Based near Dallas, the physicians group grades states each year on their emergency care environment.

This year, Texas gets an F, ranking 47th in the nation, for access to emergency care.

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Affordable Care Act
10:27 am
Fri November 15, 2013

Oregon Shines On Medicaid, As Texas Stalls On Sign-Ups

Kyle Thompson and his family are all going to have health coverage in Oregon, thanks to the state's successful effort to enroll people in Medicaid.
Kristian Foden-Vencil

Originally published on Thu November 14, 2013 6:29 pm

Oregon might be seen as a complete failure or a surprising success when it comes to its health insurance exchange.

One the one hand, the state's website has yet to allow a single person to enroll. That's a big problem for the folks who are hoping to qualify for subsidies and buy insurance that will start Jan. 1.

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Affordable Care Act
4:33 pm
Fri October 25, 2013

Sebelius Vows to Fix Obamacare Site, Calls for Texas Medicaid Expansion

Central Health CEO Patricia Young Brown, left, and Austin Mayor Lee Leffingwell join Secretary Kathleen Sebelius at a CommUnity Care clinic in Austin on Oct. 25, 2013.
Jorge Sanhueza-Lyon, KUT News

With all of the attention on the health care marketplace website problems, Health and Human Services Secretary Kathleen Sebelius was in Austin today for some damage control. 

Sebelius went to CommUnityCare’s East Austin Health Center, where she promised that problems with healthcare.gov and its Spanish-language version will get fixed.

She also praised mayors across Texas for supporting Medicaid expansion, and urged state leaders to join them.

"I’m hoping that Texas takes another look at that opportunity because there will be millions of people still left on the side of the road with no affordable options," Sebelius said.

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Health
12:21 pm
Wed October 2, 2013

State Points to 'Federal Glitch' that Could Delay Some Children's Health Coverage

The new federal health insurance exchange could lead to a delay in children’s healthcare coverage.
flickr.com/sharynmorrow

Although the Affordable Care Act is now the law of the land, the fight is far from over. Yesterday's launch of insurance marketplace websites saw some hiccups, including long wait times as people jammed onto the sites to sign up for coverage.

Now, the state says, there's another problem: for some families, using the marketplace sites could lead to a delay in children’s healthcare coverage.

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Education
7:00 am
Fri July 12, 2013

Could Halving the Dropout Rate Save Texas Half a Billion Dollars?

A new study finds if Texas cuts its dropout rate in half, it could save the state $547 million dollars in Medicaid spending
flickr.com/nodivision

Reducing the high school dropout rate in Texas by 50 percent could save the state $547 million in Medicaid spending annually, according to a new report from the Alliance for Excellent Education

The study finds raising education-attainment levels could reduce health-related costs – specifically surrounding obesity, tobacco and alcohol use and heart disease. 

"An educated citizen is a healthy, productive and happier citizen," Bob Wise, president of Alliance for Excellent Education, said in a statement released Wednesday.

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Health
9:00 am
Thu May 23, 2013

Protesters Get Unexpected Medicaid Meeting with Gov. Perry

Connie Paredes with the Texas Organizing Project spoke to the media after she had a conversation with Gov. Rick Perry about Medicaid expansion on May 22, 2013.
Veronica Zaragovia for KUT News

Health care protestors who interrupted Gov. Rick Perry during a speech yesterday afternoon were surprised that he offered to meet with them in exchange for letting him continue his talk.   

Gov. Perry has called Medicaid “broken” and a “fool’s errand.” Despite his adamant stance against expanding the entitlement program, at least 20 protesters with the Texas Organizing Project wanted to discuss it with him.

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2013 Legislative Session
5:45 pm
Wed May 22, 2013

Perry, Interrupted, Meets With Medicaid Advocacy Group

Reynaldo Gutierrez, center, was one protester who got a meeting with Gov. Perry earlier today.
Andrew Weber for KUT News

A Texas advocacy group took some less than subtle steps today to get a meeting with the governor.

Members from the healthcare advocacy group Texas Organizing Project interrupted Gov. Rick Perry multiple times during a speech at the Texas Global Business Summit this afternoon, repeating a call for Texas to accept federal Medicaid dollars.

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Politics
5:30 pm
Wed May 15, 2013

Agenda Texas: Medicaid Expansion Update

Medicaid expansion holding on by a thread under the dome.
Texas Tribune

Medicaid expansion in Texas: we’ve highlighted the topic a couple of times during the legislative session. From those hoping to pick up Medicaid coverage, to lawmakers for and against Texas joining in the Affordable Care Act program.

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Politics
5:04 pm
Thu April 25, 2013

Medicaid Negotiations Going Nowhere, HHS Chief Says

HHS Commissioner Kyle Janek says the Legislature needs to call the tune.
Marjorie Kamys Cotera, Texas Tribune

Negotiations with the federal government to expand Medicaid in Texas are at a standstill, according to the head of the state’s health agency, because he’s waiting on the Legislature to give him direction.

“If I were to go up and say, ‘Oh what if we try this or try that,’ only to come back and find that that very day the Legislature had passed legislation saying, ‘You may not talk about that,’” Health and Human Services Commissioner Kyle Janek said at a TribLive event held by our political reporting partner the Texas Tribune, “it would be a waste of my time to start negotiating pieces.”

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Politics
5:11 pm
Tue April 23, 2013

Bill on Texas Solution to Medicaid Expansion Moves Forward

A bill approved today by a Texas House committee would help insure the roughly 6 million Texas residents who don’t have coverage.
Nathan Bernier, KUT

A bill approved today by a Texas House committee would help insure the roughly 6 million Texas residents who don’t have coverage, but not in the way envisioned by the federal Affordable Care Act.

State Rep.  John Zerwas, R-Simonton, says his bill is what he calls a “Texas” solution to the health insurance gap. He adamantly says he’s not for Medicaid expansion.

"To put a million and a half people into the current Medicaid program and expect we’re going to be able to serve those people with a very fragile provider network is just totally wrong," Zerwas said.

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2013 Legislature
3:41 pm
Tue April 16, 2013

Texas Nursing Homes Seeking More From Medicaid

Nursing Home professionals and some of their elderly patients gathered today at the Capitol to ask state lawmakers to give more for Medicaid funding.
Andrew Weber for KUT News

Nursing home professionals from all over Texas gathered today at the Capitol, asking lawmakers to expand Medicaid funding to care for more of the state’s seniors.

Paul Gerharter is director of nursing at Touchstone Communities, a provider of nursing home care in Central and South Texas. He says state budgets have lessened the number of nursing homes in the midst of a growing need for long-term care.

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Politics
3:42 pm
Thu April 4, 2013

House Opens Door to Medicaid Expansion Negotiations

Todd Wiseman via Texas Tribune

In the midst of debate on the 2014-15 budget, the House quietly approved an amendment on Thursday that would open the door to negotiations on expanding Medicaid, a key provision of federal health reform. The amendment requires the Health and Human Services Commission to develop a plan to create more efficient health care options for Medicaid populations if the state chooses to draw down federal financing to expand Medicaid eligibility.

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Politics
7:15 am
Tue April 2, 2013

Lawmakers' Divide on Medicaid Expansion Impacts Texans

U.S. Rep. Joaquin Castro spoke during a press conference to express support for Medicaid expansion in Texas.
Filipa Rodrigues

While Gov. Rick Perry spoke early in the day, protesters with the Texas Organizing Project shouted slogans in support of Medicaid expansion.

Republican U.S. Sens. John Cornyn and Ted Cruz lined up alongside the Governor to speak against Medicaid expansion. Sen. Cornyn said expanding Medicaid rolls in Texas could add to the national deficit, leaving Texas alone to handle costs.

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2013 Legislative Sesssion
3:25 pm
Mon April 1, 2013

Perry, Cruz, Castro Bros. Face Off Over Medicaid Expansion (Update)

From left: U.S. Sens. John Cornyn, Ted Cruz and Gov. Rick Perry argued against expanding Texas Medicaid under the Affordable Care Act.
Filipa Rodrigues for KUT News

Update: The biggest Republicans in Texas stood side-by-side today and argued against expanding Texas Medicaid under the Affordable Care Act.

U.S. Sen. Ted Cruz said it doesn’t matter if the federal government has offered to cover the full cost of the expansion for the first three years and 90 percent thereafter.

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Health
5:20 pm
Wed March 27, 2013

Mental Health, Physical Health: $10M Program Looks to Help Both

State Health Services is participating in a $10M study to provide incentives to non-elderly Medicaid recipients to improve their health.
Flickr user Images of Money, bit.ly/LeSsiT

Texas is trying to help some Medicaid recipients with behavioral disorders improve their health. 

The state’s health department has embarked on a $10 million dollar project aimed at preventing people with mental health or substance abuse issues from developing chronic diseases.

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2013 Legislative Sesssion
4:03 pm
Mon March 25, 2013

Senate Approves Overhaul of Long-Term Medicaid Care

Sen. Jane Nelson reacts as her SB 7, a Medicaid reform bill passes the Senate on March 25, 2013.
Bob Daemmrich, Texas Tribune

The Texas Senate unanimously approved an overhaul of long-term and acute care Medicaid services on Monday in an effort to expand care to more disabled Texans while saving millions of state dollars.

“We cannot continue to fund the same inefficient, unsustainable long-term care system and expect a different result,” said Sen. Jane Nelson, R-Flower Mound, the author of Senate Bill 7.

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Politics
6:05 am
Thu March 21, 2013

Expanded Asset Tests for Medicaid Proposed

Making more people eligible for Medicaid has been controversial at the Capitol.
Todd Wiseman, Texas Tribune

The state of Texas has not joined in the expansion of Medicaid under the Affordable Care Act. At the Conservative Political Action Conference late last week, Gov. Rick Perry said he would not let Texas join the expansion unless the federal government tailored the program for this state.

Perry gave a list of requirements for Texas to join the Medicaid expansion. Many were items he’s demanded in the past, but one in particular caught the ear of those who support expansion.

“We need to asset-test to make sure care is there for those who really need it most,” Perry said at CPAC.

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