In the wake of high-profile incidents of abuse, state health officials want to boost payments to Texas' institutions for the disabled by $25,000 per patient per year. But the proposed Medicaid rate change has drawn the ire of Texas’ disability community, which wants to see the facilities shuttered rather than propped up.

As the reality of health care reform sinks in, physician-owned specialty hospitals are on edge. Some are scouring the law for loopholes; others want to sell out to corporations. 

Across Texas, hospital systems are scooping up physician groups and solo practitioners, scrambling to create the kinds of coordinated medical teams that federal health care reform puts a premium on. But some health care providers say the gold-rush-style push is an overreaction driven by fear of the unknown.

Young adults who age out of Texas foster care often request their records to reconnect with estranged siblings, to track down biological families or to understand what they endured. But child welfare advocates complain the state routinely denies these requests, saying the records can't be found or will take months or even years to compile — assuming they respond at all. State officials admit they have a large backlog but insist they've beefed up staff and are putting new policies in place to address it.

State Sen. Bob Deuell, R-Greenville, wants Planned Parenthood's clinics out of the state’s Women’s Health Program, which provides family planning services — but not abortions — to impoverished Medicaid patients. He says a 2005 law should exclude them already. But for years, the state’s Health and Human Services Commission has allowed those clinics to participate, for fear that barring them might be unconstitutional. Deuell has asked Texas Attorney General Greg Abbott to clear up the matter, hoping it will free up the agency to push Planned Parenthood out.

Most of Texas' health insurance companies have fully covered the costs of the infant vaccine Prevnar 13, which prevents deadly cases of bacterial pneumonia and meningitis. The exception has been Blue Cross Blue Shield of Texas, which has forced physicians to make up the difference or turn babies away. But no more: On Monday, the same day The Texas Tribune asked about the reimbursement gap, BCBS reversed course. It will now cover all costs associated with the vaccine.

A Houston psychiatrist who uses clinically controversial brain scans to diagnose everything from anxiety to marital discord. A Plano music therapist who believes his Peruvian pan flute tunes cure mental illness. And a Beaumont child psychologist reprimanded for continuing to prescribe to a proven drug abuser. These physicians have written more prescriptions for potent antipsychotic drugs to the state’s neediest patients than any other doctors in Texas.

Criminal records don't always exclude job applicants from working with the most vulnerable foster care children, according to a Texas Tribune/Houston Chronicle investigation. At Daystar Residential Inc., where workers forced developmentally disabled girls to fight each other, dozens made it through the state's background check process in the last three years despite records of arrests.

The FBI is investigating whether a hacker broke into the state’s confidential cancer database, possibly accessing personal information and medical records. Health and Human Services Commissioner Tom Suehs says state health officials notified his office in early May that a hacker was holding the Texas Cancer Registry hostage and demanding a ransom. Suehs says preliminary investigation results from the FBI indicate the threat may be a hoax but that if private records were compromised, health officials will quickly notify the people listed in the registry. 

Are Texas medical schools missing a social conscience? Many fare poorly in a new study that ranks them based on their contributions to meeting the nation’s health care needs.

When Texas expanded its Medicaid managed care program in 2003 to cover more than urban centers, the Rio Grande Valley narrowly avoided being included. But as state leaders stare down a multibillion-dollar budget shortfall, they say it’s unlikely the Valley will make it through another session without being roped in.

Texas officials have halted the placement of foster care children at Daystar and have assigned the Houston-area residential treatment center a state monitor following revelations of a staff-instigated “fight club” incident two years ago and a new incident that has come to light this past week: a possible sexual assault of a girl living at the facility.