In recent years, Texas Medicaid spending has doubled, on the average, every six to seven years, an eightfold increase in less than 20 years. At this explosive rate of unprecedented growth, the present $17 billion annual Texas Medicaid budget will exceed $136 billion annually – more than one-quarter of a trillion dollars ($272 billion) a biennium in less than 20 years. That amount is more than double the state’s budget today.
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