The latest Medicaid news from The Texas Tribune.
The first female district attorney of Harris County on the massive scope of her job, softening her office's tough-on-crime reputation, the link between mental health care and criminal justice, why she set up a Post-Conviction Review Section and what she's learned from innocence cases so far. Full Story
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The intent of the law seemed clear: The state’s 39 MHMRs would, wherever possible, stop offering direct medical services and start managing networks of private providers. But a bureaucratic scrum has delayed the privatization of care. Full Story
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Galbraith on grass, federal money and efforts to prevent another dust bowl, Ergenbright on school suspensions and who gets punished; Aguilar's interview with Alan Bersin, whose job is to keep the U.S./Mexico border secure, M. Smith on why it would be harder than you think to ditch the 14th Amendment, Adler and me on whether controversy is politically contagious, Ramshaw on the flap over funding for the state's institutions for the disabled (it's not about the money), my meditation on the state's fiscal woes (including a $1.3 billion deficit in the current budget), Philpott on proposed cuts to the state's food stamp program, Grissom on the push by Hidalgo County officials for a special election that might not be legal; Hamilton on the seven Texas universities that are making a play for Tier One status and Stiles on the mid-year cash-on-hand numbers reported by campaigns and political action committees: The best of our best from August 16 to 23, 2010. Full Story
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At a House hearing Wednesday, lawmakers learned that undocumented immigrants have almost no way to earn permanent residency status in the U.S. through employment and that a much-touted system to verify that employees can legally work here is flawed. Full Story
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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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Lawmakers must fund more in-state medical residency slots if Texas wants to ward off a looming physician shortage, the presidents of the six University of Texas medical centers told the UT System Board of Regents on Wednesday. Full Story
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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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Should lawmakers pay hospitals more for refusing to induce early labor, which reduces neonatal costs and harm to mothers? Or should the state be kept out of the private decisions of patients and their physicians? Full Story
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State Rep. Tara Rios Ybarra, D-South Padre Island, who is awaiting prosecution on corruption charges, is the latest Texas elected official under indictment but not yet convicted to languish in career-crippling limbo. Full Story
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Grissom's three-part series (here, here and here) on prosperity and peril along the U.S.-Mexico border, Hu on the Division of Workers' Compensation audit report, Stiles puts more than 3,000 personal disclosure forms filed by politicians, candidates and state officials online, M. Smith on attempts to curb the practice of barratry (better known as ambulance chasing), Ramsey interviews the chair of the Texas Libertarian Party, Hamilton on attempts to improve the success rates of community colleges, Galbraith on whether electric deregulation has helped or hurt Texans, Aguilar talks to a chronicler of the bloody narco-wars and Ramshaw on doctors who most often prescribe antipsychotic drugs to the state's neediest patients: The best of our best from July 12 to 16, 2010. Full Story
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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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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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Last week State Rep. Tara Rios Ybarra, D-South Padre Island, was indicted on charges she engaged in Medicaid fraud — the second House member from South Texas to be indicted in less than a year. But their colleagues insist that such corruption isn't a regional thing, no matter what the stereotype suggests. Full Story
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Two years after Democrats complicated presidential primary process — the Texas Two-Step — had voters across the state frustrated and outraged, party officials will continue to wrangle this weekend over the fairness of its election system. Full Story
After Thursday's lively state hearing, where health advocates told lawmakers they were bracing for massive Medicare cuts, doctors got some rewarding news: Congress had voted to delay a 21 percent cut in Medicare payments six months. Full Story
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In a hearing before House budget-writers today, officials of Doctors Hospital at Renaissance conceded they'll move toward Medicaid managed care in the Rio Grande Valley, so long as it's done with lots of local input. Full Story
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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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Alaska officials sent 16-year-old Richard DeMaar 4,000 miles away from his parents to a psychiatric facility in San Antonio because his home state wasn’t equipped to handle his severe depression. Within six weeks, he had tied a makeshift noose around his neck, strangling himself to death. He's one of roughly 900 out-of-state kids sent to residential treatment centers in Texas in the last five years, part of a national compact that allows states that don't have adequate psychiatric services to send kids to states that do. But the practice has come under fire from children’s health advocates, who say it takes kids away from their families and their communities — two things they need to make a full-fledged recovery. Full Story
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Texas’ “geriatric” inmates (55 and older) make up just 7.3 percent of Texas’ 160,000-offender prison population, but they account for nearly a third of the system’s hospital costs. Prison doctors routinely offer up the oldest and sickest of them for medical parole, a way to get those who are too incapacitated to be a public threat and have just months to live out of medical beds that Texas’ quickly aging prison population needs. They’ve recommended parole for 4,000 such inmates within the last decade. But the state parole board has only agreed in a quarter of these cases, leaving the others to die in prison — and on the state’s dime. Full Story
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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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