Medicaid | KERA News

Medicaid

From Texas Standard:

A coalition of rural Texas hospitals says small-town hospitals in the state are facing a "closure crisis" after those in Crockett and Trinity ceased operations over the summer.

The group says the recent closures bring the total number of closed rural hospitals in the past four years to nearly 20. And if the Texas Legislature and the U.S. Congress don't act, more rural communities will be left without immediate access to quality health- and emergency care.

 

Bob Daemmrich for The Texas Tribune

Thousands of advocates have flooded the federal government with comments this week, weighing in on whether it should reverse an Obama-era decision to strip Texas of millions in federal funding for a health care program that excludes abortion providers and their affiliates. 

A Houston lawmaker is trying to get the Legislature to reverse cuts to a Medicaid program that pays for therapy for children with development delays – despite it not being on the official agenda for the special session.

It was about a year ago that Ornella Mouketou walked into the emergency room at the George Washington University Hospital in Washington, D.C., and told them she wanted to end her life.

She was in her early 20s, unemployed and depressed.

"I was just walking around endlessly. I was walking around parks, and I was just crying all the time," she says. "It was like an empty black hole."

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A vote on the Senate's health care bill has been delayed until after the July 4 recess. If the bill is passed, it will roll back programs like Medicaid and Medicare, and the Congressional Budget Office predicts 22 million more people will be uninsured by 2026.

The Senate’s proposed replacement for the Affordable Care Act has “declared war on people with disabilities of all ages,” a disability rights advocate said Monday after the Congressional Budget Office released a report scoring the legislation.

Medicaid is the government health care program for the poor.

That's the shorthand explanation. But Medicaid is so much more than that — which is why it has become the focal point of the battle in Washington to repeal and replace the Affordable Care Act, also known as Obamacare.

As Healthy Texas Women closes in on a one-year milestone, the state says the program has been steadily increasing access to health care for women. Advocates, however, are skeptical.

Texas is closer to testing out a Trump administration rule that allows states to withhold federal funds from Planned Parenthood.

Republicans plan to turn control of Medicaid over to the states as part of their replacement for the Affordable Care Act, according to an adviser to President Donald Trump.

Statewide funding cuts to therapies for young children with developmental delays go into effect today. Some state lawmakers have vowed to reverse cuts during the legislative session next year. But until that reversal happens, Early Childhood Intervention (ECI) providers are going to have a hard time keeping their doors open.

Casey Chapman Ross

Texas House Speaker Joe Straus said Tuesday that lawmakers in the Capitol’s lower chamber would seek to restore funding for disabled children’s in-home therapy services during the upcoming legislative session, potentially reversing the state's course in an emotionally-fraught, year-long legal battle.

Texas Moving Forward With Budget Cuts For Disabled Kids' Therapy Services

Nov 28, 2016
Callie Richmond / Texas Tribune

More than a year after lawmakers originally ordered it, Texas quietly announced Monday it will enact significant cuts to the money that it pays therapists who treat vulnerable children with disabilities in two weeks.

Last year, the Texas legislature approved a $350 million cut in Medicaid reimbursement rates to early childhood intervention therapists and providers. The cuts, made to help balance a billion dollars in property tax relief, affect the most vulnerable Texas children — those born extremely prematurely or with Down syndrome or other genetic conditions that put them at risk for developmental delay.

Todd Wiseman / The Texas Tribune

A significant cut to the amount of money Texas pays therapists who treat children with disabilities was finally cleared to take effect — more than one year after state lawmakers originally ordered it — when the Texas Supreme Court on Friday declined to hear a lawsuit over the budget cut's legality.

State lawmakers are discussing today what to do about a plan to cut Medicaid reimbursement rates for groups that provide therapy to young children with developmental issues.

North Texas Hospitals Face $27 Million Penalty In Medicaid Dispute

Sep 7, 2016
Todd Wiseman / The Texas Tribune

Hospitals in the Dallas-Fort Worth region were overpaid by $27 million in federal funds to provide health care for the uninsured, according to a new order from the Obama administration, which is threatening to take the money back.

Texas Tribune

The Texas Supreme Court on Friday delivered a temporary, last-minute victory to families of children with disabilities who want to stop sweeping budget cuts to a state-funded children’s therapy program.

Lawsuit Won, Texas Moves to Cut Therapy Programs For Disabled Children

Jun 14, 2016
Todd Wiseman / The Texas Tribune

One year after state lawmakers decided to slash $350 million in funding for pediatric therapy services provided to children with disabilities, Texas is finally poised to move forward with the planned cuts that were delayed for months after in-home therapy providers sued to stop them. They lost that court battle in April but have vowed to continue putting up a fight.

Graphic by Todd Wiseman/The Texas Tribune

The Obama administration has agreed to temporarily keep some federal Medicaid money flowing into Texas to help hospitals treat uninsured patients, a relief to health care providers that feared losing the funds over state leaders' refusal to provide health insurance to low-income adults.

Texas Appeals Court Tosses Lawsuit Over Medicaid Cuts to Therapy

Apr 21, 2016
Photo Illustration: Todd Wiseman/The Texas Tribune

A Texas appeals court delivered a big loss on Thursday to a group of home health agencies and parents of children with disabilities who sued the state over payment cuts to in-home therapy providers.

Lauren Silverman / KERA News

People in Texas are significantly more likely than adults nationwide to report that it has gotten harder to see a doctor in the past two years. That’s one finding in a new poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health.

Lauren Silverman / KERA News

When children get sick at school, it can be a big disruption. For the kids – they have to miss class –and for mom or dad, who have to leave work, try and schedule a last minute doctor’s appointment, maybe even go to the emergency room. So, what if kids could see a pediatrician without having to leave school? That’s the idea behind a telemedicine initiative run by Children’s Health. The program has gone from reaching several hundred kids to in Texas to thousands.

Actions Against Planned Parenthood Are Not Final, Texas Official Says

Oct 26, 2015
John Jordan / Texas Tribune

The Texas official in charge of the Medicaid inquiry of Planned Parenthood says that the organization has not been terminated from that federal health care program and that it would take at least a month to determine whether it should be.

Texas Kicks Planned Parenthood Out Of Medicaid Program

Oct 19, 2015
Tamir Kalifa / Texas Tribune

Texas health officials say they are kicking Planned Parenthood out of the state Medicaid program entirely over what they called "acts of misconduct" revealed in undercover videos filmed earlier this year.

give.childrens.com

More than half of about 1,200 bills state lawmakers passed in 2015 become law September 1. Among them: One law allows doctors to be paid for seeing students in the state’s Medicaid program at school over a sophisticated form of video chat. 

We don’t often hear about the Medicaid 1115 waiver in Texas, but this waiver gives Texas billions of federal dollars to provide some pretty expensive care.

This waiver expires in 2016, though. Texas is in the process of asking the federal government to extend and renew the money, but that renewal isn't guaranteed.

Feds Have New Leverage In Medicaid Showdown

Nov 11, 2014
Marjorie Cotera / The Texas Tribune

If Texas wants to keep receiving billions of federal dollars to help hospitals care for uninsured patients, state lawmakers may have to look again at expanding Medicaid coverage for impoverished adults, some political observers say.

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Tuesday's Republican sweep added a new layer of conservatism to state government in Texas.

KERA’s Shelley Kofler talked with Ross Ramsey with The Texas Tribune about how that might play out at the Texas Legislature.

Shelley Kofler / KERA News

Two key state lawmakers from opposing parties say they haven’t given up on creating a plan that would allow Texas to collect billions of federal Medicaid dollars tied to the Affordable Care Act.

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