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Texas High Risk Pool

Beginning in 1998, the Texas Legislature created the Texas Health Insurance Pool, a high-risk pool which consisted of a separate insurance pool for the chronically ill who were virtually uninsurable in an unregulated non-group (sometimes referred to as individual) market. (Without pre-existing conditions protections, insurers will charge sick people more than those that are well). The pool was financed by patient revenue and assessments paid by insurance companies and HMOs as well as federal grant funds.
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Texas Federally Qualified Health Centers

Federally Qualified Health Centers in Texas are those receiving federal funds under Section 330 of the Public Service Act. FQHCs receive enhanced funding under Medicare and Medicaid and provide comprehensive services to underserved populations or geographic areas. These clinics also offer a sliding scale for fees charged to patients, are governed by a board of directors, and maintain a quality control program for services. There are 73 FQHCs in Texas, which operate more than 300 sites of care throughout the state. There are also 3 entities known as FQHC look-alikes which offer most of the same services but do not receive all the benefits of FQHCs.
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Texas Graduate Medical Education

Graduate Medical Education (GME), commonly referred to as residency, is the supervised training a medical school graduate receives to gain expertise in a specific field of medicine prior to becoming a licensed physician. GME programs are significant providers of indigent care, training residents in hospitals mostly, but also in clinics and other outpatient facilities. The state appropriates funds for GME through allocations to the Texas Higher Education Coordinating Board (THECB) and to health-related institutions through a formula that incorporates federal contributions via the Center for Medicare and Medicaid Services (CMS).  2014-15 general revenue appropriations going directly to health-related institutions via the GME formula equaled $66 million and for the THECB were $34 million, for a biennial total of $99 million.
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Texas Veteran’s Commission

The Texas Veteran’s Commission provides health, housing, education, employment and benefit access services to Texas veterans. The agency received a $101 million appropriation in the 2016-17 biennium, $64 million of…
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Medicare in Texas

Click here for a video summary. Medicare is the federal health insurance program for all Americans age 65 and over, some younger residents with disabilities, and persons with end stage…
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Texas Board of Nursing (BON)

The mission of the Texas Board of Nursing is “… to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as…
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Youth Empowerment Services (YES) Waiver

The YES Waiver was developed by the Health and Human Services Commission and Department of State Health Services in order to provide comprehensive home and community-based mental health services to emotionally disturbed children and teens from the age of 3, to a month before their 19th birthday. YES uses a process called "the Wraparound" to create a team comprising the child, their support group or family, and YES experts to create a health plan specific to each patient. The YES program and its services support their ultimate goal of reducing the number of institutionalized children and providing an amount and quality of care that will enable them to stay with their families and communities. YES services include:

  • Respite: To temporarily relieve family members or caretakers from taking care of the child.
  • Community Living Supports: using proven strategies and methods to help the family adapt to special challenges related to the child’s mental health.
  • Specialized Therapies: therapies that can include art, animal-assisted therapy, recreational, and nutritional counseling.
  • Family Supports: helping the family members with the process.  
  • Employee Assistance and Supported Employment: to help youth find and succeed in employment.
  • Adaptive Aids and Supports: to help the child adapt and function in multiple environments such as their home, school, and community.
  • Minor Home Modifications: to protect the youth and family.
  • Non-Medical Transportation: to help patients and families get to a YES waiver service where there are no other options for transportation.
  • Paraprofessional Services: to assist the child in building skills to deal with stressful situations through coaching and monitoring.
  • Supportive Family-Based Alternatives: To educate the family on healthy interactions
  • Transition Services: To help with the financial difficulty associated with a child or teen moving into their own home. 

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