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Medicaid Negotiations Going Nowhere, HHS Chief Says

Marjorie Kamys Cotera, Texas Tribune

Negotiations with the federal government to are at a standstill, according to the head of the state’s health agency, because he’s waiting on the Legislature to give him direction.

“If I were to go up and say, ‘Oh what if we try this or try that,� only to come back and find that that very day the Legislature had passed legislation saying, ‘You may not talk about that,’� Commissioner Kyle Janek said at a event held by our political reporting partner the Texas Tribune, “it would be a waste of my time to start negotiating pieces.�

A U.S. Supreme Court ruling last year allowed states to opt not to expand Medicaid -- health insurance for the poor and disabled -- under President Obama’s signature health care law. Gov. Rick Perry says he doesn’t want to further expand what he calls a "broken" system.

A bill advancing in the Legislature would request Medicaid expansion dollars as a block grant from the feds. That money would be for helping subsidize private insurance exchanges for low-income Texans who don’t qualify for Medicaid.

Nathan Bernier is the transportation reporter at KUT. He covers the big projects that are reshaping how we get around Austin, like the I-35 overhaul, the airport's rapid growth and the multibillion-dollar transit expansion Project Connect. He also focuses on the daily changes that affect how we walk, bike and drive around the city. Got a tip? Email him at [email protected]. Follow him on X .
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