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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 Senate panel advances bill banning cities from adopting sick leave ordinances

The Texas Senate State Affairs Committee this morning speedily advanced the first bill that’s not dubbed an emergency item by Gov. Greg Abbott: one...

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...

Lack of Testing Creates Incomplete Picture of Pandemic in Texas

The number of confirmed COVID-19 cases is going up daily, but the numbers being reported may not provide a true picture of how many...

Texas Anti-Vaxxers Oppose COVID-19 Contact Tracing

Texans for Vaccine Choice has launched a campaign against contact tracing initiatives in Texas. The group is concerned about medical information they believe should...

Maternal Sepsis More Than Triple After Texas Abortion Ban

The fallout from Texas’s near-total ban on abortion continues as rates of maternal sepsis soar. Those rates have more than tripled since 2021. Maternal sepsis...

Texas GOP Officials Celebrate Abortion Ban With Empty Promises For Improving Women’s Healthcare

In the wake of the Supreme Court overturning Roe v. Wade, Republicans are making promises to increase funding for maternal health care. But, Texas...

One in four Texas women are uninsured

Rep. John Bucy (D-Austin) claimed “One in four Texas women of reproductive age are uninsured, totaling 1.5 million Texas women” while presenting his amendment...

Morgue Trailers Showing Up in Texas as Calls Intensify for Another Shutdown

With space for bodies running out, morgue trailers are now being put into use in several areas of Texas. Refrigerated trucks have been requested for...

AG Paxton Implicated In Yet Another Fraud Case

Amazingly, Texas Attorney General Ken Paxton is now involved in yet another fraud scandal.  In the mid-2010s, a company named Conduent Business Services, which used...

U.S. Census Bureau Released New Data Revealing that Uninsured Rates Grew Under Trump

On Tuesday, the U.S. Census Bureau released new data on income, poverty, and health insurance coverage, announcing that median household income decreased 2.9% between...
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