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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.

Abbott Announces $9M in U.S. Funds for Texas Nursing Homes

Gov. Greg Abbott and the Texas Health and Human Services Commission have announced $9 million in federal funding to help Texas nursing homes fight...

Uninsured Rate for Texas Children Continues to Climb

Since 2016, the total number of uninsured children in Texas has been on the rise. According to a report from the Georgetown University Health Policy...

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 House Committee...

Texas Ranks Dead Last at Providing Health Care

A report ranks Texas 51 out of all 50 states and Washington D.C. when it comes to providing health care.
Telehealth

Texas Health Insurers to Continue Telehealth Reimbursements

Texas’ major health insurers have agreed to continue reimbursing network health care providers for telehealth appointments at the same rate which they pay for...

Crockett Slams Texas For Ignoring Pregnancy Deaths After Abortion Ban 

Texas announced it will not investigate pregnancy-related deaths for 2022 and 2023, skipping the years immediately following the state’s near-total abortion ban. U.S. Rep. Jasmine...

Get a Flu Shot! It is Very Important This Year.

A new report from the Centers for Disease Control and Prevention shows a decrease in immunizations for children heading toward the start of the...

Jonathan Boos: Special interests over Science

Infectious diseases are on the rise in Texas. In 2017-18, the flu was responsible for 9,470 deaths across Texas, with more than 2,150 deaths in...

Vaccine Exemptions, Food Labels, and More: RFK Jr.’s Fingerprints on 2025 Texas Legislation

While much of the 2025 Texas legislative session was marked by policy tweaks and incremental health care...

Postpartum Depression Plan a Good Start, but More Needed

In Texas, one out of seven mothers experiences postpartum depression, and maternal mental health challenges can affect their child’s development.  The Texas Health and Human...
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