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Texas Well & Healthy

734K ACA enrollments in Texas

Pretty damn impressive, all things considered.

It's constitutional - deal with it

It’s constitutional – deal with it

New numbers out show that 734,000 Texans bought health insurance through the federal marketplace from last October to April 19, 2014, a report released by Health and Human Services shows.

Prior to March 1, an anemic 295,000 people had signed up, but in the final stretch of the Affordable Care Act first-year sign-up, another 439,000 obtained private insurance through the exchange.

Health care advocates applauded the new sign-up numbers and said the results are impressive, especially in the face of strong opposition from virtually every state Republican leader.

Texas has made more progress on affordable health insurance in the last six months than in the last decade,” said Stacey Pogue, a health care analyst at the left-leaning Center for Public Policy Priorities.

“We know that Texas could do much more,” she said. “Too many Texans are still one illness or one accident away from going bankrupt.”

Emphasis mine. Keep that in mind the next time you hear a Republican dead-ender talk about how horrible Obamacare is. After more than a decade in complete control of Texas government, they’ve not done a damn thing to try to solve this problem. Hell, in that time they’ve never even recognized it as a problem. Then the federal government – President Obama and the Democrats in Congress – stepped in and finally did something about it, and the Republican leadership in Texas resents it like crazy, because it so clearly points out their abject failure. The final enrollment surge, generated purely by tons of need for health insurance coverage, since the state did everything it could to impede signups, was impressive enough that even the TPPF’s designated hack had to admit is was remarkable. Just imagine what could have been if only Rick Perry and Greg Abbott and the rest of them gave a damn.

Some details from Texas Well and Healthy:

BACKGROUND ON HEALTH CARE COVERAGE NUMBERS

  • Eight-four percent of Texans who signed up also received financial assistance, lowering their monthly costs.
  • Thirty percent of Texans who selected insurance plans through the Marketplace were 18-34 years old.
  • Approximately six million Texans were uninsured in 2012. With 25 percent of the state uninsured, Texas has the worst rate in the nation.
  • About half of the state’s one million uninsured children and teens are eligible for Medicaid or CHIP.
  • More than one million Texas adults are in the Coverage Gap. Their jobs do not provide insurance, but their income is not high enough to qualify for assistance in the Marketplace. The Texas legislature can provide insurance to Texans in the Coverage Gap by accepting federal health care funds.

The overall numbers are right in line with that Baker Institute study that had pegged the figure at 746K. You can see how Texas compared to other states in the updated Kaiser numbers.

More from the Chron:

For weeks, officials have said an estimated 8 million people nationwide signed up for coverage. Until Thursday, it was unclear that a little more than 9 percent of enrollees were Texans. Before the marketplace’s Oct. 1 launch, government officials projected about 625,000 Texans would sign up for coverage.

“I’m pleasantly surprised,” said Vivian Ho, James A. Baker III Institute health economics chair at Rice University. “I thought that anyone who wanted insurance would have signed up by Dec. 31.”

Although the state surpassed enrollment expectations, Ho said millions of Texans remain uninsured. About half of Texas’ estimated 6 million uninsured residents could have applied for marketplace coverage created by the 2010 Affordable Care Act.

“We’ve only made a slight dent in the number of uninsured in Texas,” Ho said. “We need more resources down here.”

No one from the offices of U.S. Sens. John Cornyn and Ted Cruz or Gov. Rick Perry responded to requests for comment about the number of Texas enrollments. All three lawmakers oppose the health care law commonly known as Obamacare, and Cruz repeatedly has pushed for its repeal.

No comment from any of them? Not even a smart-aleck remark? Wimps.

Thursday’s report did not include Houston-area enrollment information. In April, the Associated Press reported more than 177,000 Houston residents signed up for health coverage, exceeding expectations and indicating a last-minute enrollment push just before the March 31 deadline might have helped Texas.

Texas Hospital Association officials said they were encouraged by the enrollment update but agreed with Ho that the state needs to do more to help its remaining uninsured residents. Texas has the nation’s highest rate of uninsured residents.

Perry has refused to expand Medicaid, which would extend health coverage to more than 1 million residents who earn too much to qualify for the program and too little to afford private health insurance.

“Our federal income tax dollars are going to other states because the state’s leadership said no to connecting low-wage working families with health insurance options,” hospital association president and CEO Ted Shaw said in a written statement. “Other states have proposed innovative private-market solutions to expand coverage using available federal funding, and Texas should follow their lead.”

Maybe next year, if we have a better Governor, we can exceed this year’s totals. A statement from Rep. Garnet Coleman is here, and Progress Texas and Stace have more.

More counties for Medicaid expansion

All of these are from last week. Bexar County:

It’s constitutional – deal with it

On a bipartisan vote, Bexar County commissioners Tuesday urged Texas lawmakers to expand the state’s Medicaid program and take advantage of federal matching funds under the Affordable Care Act.

“From 2014 to 2017, expansion will bring $27.2 billion in federal revenue to Texas for just over $3 billion in state investments,” said County Judge Nelson Wolff.

In Bexar County, the expansion “would provide insurance for more than 200,000 currently uninsured” residents, Wolff said.

The court’s resolution noted that Texas has the nation’s highest percentage of uninsured residents, 24 percent, and Bexar County has 396,000 uninsured.

Unanimous approval of the resolution came after the head of the University Health System said the county stands to gain $53 million a year.

[…]

Precinct 3 Commissioner Kevin Wolff, the court’s lone Republican, said it was difficult to support the resolution but did so because significant funds were at stake.

“I will support this even though philosophically our governor is right” in opposing expansion, Wolff said.

“This has got to be fixed at a different level than ours,” he added.

Hidalgo County:

Hidalgo County Commissioners Court has become the first governmental entity in the Rio Grande Valley to pass a resolution in support of expanding Medicaid to include coverage for adults.

The resolution, which was supported both by the RGV Equal Voice Network and Valley Interfaith, passed unanimously on Tuesday.

“We are very grateful county commissioners have supported this resolution to expand Medicaid, particularly since Hidalgo County has the highest rate of uninsured people,” said Ann Williams Cass, chair of the RGV Equal Voice Network’s health working group.

“This will allow the parents in a family of four that makes less than $14 an hour to qualify for Medicaid coverage.”

Cass said Hidalgo County needs healthy families and a healthy workforce. “This is opportunity to get over $400 million a year in federal money for the first three years for Adult Medicaid in Hidalgo County,” she said.

Cass paid tribute to the work of Texas Well and Healthy, Center for Public Policy Priorities, the Children’s Defense Fund. All three are supporting the expansion of Medicaid to include adults. “They have offered us so much help. They deserve credit for all the hard work they have done,” Cass said.

Travis County:

With more than $200 million a year at stake, the Travis County Commissioners Court is urging the Legislature to expand Medicaid coverage to more needy people in Texas, the state with the highest rate of uninsured residents.

The court spent time Tuesday tweaking the resolution that it passed last week to satisfy its lone Republican member, Gerald Daugherty. It was approved unanimously, 5-0. Austin Interfaith leader Oralia Garza Cortes called the bipartisan support “absolutely critical” and said that sister organizations of the advocacy group in Dallas and Bexar counties helped pass similar resolutions this month.

Austin Interfaith and its allies hope those efforts put pressure on the Legislature to expand Medicaid, a central but now optional part of the federal health care law.

See here for the original story. Cameron County joined in last week as well. A long and getting longer list of organizations that support Medicaid expansion, put together by Progress Texas and Texas Well & Healthy, can be found here. Despite Harris County Judge Ed Emmett’s support of Medicaid expansion, I am not currently aware of any action on Harris County Commissioners Court’s part to pass a resolution. It should be noted, however, that while counties are the ones that are on the knife’s edge for this, other government entities can call on Rick Perry and the Legislature to act as well. Both Austin City Council and Waco City Council have passed resolutions or legislative agendas in support of Medicaid expansion. It would be great if Harris County Commissioners Court got in the game, but there’s no reason for Houston City Council to sit out.

One more thing. PDiddie, who was at the big rally for Medicaid on Tuesday, reminds us that Medicaid expansion isn’t just about saving lives, it’s also about making them worth living.

Then there are the personal stories. For example: my father, 86, who had a good job all his working life and then a comfortable retirement, is at medium-to-end-stage dementia and has essentially outlived his assets. So it’s humiliating enough for seniors like him who find themselves at the prospect of spending the very end of their lives on the government dole (when they are even capable of understanding that). But because health care providers are refusing new Medicaid patients — in large part because the state pays its Medicaid bills very slowly — people like him are falling straight from middle class all the way through the shredded safety net.

And people like him have no advocates. My dad can’t write a letter or an e-mail; can’t make a phone call, can’t go to a townhall meeting to speak to his state rep, can’t march at a rally. You know what’s even worse about his situation, though? If he lived in Arizona, or New Jersey, or Florida, he would be getting covered. Because their conservative governors can see the benefits of expanding Medicaid. Not our governor, though.

Everyone who is in a position to do something about expanding Medicaid but refuses to do so should be required to look Perry and his dad in the eye and explain themselves to them. Maybe that would finally break the grip of whatever madness it is that envelops them. BOR has more from the rally.