With a population growing more than twice as fast as the national average – and people living longer and experiencing more chronic illness – the demand for health care has never been greater. Unfortunately, Texas has too few physicians to meet the health care needs of its growing population.
The state has well-document shortages of primary care physicians and other specialists, including psychiatrists. More than 80 percent of Texas counties are designated as mental health professional shortage areas, and about 40 percent of Texas counties’ primary care health needs are not currently being met. Shortages of nurses and allied health professionals contribute to this problem.
A Workforce in Peril: Shortages Threaten Patient Care
Two years of COVID-19 pandemic care have strained hospital resources and capacity like never before. These extraordinary challenges have acutely impacted the people who provide care inside the walls of hospitals. Burnout and fatigue have plagued the frontlines, and many health care workers have left the field altogether. While health care workforce shortages existed long before COVID-19, staffing costs and other pandemic-related challenges have led to an unsustainable situation that threatens hospitals’ ability to care for patients. Read more.
The Texas Legislature has invested significant funds to increase the size of the health care workforce in Texas, but continued investment is required to combat the severe shortage of physicians, nurses and other health care professionals.
Growing the health care workforce, including the number of behavioral health professionals, in Texas is a top priority for the Texas Hospital Association.
Learn more about Graduate Medical Education.
Legislation
- 2017 Legislative Session
- SB 1066 – Requirement for New Medical Schools to Add First Year Residency GME Positions
- HB 1407 – Emergency Medical Services Education Assistance Program
- HB 1486 – Medicaid Reimbursement for Services Provided by Peer Specialists
- HB 2950 – Renewal of the Texas Board of Nursing and Authorization of New Nurse Licensure Compact
- HB 3083 – Loan Repayment for Licensed Chemical Dependency Counselors
- HB 3808 – Loan Repayment for Licensed Marriage and Family Therapists
Past Legislative Sessions
Resources
- THA Comment Letter on FORWARD Loans (11/4/22)
- THA Submits Testimony on Workforce Challenges (5/10/22)
- THA Written Testimony on Workforce Shortages (5/5/22)
- Workforce Shortages Threaten Patient Care (3/17/22) | THA
- A Workforce in Peril: Shortages Threaten Patient Care (3/7/22) | THA
- Despite Workforce Challenges Frontline Workers Bravely Tackle Another Surge (1/18/22) | THA
- DOL Grant Program to Expand Rural Health Care Workforce (10/9/20)
- THA Response To TMB Request for Opinion on CRNA Supervision (9/14/20)
- Texas Laws Governing Hospital Nurse Staffing
- Summary of Health Care Workforce Funding from 85th Texas Legislature
- Building the health care infrastructure, Houston Medical Journal, Ted Shaw monthly column, March 2016
- Summary of GME Funding from 84th Texas Legislature
- Workforce 2015: Strategy Trumps Shortage (American Hospital Association)
Education
- Agenda, Forum on State Grant Opportunities for Expanding Graduate Medical Education (hosted by THA, TMA, THOT and THECB; November 2015)
- Forum on State Grant Opportunities for Expanding Graduate Medical Education, Linda B. Andrews, M.D. (November 2015) (PPT)
- Tips from the Trenches about Adding or Growing GME, J.Edward Bates, M.Ed. (November 2015) (PPT)
- Tips from the Trenches about Adding or Growing GME, Robert J. Nolan, M.D. (November 2015) (PPT)
- Graduate Medical Education FY 2016-2017, Suzanne Pickens (PPT)