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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.

Health Care Providers Have More Time to Apply for Relief Funds

Gov. Greg Abbott and the Texas Health and Human Services Commission announced Wednesday that eligible health care providers have more time to apply for...

Lisa Luby Ryan is a risk to public health

Lisa Luby Ryan wants to serve in the Texas Legislature. She has a responsibility to protect public health. How can we trust her to do that?

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 Texas women are uninsured, rural obstetrics...

Measles Infecting Kids in Undervaccinated West Texas County

A measles outbreak has infected two dozen unvaccinated West Texas residents over the past two weeks, hospitalizing nine, the Texas Department of State Health...

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 the state...

Republican Bill Targets ACA Protections, Millions in Texas Could Lose Coverage

As many as 1.7 million Texans are projected to lose their health insurance under sweeping changes to...

Thousands of disadvantaged Texas children dropped from Medicaid

According to a report by Georgetown University’s Center for Children and Families, an estimated 835,000 Texas children went without health insurance in 2017, an...

Trump/Musk Cuts Hit Texas Veterans Hospitals

A “small” number of jobs have been cut from across Texas in the Veteran’s Administration hospitals, though the exact number is unknown. The San Antonio...

Texas Measles Outbreak Reaches 223 Cases, Spreading to Neighboring States

The measles outbreak in Texas has surpassed 200 reported cases and continues to spread, with new infections emerging in California, New York, and Maryland,...

Will Failing to Expand Medicaid Cause Rural Hospitals to Close?

Over the last year, the coronavirus pandemic brought many issues to light. One issue that is extremely important to all Texans is healthcare and...
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