The latest Health And Human Services Commission news from The Texas Tribune.
The effects of Texas dropping out of the federal Medicaid program would be sweeping and to some populations devastating. But that doesn’t mean the current system is workable for Texas, according to a long-awaited report released today by the state’s Health and Human Services Commission. Full Story
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The number of adult Texans with diabetes is expected to quadruple over the next three decades, a massive spike that demographers and health care experts attribute to the state’s aging population and obesity epidemic. Full Story
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Hu on the Perry-Bush rift, Ramshaw on the adult diaper wars, Ramsey's interview with conservative budget-slasher Arlene Wohlgemuth, Galbraith on the legislature's water agenda (maybe), M. Smith on Don McLeroy's last stand (maybe), Philpott on the end of earmarks (maybe), Hamilton on the merger of the Higher Education Coordinating Board and the Texas Education Agency (maybe), Aguilar on Mexicans seeking refuge from drug violence, Grissom on inadequate health care in county jails and my conversation with Houston Mayor Annise Parker: The best of our best from November 15 to 19, 2010. Full Story
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Call it a bad case of adult diaper drama: Incontinence product vendors are facing off against the state comptroller’s office over plans to competitively bid underpads, catheters and other supplies for Texas Medicaid patients. Full Story
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A week after newly emboldened Republicans in the Texas Legislature floated a radical cost-saving proposal — withdrawing from the federal Medicaid program — health care experts, economists and think tanks are trying to determine just how possible it would be. The answer? It’s complicated. But it’s not stopping nearly a dozen other states, frantic over budget shortfalls and anticipating new costs from federal health care reform, from exploring something that was, until recently, unthinkable. Full Story
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A barrage of abuse scandals, a federal investigation and the shrinking state budget could be just what disability advocates need to achieve a longtime goal: fewer state institutions and more community-based living services for developmentally disabled Texans who can’t care for themselves. Full Story
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Advocates say the Department of Aging and Disability Services’ baseline budget request eliminates financing for more than 13,000 people — the majority waiting to receive Medicaid waiver services. Agency officials will only say that an “unknown number” of people already receiving the services could lose them. It's unclear if lawmakers can make these cuts without risking losing federal funding; federal health care reform requires states to maintain coverage at the same level it was when the Affordable Care Act became law in March. Full Story
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At the end of the summer, Texas quietly opted to forgo another pot of federal money — specifically, $4.4 million that would have gone toward educating youth on abstinence and contraception to prevent teen pregnancy. Full Story
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The politically powerful hospital was poised to lose millions in Medicaid reimbursements under a hospital funding shuffle — until it reached out to lawmakers with its concerns. Full Story
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Last week, Republicans loudly complained about a just-approved bill that would send $830 million in federal education funds to Texas with strings attached. But as Ben Philpott of KUT News and the Tribune reports, Democrats have their own reason to balk. Full Story
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In the wake of high-profile incidents of abuse, state health officials want to boost payments to Texas' institutions for the disabled by $25,000 per patient per year. But the proposed Medicaid rate change has drawn the ire of Texas’ disability community, which wants to see the facilities shuttered rather than propped up. Full Story
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As the reality of health care reform sinks in, physician-owned specialty hospitals are on edge. Some are scouring the law for loopholes; others want to sell out to corporations. Full Story
If you're going to get injured on the job, don't do it in Texas. Full Story
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The American Academy of Pediatrics recently said that children should not be kept out of school if they get head lice — the opposite of what Texas law requires. Ben Philpott of KUT News and the Tribune has this report. Full Story
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State Sen. Bob Deuell, R-Greenville, wants Planned Parenthood's clinics out of the state’s Women’s Health Program, which provides family planning services — but not abortions — to impoverished Medicaid patients. He says a 2005 law should exclude them already. But for years, the state’s Health and Human Services Commission has allowed those clinics to participate, for fear that barring them might be unconstitutional. Deuell has asked Texas Attorney General Greg Abbott to clear up the matter, hoping it will free up the agency to push Planned Parenthood out. Full Story
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Sen. Bob Deuell, R-Greenville, wants the attorney general to decide whether a Texas family planning rule — one that bans the state's Women's Health Program from contracting with clinics that "perform or promote" abortions — is constitutional. Full Story
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Today is the 20th anniversary of the Americans with Disabilities Act, which has been hailed as a Bill of Rights for people with disabilities. Nathan Bernier of KUT News talked to one of the architects of the legislation, Dr. Lex Frieden, a professor of at the University of Texas Health Science Center at Houston who has been partially paralyzed since 1967. "Life has changed signficantly," Frieden says. Full Story
At a hearing today, the Department of Family and Protective Services will consider stricter caregiver-to-child ratios for child care centers — but improved care for Texas toddlers could also mean less income for child care providers and higher tuition for families. Full Story
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A Houston psychiatrist who uses clinically controversial brain scans to diagnose everything from anxiety to marital discord. A Plano music therapist who believes his Peruvian pan flute tunes cure mental illness. And a Beaumont child psychologist reprimanded for continuing to prescribe to a proven drug abuser. These physicians have written more prescriptions for potent antipsychotic drugs to the state’s neediest patients than any other doctors in Texas. Full Story
Grissom, Hamilton, and Philpott on the Texas Democratic Party's state convention, the two-step, the forecast, and the ticket; Galbraith on the political and environmental battle between state and federal environmental regulators, and on a new age of nukes in Texas; Burnson on signs of the times in San Antonio; Ramshaw on hackers breaking into the state's confidential cancer database; Aguilar's interview with Katherine Glass, the Libertarian Party's nominee for governor; Acosta on efforts to stop 'Murderabilia' items that sell because of the association with killers; Ramshaw and the Houston Chronicle's Terri Langford on the criminal arrest records of workers in state-funded foster care centers; Hu on accusations that state Sunset examiners missed problems with workers compensation regulators because they didn't ask the right questions of the right people; Ramsey and Stiles on the rush to rake in campaign cash, and on political races that could be won or lost because of voter attraction to Libertarian candidates; and Aguilar's fresh take on South Texas' reputation for corruption. The best of our best from June 28 to July 3, 2010. Full Story
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