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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.

Texas Ranked The Worst State For Children Mental Health Services

Texas ranked as the worst state regarding access to children’s mental health services, but state leaders are reluctant to take drastic actions to address...

Concerned Employees Expose Chaos Amid Medicaid Unwinding, 500,000 Texans Lose Coverage

During the unwinding process, Texans faced a frantic struggle to maintain their Medicaid coverage. Sadly, due to "procedural reasons," approximately 500,000 Texans were cut...

House GOP Advances Health Plan as Obamacare Costs Rise

House Republicans have advanced a new health care package aimed at lowering certain costs, but the move...

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.

Texas men charged with trying to sell 50 million bogus N95 masks to foreign...

(Reuters) - Two Houston-area men have been criminally charged with trying to fraudulently sell 50 million N95 respirator masks they did not actually possess...

Pathways to Improving Maternal Health in Texas Emerging

Too many Texas women face poor pregnancy outcomes, especially women of color, but with the 2021 legislative session just around the corner, advocates see...

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...

Texas Gets Antiviral Medication Remdesivir to Treat COVID-19

The Texas Department of State Health Services announced Tuesday it is distributing 1,200 vials of the drug remdesivir, provided by the federal government, to...

Affordable Care Act: Fixer Upper or Tear Down?

Correction: Previously, we wrote "A decision has yet to be made" regarding the Texas-led lawsuit against the Affordable Care Act in front of the...

Texas Emergency Abortion Ban Is Back In Place After An Injunction Was Granted

On Friday a Travis County judge’s order temporarily blocked Texas’s abortion ban on emergency abortions. Just a few hours later, the Attorney General’s office...
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