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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.

Pandemic Fallout: Over 500,000 Texans Left Without Medicaid

According to data from the Texas Health and Human Services Commission, the COVID-19 pandemic has resulted in over 500,000 Texans losing their Medicaid health...

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 also includes...

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...

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

Texas Schools Tell Teachers With Medical Risks They Must Return To Classrooms During The...

After several miscarriages over the last few years, Joy Tucker is finally pregnant with her third child at the age of 37. A school counselor...

State Health Services Report Says Overdoses Leading Cause of Texas Maternal Deaths

A report released by the Texas Department of State Health Services (DSHS) said that drug overdoses, most of them related to opioids, caused the deaths of more new mothers than any other cause between 2012 and 2015.
Op-ed on importance of addressing Texas

Opinion: In 2020, Year of the Nurse, We Must Fix Texas’ Nursing Shortage

The philosopher Joseph Campbell said, “A hero is someone who has given his or her life to something bigger than oneself.” COVID-19 has shown...

Dwayne Bohac Puts Texas Children At Risk

As an elected official, Dwayne Bohac has a responsibility to protect the health and safety of Texas kids. If the people he is supposed to represent can’t trust him to do that, what can they trust him to do?

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 healthcare, the...

What Happens If the State Doesn’t Expand Medicaid?

In mid-April officials at the federal Centers for Medicare and Medicaid services rescinded an extension to Texas’ 1115 Medicaid Transformation waiver. “e are rescinding...
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