Dick Lavine

Misguided Senate Bill 2 Could Tie Hands of Cities and Counties

This post was updated on 5/17/17. Texas local governments – cities, counties, community colleges and hospital districts – provide vital services to their constituents. Locally elected officials decide how to provide these services and how to pay for them, an arrangement that reflects the values and desires of local voters. The Texas Legislature is now […]


Anne Dunkelberg

Medicaid Funding in the Texas State Budget

Putting House and Senate Budget Cuts in Perspective Eva DeLuna Castro’s Comparison of the Texas Senate and House Budgets includes some of the high-level concerns about the major gaps in both chambers’ Medicaid-Children’s Health Insurance Program (CHIP) proposals. This post and a new linked detailed table provides more details on Medicaid-CHIP, with special focus on […]


Dick Lavine

Let’s Go Back to the Future

Why talk about the 2020-21 Texas state budget when lawmakers are still deciding the 2018-19 budget? It’s because the decisions our state leaders make now will have dramatic effects on the ability of the next Legislature to support health care, public education and other key services when they return to write a budget in January […]


Stacey Pogue

Remembering the Bad Old Days of High-Risk Pools

There seems to be a lot of nostalgia among lawmakers for “high-risk pools” these days. In the past, high-risk pools offered high-cost health insurance to people with pre-existing conditions who would have been denied standard coverage by insurers. First, the latest amendment to the federal health care repeal bill would let states gut coverage guarantees […]