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The Great Masquerader - 04/25/2024

Since beginning her career at the Texas Department of State Health Services (DSHS) in 2017 as the infectious disease medical officer, Jennifer Shuford, MD, has been closely monitoring syphilis.

Feds Extend Marketplace Special Enrollment Amid Medicaid Unwinding - 04/19/2024

Texas patients who have been disenrolled from Medicaid in the wake of the COVID-19 public health emergency now have more time to find alternative coverage on the federal marketplace. The extension could mitigate a coverage cliff about which the Texas Medical Association has long raised concerns.

New Federal Rules Limit Short-Term Insurance Plans, Enhance Protections - 04/17/2024

Following advocacy by the Texas Medical Association, the U.S. departments of Health and Human Services, Labor, and the Treasury recently issued final rules that strengthen consumer protections related to short term, limited duration insurance.

TMA Pushes for Prior Authorization Limits, Clarity - 04/16/2024

After hearing story after story of delays and denials, the Texas Medical Association is pushing the Texas Legislature to sign off on measures that would significantly curb insurers’ ability to require prior authorization on needed care, as well as clarify for both physicians and patients what it means when prior authorization is required.

Cigna Launches Digital Newsroom for Payer Updates - 04/12/2024

Physicians and practice staff looking for updates from one of Texas’ major payers, Cigna Healthcare, can now refer to the company’s new digital newsroom.

TMA Moment in Time: First Tuesdays at the Capitol - 04/09/2024

TMA’s signature advocacy event offers invaluable facetime with lawmakers.

TMA Moment in Time: Texas' First PPO Rules - 04/09/2024

TMA fought to ensure fair regulation of PPOs, which now dominate the health plan market.

Postpartum Coverage Extension Brings Payment Complexities - 04/05/2024

As the 12-month postpartum coverage Texas legislature approved took effect March 1, physicians and their practice staff should take note of subsequent payment complexities, Texas Medical Association experts caution.

TMA to IRS: Direct Primary Care, Health Care-Sharing Ministries Aren’t Insurance - 04/05/2024

The Texas Medical Association is urging the IRS to reconsider a proposed rule that would classify direct primary care (DPC) arrangements and health care-sharing ministries (HSMs) as insurance.

An Unfailing Voice for Medicine: TMA Honors Kenneth Mattox, MD - 04/01/2024

TMA honors Houston trauma surgeon Kenneth Mattox, MD, for his dedication to public health.

Mumps: Virus Causes Puffy Cheeks and Sometimes, Serious Complications - 03/27/2024

The bottom line: Mumps is a viral contagious disease. People know mumps for patients’ swollen cheeks and jaw, but patients also suffer fever, headache, muscle aches, tiredness, and loss of appetite. Outbreaks occur every year in the United States and Texas. The MMR vaccine protects people against this disease.

State to Update Trauma, Emergency System Rules - 03/25/2024

For the first time in 20 years, the Texas Department of State Health Services is updating the state’s emergency medical system and trauma care rules.

Physicians Now May Apply for TMA Disaster Relief Program Aid - 03/23/2024

Any Texas physician whose Harvey-damaged medical practice is located in a federally declared disaster area now may apply for relief funds from the Texas Medical Association (TMA) Disaster Relief Program.

TMA Sues Feds Over Unfair Rule for Surprise Billing Law - 03/22/2024

The Texas Medical Association filed a lawsuit in federal district court in Tyler, Texas, after the Biden administration failed to follow clear direction from Congress about how to implement the dispute resolution process set forth in the No Surprises Act, legislation that was passed in 2020 to protect patients from surprise medical bills.

TMA Launches Public Health Podcast Series - 03/20/2024

The Texas Medical Association Council on Health Promotion has launched a podcast series to inform and educate the public on some of TMA’s public health priorities, as well as community outreach programs the council oversees.

TDI Proposed Rules for State Network Adequacy Law Raise Strong Concerns - 03/20/2024

After securing network adequacy reform during the 2023 regular state legislative session, the Texas Medical Association has shifted its focus to ensuring the Texas Department of Insurance’s network adequacy rules conform to the plain language and intent of the law.

Power Data: Texas' Claims Database Will Help Clarify Care Costs - 03/15/2024

Texas is building an all-payer claims database, which will provide a clearer view of opaque health care costs.

You Write Scripts? You Better Sign Up With the PMP - 02/28/2024

If you don't yet have a user account set up with the state's prescription monitoring program (PMP), known as PMP Aware, now is a good time to get it done.

New Law Prohibits Employer COVID-19 Vaccine Mandates, With Exceptions - 02/28/2024

Thanks to advocacy by the Texas Medical Association, guardrails for patient safety and practice viability are included in a new state law that prohibits employers, including physician offices and health care facilities, from mandating COVID-19 vaccines among employees.

College Students: Put Required Vaccination on To-Do List - 02/21/2024

As young adults make final preparations for college, the physicians of the Texas Medical Association remind college-bound students to put the meningitis vaccination on their to-do list.

Pregnant? Make Sure You’re Vaccinated to Protect Yourself, Baby From Disease - 02/21/2024

Vaccinations before and during pregnancy are important to protect both mother and baby. Three vaccinations are recommended: flu, Tdap (tetanus, diphtheria, and acellular pertussis), and MMR (measles, mumps, and rubella).

Grassroots Physician Advocacy Fuels Early TEXPAC Win - 02/16/2024

Looking to build on the victory, TMA’s bipartisan political arm has endorsed a long list of medicine-friendly candidates, informed by local physician support and its own rigorous evaluation process. The Texas primary election is on March 5. Read more.

Governor Approves Bill to Reduce Prior Authorization Hassles - 02/14/2024

Care for countless Texas patients will happen more quickly by reducing health insurers’ bureaucratic delays, thanks to a bill Gov. Greg Abbott allowed to become law this weekend. The Texas Medical Association  prioritized curbing health insurers’ onerous prior authorization practices this legislative session, resulting in passage of House Bill 3459 by Rep. Greg Bonnen, MD (R-Friendswood), and Sen. Dawn Buckingham, MD (R-Lakeway), with considerable support by Sen. Jane Nelson (R-Flower Mound).

DSHS Introduces Interactive Respiratory Illness Dashboard - 02/08/2024

The Texas Department of State Health Services has developed an interactive dashboard to help physicians across the state combat respiratory illness during its peak season, which typically runs from October through May in Texas.

Medicaid, CHIP Postpartum Coverage Extension Will Take Effect March 1 - 02/08/2024

After a multi-session advocacy effort by the Texas Medical Association, specialty societies, and women’s health advocates, Texans who are enrolled in Medicaid or the Children’s Health Insurance Program and who are pregnant or become pregnant will see their postpartum coverage automatically extended starting March 1.