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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.

Healthcare Access for New Moms will Have to Face Managed Care

The battle for Medicaid expansion in Texas has allegedly reached a milestone for new moms, as House Bill 133 will extend postpartum benefits from...

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...
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...

Texas vaccine exemption rates have reached an all-time high. Did Texas make it too...

As measles cases hit a 25-year high in the United States, Texas medical experts fear the state could see the next outbreak of a...

Senate Report Ignores Expert Advice On Vaccine Mandates

A Texas Senate report on COVID response released last week ignored expert testimony and supported a ban on vaccine mandates. Three members of the...

Texas removes thousands of children from Medicaid each month due to red tape, records...

Yesenia Alvarado holds her daughter, Medicaid patient Melanie Almaraz, 2, while waiting to see Dr. Alberto Vasquez for treatment of a fever at Su...

Measles Infecting Kids in Undervaccinated West Texas County

A measles outbreak has infected two dozen unvaccinated West Texas residents over the past two weeks, hospitalizing nine, the Texas Department of State Health...

Texas Gets Its First Human Case of West Nile Virus in 2021

Texas has reported its first human case of West Nile virus this year, on Tuesday. A Dallas County resident was confirmed to have the virus...

Comptroller Skirts Medicaid Expansion as Fix for Texas’ Uninsured Woes

In the latest edition of his Fiscal Notes publication, Texas Comptroller Glenn Hegar seems to be making the case for Medicaid expansion in Texas,...

Texas’ Has A ‘Moral Obligation’ To Dwindle It’s Growing Mental Health Crisis

Texas’ mental health system hit a grim milestone on Friday, according to sources at the Judicial Commission on Mental Health (JCMH), there are now...
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