PUBLIC BENEFITS: HEALTH CARE ACCESS


The center focuses on health care access, immigrants' access to services, food and nutrition, the state's eligibility and enrollment system, and TANF.

Recent Health Care Access Publications

Recommendations for Healthy Texas (12/9/2008)
With nearly 6 million Texans lacking health insurance coverage and the cost of coverage growing ten times faster than incomes, Texas needs to take bold steps to confront issues with access to health coverage. Healthy Texas has the potential to put private health insurance coverage within reach of many uninsured Texans by addressing the primary barrier to coverageâ€"the high cost of premiumsâ€"using public-private partnerships. The overall goals of Healthy Texas are commendable, but the ultimate value of the program will depend upon key policy decisions, many that have yet to be made.

State’s New Managed Health Care Model for Foster Children (11/17/2008)

Senate Bill 6 in 2005 directed HHSC to create a new health care delivery model to provide foster children with comprehensive services, a “medical home,” and coordinated access to care. HHSC worked with the DFPS to develop STAR Health, a new Medicaid managed-care model for foster children, which was implemented on April 1, 2008. This report explores the initial implementation of the program and STAR Health’s potential to improve health outcomes for foster children.

Texas Health Care 2008: What Has Happened and What Work Remains (10/23/2008)

CPPP's new report provides an update on major actions on health care access in the 2007 legislative session and the important issues and challenges that remain as we approach the 2009 session.

CPPP Honors Methodist Healthcare Ministries' Kevin Moriarty with 2008 Hobby Visionary Award (09/17/2008)
Methodist Healthcare Ministries (MHM) Chief Executive Officer Kevin C. Moriarty is this year’s recipient of the Hobby Visionary Award. CPPP selected Moriarty for the award because of his strong record of charitable service and advocacy for good public policy, particularly for access to health care. Former Lieutenant Governor Bill Hobby, for whom the award is named, presented the award on September 19 at the 2008 William P. Hobby Policy Conference in Austin.

CPPP Honors Methodist Healthcare Ministries' Kevin Moriarty with 2008 Hobby Visionary Award (09/17/2008)
Methodist Healthcare Ministries (MHM) Chief Executive Officer Kevin C. Moriarty is this year’s recipient of the Hobby Visionary Award. CPPP selected Moriarty for the award because of his strong record of charitable service and advocacy for good public policy, particularly for access to health care. Former Lieutenant Governor Bill Hobby, for whom the award is named, presented the award on September 19 at the 2008 William P. Hobby Policy Conference in Austin.

Texas Needs Tools to Increase Private Health Coverage: How Improving Public Oversight Can Bring Health Care to More Texans (06/23/2008)
By insurance industry standards, Texas’ commercial health insurance market is considered one of the healthiest in the United States because it has a relatively large number of insurance companies offering plans, is subject to less rate regulation than in most states, and brings in $22 billion a year in premiums. The effect of this market on Texas consumers, however, is anything but healthy. The private health insurance market in Texas leaves one in four uninsured, generates the third highest premium increases in the nation, and produces one of the lowest rates of coverage through employer-sponsored insurance in the nation. Many small-business owners in Texas want to provide coverage to their workers but cannot afford to with premium quotes as high as $23,000 a year per employee. Texans must think twice before switching jobs or starting businesses for fear that a preexisting condition will prevent them from getting health insurance. The notion that a hands-off approach to regulation promotes the best outcomes has not worked any better in the Texas health insurance market than it has in the mortgage industry. Texans deserve a truly healthy insurance market in which insurance companies vigorously compete for business and make reasonable profits while consumers are able to purchase the insurance they need at prices they can afford. This policy page focuses on sensible market reform optionsâ€"many already enacted by other statesâ€"that can help make private health insurance more affordable and accessible in Texas.

CPPP Comments on the TDI Sunset Staff Report (06/6/2008)
Policy Analyst Stacey Pogue submitted comments on the Texas Department of Insurance and Office of Public Insurance Council Sunset Staff Report. With one in four Texans lacking health insurance coverage and the cost of coverage increasing ten times faster than income, the staff report correctly identifies the need for the state to examine its current approach to insurance regulation.

A Central Pillar of Texas Health Care is at Risk: Federal Medicaid Rules Would Cost Texas $3.4 Billion (04/16/2008)
Federal Medicaid officials are trying to impose a number of rules that, if implemented, would make program cuts that would threaten our most vulnerable citizens, limit our ability to serve more low-income children in CHIP, and shortchange taxpayers at the same time. Texas Medicaid officials estimate that these rules would cost Texas Medicaid $3.4 billion in lost federal support over five years. The cuts would force Texas to cut services for children with disabilities and frail seniors as well as support for safety net hospitals, or else raise taxes to make up the lost federal funds. Governor Rick Perry, the National Governors Association, and the National Association of State Medicaid directors all have urged Congress to stop the rules from taking effect, and Congress is now debating bills that would delay the rules for at least a year. In every case, these rules attempt to impose harsher policies than underlying federal law, and in many cases policies that have been specifically rejected by Congress. Read more about the rules and how you can help prevent these cuts (including a letter from Governor Perry urging Congress to stop the rules from taking effect).

HHSC's Proposed Medicaid Waiver: "Affordable" Coverage Should Not Come from Shrinking Benefits (03/18/2008)
As one step to decrease the number of uninsured, in 2007, the Texas Legislature directed the Texas Health and Human Services Commission to request a “waiver” of federal Medicaid laws to allow Texas to use federal Medicaid dollars to fund a health care coverage program that would be allowed to operate in ways not normally allowed under federal law. In developing a waiver, HHSC must balance keeping the cost per person low against the need to provide a decent and affordable standard of care. Top concerns for the low-income uninsured Texas adults who might be served are (1) a package with “bare-bones” benefits; (2) co-payments that are too high for the poorest parents; and (3) no clear policy on whether parents whose benefits run out will be in debt for the additional care they need. Achieving “affordable” care by cutting benefits dramatically (instead of finding a way to provide an acceptable standard of care) raises serious concerns. An overarching concern for all Texans is whether the financing of the proposed program will hurt our safety net hospitals, which are the backbone of the trauma system for every Texanâ€"rich or poor. Finally, the amount of funding available for the new program is uncertain, and so the number of adults who will be able to enroll is also unknown. This policy page makes recommendations for improving the state’s waiver proposal and explains how you can voice your concern to state officials.

Testimony on HHSC's 1115 Waiver Concept (02/20/2008)
Associate Director Anne Dunkelberg testified on the Medicaid 1115 waiver concept before the Texas Legislature’s Medicaid Reform Oversight Committee.

Child Friendly? How Texas' Policy Choices Affect Whether Children Get Enrolled and Stay Enrolled in Medicaid and CHIP (02/13/2008)
This updated report illustrates the history and consequences of Texas' policies related to children's Medicaid and CHIP, using official state program data. It also summarizes national and state research on the effects of eligibility and enrollment policies, and explains how Texas policies compare to those of other states. The report was funded by the generous support of the Texas Association of Community Health Centers.

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