Tag Archives: Medicaid

The coverage gap

Posted on February 2, 2014 by Charles Kuffner

As you may know, the intent of the Affordable Care Act was to get people below a certain income level onto Medicaid, with people at or above that income level receiving subsidized health insurance via the exchanges. Unfortunately, when the … Continue reading →

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If you want to be treated for mental illness, go to jail

Posted on January 17, 2014 by Charles Kuffner

You’ve heard it said that the Harris County Jail is the largest mental health facility in Texas. Here’s a great story in the Observer by Emily DePrang that illustrates what that really means. Of the 9,000 or so inmates here, … Continue reading →

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ACA enrollments in Texas

Posted on January 16, 2014 by Charles Kuffner

As was the case with the rest of the country, there was a big surge in December. Texas enrollments in the online insurance marketplace created under the Affordable Care Act rose nearly eightfold in December, according to 2013 figures that … Continue reading →

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Where are the women’s health providers?

Posted on January 15, 2014 by Charles Kuffner

The Republican jihad against Planned Parenthood continues to have real consequences. In 2011, under pressure from Republican leaders, state health officials began enforcing a provision lawmakers wrote to exclude Planned Parenthood and any clinics with organizational ties to abortion providers … Continue reading →

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Rick Perry doesn’t want people to get health insurance

Posted on January 8, 2014 by Charles Kuffner

There’s really no other viable explanation. On a White House conference call on Monday, Texas Democrats criticized Gov. Rick Perry and other Republican state leaders for “getting in the way” of implementing federal health care reform. During the call, which … Continue reading →

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Texas Left Me Out

Posted on December 26, 2013 by Charles Kuffner

This. Obamacare advocates are actively recruiting those left out of the Medicaid expansion in Republican-controlled states to lobby state officials to change their minds and participate in that key provision of the health care reform law. So far, the effort … Continue reading →

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County jail diversion program moving forward

Posted on December 19, 2013 by Charles Kuffner

News like this is always welcome. Harris County is moving forward with a much-anticipated jail diversion program aimed at reducing the soaring number – and the associated cost – of mentally ill residents who repeatedly cycle through the county lockup. … Continue reading →

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Once again, the cost of not expanding Medicaid

Posted on December 16, 2013 by Charles Kuffner

We are paying for Medicaid expansion, regardless of what our “leaders” want. The only question is whether we get a benefit from it, or if it all goes to other states. If Texas keeps refusing to enlarge Medicaid under the … Continue reading →

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It’s about much more than abortion

Posted on November 19, 2013 by Charles Kuffner

Yet another reminder that even if the Legislature had taken no action on abortion since 2011, it still grievously damaged women’s access to healthcare. The closure of nine of 32 family planning clinics in the Rio Grande Valley — a … Continue reading →

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Of course Wendy Davis needs to talk about health care

Posted on November 10, 2013 by Charles Kuffner

It’s not even a question. In order for Davis to defeat Attorney General Greg Abbott, her likely Republican opponent next November, political strategists say she needs to win big among two key demographics: Hispanics and white women. Among Hispanics in … Continue reading →

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Arkansas will expand Medicaid

Posted on October 12, 2013 by Charles Kuffner

If they can do it… [Friday], the Center for Medicaid and Medicare Services notified state officials in Arkansas that it has approved the states’ Medicaid expansion plan. And this is not any old expansion plan: Arkansas will be the only … Continue reading →

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Why the Affordable Care Act will make a real difference to many people

Posted on October 3, 2013 by Charles Kuffner

This is what it’s all about. The following was written by a good friend of mine, who has been eagerly awaiting October 1 and the opening of the insurance exchanges. I asked him to write about his experience with getting … Continue reading →

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Perry keeps asking for the same Medicaid waiver he hasn’t gotten in the past

Posted on September 18, 2013 by Charles Kuffner

Same as it ever was. Gov. Rick Perry is preparing for yet another battle in his war against Obamacare. In a letter to the state’s health agency on Monday, the governor laid out his plan to request a federal waiver … Continue reading →

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More ways in which refusing to expand Medicaid will cost Texas money

Posted on September 7, 2013 by Charles Kuffner

Fiscal conservatism, baby. Gov. Rick Perry’s rejection of Medicaid expansion will force private health insurance premiums to rise by an average of 9.3 percent for Texans buying coverage on their own, a new study finds. GOP lawmakers, strongly encouraged by … Continue reading →

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None dare call it Obamacare

Posted on August 24, 2013 by Charles Kuffner

You’ve probably seen the Politico story by now. Gov. Rick Perry wants to kill Obamacare dead, but Texas health officials are in talks with the Obama administration about accepting an estimated $100 million available through the health law to care … Continue reading →

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When is it OK for the feds to intervene in Texas?

Posted on August 14, 2013 by Charles Kuffner

When the Affordable Care Act is involved. Though Texas will join 26 other states in defaulting to a federal marketplace for purchasing health insurance — a major component of the Affordable Care Act — it is one of only six … Continue reading →

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Two ways to deal with a problem you don’t want to solve

Posted on August 11, 2013 by Charles Kuffner

First, deny there is a problem. Attorney General Greg Abbott said Thursday he would never give up the fight against Obamacare, but the front-running candidate for Texas governor declined to embrace a temporary shut-down of the federal government — one … Continue reading →

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The exchanges are coming

Posted on August 10, 2013 by Charles Kuffner

Texas can resist all it wants, the health insurance exchanges will be here in 2014, with signups beginning in October, whether Rick Perry and Greg Abbott like it or not. The federal Health Insurance Marketplace at www.healthcare.gov is scheduled to … Continue reading →

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A reduction in funding for women’s health leads to fewer women getting health care

Posted on August 10, 2013 by Charles Kuffner

Shocking, I know. The number of claims filed for medical and family planning services in the new state-run Texas Women’s Health Program has dropped since the state ousted Planned Parenthood from it and set up its own program without federal … Continue reading →

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Texas really needs Obamacare

Posted on August 7, 2013 by Charles Kuffner

We’ve always known that Texas would be a huge beneficiary of the Affordable Care Act because of our huge volume of uninsured people, but this quantifies it in a way that really brings it home. Texas is home to more … Continue reading →

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Fighting for Obamacare

Posted on August 5, 2013 by Charles Kuffner

Bring it. Obamacare supporters are launching a new war room operation to stick up for the law, mobilizing liberal groups to talk up its benefits and pound Republicans for trying to cut off its funding. The new effort — to … Continue reading →

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Remember how concern for women’s health was supposed to be a thing?

Posted on July 24, 2013 by Charles Kuffner

Now that the omnibus anti-abortion bill has been passed and signed, the Republicans can quit pretending to care about the state of health care access for women in Texas as before. Three Planned Parenthood family planning clinics in Southeast Texas … Continue reading →

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From the “Wooing Latino Voters: You’re Doing It Wrong” department

Posted on July 21, 2013 by Charles Kuffner

Greg Abbott visits McAllen and gives the locals his best reason why they should vote for him. Gubernatorial candidate Greg Abbott called for unity between Republican candidates and Hispanics in McAllen on Monday, with the promise of being in South … Continue reading →

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Remembering the bad old days

Posted on July 21, 2013 by Charles Kuffner

We’re headed back to them if the courts don’t intervene. Dr. Howard Novick winces as he recalls treating two and three women a week for infections and complications from botched abortions. It was the early 1970s, before the procedure was … Continue reading →

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People who don’t know about Obamacare can’t benefit from Obamacare

Posted on July 18, 2013 by Charles Kuffner

One suspects that’s the point. Texans, and in particular the state’s Hispanic population, might remain in the dark on the benefits of the new federal health care law because outreach efforts are largely focusing on the 24 states participating in … Continue reading →

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RAND reminds us what we’re not getting

Posted on June 13, 2013 by Charles Kuffner

Not expanding Medicaid is a really bad deal for Texas, and all those other states like Texas. States that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase … Continue reading →

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Less is more, local legislative edition

Posted on June 5, 2013 by Charles Kuffner

Harris County and the city of Houston generally play more defense than offense when the Legislature is in session, so as a rule the fewer bills that get passed that affect them, the better. County and city lobbyists said their … Continue reading →

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Double secret illegal Medicaid amendment amended

Posted on May 28, 2013 by Charles Kuffner

Yes, I know, it’s all so confusing. The House on Sunday night accepted Sen. Jane Nelson’s and other lawmakers’ clean up of an amendment by a freshman state representative from Collin County that would require a rubber stamp from the … Continue reading →

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Medicaid expansion is now double secret illegal

Posted on May 23, 2013 by Charles Kuffner

Whatever. In a surprise turn in the House on Monday evening, a bill to reform Medicaid long-term and acute care services became a vehicle for the GOP’s platform against Medicaid expansion. “Many of us are very weary of Medicaid expansion,” … Continue reading →

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Better late than never, I guess

Posted on May 21, 2013 by Charles Kuffner

Way to be ahead of the curve, y’all. A resolution endorsing the expansion of Medicaid was approved by Texas Medical Association delegates Saturday at the group’s annual meeting in San Antonio. “The patients need the care and, if we pass … Continue reading →

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Budget deal reached

Posted on May 18, 2013 by Charles Kuffner

And the crowd goes wild. Top House and Senate negotiators agreed to a two-year budget for the state of Texas Friday that restores about $4 billion of $5.4 billion in cuts to public education made in 2011. It also creates … Continue reading →

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Maybe I buried Medicaid expansion too soon

Posted on May 14, 2013 by Charles Kuffner

I still think it’s dead, but I could be wrong about that. The fate of Medicaid reform in Texas could rest solely on an up-or-down vote on the 2014-15 budget. State Rep. John Zerwas, R-Simonton, a member of the conference … Continue reading →

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Where things stand with two weeks to go in the legislative session

Posted on May 13, 2013 by Charles Kuffner

With the Thursday midnight deadline for bills to pass on second reading in the House, I figured this would be a good time to take a look at the status of some major legislation and legislative priorities. There are two … Continue reading →

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Medicaid “expansion” likely dead

Posted on May 8, 2013 by Charles Kuffner

The calendar is a harsh mistress. The House’s lead health care budget writer says his bill to force Gov. Rick Perry’s administration to explore the potential for a “Texas solution” on Medicaid expansion is dead. Rep. John Zerwas, R-Richmond, said … Continue reading →

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