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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 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...

86th #TxLege Report Card: Maternal Mortality (D-)

Women's health for the most part received little support in Texas’ 86th Legislative Session. At a time when 1-4 Texas women are uninsured, rural obstetrics...

Dobbs’s Decision Had Adverse Effect On Maternal Health, Survey Shows

In the year since the U.S. Supreme Court overturned Roe v Wade and removed the federal protection to the right to an abortion, a...

Unsafe Abortions Will Not Be Counted In Maternal Deaths

A committee that tracks maternal deaths in Texas will not be allowed to count those resulting from abortions. According to The Houston Chronicle, the Texas...

A Million Texans Signed Up for the Affordable Care Act in 2019

The Affordable Care Act, also known as Obamacare, has faced a hostile Trump Administration determined to dismantle it since President Trump took office in...

Texas Schools Tell Teachers With Medical Risks They Must Return To Classrooms During The...

After several miscarriages over the last few years, Joy Tucker is finally pregnant with her third child at the age of 37. A school counselor...

Valoree Swanson is putting Texas children at risk

If the people Swanson is supposed to represent can’t trust her to do that, what can they trust her to do?

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,...

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 protect some...

Texas Has Highest Percentage Of Uninsured Residents In The Nation

Amidst the peak of the COVID-19 pandemic, the federal government implemented measures to facilitate the enrollment and retention of Medicaid for low-income Americans. However,...
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