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 worked with the U.S. Congress to include several federal policy priorities in H.R. 1892, an omnibus spending bill that passed in February. The following federal policy priorities help Texas hospitals maintain financial stability and continue to provide high quality patient care:

  • Continued federal funding for the Children’s Health Insurance Program.
  • Two year delay of scheduled cuts to Medicaid Disproportionate Share Hospital payments.
  • Continued enhanced Medicare payment for certain rural hospitals.

Despite these policy successes, Texas hospitals still will lose nearly $53 billion between 2010 and 2027 from a number of Medicare payment reductions, including Medicare DSH cuts, marketbasket cuts in the Affordable Care Act and Medicare Part B payments cuts for outpatient drugs purchased through the 340B drug discount program.

Texas hospitals support elimination of all the ACA funding cuts, which account for a third—or nearly $18 billion—of the $53 billion revenue loss.

Texas hospitals also encourage Congress to prioritize and pass legislation that:

  • Provides meaningful, affordable private health insurance coverage for uninsured Texans.
  • Protects rural Texas hospitals.
  • Ensures an adequate physician workforce to care for the state’s growing population.

Download Texas Hospitals’ 2018 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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Texas Hospitals’ 2018 Federal Policy Priorities
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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.