Early Texas hospital data shows millions spent in care for non-U.S. citizens
A state employee testified Monday that tens of thousands of people in the U.S. unlawfully were treated, but it was unclear how long the data had been collected. Full Story
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![An Austin-Travis County EMS vehicle parked outside of an emergency room in Austin on July 7, 2020.]()
Credit: Allie Goulding/The Texas Tribune -
See what each Texas state employee is paid: Search our updated database.
The Texas Tribune’s database of Texas state employees’ compensation is updated to represent salaries as of April 1. Full Story
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![Government Salaries Explorer]()
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Obstacles slow Texas’ effort to improve conditions at substance abuse recovery homes
A new law was meant to uphold standards at homes where substance abusers are trying to rebuild their lives. But compliance is proving difficult. Full Story
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![House of Extra Measures residents during a meeting at a home in Houston, Texas, on March 2, 2025.]()
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Measles outbreak in West Texas worsens
Most of the infections have shown up in Gaines County. Texas health officials have consistently said that vaccination is the best way for people to avoid the highly contagious airborne disease. Full Story
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![An empty emergency room at Goodall-Witcher Hospital in Clifton on August 3, 2021.]()
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Two more state employees fired after accessing Texans’ private information
So far, nine HHSC employees have been fired for accessing without a “business” purpose the private information of Texans seeking public assistance that includes Medicaid and food stamps. Full Story
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![The Brown Heatly Health and Human Services building in Austin on Nov. 29, 2017.]()
Credit: Laura Skelding for The Texas Tribune -
State employees suspected of stealing from low-income Texans' public assistance accounts
Seven human services employees were fired after a string of fraud and theft — and the largest data breach in agency history. Full Story
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![The fresh produce section of a Brookshire Brothers grocery store in Buffalo, Texas, on June 29, 2023.]()
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Texas school districts asked to return $16 million in federal funding for special education services
The request comes after an audit found Texas improperly billed the federal government for reimbursements related to Medicaid-eligible students. Full Story
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![Students backpacks hang off the back of their chairs in an empty classroom at Blanco Vista Elementary School in San Marcos on Monday August, 23, 2021.]()
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State agency to ask lawmakers for $300 million to fix “significant neglect” in Texas’ Medicaid enrollment system
The request, which includes hiring more staff and updating the online application system, comes as applicants must wait for months to receive approval for benefits. Full Story
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![A Texas Health and Human Services client application on April 24, 2018.]()
Credit: Pu Ying Huang for The Texas Tribune -
5th Circuit Court orders federal judge removed from Texas foster care lawsuit
U.S. District Judge Janis Jack, the state’s de facto foster care czar, has been overseeing the case since 2011. Full Story
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![U.S. District Judge Janis Jack administers the U.S. oath of citizenship to more than 100 area residents representing 25 countries in 2008 aboard the USS Lexington. Jack was the first woman federal judge to serve in Texas south of San Antonio. July 5, 2008.]()
Credit: Courtesy of Todd Yates/Corpus Christi Caller-Times -
Even as state mental health spending rises, private psychiatric hospitals struggle to stay open
Texas hasn’t increased Medicaid rates for inpatient health care at private hospitals in 16 years, falling behind other states. Full Story
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![The Nix Health behavioral health center in San Antonio closed in 2019.]()
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Maternal deaths surged in Texas in 2020, 2021
Even excluding deaths related to COVID, Texas’ maternal mortality rate spiked, reversing two years of improvement. Full Story
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![A woman gets a sonogram in an Austin clinic.]()
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Families and advocates for disabled Texans pushing for caregiver pay raise
A state Medicaid program pays caregivers of intellectually and developmentally disabled individuals living in community-based homes. Families, advocates and providers want lawmakers to increase that hourly pay. Full Story
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![Marisa Luparello, at right, gives her son Blaine his medicine before they leave for his group home, Monday, Aug. 26, 2024, in Manvel. (Antranik Tavitian / Houston Landing)]()
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Appeals court to weigh reimposing fines for Texas foster care failures, removing judge on case
Texas Health and Human Services could face $100,000-per-day fines for violating a judge's orders. The state wants the judge off the case. Full Story
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![A caseworker's badge hangs off her neck as she prepares to assist on a case for the Texas Department of Family and Protective Services (DFPS) in June 2018.]()
Credit: Pu Ying Huang for The Texas Tribune -
Texas funnels millions to anti-abortion groups with little oversight
Texas leads the nation in funding for crisis pregnancy centers. But they’re riddled with waste, a ProPublica and CBS News investigation found. Full Story
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State’s move to bump federal judge from longtime foster care lawsuit caps years of battles
A federal judge has taken the Texas’ foster care system to task for 13 years. Reforms have been made. Now armed with private legal fire power, the state wants the judge off the case. Full Story
![U.S. District Judge Janis Jack administers the U.S. oath of citizenship to more than 100 area residents representing 25 countries in 2008 aboard the USS Lexington. Jack was the first woman federal judge to serve in Texas south of San Antonio. July 5, 2008.]()
Credit: Courtesy of Todd Yates/Corpus Christi Caller-Times -
Fight over trans medical care is at the core of leaked Houston health records case
A doctor says the government wants to punish him for calling attention to wrongdoing. Advocates say the families of trans kids are the ones at risk. Full Story
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![Texas Children’s Hospital and other buildings in the Texas Medical Center in Houston on June 26, 2020.]()
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Cook Children’s sues Texas over potential Medicaid contract loss
For years, Cook’s Children, two other children’s hospitals have administered Medicaid health coverage plans. Canceling their contracts would put jobs and coverage at risk, they say. Full Story
![A Texas Health and Human Services client application on April 24, 2018.]()
Credit: Pu Ying Huang for The Texas Tribune -
State rejects health insurers' pleas to halt plan that will shake up coverage for 1.8 million Texans
Affected Texans who receive Medicaid coverage would be shifted to new insurers next year if the state health and human services agency sticks to its plan. It’s now up to the executive commissioner to make a final decision. Full Story
![An empty emergency room at Goodall-Witcher Hospital in Clifton on August 3, 2021.]()
Credit: Jordan Vonderhaar for The Texas Tribune -
“Grateful to be alive”: Clubhouse programs take pressure off overwhelmed Texas mental health hospitals
Thousands of people are discharged from Texas mental health hospitals yearly, and so-called step-down programs like clubhouses can help them integrate back into the community. Full Story
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![AUSTIN, TX - MAY 29: Austin Clubhouse member Jonathan Denhart poses for a portrait at Hyde Park Christian Church in Austin, Texas on May 29, 2024. Photo by Montinique Monroe for the Texas Tribune]()
Credit: Montinique Monroe for The Texas Tribune -
Texas revamps Narcan distribution following delays, unpredictable supply
Texas has tapped more than $45 million in federal funds to get the overdose-reversing drug into the hands of law enforcement, members of the public. But the program has been plagued by supply issues, delays and lack of communication. Full Story
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![Narcan nasal spray at an opioid educational training class with Callie Crow, the founder of Drew's 27 Chains, on March 31, 2022, in Caddo Mills.]()
Credit: Ben Torres for The Texas Tribune