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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.

Republican Bill Targets ACA Protections, Millions in Texas Could Lose Coverage

As many as 1.7 million Texans are projected to lose their health insurance under sweeping changes to...

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...

“Sen. Cruz, What About My Daughter’s Tragic Life Was ‘Reasonable?’”

One of the hardest things about Samantha Casiano’s daughter’s death was the gifts. Friends, family, and well-wishers saw only a pregnant woman, not someone...

Paxton, Texas Right To Life Recruit Men To Inform On Pregnant Partners For Seeking...

Texas Attorney General Ken Paxton and the state’s largest anti-reproductive choice organization, Texas Right to Life, are teaming up to further restrict abortion access....

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 Force base...

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...

Consumer protection measure against surprise medical billing faces implementation issues

This year, Texas legislators passed a bill to protect patients from surprise medical billing; however, implementation of the law, which is set to go...

UT Study Shows Maternal Death Rate Is Still Terrible

A long-awaited report on maternal deaths in Texas was delayed until after the November midterm elections and may not even be released until after...

Expanding Healthcare in Texas: What’s on the Table, and Who’s Signed On?

One of Texas’ most heated debates has been its refusal to participate in the Medicaid expansion under the Affordable Care Act. Now, it looks...

Get a Flu Shot! It is Very Important This Year.

A new report from the Centers for Disease Control and Prevention shows a decrease in immunizations for children heading toward the start of the...
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