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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.

Outside of Texas’ Big Cities, Some Are Still Waiting Nearly a Month for Coronavirus...

Roving test sites staffed by the Texas National Guard — a state solution to increase coronavirus test access outside of major cities — have...

State of Texas, Dallas Chamber, Business groups join Dallas sick leave lawsuit

The ongoing lawsuit against the city of Dallas’ paid sick leave has attracted amicus briefs from some high-level supporters, amongst them are...

COVID-19 Testing Comes up Short of Gov. Abbott’s Promise As Case, Death Counts Rise

A check of testing activity finds Texas is still not meeting the coronavirus testing levels called for in Gov. Greg Abbott’s report...

Texas Leaders Hope Rapid Testing Will Restore Normalcy In The Pandemic. Health Experts Caution...

State and business leaders are hanging their hopes on the promise of new rapid coronavirus tests that they say could allow Texans...

Teens are Struggling. Here Are Ways to Help Them Cope

Teenagers have had their schedules and routines, friendships and other relationships upended by the COVID-19 pandemic.  “The types of...

Why is COVID-19 Hitting African Americans So Hard?

The pandemic is shining a light on how African Americans are suffering and how their health needs have been ignored. 

Uninsured Rate for Texas Children Continues to Climb

Since 2016, the total number of uninsured children in Texas has been on the rise. According to a report...

Pre-existing conditions under attack by Texas Republicans

A lawsuit seeks to invalidate pre-existing condition protections addressed in the Affordable Care Act (ACA). Pre-existing conditions are considered any disease or ailment for...

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...

Bill to End Rape Kit Backlog Gets Tentative Approval from House

On Wednesday, the Texas House unanimously approved House Bill 8, authored by Rep. Victoria Neave (D-Dallas), which seeks to end the rape kit backlog...

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