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Policy and Research

The documents below provide an in-depth view of Medicaid and health coverage issues in Texas. 


1. County Level Statistics 

A CPPP interactive tool measuring health and wealth benefits of covering more Texans.


2. Harris Health System Flyer: An Innovative Approach to Public Hospital Finance

Flyer discussing public hospital finance projections with and without Medicaid expansion dollars. Produced by the Harris Health System.


3. The 1115 Waiver and Medicaid Expansion

Cover Texas Now publication titled, "1115 Waiver and Medicaid Expansion." 


4. Defending the Current Medicaid Program in Texas

2016 Cover Texas Now publication titled, "Defending the Current Medicaid Program in Texas."


5. PricewaterhouseCoopers Health Research Institute: Medicaid 2.0

Newly-released earnings and patient volume data reveal a distinct financial split between healthcare providers in states that have expanded their Medicaid programs and those who have not. 


6. 1115 Loses By County

CPPP report including statewide and local county-and hospital specific estimates of potential 2018 funding losses. 


7. HHSC Report: Evaluation of Uncompensated Care & Medicaid Payments

Evaluation of Uncompendsated care and Medicaid payments in Texas hospitals and the role of Texas' uncompensated care pool.


8. Put on the Brakes, Congress! The Damage in Texas if Congress Repeals the Affordable Care Act without an Immediate Response

In the first U.S. Senate debate and vote to set Congress on a repeal pathway, numerous Senators cautioned—including a number of Republican officials—that an ACA repeal without replacement is not an option. Agreeing on a replacement plan, they argued, will likely take time. Without naming every benefit of the ACA to Texans, this document helps explain why a full repeal would create human, budgetary, and political catastrophe for the country.

9. Community Catalyst: Block Grants and Per Capita Fact Sheet

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.


10. Kaiser Family Foundation: 5 Key Questions: Medicaid Block Grants & Per Capita Caps

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.


11. Kaiser Health News: Everything You Need To Know About Block Grants — The Heart Of GOP’s Medicaid Plans

The president-elect and members of Congress have proposed enacting massive changes to the Medicaid program that would permanently alter the structure and financing of the program and could effectively end the guarantee of Medicaid coverage for all those who qualify. These changes undermine the cornerstone of our health care safety net and will have devastating impacts on the ability of low-income populations to access health care services.


12. Urban Institute: Partial Repeal of the ACA through Reconciliation: Coverage Implications for Texas Residents

Congress is currently considering partial repeal of the Affordable Care Act (ACA) through the budget reconciliation process. These fact sheets examine how a reconciliation bill similar to one vetoed in January 2016 would affect health care coverage for nonelderly adults and children in each state. These estimates supplement two Health Policy Center reports: Implications of Partial Appeal of the ACA through Reconciliation (Linda J. Blumberg, Matthew Buettgens, and John Holahan) and Partial Repeal of the ACA through Reconciliation: Coverage Implications for Parents and Children (Matthew Buettgens, Genevieve M. Kenney, and Clare Pan.)


13. Capped Federal Medicaid Funding: Implications for Texas

This paper was commissioned by the Texas Alliance for Health Care. The Texas Alliance for Health Care was created as a resource to lawmakers in anticipation of changes in the Affordable Care Act. The Alliance is a diversi ed group of stakeholders from private and public sectors representing hospitals, health plans, community clinics, other providers, business and public health. Its goal is to provide well thought out research that will inform and offer guidance as to the impact of proposed changes in the  nance and delivery of healthcare in Texas.


14. Children's Health Insurance Program (CHIP) Essential Care, Designed for Texas

This Children’s Health Insurance Program (CHIP) fact sheet details enrollment, funding, and the potential outcomes if Congress fails to fund CHIP.


15. Letter to Governor Abbott: Continued Funding of CHIP in Texas

Member organizations of the Children’s Health Coverage Coalition ask Governor Abbott to advocate for continued funding of the Children's Health Insurance Program (CHIP).