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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.

The Overall Life Expectancy In The U.S. Declined By 2 Years

From 2019 to 2020, the overall life expectancy in the United States declined by 1.8 years according to a New National Vital Statistics report.  The...

Texas Medicaid Expansion Stalls After Lack of Speaker Support

Despite some promising bills that were filed in the 87th Texas Legislature, it looks like any efforts for the state expanding Medicaid under the Affordable...

McAllen Convention Center Designated as Overflow COVID-19 Treatment Facility

The McAllen Convention Center is being converted into a health care facility to help meet the area’s growing need for hospital capacity. The convention...
Flu Season

Wearing Masks, Social Distancing Can Help Keep the Flu Away, Too

The new flu season began last Thursday, but its impact could be less severe in the time of COVID-19. Some people have been masking up,...
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...

Pro- and Anti-vaccination Groups Prepare for Battle Over Coronavirus Vaccine

A vaccine for coronavirus is likely still more than a year away, but it’s on the minds of Texans right now.  On both sides of...

Both Texas Senators Fail To Protect IVF

Two bills came before the U.S. Senate this week that were supposed to protect in-vitro fertilization, one of them written by Texas’s own Sen....

Is Texas Still Losing Money Over Medicaid?

Last Friday, the Biden administration decided to drop litigation against the State of Texas over Medicaid safety net funds for the state’s uninsured stays in...

Outside of Texas’ Big Cities, Some Are Still Waiting Nearly a Month for Coronavirus...

Roving test sites staffed by the Texas National Guard — a state solution to increase coronavirus test access outside of major cities — have sometimes proven...

Local Health Authority Resigns in Texas Border County Battered by Coronavirus

The top doctor advising Starr County on local health policy resigned abruptly Monday, leaving a key position temporarily vacant in a rural border community...
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