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.
Supermajority Solutions for Texas Taxpayers
Texas bond elections often pass with low voter turnout and simple majorities, driving up local debt as a result. Raising voter approval thresholds could protect taxpayers and ensure a stronger consensus for public spending. Key points: Even though tax relief has been funded at the state level, increased debt at the local level has led...