Office of the Governor Rick Perry

Governor's Initiatives - National Health Care

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Health Care in Texas
Thursday, March 28, 2013
Texas Senator Donna Campbell, M.D.

Medicaid is Broken

Medicaid expansion is a misguided, and ultimately doomed, attempt to mask the shortcomings of the Affordable Care Act by pressing millions into a system that can’t handle the people it’s caring for now.

Promised federal dollars may not materialize, and with only 3 out of 10 Texas physicians accepting new Medicaid patients already, the program simply isn’t prepared to deal with thousands of new individuals.

Texas will continue saying “no” to Medicaid expansion, and instead needs the flexibility to implement true solutions to meet the challenges of caring for the truly needy.

Texas Representative Lois Kolkhorst on Medicaid

Texas' Four-Point Plan

Reform our current program to meet the needs of Texans in a fiscally responsible manner:

  • Cost Sharing: Establish copays, deductibles and premium payments on a sliding scale.
  • Asset Testing: To ensure care is there for those who need it most.
  • Promote Health Savings Accounts: Providing patients more control over health care spending.
  • Promote Private Access: Promote the use of existing private coverage and employer sponsored coverage

News & Announcements

  • Friday, November 23, 2012 • Austin, Texas • Editorial
    Saying No to a Really Bad Idea
    It’s really far past time for us to call Obamacare what it truly is: an unprecedented government overreach into every American's life, forcing higher costs onto individuals, practitioners, employers and state governments in lieu of actually fixing our healthcare system.
  • Thursday, November 15, 2012 • Austin, Texas • Press Release
    Gov. Perry: Texas Will Not Implement State Insurance Exchange Under Obamacare
    Gov. Rick Perry, in a follow-up letter to U.S. Health and Human Services Secretary Kathleen Sebelius, reiterated Texas' decision not to implement a state insurance exchange as part of Obamacare. The deadline to inform the federal government of a state's intention regarding a state exchange is November 16.
  • Wednesday, July 11, 2012 • Austin, Texas • Editorial
    We Need Real Reform, Not More Medicaid
    Expecting to extend quality health care access to millions of Americans by pressing them into the existing Medicaid system is a little like expecting to win the Indy 500 in a 1965 Chevy Corvair. It's just not the right tool for the job. A fundamental flaw in the Obama Administration's government health care plan is that Medicaid is already on the brink of failure. Dumping millions more individuals into the Medicaid mix will not save it, will not cut any costs, and will not improve overall access to quality care.
  • Wednesday, July 11, 2012 • Austin, Texas • Editorial
    Expanding a Broken System is No Solution for Health Care
    In Texas, Medicaid already accounts for more than 20 percent of our general revenue spending, with that number threatening to skyrocket further in the next budgetary cycle. The president's plan promises to pay the state share of expansion for a few years. However, that "federal" money is still taxpayer financed, whether it's collected or borrowed. That flow of money will, necessarily, come to an end, and states will be left with a massive bill that can't even be estimated yet.
  • Monday, July 09, 2012 • Austin, Texas • Press Release
    Gov. Perry: Texas Will Not Expand Medicaid or Implement Health Benefit Exchange
    Gov. Rick Perry, in a letter to U.S. Health and Human Services Secretary Kathleen Sebelius, today confirmed that Texas has no intention of implementing a state insurance exchange or expanding Medicaid as part of Obamacare. Any state exchange must be approved by the Obama Administration and operate under specific federally mandated rules, many of which have yet to be established. Expanding Medicaid would mandate the admission of millions of additional Texans into the already unsustainable Medicaid program, at a potential cost of billions to Texas taxpayers.