Texas Insight’s Recent Reports
Comptroller of Public Accounts: Revenue vs Shortfall. According to the Comptroller’s “cautiously optimistic” revenue estimate, the 86th Legislature will have an estimated $119.12 billion available for general-purpose spending in the 2020-21 biennium, 8.1 percent more than the corresponding amount estimated for 2018-19. This figure represents the 2018-19 ending balance of $4.18 billion, plus 2020-21 tax revenue of $107.32 billion and 2020-21 non-tax receipts of $14.16 billion, less an estimated reserve of $6.34 billion from oil and natural gas taxes for future transfer to the Economic Stabilization Fund (ESF) and the State Highway Fund (SHF), and less an estimated reserve of $211 million for transfer to the Texas Tomorrow Fund. Read here to find out what this means for the supplemental needs left unfunded by the 85th Texas Legislature.
Texas Early Childhood Intervention. The Early Childhood Intervention Advisory Committee met to receive their customary update on the children referred and served. The staff reported that they have exceeded the measures set by the Legislature. As such, there is a strain on the service providers. An exceptional item has been requested by HHSC in the amount of $71 million. Some of the indicators in the performance report to be submitted to the federal government have either slipped or have not met the goals established. Click here to read Texas Insight’s coverage of the meeting.
Constitutional Spending Limit for 2020-2021. At a meeting of the Legislative Budget Board on January 11, 2019, the Board approved the items of information required to set the Article VIII constitutional limit on the growth of appropriations from state tax revenue not dedicated by the Texas Constitution. Click here to read Texas Insight’s coverage.
Status of the Affordable Care Act in Texas. This brief provides a quick summary of the ACA and explores what is known currently about how Texas leadership is envisioning replacing and/or modifying the Act. Because no specific plan for healthcare coverage targeting ACA populations (working age low-income adults and individuals and families without access to public or private health insurance) has been put forward other than the bill recently filed by Rep. Garnet Coleman, which codifies the ACA into Texas law and expands Medicaid per the option within the Act, this exploration hinges on language in public statements by Texas officials and stakeholders in response to the recent ruling and looks back at recent federal proposals to replace the ACA. Further, this brief will consider the interim charge Lt. Governor Patrick asked Senators serving on the Business and Commerce Committee to consider which examines 1332 waivers and inter-state health insurance purchases as potential replacements and/or modifications to the ACA in Texas at the close of the 85th session. Follow this link to read the rest.
Looking Ahead
January 15, 2019: Healthcare Safety Advisory Committee Meeting
January 16, 2019: STAR Kids Managed Care Advisory Committee
January 17, 2019: HHS Ethics Policy – 2018 Updates
January 18, 2019: Texas HIV Medication Advisory Committee
State and Federal Healthcare News
Texas
- State health officials call on legislators for funds to fight maternal deaths, tuberculosis
- Texas House base budget is out, including significant increase for public education
- Medicaid, opioids and abortion: Health care issues to expect this Texas legislative session
- Opponents of Austin’s sick leave law ratchet up rhetoric at Capitol
- Sneak peek: Plans revealed for $125M UTHealth psychiatric hospital in Houston
- Paxton Defends State Laws Protecting the Health and Safety of Texas Women
- Texas abortion providers’ suit over ‘medically unnecessary’ requirements goes to trial
U.S.
- Clinics Struggle To Resolve Fears Over Medicaid Sign-Ups And Green Cards
- Court Blocks Trump Administration Restrictions on Birth Control
- F.D.A. Says It Will Resume Inspections of Some High-Risk Foods
- House Judiciary Chair Demands Info on Family Separation Policy
- The Strange Marketplace for Diabetes Test Strips
- A Silver Bullet Against the Brain-Eating Amoeba?
- Oversight Launches Major Drug Pricing Investigation
- Hospitals Must Now Post Prices. But It May Take a Brain Surgeon to Decipher Them.
- V.A. Seeks to Redirect Billions of Dollars Into Private Care
- California Adds Its Clout to States Battling High Drug Prices
- $3.4 Million Medicaid Fraud Inquiry Hovers Over Nursing Home Where Comatose Woman Was Raped and Had Baby
- The Flu Is Widespread in the U.S., and It’s Not Too Late to Get Vaccinated
- Facing Legal Action, Insurer Now Will Cover People Taking Truvada, an H.I.V.-Prevention Drug