Months after Texas physicians treating the state’s poorest seniors made a public plea for relief, there has been little movement to reverse a state policy that curbed their reimbursements for patients eligible for both Medicaid and Medicare.  

The policy change, made by budget-weary state lawmakers last session with an expectation that it would save an estimated $450 million over the next two years, has created unintended consequences for some doctors, who find themselves barely able to keep their doors open. 

Dr. Javier Saenz, a family physician in La Joya, loses his breath talking about the extent of his private ...

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