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.

Alaska officials sent 16-year-old Richard DeMaar 4,000 miles away from his parents to a psychiatric facility in San Antonio because his home state wasn’t equipped to handle his severe depression. Within six weeks, he had tied a makeshift noose around his neck, strangling himself to death. He's one of roughly 900 out-of-state kids sent to residential treatment centers in Texas in the last five years, part of a national compact that allows states that don't have adequate psychiatric services to send kids to states that do. But the practice has come under fire from children’s health advocates, who say it takes kids away from their families and their communities — two things they need to make a full-fledged recovery.

Workers at a center for distressed children in Manvel provoked seven developmentally disabled girls into a fight of biting and bruising, while they laughed, cheered and promised the winners after-school snacks. The fight was one of more than 250 incidents of abuse and mistreatment in residential treatment centers over the last two years, based on a Houston Chronicle/Texas Tribune review of Department of Family and Protective Services records.

Texas’ “geriatric” inmates (55 and older) make up just 7.3 percent of Texas’ 160,000-offender prison population, but they account for nearly a third of the system’s hospital costs. Prison doctors routinely offer up the oldest and sickest of them for medical parole, a way to get those who are too incapacitated to be a public threat and have just months to live out of medical beds that Texas’ quickly aging prison population needs. They’ve recommended parole for 4,000 such inmates within the last decade. But the state parole board has only agreed in a quarter of these cases, leaving the others to die in prison — and on the state’s dime.

The biggest consumer benefit of federal health care reform — adding millions more Americans to insurance rolls — could spell disaster for some public hospitals.

The world-renowned Dallas doctor who essentially invented jogging as exercise talks with the Tribune about health care reform, the crisis of obesity in Texas, and what lawmakers must do to shore up the physical-education legislation they passed last session.

In Texas, nurse practitioners’ livelihoods are tied to physicians: By law, they can’t treat patients without a doctor’s permission. That means if they want to open their own practice, they must petition, and pay, a doctor to grant them “prescriptive authority” — to essentially keep an eye on their work and, in some cases, to be held liable for it. Doctors say this is as it should be. Nurse practitioners and their allies say doctors don't want the competition and charge them enough to run them out of business. “It borders on an immoral situation,” says state Rep. Wayne Christian, R-Center.

Lawmakers said Monday that the state's newborn disease screening program — which has been used to warehouse infant blood samples for biomedical and forensics research — has misled parents and given them few options to protect their babies' DNA.

That’s right — they’re not from Texas. Newly licensed physicians enlisting to treat the state’s Medicaid and Medicare patients are more likely to have been trained at international medical schools, according to a review of state medical licensing data.

With health care reform expected to place up to 1 million more Texans on the state rolls in the next several years, experts predict a surge in the number of doctors who opt out of accepting Medicaid and Medicare patients, thanks to reimbursements well below private-payer rates.

The anticipated rush on primary care physicians — the likely result of health care reform’s insurance expansion — could drive rich Texans into private medical clubs.

What's in an IQ score? For autistic or profoundly mentally ill Texans: everything. A growing number of disabled young adults are considered too high-functioning for state care services, but their families say they’re too dangerous to go without them. Admission to state-supported living centers is limited to disabled people with IQs under 70 — and community-based care is generally capped at an IQ of 75.