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Texas

  • Thinking Frequent Medicaid Redeterminations Won’t Hurt Children’s Health Insurance? Take a look at What Happened in Texas.

    Nearly half (47%) of the 79 million people who get their health insurance through Medicaid are children. To ensure continuity of coverage for children, Congress took action to protect children’s access to health insurance by requiring states to provide a full year of continuous coverage in Medicaid to children beginning in 2024. But will children’s…

  • Medicaid’s Role in Small Towns and Rural Areas

    Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…

  • Medicaid Managed Care and Early Childhood Development: A 12-state Scan

    Summary and Key Findings The first five years of a child’s life are a period of rapid growth and development.  During this time, frequent check-ups are essential to monitor a child’s progress so that if a problem is identified an intervention can occur before things get worse.  Medicaid, a primary source of health care coverage…

  • State Medicaid and CHIP Snapshots, 2023

    The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017).  Check out more interactive…

  • Texas Medicaid Waiver Trilogy: The Final Installment

    The drama over Texas’ Section 1115 Medicaid waiver has come to a somewhat surprising and precipitous close. On April 22nd, 2022 the Biden Administration decided to stop fighting the litigation brought by Texas Attorney General Paxon to reinstate the terms of the Trump Administration’s waiver approval issued on January 15, 2021 (i.e. just a few…

  • Texas Medicaid Section 1115 Waiver Drama Trilogy: Part II

    Texas Expects to Get, But Not Give, Notice The Biden Administration came to town with clear intentions to review some of the waiver agreements that the Trump Administration had authorized – most notably on work requirements. We and others had urged the Trump Administration to reconsider the January 15th demonstration approval in Texas in light…

  • Texas Medicaid Section 1115 Waiver Drama: A Trilogy

    The world of Section 1115 Medicaid waivers can be mysterious and weedy, arcane and annoying, boring and, at times, dramatic. And in recent years, the use of Section 1115 authority by the Trump Administration stretched all previously known boundaries and wound up in court on multiple occasions  – most famously in the Arkansas work requirements…

  • Medicaid Wars: The Unwinding (and Litigation) Continues (Episode IV)

    It’s been seven months and change since the Biden Administration took office. What it found waiting for it on January 20 was not just a crisis of democracy and a global pandemic and a surge of unaccompanied children at the border, but also a large pile of policy intended to undercut the Administration’s ability to…

  • A Profile of Texas’s Low-Wage Uninsured Workers

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and otheradults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • Texas Medicaid Waiver a Diversion in Crisis of the Uninsured

    Confused about Texas Medicaid funding? Understandable. The April decision that Texas must “redo” the process to extend our Medicaid “1115 waiver” funding past 2022 — an extension granted by the Trump administration despite the lack of a required public comment process — is important but not calamitous. Texas’ waiver agreement, approved by President Barack Obama…

  • Harris County has more uninsured kids than most – and it’s only getting worse

    Houston Chronicle By: Gwendolyn Wu One in seven children in Harris County were uninsured in 2019, one of the highest rates in the country and almost triple the national average, according to a report from the Georgetown University Center for Children and Families. Those numbers are only expected to rise in 2020, as families lose employer-sponsored…

  • Fact Sheets: Latino Children’s Health Coverage

    State officials’ decisions about coverage options, especially in times of crises, have a profound effect on children and can exacerbate pre-existing racial and ethnic disparities. For notes on methodology, visit this page. Arizona Fact Sheet California Fact Sheet Florida Fact Sheet Georgia Fact Sheet Nevada Fact Sheet Puerto Rico Fact Sheet Texas Fact Sheet For…

  • In Texas, Thousands of Kids Lose Medicaid Coverage Each Month

    The Texas Observer It’s becoming a familiar scene across Texas: a parent brings her child to the doctor for a checkup. She signs in at the front desk. Only then does she learn that her child has been kicked off her health insurance—a casualty of missing paperwork and hoops she didn’t know existed. Next comes the…

  • In Texas, Thousands of Kids Lose Medicaid Coverage Each Month

    Texas Observer By: Sophie Novack It’s becoming a familiar scene across Texas: a parent brings her child to the doctor for a checkup. She signs in at the front desk. Only then does she learn that her child has been kicked off her health insurance—a casualty of missing paperwork and hoops she didn’t know existed.…

  • Uninsured rate for Texas’ youngest children jumps, report says

    Statesman By: Julie Chang The percentage of Texas’ youngest children without health insurance has increased since 2016, according to a report released Wednesday. In 2018, 8.3% of Texas children under age 6 — a total of 198,014 — were uninsured. The rate has grown by 1 percentage point, or about 23,000 children, since 2016, according…

  • More and More Very Young Children Across the Nation Lack Health Insurance. Guess How Texas Fares.

    Dallas Observer By: Lucas Manfield Nearly a fifth of the nation’s youngest uninsured children live in Texas, a stark reminder that the state has some of the most restrictive policies in the nation governing healthcare benefits for its most vulnerable residents. More than 8% of Texan children under the age of 6 are not insured,…

  • The Extraordinary Danger of Being Pregnant and Uninsured in Texas

    ProPublica & Vox By: Nina Martin and Julia Belluz From 2012 through 2015, at least 382 pregnant women and new mothers died in Texas from causes related to pregnancy and childbirth, according to the most recent data available from the Department of State Health Services; since then, hundreds more have likely perished…Texas is among the handful that still…

  • States that Expanded Medicaid are Helping to Protect Children from Becoming Uninsured

    Our annual report on the state of children’s coverage is out. It’s a deep dive into a disturbing trend – children across the country are losing affordable health coverage, rolling back gains started with the Affordable Care Act.  One main cause of this drop in coverage is easily fixed.  The 14 states that haven’t expanded…

  • National Decline in Child Enrollment in Medicaid and CHIP Slows but Steep Declines Continue in Problem States

    In the first four months of 2019, overall child enrollment in Medicaid and CHIP dropped by 122,000 children with declines in 31 states offset by gains in 20 states. As noted in previous blogs and this report, the largest declines are occurring in a handful of states. States with the Largest Percentage Decline – In…