The way Texas is currently providing care for people with disabilities โ keeping all its state institutions in operation, despite increasing demand for community-based care โ is not cost effective, and should be changed, according to an analysis released by the Legislative Budget Board on Wednesday.
Department of State Health Services
A Stiff Cocktail of Budget Cuts
The Texas House has unveiled a $156.4 billion budget that’s $31.1 billion smaller than the current two-year spending plan โ a drop of 16.6 percent. The proposed budget came with $1.2 billion in recommendations for savings and new revenue from the Legislative Budget Board.
A Tale of Two States
Residents of Hidalgo and other nearby counties live to be 80 years old, two years longer than the Texas average. Meanwhile, in parts of East Texas, residents live much shorter lives.
The Hispanic Paradox
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.
The Stroke Belt
The proof of East Texas’ live-hard, die-young culture is in the bread pudding โ 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.
TribBlog: Pitts Says Expect Big Budget Cuts
Trib CEO Evan Smith spent the morning interviewing House Appropriations Chairman Jim Pitts, R-Waxahachie, at a TribLive event. And Pitts made some news. Here are a few headlines.
TribBlog: Steady Medi(caid)
Thirteen states expanded Medicaid or CHIP eligibility last year, and 14 states made improvements in enrollment and renewal procedures. Texas didn’t fall into either of these categories, but the state held steady in 2010, while making improvements in technology to prepare for the roll-out of federal health care reform.
Pomp, Circumstance, Consequences
The 82nd Texas Legislature convenes in Austin this week, and while itโs not as much fun as the circus โ usually โ itโs more important and does have its share of comedy and drama.
Mental Breakdown
Mental health providers are bracing themselves for brutal budget cuts. Erika Aguilar of KUT News reports.
Discharged?
Advocates for shuttering Texas’ institutions for people with disabilities say they have a big plus in their column this session: the stateโs giant budget crunch.

