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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.

As COVID-19 Cases Increase, Texas May Be Heading for Trouble

Texas set new daily records for COVID-19 hospitalizations and new positive cases this week. Could that be a trend? What can we expect in...

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With Texas households starting to receive invitations by mail this week to complete the 2020 Census, the outbreak of coronavirus disease 2019, also known...
Texas Supreme Court on Jan. 15, 2020. Photo credit: Miguel Gutierrez Jr./The Texas Tribune

Rejecting appeal, Texas Supreme Court blocks Austin’s paid sick leave ordinance

The high court let stand a lower court's ruling that Austin's paid sick leave ordinance is unconstitutional because it conflicts with the Texas Minimum Wage Act.

Paid sick leave goes into effect for Dallas workers, but Attorney General Ken Paxton...

For many Texas workers, when illness or a family emergency strikes, there is little recourse to take time off if they want to stay...

Texas is Heading Down a Dangerous Path, Local Leaders Warn as Coronavirus Cases and...

As Texas' coronavirus cases and hospitalizations continue to break records for a second straight week, leaders and health experts in the largest cities are...

Drive-Thru Coronavirus Testing Opens in Texas

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Abbott’s News Conference Today to Update Texans on COVID-19 Response

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AG Paxton Implicated In Yet Another Fraud Case

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