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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.

Statewide hospital compliance hurts all over: Medicaid recipients get bruised by safety deficiencies

The typical hospital is envisioned as a place where sick people get better. But the 751 hospitals penalized by the federal government...

Where is Texas When It Comes to Pregnancy and Maternity Leave?

Pregnancy or adoption can be both wonderful and stressful for parents-to-be, and the length of paid parental leave can make a big...

You May Be Helping Stop the Spread of COVID-19 With Every Flush

Who knew that flushing a toilet could yield valuable information about the spread of coronavirus? The virus can be detected in human...

As ADA Turns 30, Still More Work to be Done

President George H.W. Bush signed the Americans with Disabilities Act 30 years ago. This landmark legislation provided people with disabilities across the...
Texas leads nation

Texas Leads the Nation in Uninsured Children, Report Shows

Nearly one million Texas children, 13% of the state’s population of those 18 and younger, did not have health insurance in 2019,...

New Bill Would Tackle Statute of Limitations for Fertility Doctors Who Use Their Own...

Fraud and malpractice in fertility medicine is unfortunately a long-running and pervasive problem, particularly when it comes to doctors choosing to use...

After an Election where Medicaid Expansion Won Across the Country, Where Does Texas Go?

We all know the saying, “Everything is bigger in Texas.”  Unfortunately, bigger doesn’t always mean better. Texas leads America in the number of uninsured Americans, and in particular, we have the most uninsured children in the United States.

Voters to decide fate of Texas cancer center

Millions of dollars in cancer-fighting grants are on the line when voters head to the polls in a few weeks. 

Coronavirus Will Not Affect the Census Count, Advocates Say

With Texas households starting to receive invitations by mail this week to complete the 2020 Census, the outbreak of coronavirus disease 2019,...

Why is COVID-19 Hitting African Americans So Hard?

The pandemic is shining a light on how African Americans are suffering and how their health needs have been ignored. 

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