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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.

Will COVID-19 Be the Impetus for Medicaid Expansion in Texas

Often your health care benefits stem from your income. What does that look like when you are unemployed because of the pandemic?  Before the pandemic,...

Houston Leads U.S. In Uninsured Children, While Texas Struggles with Medicaid Access and Coverage...

Houston has the highest rate of uninsured children of any metropolitan city in the U.S. Overall, Texas holds the worst coverage rate for children...

UT Study Shows Maternal Death Rate Is Still Terrible

A long-awaited report on maternal deaths in Texas was delayed until after the November midterm elections and may not even be released until after...

Texas Leads In Most Rape-Related Pregnancies Since Abortion Ban

The Lone Star State added another first-place trophy to its shelf of dubious honors this week. A new study in the Journal of the...
TX Covid

Texas’ COVID-19 Fatigue Shows as Cases, Hospitalizations Rise

After falling from the record highs set in July and August, COVID-19 caseloads and hospitalizations are on the rise again in Texas. The state...

Texas’ Broken Medicaid System May Finally Be Fixed

Among the many different items in the $1.75 trillion social spending bill that is currently being debated in Congress would be a fix to...

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...

Texas’ Families Leave The State Thanks To Lack Of Developmental Disabilities Services

Texas’ has around 500,000 residents living with intellectual and developmental disabilities. However, the state has the capacity to serve barely a fifth of those...
Texas children health insurance

Activists block walk to raise lack of health coverage awareness on Nov.9-10

Texas ranks dead last when it comes to healthcare costs and access. The state leads the nation in the number of uninsured. About 5...

First Local Malaria Case In Texas In 30 Years. Is It Time To Worry?

The first locally transmitted case of malaria in Texas in 30 years was officially announced last June 23. The patient was diagnosed with malaria...
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