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.

“The Least of These”: Matt Shaheen and the Legislators Who Fail to Help Texans

Shaheen and several of his Dallas area colleagues opposed the insurance mandate for mental health services, as well as speech and hearing disability assistance.

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.”

Tony Dale’s Vaccine Fail

State Representative Tony Dale (R - Cedar Park) says fighting for kids is one of his top priorities, but his endorsement by fringe, anti-science special interests says otherwise.

Ron Simmons sides with extremists over Texas kids

Protecting public health should be a common-sense, basic responsibility of the Texas Legislature. But State Representative Ron Simmons (R - Carrollton) thinks he knows better.

Texas Medicaid Review Board Will Require Witnesses to Say if They’ve Received Pharma Money

Drugs on preferred drugs lists require less paperwork from physicians for approval, and thus are prescribed more often.

Texas Ranks Dead Last at Providing Health Care

A report ranks Texas 51 out of all 50 states and Washington D.C. when it comes to providing health care.

Jonathan Boos: Special interests over Science

Infectious diseases are on the rise in Texas. In 2017-18, the flu was responsible for 9,470 deaths across Texas, with more than 2,150 deaths in...

Science Is Real. Here’s Hoping State Rep. Sarah Davis Keeps Fighting the Anti-vaxxers and...

It may be hard to believe but there are still Texans who are ardent opponents of immunization, despite the wealth of hard evidence they...

Data: Women Used Less Programs After Texas Legislature Slashed Health Care Funding

Women’s Health is More than “Choice.” It’s been approximately seven years since the Texas Legislature began moving to defund health programs for women and as...

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