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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.

SXSW 2020 Health Panels Focus on Possible Solutions

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Advocates Rally for Medicaid Expansion at the Capitol

Picture credit: Cover Texas Now AUSTIN, TX – On March 4th, over 80 Texas residents convened in front of the Texas Capitol to demand lawmakers...

New Report Shows Reasons For Maternal Care Decline

Texas is filled with "maternity care deserts" according to a new report from the March of Dimes Perinatal Data Center. The center defines maternity...

Texas Leads Nation in Medicaid Disenrollment

During the height of the COVID-19 pandemic, the federal government stepped in to make it easier for poor Americans to enroll and stay on...

The American Rescue Plan Sweetens the Deal on Medicaid Expansion in Texas

While much has been written about the direct cash assistance in President Biden’s $1.9 trillion stimulus package, The American Rescue Plan Act also includes...

State Expands COVID-19 Testing Beyond Nursing Homes

The Texas Health and Human Services Commission is expanding COVID-19 testing to all patients, residents and staffers at the 23 state-operated inpatient psychiatric hospitals...

Linda Koop: Opposes health care coverage for Texans

Over the course of her tenure in the Legislature, State Representative Linda Koop (R-Dallas) has been a consistent force and contributor toward Texans not having health care.

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

To understand how the Texas health care safety net for uninsured residents works in 2019, consider the Western Hills mental health clinic in an...

Rural Texas Hospitals Struggling in Face of COVID-19

Hospitals may be the front line in the fight against COVID-19, but some of the troops are receiving less support than others. Rural hospitals...

Texas Anti-Vaxxers Oppose COVID-19 Contact Tracing

Texans for Vaccine Choice has launched a campaign against contact tracing initiatives in Texas. The group is concerned about medical information they believe should...
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