Texas cannot walk away from Medicaid, and Gov. Rick Perry agrees, Health and Human Services Commissioner Tom Suehs said this afternoon, hours after releasing the agencyโs long-awaited report on the feasibility of dropping out of the federal matching program.
Health And Human Services Commission
TribBlog: Report: Texas In No-Win Situation With Medicaid [Updated]
The effects of Texas dropping out of the federal Medicaid program would be sweeping and to some populations devastating. But that doesnโt mean the current system is workable for Texas, according to a long-awaited report released today by the stateโs Health and Human Services Commission.
Diabetic Shock
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 stateโs aging population and obesity epidemic.
TribWeek: In Case You Missed It
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.
Diaper Change
Call it a bad case of adult diaper drama: Incontinence product vendors are facing off against the state comptrollerโs office over plans to competitively bid underpads, catheters and other supplies for Texas Medicaid patients.
The Opt-Out Option
A week after newly emboldened Republicans in the Texas Legislature floated a radical cost-saving proposal โ withdrawing from the federal Medicaid program โ health care experts, economists and think tanks are trying to determine just how possible it would be. The answer? Itโs complicated. But itโs 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.
Closing for Good?
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 canโt care for themselves.
A Hole in the Safety Net
Advocates say the Department of Aging and Disability Servicesโ baseline budget request eliminates financing for more than 13,000 people โ the majority waiting to receive Medicaid waiver services. Agency officials will only say that an โunknown numberโ 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.
TribBlog: State Forgoes Millions in Federal Sex Ed Funds
At the end of the summer, Texas quietly opted to forgo another pot of federal money โ specifically, $4.4 million that would have gone toward educating youth on abstinence and contraception to prevent teen pregnancy.
TribBlog: Medicaid Reimbursement Change Halted
The politically powerful hospital was poised to lose millions in Medicaid reimbursements under a hospital funding shuffle โ until it reached out to lawmakers with its concerns.


