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The latest Medicaid news from The Texas Tribune.

  • Left, Behind

    By Ross Ramsey

    The prevailing theory among Republicans, at least publicly, is that their House herd of 101 will always move together as one, and there will be peace and harmony in the land and all that. Full Story 

  • 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

  • TribBlog: Backtracking On McAllen?

    By Emily Ramshaw

    New Yorker writer Atul Gawande put McAllen's medical providers on the defensive in a 2009 article, claiming the region's health care was among the most expensive in the U.S. In a new blog post, Gawande seems to backtrack — at least in part. Full Story 

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  • Fat and Skinny

    By Ross Ramsey

    That steady drip, drip, drip in the biennial Scare the Speaker thing has been plugged for the moment. Scratching around for other amusements, we came upon a congressional map for Texas showing who's got too few and too many people in their congressional districts. Full Story 

  • TribWeek: In Case You Missed It

    By Ross Ramsey

    Galbraith on wood chips and green energy, Aguilar on why conservatives might get the appeal of medical marijuana, Philpott on an effort to uncloak the hidden costs of government, Ramshaw and Galewitz of Kaiser Health News on federal plans to send less money to Texas for Medicaid, Aaronson visualizes who's currently covered by Medicaid and how the billions are spent, E. Smith's interview on higher ed and the "speaker drama" with Dan Branch, Hamilton on the costs of a losing football season, Grissom on Hispanic farmers' reaction to a federal settlement in a widespread discrimination case, Hu on what's ahead for Democratic legislators after an electoral drubbing, Chang on the rise of hepatitis B among Asian-Americans and M. Smith on the cuts likely for Texas classrooms in the wake of a record budget shortfall: The best of our best from Dec. 6 to 10, 2010. Full Story 

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  • Interactive: Medicaid Caseload

    By Becca Aaronson

    It's Texas Medicaid's time in the limelight: Federal health care reform calls for expanding it, some Republicans are angling to bag it altogether and lawmakers are gearing up for a tense debate over broadening the reach of cost-cutting managed care plans. Often lost in these conversations are the people Medicaid served and the money Texas pays to cover them. Our interactive allows you to visualize the 3 million Texans covered and the roughly $6 billion that the state spends. Full Story 

  • 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

  • Drama Club

    By Ross Ramsey

    Maybe Dan Branch is right. Asked whether there's a race for speaker, he called it more of a "Speaker Drama" and said Joe Straus (to whom he's pledged) appears to have the thing locked up. Full Story 

  • 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

  • There Will Be Blood

    By Ross Ramsey

    Ask House Appropriations Committee Chairman Jim Pitts, R-Waxahachie, and he'll tell you: The budget he and his fellow finance types will put forward in a few weeks confirms fears that carnage is looming. "We're making huge cuts," he told a Tea Party group last week. Full Story 

    State Representative Jim Pitts, representing District 10. District 10 includes Ellis County and Hill County, Texas.
    Credit: Bob Daemmrich

  • A Conflict in Care?

    By Emily Ramshaw

    For years, the state paid private providers who care for people with disabilities to handle their clients’ case management. But an 11th-hour change inserted into the budget last session stripped them of that responsibility, giving it instead to quasi-governmental Mental Retardation Authorities — and potentially creating a conflict of interest. Full Story 

    Health care assistant Crystal Kreig plays a card game with Steve Parker (center) and Eulalio Alvarada (right) at a group home operated by D&S Residential, Inc. Companies like D&S used to handle case management for their clients, but a budget change sent that responsibility to local Mental Retardation Authorities.
    Credit: Caity Colvard

  • Tom DeLay Wins!

    By Ross Ramsey

    Yes, a jury convicted the former U.S. House majority leader of money laundering. But his maps — the ones that upended the careers of Democrats and helped the GOP take over Congress — are still in place. No amount of jail time can change that. Full Story 

    Tom DeLay, shown after his trial in 2011. DeLay, who was convicted of conspiracy and money-laundering, was found innocent of all charges by the Texas Court of Criminal Appeals in 2014.
    Credit: Bob Daemmrich

  • TribBlog: Pitts Sees Deep Cuts Ahead

    By Ross Ramsey

    State budget writers will propose eliminating agencies, cutting others to a quarter of their current size and mandating furloughs for state employees to balance the budget without raising taxes or using the state's Rainy Day Fund, Appropriations Chairman Jim Pitts told a hometown crowd. Full Story 

    Jim Pitts (R-Waxahachie)
    Credit: Bob Daemmrich

  • Drip, Drip, Drip

    By Ross Ramsey

    You know the home inspector told you to fix that leak but hey it wasn't a flood or a lot of water and everything seemed okay and you let it go and now the insurance company is slow-paying and the contractor is shaking his head and your wallet and this is really a painful way to run a race for speaker... Joe Straus hasn't had a really good news day since the Republicans won 99 seats on Election Night and he announced the next day that more than four out of five House members wanted him back. Full Story 

  • 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

  • Arlene Wohlgemuth: The TT Interview

    By Ross Ramsey

    The former budget-slashing Texas House member and current executive director of the Texas Public Policy Foundation on how she reads the mood out there, what reductions in state spending should be on the table, whether cost-shifting to local school districts is a plausible option, why lawmakers should forget about new sources of revenue, the trouble with Medicaid and what members of the Republican near-supermajority in the Legislature must do to keep the confidence of voters — and get re-elected. Full Story 

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