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. 

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.

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

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.

The Texas Medical Association's leadership body voted this weekend to support vaccinating not just young girls but young boys for the human papillomavirus. But organization officials were quick to note that the vote did not include making such vaccines mandatory, which Gov. Rick Perry tried to do for Texas schoolgirls in 2007.

It's an email you'd expect to see taped up at a coffee shop, not sent out from the Department of State Health Services:

"Missing Puppy Found!"

Former HHSC Commissioner Albert Hawkins has a new job — working for the speaker of the Texas House.

The wait to get into one of Texas' 10 state mental hospitals — already long — may be about to get longer. Last month, as part of its attempt to comply with Gov. Rick Perry’s request that each state agency reduce its budget by 5 percent, the Department of State Health Services proposed eliminating 50 beds from four of the state's 10 mental hospitals: San Antonio, Rusk, Terrell and North Texas Wichita. The state's mental hospitals are already almost at full capacity, with nearly 2,500 self-admitted patients and allegedly criminal patients awaiting treatment so they can stand trial.

State officials painted a grim picture of how much the federal health care reform will cost Texas, and cautioned lawmakers on Wednesday that the price tag will likely grow.

Grissom on the U.S. Supreme Court's decision to stay Hank Skinner's execution, Thevenot on the myth of Texas textbook influence, Rapoport on the wild card who was just elected to the State Board of Education, Ramshaw on the price of health care reform, Philpott on the just-enacted prohibition on dropping kids from the state's health insurance rolls, M. Smith on the best little pole tax in Texas, Ramsey on the first corporate political ad and the reality of 2011 redistricting, Stiles on the fastest-growing Texas counties, Aguilar on the vacany at top of Customs and Border Protection at the worst possible time, Galbraith on the state's lack of renewable energy sources other than wind and its investment in efficiency, and Hu and Hamilton on the runoffs to come in House districts 52 and 127. The best of our best from March 22 to 26, 2010.

A year ago, staff at the Corpus Christi State School were forcing mentally disabled wards to fight each other, and state lawmakers raced to enact new accountability measures. How are they working out? Ben Philpott, who covers politics and public policy for KUT News and the Tribune, has this report.

Behind the fiery health care rhetoric is a measure expected to dramatically expand Texas’ Medicaid program, adding up to 1 million adults to the state’s insurance roll — but at a steep cost. Texas will have to come up with hundreds of millions of dollars in new revenue to foot its share of the bill.

Texas nurses with substance abuse problems — including showing up to work drunk or high, stealing narcotics meant for patients, and forging doctor signatures on prescriptions for pain-killers — are often not punished for their acts for months or even years and continue to practice in the meantime, according to a Texas Tribune review of state disciplinary records.

Thevenot on the non-stop wonder that is the State Board of Education and its latest efforts to set curriculum standards, E. Smith's post-election sit-down interview with Bill White at TribLive made some news and got the November pugilism started, Ramshaw on whether it makes sense for the state to call patients and remind them to take their pills, and on the state's botched attempt to save baby blood samples for medical research, Hamilton's interview with Steve Murdock on the state's demographic destiny, M. Smith on whooping cranes, fresh water, and an effort to use the endangered species act to protect them both, Grissom on potties, pickups, and other equipment purchased with federal homeland security money and Stiles' latest data and map on where that money went, Aguilar on the "voluntary fasting" protesting conditions and treatment at an immigrant detention facility, Kreighbaum on football, the new sport at UTSA, and Philpott on Rick Perry and Bill White retooling their appeals for the general election. The best of our best from March 8 to 12, 2010.

Texas has spent tens of millions of dollars on “disease management” — phone calls and check-ins with Medicaid patients designed to control costly chronic illnesses and save money. The jury's still out on whether it worked, but the state's preparing to rebid the contract anyway.

Texas' senior care industry — still reeling from federal Medicare cuts — may face another financial blow, as the state considers reducing Medicaid provider rates to balance the budget in the face of a $10 billion-plus shortfall.

Immunization advocates want to expand our vaccination database, but the well-educated, middle-class parents who oppose them are organized and driven — and could force lawmakers to take sides in the tussle between personal freedom and public health.

Advocates for vaccination records say a complete registry of shots would help the state navigate major health crises. Opponents say it would jeopardize patient privacy. Lawmakers like the potential cost savings, but they still aren’t sure where they stand.