Federal Medicaid mandates take the first and biggest bite out of the Texas budget, taking priority over all other state spending – If Texas controlled Texas Medicaid, it could provide better care to patients, reduce inefficiencies, and improve reimbursements to providers. Federal funding formula for Medicaid encourages spending, not saving.
Local Government
Growing Pains: The Cost and Contribution of Impact Fees in Texas
Texas’s rapidly growing population requires new infrastructure and improvements, which oftentimes come at great expense. To fund these projects, local officials often impose impact fees on new development—but their use comes at a cost. Key points: Texas is the fastest-growing state in the nation. As such, it has robust infrastructure requirements. To help finance capital...
August 12, 2026