Medicaid expansion

Priority: Primary Care - 11/30/2020

The Texas Medical Association and other corners of organized medicine know primary care is part of the bedrock of a sturdy health care system. So medicine – including the Texas Primary Care Consortium (TPCC), of which TMA is a member, and the Texas Academy of Family Physicians (TAFP) – is engaging policymakers to not only help the state’s primary care system survive the pandemic, but also enable it to thrive for the long haul.

A Case for More Coverage: Studies Suggest Medicaid Expansion Would Fiscally Benefit Texas - 11/12/2020

Two recent studies suggest expanding Medicaid will not only save Texas money, but add to the Lone Star State’s coffers.

More Than 1 Million More Texans Could Be Covered, Report Shows - 04/18/2019

Expanding Medicaid coverage under the Affordable Care Act would help put a substantial dent in the number of uninsured Texans, a new report by the Kaiser Family Foundation shows.

STAR+PLUS Expansion News - 04/20/2018

People with intellectual and developmental disabilities covered by Medicaid will need to choose a STAR+PLUS health plan this summer for their doctor, hospital visits, and medications. Starting Sept. 1, these people will get their basic medical services through STAR+PLUS.

Minding the Gap - 05/13/2016

Texas chose not to expand Medicaid eligibility in 2014 under the Affordable Care Act, leaving more than 1 million uninsured Texans in the coverage gap. Now that several states have succeeded in finding alternative solutions to cover the working poor without expanding Medicaid, some lawmakers are optimistic Texas, too, can develop its own unique plan to draw down the roughly $100 billion in federal funding available over 10 years.

Fix It First - 05/13/2016

Reform recommendations by the Texas Medical Association Medicaid Congress are a critical component of a TMA Board of Trustees resolution offering support for a bipartisan, flexible approach to expanding Medicaid coverage to more of the state's uninsured, namely low-income parents and childless adults. Finding a way for Texas to expand Medicaid coverage is among more than 100 different recommendations the Medicaid Congress researched and developed with input from diverse physician specialties and geographic regions across Texas. Doctors hope the recommendations will factor into the many Medicaid discussions expected to take center stage this legislative session and beyond. The program already is the subject of several bills that aim to save money by expanding Medicaid managed care, adding quality-based payment initiatives, and fighting fraud.

STAR+PLUS Expands to Rural Areas - 05/13/2016

On Sept. 1, the STAR+PLUS Medicaid managed care program expanded to 164 rural counties not currently participating in the model. The expansion requires elderly patients eligible for Medicaid long-term services and supports (LTCSS) and adult patients with disabilities to enroll in a STAR+PLUS plan. Children with disabilities may enroll voluntarily.