The Texan at the top of the American Medical Association explains why Texas has so much to gain from the health care overhaul, what effect tort reform has had on the stateโs medical costs, and what the political ramifications are for his organization’s support of the reform bill.
Health And Human Services Commission
The Price of Reform
Behind the fiery health care rhetoric is a measure expected to dramatically expand Texasโ Medicaid program, adding up to 1 million adults to the stateโs insurance roll โ but at a steep cost. Texas will have to come up with hundreds of millions of dollars in new revenue to foot its share of the bill.
TribBlog: Cuellar Still on the Fence
Laredo Congressman Henry Cuellar is one of the last undecided House members mulling over the federal health care bill. He still has a few concerns.
Nursing a Habit
Texas nurses with substance abuse problems โ including showing up to work drunk or high, stealing narcotics meant for patients, and forging doctor signatures on prescriptions for pain-killers โ are often not punished for their acts for months or even years and continue to practice in the meantime, according to a Texas Tribune review of state disciplinary records.
Texas Lands Millions for e-Health Records
Federal officials announced more than $162 million in health information technology grants today โ including $28.8 million to help the Texas Health and Human Services Commission make the switch to electronic medical records. Health and Human Services Secretary Kathleen Sebelius described the funding, which went to 16 states as part of the federal stimulus act, in an afternoon press conference.
TribWeek: In Case You Missed It
Thevenot on the non-stop wonder that is the State Board of Education and its latest efforts to set curriculum standards, E. Smith’s post-election sit-down interview with Bill White at TribLive made some news and got the November pugilism started, Ramshaw on whether it makes sense for the state to call patients and remind them to take their pills, and on the state’s botched attempt to save baby blood samples for medical research, Hamilton’s interview with Steve Murdock on the state’s demographic destiny, M. Smith on whooping cranes, fresh water, and an effort to use the endangered species act to protect them both, Grissom on potties, pickups, and other equipment purchased with federal homeland security money and Stiles’ latest data and map on where that money went, Aguilar on the “voluntary fasting” protesting conditions and treatment at an immigrant detention facility, Kreighbaum on football, the new sport at UTSA, and Philpott on Rick Perry and Bill White retooling their appeals for the general election. The best of our best from March 8 to 12, 2010.
TribBlog: Court Says Vaccine Preservative and Autism Not Linked
The new rulings could result in a decrease in the number of lawsuits surrounding vaccines.
Disease Mismanagement?
Texas has spent tens of millions of dollars on โdisease managementโ โ phone calls and check-ins with Medicaid patients designed to control costly chronic illnesses and save money. The jury’s still out on whether it worked, but the state’s preparing to rebid the contract anyway.
A Medicaid Mess
Texas’ senior care industry โ still reeling from federal Medicare cuts โ may face another financial blow, as the state considers reducing Medicaid provider rates to balance the budget in the face of a $10 billion-plus shortfall.
TribBlog: DSHS Pulls Informed Consent Guidelines Down
State health officials have pulled guidelines allowing abortion facilities to use pre-recorded telephone messages to provide informed consent to patients off of their website. They said concerns raised by Rep. Frank Corte, who is seeking an AG opinion on the matter, “may have merit.”

