The Medicaid rider in SB 1 was added to prevent Medicaid expansion under the Affordable Care Act. However, the rider leaves the door to expansion open and should therefore be struck from SB 1.
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...