Texas House Bill HB497

Texas 2009 - 81st Regular

• Out of House Committee: 4/14/09
• Voted on by House: 4/30/09
• Out of Senate Committee: 5/13/09
• Voted on by Senate: 5/21/09
• Governor Action: 6/19/09
• Report Pass: 5/13/09
• Enrolled: 5/24/09
• Passed: 6/19/09

Caption

Relating to a study to determine the effect on the health care infrastructure in this state if the state Medicaid program is abolished or a severe reduction in federal matching money under the program occurs.

Impact

The findings from this study could have profound implications on public health laws and state healthcare policies. By understanding the ramifications of potential changes to Medicaid, the state can prepare for the possible consequences, including transitions to new healthcare delivery systems. The bill includes provisions for a statewide plan that would outline steps for transitioning care from Medicaid to alternative systems, emphasizing fiscal impacts and the need for continuity of care for vulnerable populations.

Summary

House Bill 497 focuses on assessing the potential impacts on Texas' healthcare infrastructure should the state Medicaid program be abolished or if federal matching funds for the program are significantly reduced. The bill mandates a comprehensive study to evaluate how such changes would affect healthcare service delivery across the state. This study aims to identify available healthcare resources, the crowd-out effect of state Medicaid on private coverage, at-risk populations reliant on Medicaid, and the implications for local healthcare service providers, particularly in low-income areas.

Contention

Notably, there may be contentious debates surrounding this bill, as stakeholders, including healthcare providers, local governments, and advocacy groups, express varying views on the implications of reducing or abolishing Medicaid. Proponents of maintaining Medicaid argue that the program plays a critical role in ensuring access to healthcare for low-income citizens and protecting local health systems. In contrast, opponents may focus on concerns regarding dependency on federal funding and the sustainability of state resources.

Transition

The bill calls for a transition plan that would serve as a contingency should changes to Medicaid occur. This aspect highlights the state's proactive approach to preparing for potential disruptions in healthcare services, aiming to ensure that individuals who rely on Medicaid can still access necessary care. The results of the study are expected to guide policymakers in making informed decisions to safeguard healthcare access and quality in Texas.