Tribpedia: Federal Health Reform And Texas

Tribpedia

When the U.S. House of Representatives passed the Senate version of the Patient Protection and Affordable Care Act (ACA) into law on March 21, 2010, the reaction from Texas leaders of all political persuasions was swift, varied and impassioned — no surprise, given the sweeping scope of the new law.

One thing all sides could agree on: The implications of ...

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Sen. Jane Nelson and Lt. Gov. David Dewhurst introduce legislation designed to improve Texas health care.
Sen. Jane Nelson and Lt. Gov. David Dewhurst introduce legislation designed to improve Texas health care.

GOP Lawmakers Introduce Health Care Bills

Lt. Gov. David Dewhurst and Sen. Jane Nelson, R-Grapevine, introduced two bills Wednesday they believe will save the state money by increasing "healthy patient outcomes."

Texas Health Care Reform language.
Texas Health Care Reform language.

How Texas Health Reform Compares with "Obamacare"

Senate lawmakers unveiled bills today to reform how health care is paid for and how providers are held accountable for patient outcomes. Here's a look at how the wording of Texas' proposed reform legislation compares to the wording of the often-maligned federal health care reform law in Washington. 

Dr. Xavier Muñoz treats a patient in El Paso. Muñoz agreed to treat low-income, underinsured patients in return for having his medical school bill repaid — a program that could be eliminated through state budget cuts.
Dr. Xavier Muñoz treats a patient in El Paso. Muñoz agreed to treat low-income, underinsured patients in return for having his medical school bill repaid — a program that could be eliminated through state budget cuts.

Texas Physician Loan Repayment Deal in Jeopardy

More than 100 Texas doctors made a deal with the state: For four years, they would practice in underserved communities and treat the neediest patients — in return for having their med school debt forgiven. But now state officials may be backing down from their side of the bargain. 

A coalition of Tea Party groups rally against President Obama on Jan. 16, 2009, at the Texas Capitol.
A coalition of Tea Party groups rally against President Obama on Jan. 16, 2009, at the Texas Capitol.

Texas Won't Secede — But It Won't Shut Up Either

Texas leaders aren't talking about secession, after an outbreak of conversation a couple of years ago. But the germ of the idea remains in the anti-federalist talking points that fueled Gov. Rick Perry’s re-election campaign last year and provided the outline for his book, Fed Up!

Disabled man outside room where Senate Finance Committee listens to testimony on February 2, 2011
Disabled man outside room where Senate Finance Committee listens to testimony on February 2, 2011

Health Care Advocates Offer Emotional Pleas

From patients and parents to nurses and practitioners, the many faces of Texans affected by health care budget cuts gathered at the Capitol today to give an earful to lawmakers on the Senate Finance Committee. 

Odiel Rodriguez, a physician assistant, checks a patient's file at Ashley Pediatrics Day and Night Clinic in Pharr. Family practitioners fear what budget cuts will mean for the funding that keeps them in business.
Odiel Rodriguez, a physician assistant, checks a patient's file at Ashley Pediatrics Day and Night Clinic in Pharr. Family practitioners fear what budget cuts will mean for the funding that keeps them in business.

Are Payment Reform, Texas Budget in Conflict?

Lawmakers are crafting legislation to make health care more affordable and effective by rewarding doctors who get the best medical outcomes. But the cuts they're proposing to meet the state's budget shortfall could hinder some of the same physicians they're relying on to implement payment reform.

David Dewhurst: The TT Interview

The lieutenant governor believes he knows how to save Texas money and improve patient care by overhauling how doctors and hospitals are paid: with carrots, not sticks. In an interview with the Tribune, he talks about what he sees as the root of the health care crisis, and his proposed solutions.

HHSC Commissioner Tom Suehs testifies before lawmakers.
HHSC Commissioner Tom Suehs testifies before lawmakers.

Suehs Warns Lawmakers on Health Cuts

Health and Human Services Commissioner Tom Suehs pulled no punches when he warned Senate lawmakers today what proposed budget cuts will mean: either cutting the number of people served, or the money paid to those who care for them.  

Attorney General Greg Abbot on Jan. 31, 2011, speaking about Texas' lawsuit against federal health care reform.
Attorney General Greg Abbot on Jan. 31, 2011, speaking about Texas' lawsuit against federal health care reform.

Federal Judge Rules Health Care Reform Unconstitutional

A federal judge in Florida has ruled that the Patient Protection and Affordable Care Act — the federal health care reform that was signed into law in March — is unconstitutional, largely because it forces all Americans to purchase insurance. 

State Rep. John Zerwas, R-Simonton
State Rep. John Zerwas, R-Simonton

John Zerwas: The TT Interview

The state representative and anesthesiologist from Simonton on why he filed the House's first bill to implement a key piece of federal health-care reform and was the first in his party to openly suggest that dropping out of Medicaid wasn't such a great idea after all. 

Dr. Carlos Cardenas, chairman of the board at Doctor’s Hospital at Renaissance in Edinburg, performs an exam on a patient on Wednesday December 8, 2010. Many Texas hospitals like this one oppose certain aspects of the proposed expansion of Medicaid managed care.
Dr. Carlos Cardenas, chairman of the board at Doctor’s Hospital at Renaissance in Edinburg, performs an exam on a patient on Wednesday December 8, 2010. Many Texas hospitals like this one oppose certain aspects of the proposed expansion of Medicaid managed care.

Texas Hospitals Could Face Cuts in Federal Funds

Texas hospital administrators aren't thrilled about the 10 percent Medicaid provider rate cut included in the House's proposed budget. But what they fear more is the proposed expansion of Medicaid managed care, which could force them to forgo a combined $1 billion a year in federal funding.

TribWeek: Top Texas News for the Week of 1/17/11

The Trib staff on the sweeping cuts in the proposed House budget, Grissom on what's lost and not found at the Department of Public Safety, Galbraith on the wind power conundrum, Hamilton on higher ed's pessimistic budget outlook, Stiles and Swicegood debut an incredibly useful bill tracker app, Ramsey interviews Rick Perry on the cusp of his second decade as governor, Aguilar on a Mexican journalist's quest for asylum in the U.S., Ramshaw on life expectancy along the border, M. Smith on the obstacles school districts face in laying off teachers and yours truly talks gambling and the Rainy Day Fund with state Rep. Jim Pitts: The best of our best from January 17 to 21, 2011.

Endoscopy tech Dora Facturan, right, prepares Maria Perez, 65, for a colonoscopy exam from Dr. Carlos Cardenas, back left, on December 8, 2010 at the Doctor's Hospital at Renaissance in Edinburg. South Texans lead some of the longest lives in the state.
Endoscopy tech Dora Facturan, right, prepares Maria Perez, 65, for a colonoscopy exam from Dr. Carlos Cardenas, back left, on December 8, 2010 at the Doctor's Hospital at Renaissance in Edinburg. South Texans lead some of the longest lives in the state.

Border Counties Have Some of Texas' Longest Lives

Many of the longest lives in Texas are lived in an unlikely place: along the impoverished border with Mexico, where residents often live until age 80 and beyond. Explanations for this so-called "Hispanic Paradox" range from theories about differences in the diet, faith and family values of first-generation South Texans to suggestions that natural selection is at play in immigration patterns. 

Residents of East Texas, and particularly minorities, often make lifestyle choices, like smoking and eating high-fat diets, that affect their life expectancy.
Residents of East Texas, and particularly minorities, often make lifestyle choices, like smoking and eating high-fat diets, that affect their life expectancy.

Bad Diets, Smoking Cause East Texans to Die Young

The proof of East Texas' live-hard, die-young culture is in the bread pudding — and the all-you-can-eat fried catfish, the drive-through tobacco barns and the doughnut shops by the dozen. In a community where heavy eating and chain smoking are a way of life, where poverty, hard-headedness and even suspicion hinder access to basic health care, residents die at an average age of 73, or seven years earlier than the longest-living Texans, according to a preliminary county-by-county analysis by the University of Washington Institute for Health Metrics and Evaluation.