State Rep. Trey Martinez-Fischer, D-San Antonio, grills UT Regent Brenda Pejovich at the Select Committee on Transparency in State Operations on May 9, 2013.
State Rep. Trey Martinez-Fischer, D-San Antonio, grills UT Regent Brenda Pejovich at the Select Committee on Transparency in State Operations on May 9, 2013. Bob Daemmrich

On a White House conference call on Monday, Texas Democrats criticizedย Gov.ย Rick Perryย and other Republican state leaders for โ€œgetting in the wayโ€ of implementing federal health care reform.

During the call, which was organized by the White House to tout the impact of the Affordable Care Act in Texas, state Rep. Trey Martinez Fischer, D-San Antonio,ย and Dallas County Judge Clay Jenkins accused state leadership of creating obstacles to keep Texans from obtaining health insurance, as required by the health care law, also known as Obamacare. The two Democrats cited Texasโ€™ decision not to expand Medicaid, the lack of a state-based insurance marketplace and proposed additional rules for federal navigators.

Martinez Fischer called Texas the “poster child” for the uninsured, adding that the stateโ€™s rate of residents without health insurance โ€” the highest in the nation at about 25 percent โ€” had received โ€œno relief from state leadership.”

โ€œI wish we would use our energy and momentum in Texas with our statewide elected officials to actually embrace and work cooperatively with the administration to expand ACA opportunities in Texas rather than the trail of roadblocks,โ€ Martinez Fischer said.

Jenkins questioned Perryโ€™s request for additional regulations on federal navigators, who are charged with helping individuals sign up for health insurance.

โ€œIf they wonโ€™t help citizens gain access to coverage, they ought to stand down and stay out of the way for those of us who are willing to work to do the job for Texas,โ€ย Jenkins said.

Perry first requested the rules in September, citing consumer privacy concerns. Other Republican state leaders, including Lt. Gov. David Dewhurst and Attorney General Greg Abbott, followed suit.

Perry spokeswoman Lucy Nashed called the conference call an attempt to distract from the Affordable Care Act’s โ€œcontinued failures.โ€ She cited the technical problems of the federal online insurance marketplace, concerns surrounding the training of navigators and delayed enrollment deadlines.

โ€œTexas families and businesses donโ€™t need more empty rhetoric from the Obama administration to know that Obamacare is a failure,โ€ Nashed said.

During the call,ย two Texas residents who said they obtained health insurance through the federal marketplace in October recounted their previous struggles with health insurance providers.

The two Texas residents were among the 14,000 Texans who purchased health insurance through the embattled healthcare.gov website by the end of November โ€” a tiny percentage of Texasโ€™ large uninsured population.ย More than 6 million Texans were uninsured in 2011 and 2012.

During the press call, David Simas, a White House deputy senior adviser, did not provide updated enrollment numbers for Texas but said December figures, which will soon be released, showed a โ€œhuge spike.โ€

Other Texas Democrats have recently criticized state leaders for their attacks on the ACA.

During a Texas Department of Insurance hearing last month, state Sen. Kirk Watsonย of Austin suggested that the proposed new rules for federal navigators were โ€œproducts of raw political pressure.โ€ State Rep. Chris Turner of Grand Prairie said navigators were the the latest targets in an โ€œall-out assaultโ€ on the health care law.

This story was produced in partnership with Kaiser Health News, an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.

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Alexa Ura reported for The Texas Tribune from 2013 to 2023. She covered the complex dynamics of race, ethnicity, wealth, poverty and power and how they are shaping the future of Texas and Texans, in the...