Tom Suehs

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The cost of expanding Medicaid under the Affordable Care Act – which Texas Gov. Rick Perry has long opposed – has been dramatically reduced.

Texas Health and Human Services Commissioner Tom Suehs told members of the Texas House Appropriations Committee the cost of expanded Medicaid services under the ACA would be $15 to $16 billion – some 40 percent less than an original estimate of $26 to $27 billion.

While a recent Supreme Court decision upheld the bulk of the Affordable Care Act, the court found states could not be denied existing Meidcaid funds if they opted-out of the Medicaid expansion the act allows for – instead, the states would be denied new Medicaid funds associated with the expansion.

Photo illustration by Todd Wiseman, Texas Tribune

The state's health commissioner is blasting the Obama administration's argument that it can't renew a joint state-federal health program because Republican lawmakers have banned Planned Parenthood from participating in it. 

In an uncharacteristically angry letter sent to Gov. Rick Perry, Lt. Gov. David Dewhurst and House Speaker Joe Straus, Health and Human Services Executive Commissioner Tom Suehs argues that if the Centers for Medicare and Medicaid Services (CMS) won't let Texas exclude Planned Parenthood from the Women's Health Program, "then no state can ever confidently apply policies and requirements that advance important and legitimate state interests to regulate providers' participation in Medicaid."