Tribpedia: Medicaid

Tribpedia

MEDICAID
Medicaid is the safety net health insurance provider for children, the disabled and the very poor. It is jointly funded by the federal government and the state, which administers the program with oversight from the Centers for Medicare & Medicaid Services (CMS), part of the U.S. Department of Health and Human Services (HHS).

Both Medicaid and Medicare — the federally ...

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Begin the Beguine

Texas Weekly

It takes two to tango and two to tax, and the Senate isn't dancing with the House on revenue for school finance. Their bottom line numbers are similar. Both houses started with the idea of lowering local school property taxes by 50 cents, and that sets the size of the project. But their methods of getting to the bottom line are as different as Mars and Venus.

The Session in a Nutshell

Texas Weekly

It's usually best to take your medicine fast, in one ugly gulp, like mom used to say. But House leaders, apparently confident they can pass a major tax bill and an ambitious rewriting of the state's school finance system, decided to let both measures sit unprotected over a long weekend.

The Ides of March

Texas Weekly

Mention March 2006 to political people in Texas, and you'll trigger a conversation about the top of the ballot. But March 2006 — the month of the primaries and, in particular, the Republican primaries — is on the minds of a fair number of legislators who want to remain in office after this term.

It Never Hurts to Ask

Texas Weekly

Can you remember a particular State of the State speech? That's not meant as a slap at Gov. Rick Perry — we're just noting the historical significance of the form. What's useful about these spiels is that they tell you what direction a governor hopes a Legislature will take. It's where Perry said he wanted a reexamination of some death penalty issues four years ago, for instance. This year, his list was devoid of surprises, but gave listeners a sense of his direction. Some highlights:

It's Only Money

Texas Weekly

Two weeks ago, the smart guys were betting there'd be $1 billion to $2 billion in red ink in the state's starting budget. Instead, it's in the black, though it will probably swing from one inkwell to the other in the next few weeks.

Easy as Pie

Texas Weekly

Piece number one fell into place Monday, when Comptroller Carole Keeton Strayhorn announced the state's financial fortunes have improved over two years ago and the ugly budget fight that ensued then might be avoided this time around. Budgeteers, nervous about Strayhorn's steady political attacks on Gov. Rick Perry, were braced for worse news. Instead, her numbers were within a hair's breadth of their own predictions about state income.

Your Money or Your Kids

Texas Weekly

State District Judge John Dietz, ruling on the heels of closing arguments, said the state's system of funding public schools is unconstitutional and ordered the Legislature to fix it within a year. His detailed ruling won't be out for a couple of weeks, but if you do a quick calculation of what he said so far, it's easy to argue that the state will have to spend another $3 billion or so each year on public education. That's in addition to any money that would be used lowering local property taxes. (Click here for a copy of Dietz's bench ruling.)

The Guns of August (and September)

Texas Weekly

Political journalists are often called fight promoters — people who'll try to start a contest where there isn't one — but the state's senior senator and the governor are making the job easy. They're even giving us facts to play with, and starting the fights without much prompting from the likes of us.

Gloomy Numbers For Every Political Taste

Texas Weekly

The U.S. Bureau of the Census prefaced the Republican Party's national convention with a bummer of a report that says, among other things, that Texas has the highest percentage of uninsured people of any state and that the median income here dropped during the first years of this decade.

A Special Case

Texas Weekly

Rep. Jim Dunnam, D-Waco, is in a pretty safe district for a Democrat, as these things go. In the last election against his current opponent, Jeffrey Hibbs, Dunnam pulled 60.2 percent of the vote. And with the exception of Tony Sanchez Jr., who lost by a little in this House district while losing by a lot statewide, the Democrats running for statewide office in Dunnam's district swept in 2002.

Money for Nothing

Texas Weekly

State auditors say managers of the Children's Health Insurance Program let about $20 million slip away in the form of "unnecessary or excessive payments to Clarendon National Insurance Co.," the company that had a provider contract for CHIP. The payments, the auditors wrote, "constitute an abuse of the commission's fiduciary responsibility to oversee and manage" the contract. CHIP is administered by the Health and Human Services Commission, which is in the midst of a massive reorganization and an investigation of lapses in protective services for adults and children.

Party Crashers

Texas Weekly

Political parties always have shadow groups that more or less parallel their interests. Labor lines up with Democrats, mostly. Manufacturers line up with Republicans, for some of the same reasons, most of the time. That's just an example.

Snake Eyes

Texas Weekly

Lt. Gov. David Dewhurst and House Speaker Tom Craddick were correct six weeks ago, and now the state has been treated to a live-action demonstration: The Texas Legislature is nowhere near a consensus on how to fix — or even whether to fix — school finance. Gov. Rick Perry's ambitious gamble fell flat when lawmakers decided the rewards weren't worth the risks.

In with a Bang

Texas Weekly

Texas lawmakers returned to Austin for school finance, met as two large groups and then promptly adjourned for a week. That stifles legislative mischief while committees meet to talk about taxes and education and nothing else is going on. And it serves to get them out of the way of the nastiest comptroller-governor squabble since Mark White and Bob Bullock formed their mutual admiration society in the mid-1980s.

Tick, Tock, Tick, Tock

Texas Weekly

Take a look at the clock: The next available date for a regular constitutional amendment in Texas is in November. Tax appraisal notices go out in late spring — May or so — and people pay their property taxes — or their mortgage companies pay and then send out escrow notices — in December and January. Most cities and counties and school districts set their property tax rates in mid- to late-summer. And then the cycle starts all over again.

The Best Laid Plans

Texas Weekly

One way to torture public officials is to say or imply negative things about them while taking away their chance to respond. Travis County prosecutors are spreading the net on their investigation of campaign finance practice in the 2002 elections, adding five-dozen subpoenas to the half dozen revealed last week. They're working with a grand jury that will remain in business through the end of March. And lawyers frown when their clients spit at prosecutors while grand juries are in session.

Outside Help

Texas Weekly

With Gov. Rick Perry out of the state and U.S. House Majority Leader Tom DeLay on the scene to bridge the gap between lawmakers on either end of the Texas Capitol, Republicans finally ended their 10-month quest for a congressional redistricting map that's kinder to their candidates.

Not So Broke After All

Texas Weekly

If Texas lawmakers and budgeteers make the right dance steps in the next few weeks, they'll have $800 million available to add to next year's spending — without a tax or fee increase.

Let's Make a Deal

Texas Weekly

Anything could go wrong or go unexpectedly well at this point in a legislative session. It could have been the budget, or insurance, clean air, or a government reorganization bill. The first mess involved the tort reformers, who went down to the wire with their impasse showing.

Springtime in Austin

Texas Weekly

Every remaining day of the legislative session is a deadline for something and at the end of Wednesday, May 28, every bill that hasn't won approval in some form in both chambers is dead. The mop-up that follows will reconcile differences in the bills–or not–and it'll all be over a week from Monday, maybe for a while and maybe not.

What Will You Say When You Get Home?

Texas Weekly

Imagine you're a House member and the Senate has handed you a chance to vote to cut school property taxes in half, to replace them with a penny-and-a-half addition to the state sales tax and an expansion of that tax to a bunch of stuff that's not taxed now, and to kill the Robin Hood system of finance that's so unpopular with voters. Fast-forward to a town hall meeting after the session. Somebody asks why you didn't fix school finance while you were in Austin. The senator says she voted to kill it and halve property taxes, and then hands the microphone to you.

Scarce Resources, Abundant Discord

Texas Weekly

Budgets are unhappy things, even when oodles of money are available: They're designed to put a collar and a leash on spending. It's worse when there is no money, because you can't feed the dog on the other end of the leash. Even if you don't like dogs, that is unpleasant business.

Feeding the Bears

Texas Weekly

And now, a non-surprise: If you keep doing things that are interesting to prosecutors, prosecutors will stick around. If prosecutors are hanging around, people will begin to talk about it, and start noticing things that might be interesting to prosecutors. The same dynamics drive good soap operas. You soon have an environment where everything looks like it might be a piece of the puzzle and where everybody is lurking about, talking to each other, trying to fit pieces together.

Sinking the Titanic

Texas Weekly

A rules-breaking private meeting upended a massive rewrite of Texas' tort laws, leaving supporters of the effort scrambling to get back on schedule. The bill was well on its way to passage in the House. But after two days of debate, Rep. Jim Dunnam, D-Waco, called a point of order to say that bill was fatally flawed by a secret meeting after a committee hearing. The bill was discussed out of public hearing by more than half of the committee. After two hours of private consultation, House Speaker Tom Craddick announced he would leave the decision to a vote of the House. But after more confused consultation and some speechifying by members, he decided to sustain Dunnam's objection.

Chicken Little Economics

Texas Weekly

The details are always tougher than the general idea of budget-cutting when you're talking about government programs that have a direct effect on people's lives. That's why discussions about health care in any form–Medicaid, CHIP, whatever–eventually come to fit the headline above.

Get 'em While They're Hot

Texas Weekly

You can't keep weeds out of buffalo grass. Beer and soda pop taste better when cold. Somebody prominent always gets arrested when the Legislature is in Austin. And if the state deregulates college tuition, it'll go up.

Bumps on the Fast Track

Texas Weekly

The newest obstacle to medical malpractice liability legislation is this question: Would limits on liability increase the availability and number of abortions done in Texas every year?