Tag Archives: Medicaid

It’s not just teachers’ jobs that are on the line

Posted on February 4, 2011 by Charles Kuffner

Many other people will be thrown out of work under a cuts-only budget. “I don’t know that I’ll be able to stay in business,” said Jerre van den Bent, owner of Dallas-based Therapy 2000, a 3,000-employee agency helping children with … Continue reading →

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Kicking Grandma to the street

Posted on January 31, 2011 by Charles Kuffner

Another feature of the Republican budget. Hundreds of nursing homes, including dozens in Dallas-Fort Worth, may close if lawmakers cut Medicaid as leaders propose, industry officials said Thursday. Since last week, GOP leaders have introduced budgets in both chambers that … Continue reading →

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Harris County braces for state budget cuts

Posted on January 30, 2011 by Charles Kuffner

More joy to look forward to. Proposed state budget cuts could cost Harris County government nearly $50 million a year, according to a legislative analyst’s rough estimates, rolling back or eliminating state allowances for dozens of programs that include mental … Continue reading →

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If it weren’t for Obama, we wouldn’t be having this conversation

Posted on January 28, 2011 by Charles Kuffner

Rep. John Zerwas writes an op-ed extolling the virtues of the health insurance exchange bill he’s filed. While it is no secret that I oppose the federal health care reform bill, if we don’t act now to create the Texas … Continue reading →

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Cuts here mean hikes there

Posted on January 26, 2011 by Charles Kuffner

The only problem with this AP story is the headline, “Texas budget cuts may shift burden to locals”. There’s no “may” about it – the Pitts budget would absolutely shift a huge burden to local governments. Cuts set off a … Continue reading →

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Senate budget pretty much the same as the House budget

Posted on January 24, 2011 by Charles Kuffner

There had been some talk that the initial Senate budget would be a little less harsh than the initial House budget, on the grounds that the Senate budget would at least use some of the Rainy Day fund, but that … Continue reading →

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LBB recommendations

Posted on January 18, 2011 by Charles Kuffner

We’re still waiting on the Pitts “You’re gonna get it good and hard” budget, but until then the Legislative Budget Board has released a list of recommendations for savings, which you can see here, that’s worth reviewing. There’s some good … Continue reading →

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This is your government on dogma

Posted on January 18, 2011 by Charles Kuffner

We won’t get Jim Pitts’ bare bones budget outline till late tonight, so as not to be a buzzkill on the Perry coronation inauguration. We did, however, get an opening bid from the ideological purists, and while it’s not worth … Continue reading →

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A few thoughts from Opening Day

Posted on January 11, 2011 by Charles Kuffner

Just a few random bits from today’s festivities… – In the end and despite the teabagger footstomping, the Speaker’s Race turned out to be a big nothingburger, which was what most rational people expected all along. There were a few … Continue reading →

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These are only “hard choices” for some people

Posted on January 3, 2011 by Charles Kuffner

I suspect that for too many members of the incoming Legislature, the decisions they’ll be making about the budget will be ones they’re not at all uncomfortable with. The Legislature’s Republican leadership will confront weighty questions, such as how many … Continue reading →

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You can cut services, but you can’t reduce the demand for them

Posted on December 22, 2010 by Charles Kuffner

Another look at what we’ll be facing next year. With state leaders saying the November election sent a no-new-taxes, lean-government message, no program is expected to escape the knife – including education and health and human services, which take up … Continue reading →

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New flash: Dropping Medicaid would be bad

Posted on December 4, 2010 by Charles Kuffner

Don’t take my word for it, take the Texas Department of Health and Human Services’ word for it. Opting out of federal Medicaid, something Republican leaders have been considering as a method to wipe out Texas’ estimated $25 billion budget … Continue reading →

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Hobby and Ellis on Medicaid

Posted on December 3, 2010 by Charles Kuffner

State Sen. Rodney Ellis and former Lt. Gov. Bill Hobby lay out the reasons why quitting Medicaid would be a disaster for the state. Texas already has the unfortunate distinction of having the highest uninsured population in the country. It … Continue reading →

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Because that’s who he is

Posted on November 29, 2010 by Charles Kuffner

Before Thanksgiving, Ezra Klein asked “Why does Gov. Rick Perry want more uninsured Texans?” Consider the case of Texas, which with 25 percent uninsured, leads the nation in not providing for its residents. If the state pulls out of Medicaid, … Continue reading →

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We can learn from Indiana’s example

Posted on November 23, 2010 by Charles Kuffner

The state of Indiana decided a couple of years ago that it was paying too much for Medicaid, so they created to create a program called Healthy Indiana that provided vouchers for low income people to use to purchase private … Continue reading →

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More pushback from the medical community on Medicaid

Posted on November 18, 2010 by Charles Kuffner

Doctors and medical associations had a big effect on public opinion during the fight over the Affordable Care Act. We’ll see whether that is true during the fight over Medicaid. “Unless our state leaders can come up with a financing … Continue reading →

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Medicaid: Ideologues versus experts

Posted on November 16, 2010 by Charles Kuffner

The fascinating thing in this story about the Republican plan to kill Medicaid is just how half-baked the idea is. GOP Gov. Rick Perry, fresh off a big re-election win and touting his new book on states’ rights, is among … Continue reading →

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Who’s your nanny?

Posted on November 15, 2010 by Charles Kuffner

Everything you need to know about the potential Republican effort to opt out of Medicaid can be taken from this quote: “If people are in superbad poverty, that’s one thing,” says state Rep. Warren Chisum, R-Pampa, the state’s most vocal … Continue reading →

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More on Medicaid

Posted on November 8, 2010 by Charles Kuffner

Mike Tomasky on the question of Texas ditching Medicaid: The states’ share of Medicaid costs has been an immense burden for two decades, there’s no denying it. I remember Mario Cuomo complaining about it when he was governor, when I … Continue reading →

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Who needs Medicaid?

Posted on November 8, 2010 by Charles Kuffner

Here’s an early peek at what we have to look forward to next year. Some Republican lawmakers — still reveling in Tuesday’s statewide election sweep — are proposing an unprecedented solution to the state’s estimated $25 billion budget shortfall: dropping … Continue reading →

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Rick Perry loves the stimulus

Posted on September 25, 2010 by Charles Kuffner

He just hates to admit it. When 47 state and territorial governors sent a letter on Feb. 22 asking for more federal matching dollars for Medicaid, Perry refused to sign. He likes to talk about how he thinks the American … Continue reading →

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Yes, let’s enroll more kids in CHIP

Posted on September 12, 2010 by Charles Kuffner

What a great idea. The Obama administration today ballyhooed a new Urban Institute report that suggests a path to enrolling 5 million kids in government-sponsored health insurance who are eligible but not signed up. The report says increasing the number … Continue reading →

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It’s easier than you think to behave responsibly

Posted on August 12, 2010 by Charles Kuffner

With all the clutching of pearls and threatening of lawsuits surrounding those federal funds that Congress intends to be used for education and not general fund budget balancing tricks, we should all take a deep breath and keep in mind … Continue reading →

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Congress wants education money spent on education

Posted on August 7, 2010 by Charles Kuffner

It sounds simple, but around here these things never are. State leaders on Thursday threatened to sue the federal government over a restriction Congress is placing on $830 million in education funding for Texas. Texas educators and Democratic congressional allies, … Continue reading →

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If not Planned Parenthood, then who?

Posted on August 5, 2010 by Charles Kuffner

That sound you hear is another can of worms being opened. State Sen. Bob Deuell wants Planned Parenthood’s clinics out of the state’s Women’s Health Program, which provides family planning services — but not abortions — to impoverished Medicaid patients. … Continue reading →

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Dewhurst the deficit peacock

Posted on July 31, 2010 by Charles Kuffner

Lt. Gov. David Dewhurst wants you to believe that he cares about deficit spending. Lt. Gov. David Dewhurst warned Wednesday that new federal health care legislation will bust Texas’ budget, saddling state taxpayers with $27 billion in extra costs over … Continue reading →

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Family planning saves money

Posted on July 19, 2010 by Charles Kuffner

It does a lot more than that, of course, but in these times we may as well highlight the financial aspect of it. A state and federal program that provides free family planning and related health screenings to low-income women … Continue reading →

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Why we can’t just cut our way out of the budget deficit

Posted on June 5, 2010 by Charles Kuffner

For one thing, there’s very little fat, and not much discretionary spending in the biggest budget items like health and human services. Of the $23 billion in state dollars appropriated in the current budget for health and human services programs, … Continue reading →

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Kaiser study on health care costs

Posted on May 27, 2010 by Charles Kuffner

As we know, state officials from HHSC Commissioner Tom Suehs up through Governor Perry have been claiming that the Affordable Care Act will cost the state of Texas a lot more than the CBO estimates. There’s quite a bit of … Continue reading →

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Don’t be like Arizona

Posted on March 23, 2010 by Charles Kuffner

I don’t have a whole lot of hope for the 2011 legislative session and the budget that it will produce. But at least we won’t do anything quite this stupid. Arizona on Thursday became the first state to eliminate its … Continue reading →

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The effect of health care reform on Texas

Posted on March 21, 2010 by Charles Kuffner

Here’s an email from the Legislative Study Group, via State Rep. Garnet Coleman, who has been a constant source of health care reform updates: LSG Policy Update: CBO Estimates of Impact of Healthcare Reform to Texas With the United States … Continue reading →

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The school district squeeze

Posted on March 17, 2010 by Charles Kuffner

Everywhere you look there’s bad budget news. “This is the worst I’ve ever seen it,” said Fort Bend ISD Chief Financial Officer Tracy Hoke, who’s worked in school finance for two decades. “I could turn out every light, and we’d … Continue reading →

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Those evil, dirty, federal dollars

Posted on February 26, 2010 by Charles Kuffner

Rick Perry loves ’em. Which of the following revenue sources has grown the most since Rick Perry became governor? A. Sales tax, driven by a strong economy. B. Natural gas production tax revenue, driven by a strong economy and the … Continue reading →

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Easing eligibility requirements on food stamps

Posted on November 15, 2009 by Charles Kuffner

I suppose you could consider this to be a small benefit of the food stamps snafu. Texas is easing a requirement that most families on food stamps must be interviewed every six months, a step that will relieve pressure on … Continue reading →

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