Texas uninsured children rate growing annually

Texas uninsured children

Texas uninsured children number one in the country. The number of uninsured children in Texas is increasing annually, and the state lays claim to the largest number of uninsured children in the country.

About 875,000 of Texas’ children don’t have health insurance, according to a recently released report from Georgetown University. The study found that 21.5% of all uninsured children in the nation live in Texas. 

From 2016-2018 the percentage of uninsured children rose from 10.7 percent in 2017 to about 11.2 percent in 2018.

“This is a very troubling trend,” Joan Alker, the study’s lead author, said. The trend is “mainly due to the fact that children are losing Medicaid and CHIP coverage,” she said.

Alker is the executive director of the Georgetown University Center for Children and Families. She is also a research professor at the McCourt School of Public Policy.

Alker’s team drilled down into nationwide data to look at the counties with the highest number of uninsured children. Of the top 10 in the nation, five of those counties are in Texas. 

Harris and Dallas counties are numbers one and two, respectively, for the number of uninsured children. About 165,000 — or 12.6 percent — of Harris County’s children don’t have health insurance.

Texas uninsured children: cities worse than counties

A recent U.S. Census Bureau report looked at uninsured children in metro areas and came to similar conclusions as the Georgetown study did.

Dallas was the metro area with the highest uninsured rate, at 11.7 percent. Approximately 11.6 percent of children in the Houston metro area — which includes multiple counties — don’t have health insurance.

The Georgetown study also found that Dallas County has the highest rate of uninsured children, at 15.2 percent. However, the raw population number of 111,000 uninsured children in Dallas doesn’t exceed the population of uninsured children in Houston. 

Tarrant County rounds out the top five with 62,622 uninsured children. Hidalgo and Bexar are also in the Top 10.

Texas children’s lack of health coverage concerns health professionals. 

Lanre Falusi, the American Academy of Pediatrics national spokesperson, was one of the health professionals to speak out when the Georgetown report was released.

“For children who are uninsured, I worry about the critical services they are missing out on,” Falusi said. She added that she worried “what it will mean for their short- and long-term health.”

The number of uninsured children doesn’t just refer to children without private health insurance, as children who dropped off the Medicaid rolls also count as uninsured.

In the last three years, the number of children on Texas’ Medicaid rolls have shrunk; in July 2019, 2.82 million children were enrolled in Children’s Medicaid, down from 2.9 million in July 2018. The July 2018 number was down by about 500,000 from the July 2017 total.

The loss of enrollment might be tied to “overly cumbersome eligibility checks,” according to Dr. Laura Guerra-Cardus of the Children’s Defense Fund of Texas. 

“[Unenrollment] is causing significant confusion for families and throughout the Texas health care system,” Guerra-Cardus said. “Many families don’t learn their children are uninsured until they show up for an appointment with their health care provider.”

Nationwide, more than 4 million children were uninsured in 2018, a number that has increased by more than 400,000 between 2016 and 2018.

Texas utility assistance plans don’t provide enough help

Texas utility assistance

By Christoper Adams

It’s safe to say that, at least in Texas, the summer of 2019 will be remembered for its “atomic heat lamp on burned flesh” ambience. 

The relentless triple-digit temperatures cooked up copious servings of energy-draining days and heat-related illnesses.

Heat-related illnesses were extremely prevalent in Texas’ lower-income population. Particularly amongst low-income Texans who had their electricity disconnected. 

Electricity disconnections are incredibly common in Texas. Retail Electric Providers (REPs) discontinued service 834,000 times between June and September 2018. 

Termination of electric service is a contributing factor to the nearly 70 heat-related fatalities Texas experiences every year, according to a recent investigation by the Austin American-Statesman.

“Those deaths coincide with an alarming 117 percent spike in the number of customers who’ve had their electricity cut off over failure to pay during the hottest months of the year,” according to the Statesman. 

State law prevents REPs from disconnecting electricity during heat advisories and on holidays and weekends. However, that can still leave Texas’ low-income residents weeks without electric service.    

From 1999-2013 low-income Texans had Lite-Up Texas to help them through the state’s brutal summers. 

The Texas utility assistance program provided discounts on electricity to nearly 700,000 households through a 65-cent per megawatt-hour surcharge on utility bills.

The state generated approximately $100 million a year from this charge, which underwrote the assistance program. Although it was fairly common for the State Legislature to use a portion of that money to close gaps in the state budget.

The legislature canceled the program in 2013 and its funding bled dry by 2016, ending its seventeen-year run and placing many in the lower-income segment of the population in a desperate situation.

But two years ago the legislature passed SB 1976, which transferred the responsibility of offering discount programs to the providers or utilities.  

Kaiba White, Public Citizen Texas’ energy policy and outreach specialist, described Lite-Up Texas as “incredibly important.”

The traditional method of reducing electric bills has been utility discount programs, according to White. One of the discount programs was the Lite-Up Texas utility assistance program.

“Public Citizen would like to see all of those programs continue and be more robust,” White said. “And frankly, probably, reach larger segments of people.”

When it was up and running, Lite-Up Texas reduced the electricity bills for low-income families by 25 percent to 31 percent.

In order to receive the discount, people had to qualify for Medicaid and the SNAP food stamp program.

Moreover, it was only offered in deregulated markets such as Houston, Austin, and San Antonio. 

In areas not eligible for the Texas utility assistance program, the federally funded Comprehensive Energy Assistance Program, or CEAP administers funds to those struggling with paying their electric bills. 

The money is disbursed by the Texas Department of Housing and Community Affairs (TDHCA).

The state agency dispenses the funding via 37 sub-recipients across Texas, according to Kristina Tirloni, the TDHCA’s media relations/senior communications advisor. The sub-recipients, or providers, work with their in-need consumers directly. 

TDCHA administered $108.4 million in CEAP funds during 2018, assisting more than 151,000 households, Tirloni wrote. 

Funds for qualifying people/families — at or below 150 percent of the federal poverty level — are available up to six bill payments annually for non-vulnerable households and eight payments annually for vulnerable households.               

In an editorial, the Statesman called for legislators to allow struggling customers to make payments to their electricity provider over a nine-month period. Currently, state law only allows for a five-month payment plan. 

White believes discount programs connected to traditional electricity sources aren’t the only solution.

“There are actually more sustainable models that would utilize, for example, solar energy, to reduce bills permanently instead of in perpetuity having to provide a discount,” she said.

In Austin, the option for Austin Energy to provide low cost, local solar to decrease bills is one they’re looking at, White said. 

She added that they’re not seeking to eliminate long-standing programs like CEAP. 

Energy advocates want to provide less expensive, alternatively-sourced electricity as a supplement, White said. 

“[It’s] something that can reach a larger segment that extends a little bit higher in income,” she said. “But is still serving people who are struggling with affordability.