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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.

First Republican Medicaid Expansion Bill Filed in Years

Texas House Rep. Lyle Larson filed HB 1730 and HJR 86, which would put Medicaid expansion on the ballot this November.

86th Legislature Fails Texans with Pre-existing conditions

Protections for pre-existing conditions could be lost under a current lawsuit and the 86th legislative session failed to do anything to help...

When Should I Get My Flu shot?

While there isn’t yet a vaccine for the coronavirus, there is one for the flu. But when should you get it?

Advocates Say Expanding Medicaid Could Help the Homeless. Greg Abbott Says He's Weighing Options.

Susan Peake lives at the state-run homeless encampment off U.S. Highway 183 in Austin. Miguel Gutierrez Jr./The Texas Tribune

SCOTUS to Hear Obamacare Challenge After November Election

The Supreme Court docket released Wednesday shows the high court will take up the Texas-led challenge of the Affordable Care Act on...

New Numbers Show Grim Reality of How Many Texans Lack Health Insurance

Texas is once again at the top of the heap when it comes to how many of its residents are without health...

In the Midst of the Pandemic, Texas Leads Renewed Effort to Kill Obamacare

Backed by the Trump Administration and with Texas Attorney General Ken Paxton leading, Republican governors and attorneys general from around the nation...

Texas Leaders Hope Rapid Testing Will Restore Normalcy In The Pandemic. Health Experts Caution...

State and business leaders are hanging their hopes on the promise of new rapid coronavirus tests that they say could allow Texans...

How Texas Is Preparing for Coronavirus

There are 10 cases of coronavirus in Texas in different stages of quarantine. All the patients are in isolation at Lackland Air...

A federal safety net funds health care for uninsured Texans. Time is running short...

Kristal Macaluso, a phlebotomist at Western Hills Clinic, reorganizes medical supplies at the clinic, part of MHMR of Tarrant County. Leslie Boorhem-Stephenson for The Texas...

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