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This fact sheet compares and contrasts key provisions of the California and Texas Section 1115 Medicaid demonstration waivers. The Texas waiver, approved in December 2011, is modeled, in part, on the California waiver, which has been underway in that state since November 2010.
This fact sheet summarizes the Texas health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program. Fact Sheet (.
Building on an earlier brief that provided an overview of the components of DSRIP waivers, this analysis relied upon interviews with stakeholders to identify emerging trends and themes from DSRIP waivers in four states – California, Massachusetts, New York and Texas. It highlights that DSRIP waivers are spurring major change in relationships among providers; allowing providers to launch new initiatives aimed at improving care and reducing costs; and fostering a stronger focus on the social service needs of Medicaid beneficiaries. At the same time, the rapid pace of implementation is straining the ability of stakeholders to keep pace, including consumer advocates who are hard-pressed to track and respond to the DSRIP-driven changes that are fundamentally re-shaping the way that care is delivered to Medicaid beneficiaries.
The Kaiser Family Foundation/Episcopal Health Foundation Harvey Anniversary Survey examines the views, experiences, and long-term recovery needs of vulnerable Gulf Coast Texans who were affected by Hurricane Harvey. This survey – a follow-up to a survey conducted by the partners 3 months after the storm – measures residents’ challenges with housing, financial assistance, health care, and mental health, as well as views on priorities and preparedness moving forward. It finds many challenges are especially salient for affected residents who are Black, Hispanic, or have lower incomes, as well as those who experienced major home damage or remain displaced from their homes.
All states and the District of Columbia will lose more federal Medicaid funding under the Senate-passed bill than under the House-passed bill. In 14 states, the Senate bill would reduce federal Medicaid spending by at least $5 billion more than the House bill would have.
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