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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.

Texas dead last in health coverage, again

About 19 percent of Texas' under-65 population is uninsured and 32 percent of the state's 19-34 year-olds lack health insurance

Insurance coverage for pre-existing conditions is under attack in Texas

In February of 2018, a federal lawsuit was filed in Texas, challenging the constitutionality of the Affordable Care Act (ACA). Texas v. Azar was...

Advocates Rally for Medicaid Expansion at the Capitol

Picture credit: Cover Texas Now AUSTIN, TX – On March 4th, over 80 Texas residents convened in front of the Texas Capitol to demand lawmakers...
Texas uninsured children

Texas uninsured children rate growing annually

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

Three Ways to Take Care of Yourself During the Coronavirus Mental Health Crisis

While Texans are homebound and social distancing has us on high alert, our mental health is also at risk. While we turn...

Dennis Paul puts Texas families at risk

Dennis Paul chooses special interest endorsements over the health and well being of Texas children.

86th #TxLege Report Card: Maternal Mortality (D-)

Women's health for the most part received little support in Texas’ 86th Legislative Session. At a time when 1-4...

Healthcare Is on the Ballot

We all know the saying, “Everything is bigger in Texas.”  Unfortunately, bigger doesn’t always mean better. Texas leads America in the number...

Jose M. Lozano opposes health care coverage for Texans

Health care for more Texans could bring more business to the state too. Politicians like Lozano vote against the Medicaid expansion however and continue to deny millions of Texans health insurance.

State of Texas, Dallas Chamber, Business groups join Dallas sick leave lawsuit

The ongoing lawsuit against the city of Dallas’ paid sick leave has attracted amicus briefs from some high-level supporters, amongst them are...

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