TribBlog: Medicaid Reimbursement Change Halted
The politically powerful hospital was poised to lose millions in Medicaid reimbursements under a hospital funding shuffle — until it reached out to lawmakers with its concerns. Full Story
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Credit: Todd Wiseman -
Good Money After Bad?
In the wake of high-profile incidents of abuse, state health officials want to boost payments to Texas' institutions for the disabled by $25,000 per patient per year. But the proposed Medicaid rate change has drawn the ire of Texas’ disability community, which wants to see the facilities shuttered rather than propped up. Full Story
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Credit: Todd Wiseman -
Food Fight
Last week, Republicans loudly complained about a just-approved bill that would send $830 million in federal education funds to Texas with strings attached. But as Ben Philpott of KUT News and the Tribune reports, Democrats have their own reason to balk. Full Story
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The Biggest Losers
As the reality of health care reform sinks in, physician-owned specialty hospitals are on edge. Some are scouring the law for loopholes; others want to sell out to corporations. Full Story
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Credit: Todd Wiseman -
TribBlog: Injured on the Job
If you're going to get injured on the job, don't do it in Texas. Full Story
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Banned Parenthood?
State Sen. Bob Deuell, R-Greenville, 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. He says a 2005 law should exclude them already. But for years, the state’s Health and Human Services Commission has allowed those clinics to participate, for fear that barring them might be unconstitutional. Deuell has asked Texas Attorney General Greg Abbott to clear up the matter, hoping it will free up the agency to push Planned Parenthood out. Full Story
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Credit: Jacob Villanueva -
An Itchy Situation
The American Academy of Pediatrics recently said that children should not be kept out of school if they get head lice — the opposite of what Texas law requires. Ben Philpott of KUT News and the Tribune has this report. Full Story
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TribBlog: Family Planning Quandary?
Sen. Bob Deuell, R-Greenville, wants the attorney general to decide whether a Texas family planning rule — one that bans the state's Women's Health Program from contracting with clinics that "perform or promote" abortions — is constitutional. Full Story
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Access and Accommodation
Today is the 20th anniversary of the Americans with Disabilities Act, which has been hailed as a Bill of Rights for people with disabilities. Nathan Bernier of KUT News talked to one of the architects of the legislation, Dr. Lex Frieden, a professor of at the University of Texas Health Science Center at Houston who has been partially paralyzed since 1967. "Life has changed signficantly," Frieden says. Full Story
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Baby Bump
At a hearing today, the Department of Family and Protective Services will consider stricter caregiver-to-child ratios for child care centers — but improved care for Texas toddlers could also mean less income for child care providers and higher tuition for families. Full Story
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High Prescribers
A Houston psychiatrist who uses clinically controversial brain scans to diagnose everything from anxiety to marital discord. A Plano music therapist who believes his Peruvian pan flute tunes cure mental illness. And a Beaumont child psychologist reprimanded for continuing to prescribe to a proven drug abuser. These physicians have written more prescriptions for potent antipsychotic drugs to the state’s neediest patients than any other doctors in Texas. Full Story
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TribWeek: In Case You Missed It
Grissom, Hamilton, and Philpott on the Texas Democratic Party's state convention, the two-step, the forecast, and the ticket; Galbraith on the political and environmental battle between state and federal environmental regulators, and on a new age of nukes in Texas; Burnson on signs of the times in San Antonio; Ramshaw on hackers breaking into the state's confidential cancer database; Aguilar's interview with Katherine Glass, the Libertarian Party's nominee for governor; Acosta on efforts to stop 'Murderabilia' items that sell because of the association with killers; Ramshaw and the Houston Chronicle's Terri Langford on the criminal arrest records of workers in state-funded foster care centers; Hu on accusations that state Sunset examiners missed problems with workers compensation regulators because they didn't ask the right questions of the right people; Ramsey and Stiles on the rush to rake in campaign cash, and on political races that could be won or lost because of voter attraction to Libertarian candidates; and Aguilar's fresh take on South Texas' reputation for corruption. The best of our best from June 28 to July 3, 2010. Full Story
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Health Hacker?
The FBI is investigating whether a hacker broke into the state’s confidential cancer database, possibly accessing personal information and medical records. Health and Human Services Commissioner Tom Suehs says state health officials notified his office in early May that a hacker was holding the Texas Cancer Registry hostage and demanding a ransom. Suehs says preliminary investigation results from the FBI indicate the threat may be a hoax but that if private records were compromised, health officials will quickly notify the people listed in the registry. Full Story
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TribBlog: Gallego Wants "Fight Club" Investigation
State Rep. Pete Gallego, D-Alpine, has asked the House Committee on General Investigating and Ethics to review how the Department of Family and Protective Services licenses, reviews and oversees residential treatment centers for foster kids. Full Story
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No More Valley Carve-Out?
When Texas expanded its Medicaid managed care program in 2003 to cover more than urban centers, the Rio Grande Valley narrowly avoided being included. But as state leaders stare down a multibillion-dollar budget shortfall, they say it’s unlikely the Valley will make it through another session without being roped in. Full Story
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TribBlog: State Suspends Daystar Placements
The Texas Department of Family and Protective Services has suspended all new placements of foster children at the Daystar Residential Treatment Center outside of Houston, following a Texas Tribune/Houston Chronicle investigation that revealed workers forced young girls to fight each other in return for snacks. Full Story
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Quite an Undertaking
When a family member dies, accessing bank accounts and collecting on insurance policies requires proper paperwork. Despite a state mandate to process death certificates in a timely fashion, however, doctors are dragging their heels, funeral directors say, leaving survivors in the lurch. Full Story
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Threatening the Safety Net
The biggest consumer benefit of federal health care reform — adding millions more Americans to insurance rolls — could spell disaster for some public hospitals. Full Story
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TribBlog: Unemployment Up, But So is Employment
The number of Texans working was up in April, but so was the number of people looking for work. Full Story
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Diagnosis: Turf War
In Texas, nurse practitioners’ livelihoods are tied to physicians: By law, they can’t treat patients without a doctor’s permission. That means if they want to open their own practice, they must petition, and pay, a doctor to grant them “prescriptive authority” — to essentially keep an eye on their work and, in some cases, to be held liable for it. Doctors say this is as it should be. Nurse practitioners and their allies say doctors don't want the competition and charge them enough to run them out of business. “It borders on an immoral situation,” says state Rep. Wayne Christian, R-Center. Full Story
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Credit: Marjorie Cotera