The 22 states that didn't expand Medicaid eligibility as part of Obamacare last year saw their costs to provide health care to the poor rise twice as fast as states that extended benefits to more low-income residents.

It's a counterintuitive twist for those states whose governors, most Republicans who opposed the Affordable Care Act, chose not to accept federal funds to extend Medicaid to more people.

Shelley Kofler / KERA-Dallas

The Texas Health and Human Services Commission says it is moving forward with cuts to Medicaid rates which were voted on by state lawmakers in the last legislative session.

Health care advocates say the plan will cause a $350 million drop in Medicaid payments to health care providers.

Supporters of the cuts have said this will bring Medicaid rates in Texas more in line with where rates should be.

David Martin Davies

The Rio Grande Valley along the Texas Mexico border is one of the most impoverished regions in the nation. For many who live there receiving quality health care is not a possibility. But last week Operation Lone Star provided many with a chance to get needed medical treatment.

There are two rows of portable dental chairs along the baseline at the Palmview high school gym in Mission, Texas. The chairs are filled with patients - many are having extensive work done on their teeth after a lifetime of neglect.

EdTech Stanford School of Medicine

In 2009, the Affordable Care Act was still a bill making its way through congress.  One proposal, which many considered modest, was trying to mandate repayments for doctors who talk to and counsel patients about advanced directives and end-of-life care.  

Advocates said it offered a voluntary incentive to fully inform patients about the human cost of their treatments, and that it offered options.

Critics of the program – largely from the right– had big concerns. 


AUSTIN — The private health data for thousands of Medicaid patients in Texas has been accidentally exposed, officials with the state Department of Aging and Disability Services said Thursday.

The exposed data included names, residences, mailing addresses, birth dates, Social Security and Medicaid numbers, and medical diagnoses and treatment information.

The agency said it has begun notifying about 6,600 Medicaid recipients about the data breach that it has known about since April 21. It just began revealing it to clients on Thursday. The department took down the problematic website on April 21 when it was advised that the information on the site was publicly accessible on the Internet, according to a statement it released.