Texas Medicaid

Texans with disabilities can wait almost two decades for certain Medicaid programs. During a House Human Services Committee public hearing Tuesday, advocates and some state lawmakers said they worry what long wait times mean for the nearly 200,000 Texans on "interest lists" for services.

Texas Attorney General Ken Paxton's office said has launched investigations into "dozens" of Medicaid providers for alleged fraud — based on data released by the Department of Government Efficiency, or DOGE. In a statement released Tuesday, Paxton's office did not specify which providers, or how many, would be investigated.

A proposed rule would allow some children to qualify for the Medically Dependent Children Program — a Medicaid program that offers home- and community-based services to children with complex medical needs — without needing a nursing facility stay. But, advocates said the language is too "narrow" and could hinder providers.

The Texas Legislature at least partially implemented less than a third of recommendations from the state's 2024 Children's Behavioral Health Strategic Plan, according to a recent report. Many of the recommendations focus on increasing access to services that keep children in their homes or communities instead of institutional settings.

Texas proposed increases to Medicaid reimbursement rates for certain ambulance services. During a public rate hearing, providers said the higher rates could help maintain access to critical services, especially in rural areas.

In a letter sent to state officials Friday, Texas Gov. Greg Abbott said he wants state agencies to investigate the Medicaid program after the Trump administration identified potential fraud in other states. He directed the agencies to implement several additional anti-fraud measures in the program.

The U.S. Postal Service changed when mail is postmarked as it's being processed – which could cause issues with time-sensitive mail like ballots and taxes. But, advocates worry the change could also lead to a loss of coverage and access to services, especially for people with disabilities.

Texas is set to receive the largest award from the federal Rural Health Transformation Program — with federal officials awarding $1.4 billion to the state over five years. The state received millions more in funding that it asked for in its application.

Nonprofits across the country have been grappling with changes in federal spending and the cuts to departments and grants. As coordinator with other local organizations, Lubbock Area United Way has been updating partners on developments at the state and national level, and advocating for policies suited to West Texas.

Having never expanded Medicaid, Texas avoided most of the looming federal cuts other states will face. But the Affordable Care Act is a different story.