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Texas has the highest uninsured rate of children, adults, and women in the country. Reform Austin is committed to providing in-depth reporting to illuminate the critical issues and challenges Texans are facing in healthcare.
Texas is one of 14 states that refuses to expand Medicaid coverage. Almost 10 years after the passage of the Affordable Care Act, Texas still ranks last when it comes to affordability and access.
Additionally, a lawsuit challenging the constitutionality of the Affordable Care Act could cost 1.73 million people healthcare coverage. Texas is the lead plaintiff in the lawsuit.
Texas still ranks among the worst for maternal mortality and low overall for women’s health. One in four Texas women are uninsured. Currently, women can obtain maternity Medicaid coverage until 2 months after childbirth. Advocates have argued that the coverage length is insufficient, and to address the maternal mortality crisis, coverage should be expanded to one year. Though Medicaid expansion would have made the biggest stride in improving women’s health, the policy did not get beyond a committee hearing or House floor vote in the 86th Legislative Session.
Approximately 875,000 Texas children do not have health insurance. From 2016 to 2018, the percentage of uninsured children rose from 10.7 percent to 11.2 percent. In Texas, once a child is approved for Medicaid they are covered for six months. After the six-month period, the state requires parents to file income updates monthly to continue the coverage. If the state determines there is a problem, parents are given 10 days to respond with necessary paperwork. This has led to many children being removed from the Medicaid roles, despite still qualifying for the program.
Reform Austin covers access to healthcare, healthcare quality, mental health, public health programs, and vaccinations. We report on laws the Texas Legislature passes and the effects they have on the healthcare system, as well as the laws that fail. In addition, we report on lawmakers involved to ensure our elected leaders are working for the public good.

Medicaid Expansion Bill Has Enough Votes to Pass the Texas House

After federal Medicaid officials rescinded the 1115 waiver forcing Texas to find new options for drawing down billions in federal funding for...

Medicaid Officials Overturn Texas 1115 Waiver, Could Cost State Billions

Officials at the Centers for Medicare and Medicaid Services have rescinded an extension to Texas' 1115 Medicaid Transformation waiver, saying Trump era...

Good Bill Hunting: Tracking Data for Maternal Mortality in Texas

Good Bill Hunting is a weekly series during the legislative session where RA News will look at a bill or piece of...

House Acts to Protect Working Mothers, Expanding Eligibility for Medicaid Coverage

HB 133 by Rep. Toni Rose (D-Dallas) which would allow women who qualify for Medicaid to stay on the program for 12...
COVID-19 Vaccine

Study Finds That COVID-19 Vaccines Are Safe for Pregnant and Lactating Moms

Pregnant women were excluded from clinical trials for the COVID-19 vaccine, therefore, there has been limited data around the safety of the...

Texas Medicaid Expansion Stalls After Lack of Speaker Support

Despite some promising bills that were filed in the 87th Texas Legislature, it looks like any efforts for the state expanding Medicaid under...

Maternal Medicaid Extension Passes Out of Committee

Texas' struggle with maternal mortality is not new, however the Legislature made a big step toward addressing its abysmal record when the...

Expanding Healthcare in Texas: What’s on the Table, and Who’s Signed On?

One of Texas’ most heated debates has been its refusal to participate in the Medicaid expansion under the Affordable Care Act. Now,...

The American Rescue Plan Sweetens the Deal on Medicaid Expansion in Texas

While much has been written about the direct cash assistance in President Biden’s $1.9 trillion stimulus package, The American Rescue Plan Act...

First Republican Medicaid Expansion Bill Filed in Years

Texas House Rep. Lyle Larson filed HB 1730 and HJR 86, which would put Medicaid expansion on the ballot this November.

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