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Medicaid Expansion in Texas: Legislation and Viewpoints

In February, we wrote about how states are considering Medicaid expansion under the Patient Protection and Affordable Care Act.  We continue this discussion by highlighting bills filed during the 83rd Regular Session that relate to Medicaid expansion, as well several reports published recently that argue for or against Medicaid expansion in Texas.
 
In addition to the bills listed below, the Senate's budget bill (SB 1), contains a rider regarding Medicaid expansion:
 
HB 59 by Rep. Lon Burnam
Relating to participation by political subdivisions in federal healthcare programs.
 
HB 593 by Reps. Elliott Naishtat & Garnet Coleman
Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act.
 
HB 999 by Rep. Eric Johnson
Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act.
 
HB 1001 by Rep. Eric Johnson
Relating to the expansion of eligibility for Medicaid in certain counties under the federal Patient Protection and Affordable Care Act.
 
HB 2950 by Rep. Justin Rodriguez
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act.
 
HB 3122 by Rep. Eddie Lucio, III
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HB 3266 by Rep. Ruth Jones McClendon
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HB 3376 by Rep. Sylvester Turner
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HB 3487 by  Rep. Mike Villarreal
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HB 3700 by Rep. Marisa Márquez
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HB 3722 by Rep. Trey Martinez Fischer
Relating to expanding eligibility for benefits under the Medicaid program and transitioning the delivery of benefits under the Medicaid program from delivery through a managed care model or arrangement to delivery through an integrated and coordinated health care delivery system.
 
HB 3791 by Reps. John Zerwas & J.D. Sheffield
Relating to the creation of a "Texas" solution to issues related to Medicaid, including flexibility in the administration of the Medicaid program, tailored to the needs of the state.
 
HB 3806 by Rep. Helen Giddings
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
HJR 91 by Rep. Garnet Coleman
Proposing a constitutional amendment requiring the state to expand eligibility for the Medicaid program to certain persons.
 
SB 455 by Sen. José R. Rodríguez
Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and the application and eligibility determination processes for medical assistance and other programs.
 
SB 880 by Sen. Rodney Ellis
Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act.
 
SB 1232 by Sen. Royce West
Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and ensuring the provision of quality care under and the effectiveness of the medical assistance program.
 
SB 1477 by Sen. Bob Deuell
Relating to flexibility in the administration of the Medicaid program, a block grant funding approach to Medicaid expansion, and the establishment of a health benefit exchange tailored to the needs of the state.
 
SB 1808 by Sen. Charles Schwertner
Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.
 
SB 1816 by Sen. José R. Rodríguez
Relating to the expansion of eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act and funding of that expansion.
 
SJR 8 by Sen. Rodney Ellis
Proposing a constitutional amendment requiring the state to expand eligibility for the Medicaid program to certain persons.
 
SJR 61 by Sen. Charles Schwertner
Proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district tax rate reductions.
 
Viewpoints on Medicaid expansion in Texas:
Over the summer, Governor Rick Perry expressed his opposition to Medicaid expansion in Texas. Local organizations and individuals have also published their viewpoints about this issue. Below you will find a selection of these reports, organized alphabetically by title.  Back to top
 
Alternative Medicaid Proposals. Legislative Budget Board, January 2013. 
 
 
The Case against Medicaid expansion. John Davidson / Texas Public Policy Foundation, March 13, 2013.
 
Expanding Medicaid in Texas: smart, affordable and fair. Billy Hamilton Consulting, January 2013.
 
Fix Medicaid before you expand it. Senator Tommy Williams, Austin American Statesman, February 28, 2013.
 
 
Letter to Governor Rick Perry regarding Medicaid expansion. Senator Bob Deuell, February 28, 2013.
 
The long road to reform (Medicaid expansion). Texas Hospital Association, January/February 2013.
 
Medicaid expansion plan bad for Texas. Senator Bob Deuell, Rep. Charles Schwertner, Rep. Mark Shelton, and Rep. John Zerwas, San Antonio Express News, July 18, 2012.
 
 
Texas physicians: expand coverage, and reform Medicaid. Texas Medical Association, February 2,
 
Texas should not expand Medicaid. Arlene Wohlgemuth / Texas Public Policy Foundation, February 26, 2013.
 
 

States Consider Medicaid Expansion

On June 28, 2012, the U.S. Supreme Court upheld the Patient Protection and Affordable Care Act [PPACA], but made the expansion of Medicaid included in the PPACA optional.  
 
In the months since, states have grappled with the question of whether or not to expand Medicaid coverage to include all adults up to 133 percent of the poverty level.  The Advisory Board Company, a health care consulting firm, has a frequently updated interactive map showing where each state stands.
 
A number of recent articles have discussed the issues involved:
 
 
Although much attention has focused on state governors, legislation will be needed to implement changes in states' Medicaid programs. 
 
The National Conference of State Legislatures [NCSL] has a searchable database of pending legislation related to the PPACA which can be used to track legislation related to Medicaid expansion:
 
 
You can use Texas Legislature Online to find bills filed during the 83rd Legislature about Medicaid.
 
NCSL's Health Reform Information pages include a wide range of other documents related to state implementation of the PPACA .