190.036 Opposition to Federal Medicaid Block Grants for Traditional Medicaid Populations


Opposition to Federal Medicaid Block Grants for Traditional Medicaid Populations: On the issue of federal Medicaid block grants for traditional Medicaid populations, the Texas Medical Association will:                 

(1) Vigorously advocate to preserve guaranteed, uncapped federal Medicaid funding for at least all Texas Medicaid populations covered by the program as of Jan. 1, 2017; 

(2) Strongly advocate maintaining mandated minimum services, benefits and cost-sharing requirements for pregnant women and children, including protecting the Early Periodic Screening Diagnosis and Treatment (EPSDT) program to ensure Medicaid-enrolled children retain access to all medically necessary services, and maternal health services to promote healthy pregnancies and birth outcomes; 

(3) Strongly reiterate its support for measures that promote continuity of care and the patient-centered medical home, including maintaining 12-month continuous coverage for children enrolled in the Children’s Health Insurance Program and advocating for the same policy for children’s Medicaid, and preserve measures to simplify and streamline Medicaid and CHIP enrollment processes so that children and other  enrollees do not lose coverage due to red-tape and bureaucracy; 

(4) Reiterate its commitment to implementing a comprehensive initiative to expand health care coverage to low-income Texans using federal funding and private sector solutions; 

(5) Evaluate the feasibility of piloting a capped Medicaid funding scheme for Medicaid expansion population should Texas implement a coverage option for low-income Texans, so long as the initiative provides patients meaningful coverage as devised by an advisory panel of primary and specialty care physicians and does not increase uncompensated care for physicians; 

(6) Advocate strongly to stand against any federal or state reform measure, including block grants, that will diminish patient access to services or increase physicians’ uncompensated care; and 

(7) Collaborate with state legislative leadership to seek relief from federal administrative requirements that impose undue costs and paperwork on patients, physicians, and the state without improving patient care or outcomes (CSE and SC-MCU Joint Report 6-A-17 adopted as amended in lieu of Res. 401-A-17, Res. 402-A-17, 407-A-17, and 412-A-17).



Last Updated On

June 20, 2019