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THA Actively Monitors

Legislative and Regulatory Activities

The Texas Hospital Association actively monitors legislative and regulatory activities in Washington, D.C., and maintains regular contact with members of the Texas Congressional delegation to ensure that federal policy serves the needs of Texas hospitals and patients. With a dedicated federal lobbyist, THA members have a voice in the federal policymaking process.

Texas hospitals work closely with the U.S. Congress to ensure that they can provide the highest quality care to all Texans. Over the last decade, Texas hospitals have led the nation in improving care quality and safety and tested innovative strategies to transform care delivery. Despite these strides, hospitals have sustained significant Medicare cuts—an average loss of $500 million every year since 2010. Texas hospitals will face another $256.2 million in Medicaid cuts by Oct. 1. To continue providing the highest quality care, Texas hospitals need financial stability and regulatory relief.

Specifically, Texas hospitals urge Congress to:

  • Repeal or delay Medicaid disproportionate share hospital payments cuts, effective Oct. 1, 2019.
  • Strengthen the Affordable Care Act so affordable, comprehensive private health insurance is accessible to more Texans.
  • Reject any additional payment or reimbursement cuts for Texas hospitals.
  • Protect state Medicaid coverage, access and reimbursement in any proposals that seek to cap federal Medicaid funding.
  • Support funding for hospitals’ supplemental Medicaid 1115 Waiver payments and flexibility for hospitals to generate the non-federal share of those payments.
  • Ensure a level playing field for all stakeholders related to price transparency initiatives.
  • Protect rural hospitals in Texas.

Download THA’s 2019 Federal Policy Priorities for additional information. 

Search for federal legislators by ZIP code. Information about each member of Congress is available online along with a link to his/her website. Each member has a “contact us” page for communication via email with the office.

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Recent News

Double Threat for Texas Hospitals: ACA Payment Cuts and Millions of Uninsured
Double Threat for Texas Hospitals: ACA Payment Cuts and Millions of Uninsured

2019 Federal Policy Priorities
2019 Federal Policy Priorities


Health Care Reform Principles: Supporting Texas Hospitals in Creating a Healthy Future for All Texans


1115 Waiver Is Critical for Texas Hospitals and Patients


Disallowance of Federal Uncompensated Care Payments for Texas Hospitals

Local Impact of ACA Repeal and Replace

Local Impact of ACA Repeal and Replace

Contact Us

John Hawkins, senior vice president of advocacy and public policy, 512/465-1505.

Email John Hawkins

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According to Texas Government Code 305.027, portions of this material may be considered “legislative advertising.” Authorization for its publication is made by John Hawkins, Texas Hospital Association, 1108 Lavaca, Suite 700, Austin, TX 78701-2180.