Unlike Medicaid expansion under ObamaCare, county indigent care programs can adopt market-based policies that incentivize patients to seek care in the proper setting, reducing emergency room overuse and improving health outcomes.
Local Government
Reinvigorating Federalism and Fiscal Discipline in Texas: Establishing the Office of State Sovereignty
Texas governments received $84.3 billion in federal funding in 2023, raising concerns over financial dependency and regulatory consequences. Creating an Office of State Sovereignty to monitor the application, receipt, and conditions of this aid could mitigate fiscal risk and improve transparency. Key points: Texas lacks a centralized system to oversee federal grants potentially flowing to...
September 9, 2026