Medicare and Medicaid

With Medicare and Medicaid providing more than half of most hospitals’ patient revenue, any changes to these government-sponsored programs have a significant impact on hospitals. Federal health care reform will change these programs significantly over the next decade, as well as make dramatic modifications to private insurance practices. The Texas Legislature sets the Medicaid program budget for each biennium, and also oversees the regulation of the state’s insurance industry through the Texas Department of Insurance. THA works with the Texas Legislature on legislation that affects health care financing. Through involvement with specific Medicaid advisory committees, the Texas Health and Human Services Commission and the Texas Department of State Health Services, THA helps shape the regulatory environment.

Read More on the Medicaid Fiscal Accountability Rule

Get the latest on the impending Medicaid Disproportionate Share Hospital payment cuts  here

Additional Information

Revised Proposal for FY 2021 UHRIP Payments (June 18, 2020)

Joint-Association Request to Protect Hospital Rates in Budget Cuts (June 10, 2020)

HHSC/CMS Request for Commercial Payment Data for SFY 21 UHRIP Review (June 4, 2020)

Top 10 Inpatient, Outpatient Diagnosis Codes by Provider Type (June 4, 2020)

Texas Congressional Delegation MFAR Letter to CMS (March 10, 2020)

THHSC Update: FY 2021 Proposed UHRIP Reforms on Hold (Feb. 5, 2020)

THHSC Update on UHRIP Changes for SFY 2020 (Feb. 3, 2020)

Children’s Hospital Association of Texas MFAR Comment Letter (Jan. 31, 2020)

Joint-Association MFAR Letter to Texas Congressional Delegation (Jan. 30, 2020)

THA Comments to CMS on MFAR (Jan. 30, 2020)

AHA Comment Letter to CMS on MFAR (Jan. 29, 2020)

Texas Organization of Rural & Community Hospitals’ Comments to CMS on MFAR (Jan. 29, 2020)

MACPAC Comments on MFAR (Jan. 28, 2020)

Texas Association of Voluntary Hospitals’ Comments to CMS on MFAR (Jan. 24, 2020)

AHA Model Comment Letter on MFAR (Jan. 21, 2020)

THA Letter Asking THHSC to Delay UHRIP Reforms (Jan. 14, 2020)

Joint Association MFAR Letter to Gov. Abbott (Jan. 17, 2020)

AHA Special Bulletin on Proposed Medicaid Fiscal Accountability Rule (Nov. 14, 2019)

THHSC Announces Changes for Medicaid Supplemental Payment Programs (Sept. 17, 2019)

THHSC Proposed Changes for UHRIP Reform (Sept. 17, 2019)

DY 9 DSH and UC Application (July 2019)

DY 9 Uncompensated Care Charity Care Survey (July 2019)

DY 9 UC Uninsured Charity Survey Hospitals (July 2019)

CMS Revised S-10 Reporting Instructions (Sept. 2017)

THA Comments on THHSC’s UHRIP Rules (Sept. 24, 2017)

Texas Hospitals Urge Congress to Eliminate Medicaid DSH Cuts (Aug. 30, 2017)

THA Comments on Proposed Medicaid DSH Rules (Aug. 28, 2017)

UHRIP Issues and THHSC Responses (July 10, 2017)

THA Comments on THHSC Proposed Uniform Rate Hospital Increase Program (Feb. 21, 2017)

Texas Medicaid in Perspective Handout(January 2017)

THHSC Proposed Methodology and Measures for 2018 Medical Pay-for-Quality Redesign

2018 Pay-for-Quality Program Measures and Benchmarks

HHS Nondiscrimination Final Rule Summary (September 2016)

Summary of Securing Funding for Increased Medicaid Reimbursement Rates in the 84th Legislature



John Hawkins, senior vice president, government relations, 512/465-1505

Jennifer Banda, J.D., vice president of advocacy, public policy & HOSPAC, 512/465-1046

Richard Schirmer, FACHE, vice president of health care policy analysis, 512/465-1056

Kate Hendrix, senior director of health care policy analysis,  512/465-1556

Texas Congressional Delegation MFAR Letter to CMS (March 10, 2020)

thumbnail of MFAR letter to Texas Delegation
Joint-Association MFAR Letter to Texas Congressional Delegation (Jan. 30, 2020)

image of THA comment letter
THA Comments to CMS on MFAR

Joint Association MFAR Letter to Gov. Abbott

Medicaid Fiscal Accountability Rule Could Upend Texas’ Health Care Safety Net

A Perfect Storm in Texas: Access to Health Care in Jeopardy as Texas Hospitals Face Uncertain Financial Future