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.
Health Care
Don’t Fence Me In: Challenges for Health Care in Rural Texas
LLANO, TEXAS—Dr. Jack Franklin often stops for coffee on his way to his modest office in this Texas Hill Country town. With a population of about 3,300, Llano is small enough that he’s bound to bump into a patient or two from time to time. At the Fuel Coffee House, he’s even served his daily...
March 16, 2026