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Health And Human Services Commission

The latest Health And Human Services Commission news from The Texas Tribune.

  • Managed Into the Red?

    By Emily Ramshaw

    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. Full Story 

    Dr. Carlos Cardenas, chairman of the board at Doctor’s Hospital at Renaissance in Edinburg, performs an exam on a patient on Wednesday December 8, 2010. Many Texas hospitals like this one oppose certain aspects of the proposed expansion of Medicaid managed care.
    Credit: Gabe Hernandez

  • The Hispanic Paradox

    By Emily Ramshaw

    Many of the longest lives in Texas are lived in an unlikely place: along the impoverished border with Mexico, where residents often live until age 80 and beyond. Explanations for this so-called "Hispanic Paradox" range from theories about differences in the diet, faith and family values of first-generation South Texans to suggestions that natural selection is at play in immigration patterns. Full Story 

    Endoscopy tech Dora Facturan, right, prepares Maria Perez, 65, for a colonoscopy exam from Dr. Carlos Cardenas, back left, on December 8, 2010 at the Doctor's Hospital at Renaissance in Edinburg. South Texans lead some of the longest lives in the state.
    Credit: Gabe Hernandez

  • TribBlog: Steady Medi(caid)

    By Becca Aaronson

    Thirteen states expanded Medicaid or CHIP eligibility last year, and 14 states made improvements in enrollment and renewal procedures. Texas didn't fall into either of these categories, but the state held steady in 2010, while making improvements in technology to prepare for the roll-out of federal health care reform. Full Story 

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    Credit: Graphic by Jacob Villanueva

  • Diagnosis: Unconstitutional

    By Ben Philpott, KUT News

    A federal court's ruling on Monday declaring parts of federal health care reform unconstitutional elicited plenty of reaction in Texas, which is part of a separate attempt to repeal the new law. Ben Philpott of KUT News and the Tribune reports. Full Story 

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    Credit: Illustration by Todd Wiseman

  • A "B" for Effort

    By Julie Chang

    One in 10 Asian-Americans has hepatitis B, a rate that is 20 times higher than the rest of the population — and is surely pronounced in Houston, which has the fourth-largest Asian population of any U.S. metropolitan area. But state public health officials struggle to get funding for vaccinations and outreach. Full Story 

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  • Matching Medicaid

    By Emily Ramshaw, The Texas Tribune, and Phil Galewitz, Kaiser Health News

    Already facing a record budget shortfall, Texas has received more bad news: The portion of state Medicaid costs paid by the federal government is about to drop. Texas’ Federal Medical Assistance Percentage, a mathematical formula linked to a state's per-capita personal income, will fall more than 2 percentage points in late 2011, equivalent to a $1.2 billion hit. Only two states — Louisiana and North Dakota — will face a bigger percentage drop. And that’s after federal stimulus funds that have been artificially enhancing this match dry up in the spring, another blow to cash-strapped state Medicaid programs in Texas and across the nation. Full Story 

    Patients are shown checking out in 2010 at the People's Community Clinic in Austin, a safety-net clinic that serves Medicaid recipients and the underinsured.
    Credit: Callie Richmond for The Texas Tribune

  • Diabetic Shock

    By Emily Ramshaw

    The number of adult Texans with diabetes is expected to quadruple over the next three decades, a massive spike that demographers and health care experts attribute to the state’s aging population and obesity epidemic. Full Story 

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    Credit: Graphic by Todd Wiseman

  • TribWeek: In Case You Missed It

    By Evan Smith

    Hu on the Perry-Bush rift, Ramshaw on the adult diaper wars, Ramsey's interview with conservative budget-slasher Arlene Wohlgemuth, Galbraith on the legislature's water agenda (maybe), M. Smith on Don McLeroy's last stand (maybe), Philpott on the end of earmarks (maybe), Hamilton on the merger of the Higher Education Coordinating Board and the Texas Education Agency (maybe), Aguilar on Mexicans seeking refuge from drug violence, Grissom on inadequate health care in county jails and my conversation with Houston Mayor Annise Parker: The best of our best from November 15 to 19, 2010. Full Story 

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  • Diaper Change

    By Emily Ramshaw

    Call it a bad case of adult diaper drama: Incontinence product vendors are facing off against the state comptroller’s office over plans to competitively bid underpads, catheters and other supplies for Texas Medicaid patients. Full Story 

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    Credit: Richard Richards

  • The Opt-Out Option

    By Emily Ramshaw, The Texas Tribune, and Marilyn Serafini, Kaiser Health News

    A week after newly emboldened Republicans in the Texas Legislature floated a radical cost-saving proposal — withdrawing from the federal Medicaid program — health care experts, economists and think tanks are trying to determine just how possible it would be. The answer? It’s complicated. But it’s 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. Full Story 

    The waiting room at People's Community Clinic in Austin, TX in November 2010.
    Credit: Callie Richmond

  • Closing for Good?

    By Tristan Hallman

    A barrage of abuse scandals, a federal investigation and the shrinking state budget could be just what disability advocates need to achieve a longtime goal: fewer state institutions and more community-based living services for developmentally disabled Texans who can’t care for themselves. Full Story 

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    Credit: Samantha Mesones

  • A Hole in the Safety Net

    By Emily Ramshaw

    Advocates say the Department of Aging and Disability Services’ baseline budget request eliminates financing for more than 13,000 people — the majority waiting to receive Medicaid waiver services. Agency officials will only say that an “unknown number” 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. Full Story 

    Barbara Cullison does her daughter Audrey's hair. Audrey, who is autistic, risks losing her Medicaid waiver services because of state budget cuts.
    Credit: Wenjing Zhang