This report discusses fiscal 2015, the most recent year for which data is available, in which local debt outstanding, or the amount of unpaid principal on debt owed by Texas’ political subdivisions, grew to an estimated $212.4 billion, “an increase of $20.09 billion (10.4 percent) over the past several years” (Texas Bond Review Board, 2). To help rein in the growth of local government debt, state legislators should require political subdivisions to provide voters with more information at the ballot box for each new debt proposition.
Health Care
Transformational Healthcare Reform
Transformational Healthcare Reform Key Points As hospitals and insurance systems have consolidated, patients have faced rising costs and narrower choices, while physicians have lost independence, and control has shifted to a handful of large corporate systems. Price transparency alone is not enough: patients and employers need clear disclosure of actual prices, fees, commissions, conflicts of...
August 21, 2026