Federal: Key Issues & Legislation


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.

Key Issues

Medicaid 1115 Waiver

Following CMS’ approval of a 10-year extension of Texas’ Medicaid 1115 Waiver in January, CMS subsequently rescinded the extension in April. Learn more about the work to renegotiate and secure the 10-year extension.

Medicare & Medicaid

Get the key updates on Medicare and Medicaid, the two government-sponsored programs that provide a significant portion of Texas hospitals’ patient revenue. 

Medicaid DSH Cuts

Learn about Texas hospitals’ work to stop harmful reductions to Medicaid Disproportionate Share Hospital payments.

Surprise Billing

Texas hospitals are working with the U.S. Congress to identify a solution to ensure Texas patients no longer receive surprise medical bills for emergency or unplanned out-of-network health care services.

Maternal Health

Texas hospitals are working through various quality initiatives to ensure that Texas is the safest state in the nation for mothers and babies.

Price Transparency

Responsibility for good health care decision making rests with all of us — hospitals, physicians, insurers, employers and consumers themselves. As with many issues in health care, price transparency is complex and requires engagement of all stakeholders along the continuum of care to ensure meaningful transparency for patients.