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.
Medicaid
TribBlog: Medicaid Madness
Now hitting airwaves on whether Texas should drop out of the federal Medicaid program: Gov. Rick Perry and Dallas’ Parkland Hospital CEO Ron Anderson.
Parkland CEO on Medicaid
Parkland CEO on MedicaidTexas Tribune donors or members may be quoted or mentioned in our stories, or may be the subject of them. For a complete list of contributors, click here.
No More Medicaid?
Some Republican lawmakers are proposing an unprecedented solution to the stateโs massive budget shortfall: opting out of the federal Medicaid program. But experts say the rhetoric may be more of a middle finger to Washington than sound public policy.
Election Days
Twice as many people showed up for the first three days of early voting in the state’s top 15 counties as came out four years ago, according to the Texas Secretary of State. Through the end of the day Wednesday (there’s a lag in the reporting and those were the latest numbers as we published), 435,007 people had voted, compared with 219,436 four years ago. As a percentage of registered voters, that’s 5.22 percent this year as opposed to 2.7 percent four years ago. Early voting continues for another week. During the 2006 gubernatorial election, 13.2 percent of the registered voters in those top 15 counties voted early.
TribWeek: In Case You Missed It
Hu on freshman House Democrats trying to win re-election in a Republican year, Grissom on Republicans bolstered by those same political trends, Aguilar on slow reforms in immigrant detention programs, Chang on the trouble with synthetic marijuana, Ramshaw on how proposed cuts in state Medicaid services could affect 13,000 Texans, yours truly on how political polls have as much to do with who’s counted as with what they say, Galbraith on why Texas is building coal plants in spite of tightening federal air pollution standards, Hamilton on community colleges accusing the University of Texas of siphoning money from their financial wells, M. Smith on the court of inquiry proposed for a death penalty case and how it would work, and E. Smith interviews U.S. Rep. Michael Burgess about federal health care: The best of our best from Oct. 11 to 15, 2010.
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.
Clay Boatright: The TT Interview
The new president of the Arc of Texas on why the disability communityโs rallying cry to close state-supported living centers has become trite and ineffective, why the movement’s messaging should be upgraded (employing everything from the iPad to the Bible) and why businesses and faith-based groups should be mobilized to fill the gaping holes in government services.
In the Soup?
Double-billing taxpayers for travel expenses, driving a luxury car owned by a state transportation contractor and repeatedly failing to pay taxes wonโt put a lawmaker in good standing with the ethics police, as state Reps. Charles โDocโ Anderson, R-Waco; Joe Driver, R-Garland; and Linda Harper-Brown, R-Irving, are finding. The three hope the headlines dogging their re-election bids wonโt follow them to the polls, while their Democratic opponents are reveling in their misery at every campaign stop. Yet whether a scandal forces an incumbent from office depends on the scenario.
Dependents’ Day
Relief for young adults without health benefits may be on its way today, as several key provisions of federal health care reform take effect. The law mandates that insurers allow parents to enroll dependents up to age 26 regardless of their student status.


