The state representative and anesthesiologist from Simonton on why he filed the House’s first bill to implement a key piece of federal health-care reform and was the first in his party to openly suggest that dropping out of Medicaid wasn’t such a great idea after all.
Medicaid
Keeping the Faith
Like many other Texas groups, faith organizations that lobby lawmakers are bracing for a brutal budgetary session. Itโs not only a moral issue for the religious groups; it concerns their own bottom lines, too. Because when the government doesnโt provide for the needy, the needy look to the church.
Managed Into the Red?
Texas hospital administrators aren’t thrilled about the 10 percent Medicaid provider rate cut included in the House’s proposed budget. But what they fear more is the proposed expansion of Medicaid managed care, which could force them to forgo a combined $1 billion a year in federal funding.
A Chicken Little Budget
Whatever budget lawmakers eventually approve will serve as the working blueprint for the state for the two years starting in September. But the budget released last week isnโt a blueprint โ itโs a political document. It marks the shift from the theoretical rhetoric of the campaigns to the reality of government.
Pick Your Poison
In the House, it’s the nastiest, ugliest budget anybody’s seen in a zillion years. In the Senate, they’ll start on Monday with voter ID, the issue that froze the Legislature two years ago.
TribBlog: Can Texas Cut Medicaid Payments?
In a case that could directly affect Texas’ planned budget cuts, the U.S. Supreme Court will decide whether states have the legal right to reduce the rates they pay to health care providers who accept Medicaid patients.
Budget Blues
As House Appropriations Committee Chairman Jim Pitts, R-Waxahachie, laid out the first grim round of proposed cuts on Wednesday, even some of his Republican colleagues couldn’t stifle their objections. House Democrats went a step further, calling the cuts “akin to asking an anorexic person to lose more weight.”
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.
TribBlog: Bills Get Social
HJR 51 hasn’t had a committee hearing, and was only filed Jan. 4, but it already has 111 Facebook friends and hundreds of Twitter followers. As lawmakers scramble in the coming months to push their legislation through the Lege, expect more and more bills to get their own social media presence.
The Looming Cuts
With some top state leaders warning that Texas’ dire fiscal situation will lead to the loss of several thousand state jobs, House budget writers will release their first draft budget today. As Ben Philpott of KUT News and the Tribune reports, big job cuts may be just the beginning.


