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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.

Postpartum Depression Plan a Good Start, but More Needed

In Texas, one out of seven mothers experiences postpartum depression, and maternal mental health challenges can affect their child’s development. 

Stickland Sells Out Cheap to Anti-Vaccination Group

A majority of believe healthy children "should be required to be vaccinated in order to attend public schools because of the potential risk for others when children are not vaccinated.”

A federal safety net funds health care for uninsured Texans. Time is running short...

Kristal Macaluso, a phlebotomist at Western Hills Clinic, reorganizes medical supplies at the clinic, part of MHMR of Tarrant County. Leslie Boorhem-Stephenson for The Texas...

New Maternal Health Program in Texas a Good Start But Falls Short

Ninety thousand women enrolled in the Healthy Texas Women program will automatically receive up to 12 months of enhanced postpartum care coverage. 

Will Cynthia Flores choose special interest cash over Texans' health?

Texas women need legislators to invest in maternal health, and expand state health services, not protect insurance companies and private healthcare interests.

Affordable Care Act: Fixer Upper or Tear Down?

Correction: Previously, we wrote "A decision has yet to be made" regarding the Texas-led lawsuit against the Affordable Care Act in front...

First Republican Medicaid Expansion Bill Filed in Years

Texas House Rep. Lyle Larson filed HB 1730 and HJR 86, which would put Medicaid expansion on the ballot this November.

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