News from the South - Texas News Feed
Texas postpartum Medicaid extension slow to rollout
Many new moms in Texas don’t know they qualify for a year of Medicaid, doctors say
“Many new moms in Texas don’t know they qualify for a year of Medicaid, doctors say” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.
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Almost all of the pregnant women Dr. Joshua Splinter sees at his rural East Texas practice are on Medicaid. For years, he would treat these patients during pregnancy, deliver their babies and then start the mad dash to squeeze in a follow-up visit before they lost insurance just eight weeks after giving birth.
This just didn’t work for him or his patients. He’d get someone on a treatment plan for a chronic condition, but then the hormone and weight changes after childbirth would require different interventions. He’d see early signs of postpartum depression or partner violence, and then lose contact with the patient once she lost insurance.
“These aren’t things where I start a medication and we’re done,” he said. “This requires close follow-up with continued treatment and non-medical intervention, and we can’t get that done in two months.”
So when the Texas Legislature voted to extend postpartum Medicaid to a full year in 2023, Splinter was ecstatic. This was going to be a “game changer” for his patients, he said.
But almost two years later, many of his patients and those like them across the state are still struggling to get the full range of health care they were promised. It took almost a year for the extended coverage to go into effect, leaving many of his patients in limbo, and even now, they’re still often falling through the cracks in Texas’ health care system.
The number of pregnant and postpartum Texans enrolled in Medicaid has almost doubled since before the pandemic, to more than 265,000. But many patients are unaware that they are still covered for an additional 10 months, according to a survey from Texans Care for Children, a health advocacy group. New moms report being unable to access the physical and mental health services covered by Medicaid, and doctors say changes are needed to ensure the workforce, reimbursement rates and coverage can keep up with a full year of need.
As the Legislature returns, Diana Forester, health policy director with Texans Care for Children, said there’s still much work to be done, such as increasing provider awareness and patient access, to ensure new moms are fully benefiting from this extended coverage.
“You can’t just turn on this extended coverage and expect that to be the end,” Forester said. “We as a state need to figure out what postpartum care looks like in Texas … Our leaders have an opportunity to make that work better for families, but it’s not there yet.”
How we got here
When Gov. Greg Abbott signed House Bill 12 into law in May 2023, Texas became the 41st state to extend postpartum Medicaid to 12 months. It was a victory years in the making, after several sessions of advocacy from health care providers, maternal health experts and moms themselves.
The state almost passed it in 2021, after the federal COVID relief package eased the way for states to get this extended coverage approved, but the Legislature instead passed a six-month extension that the federal government deemed “not approvable.”
But when the Legislature returned in 2023, Roe v. Wade had been overturned, abortion was virtually banned in Texas, and there was new momentum around bills to support pregnant women and families.
Sen. Lois Kolkhorst, a Republican from Brenham, carried the bill on the Senate side, and said at a hearing that extending coverage was about making sure “women who give birth to children in this pro-life environment are cared for … You cannot raise a child without being healthy.”
The bill passed with overwhelming bipartisan support, and Abbott signed it into law in May 2023. HHSC submitted the waiver request to the federal government, which approved it last January. The state began offering extended coverage March 1, 2024.
Awareness among doctors
After all that back and forth, half-steps and setbacks, many doctors were unaware that the extended coverage was actually in effect, Texans Care for Children found in its survey. Some doctors found out for the first time through their billing departments. Several said they wanted more outreach from the state health agency and the managed care organizations, like a flyer or training for doctors.
“The state could do a lot more in that area,” said Helen Kent Davis, a senior policy advisor to the Texas Academy of Family Physicians. “They’ve tried, to the extent that there’s funding for outreach, to get the word out, but there’s more to be done, for sure.”
In a statement, a spokesperson for Texas’ Health and Human Services Commission said they used a variety of approaches to inform the public about these changes, including calls and webinars, provider notices, posting information to their websites and working with managed care organizations to get the word out.
But knowledge gaps remain, Kent Davis said. As an example, she said pediatricians have not been educated on this change the way OB/GYNs and family physicians have. Since they’re seeing the baby regularly, these doctors could be a key ally in making sure the mom knows she still has coverage.
Doctors also report confusion about who is responsible for overseeing this year of health care. Texas Medicaid changed its policy to allow an OB/GYN to serve as a patient’s doctor for the whole year, but the survey found many doctors across specialties were not aware of that and, when asked, said they would prefer patients be handed off to a primary care provider.
“Patients have been seeing their obstetrician this whole time and the health care system is not good at handing them back to a primary care physician for the rest of that period,” Kent Davis said. “This is a significant culture shift for patients and providers.”
And with a shortage of primary care physicians, especially in rural areas, more coverage doesn’t automatically translate into more health care. One new mother in Mineral Wells told Texans Care for Children she would have to travel almost an hour to Fort Worth to see a primary care provider.
“Every day, I get really bad headaches… very bad headaches,” she said. “And it’s getting more consistent. I just deal with it.”
Awareness among patients
In a state where almost half of all pregnant women typically lost insurance two months after giving birth, convincing new moms that they can continue engaging with the health care system has been an uphill battle. Home-visiting nurses, community health workers and others who work closely with new moms report significant confusion and resistance from patients.
“They really had to talk their patients into accessing care, essentially, because they’re so used to not having coverage and so worried about the cost and having to absorb that personally,” Forester said.
It didn’t help matters that this extended coverage finally went into effect amid a historic fracture to the state’s Medicaid system. For three years during the pandemic, states kept everyone enrolled in Medicaid, but in spring 2023, were allowed to move people off their rolls.
Texas removed more people, including postpartum women, faster than any other state, against federal guidelines, The Texas Tribune and ProPublica found. The state required almost everyone to resubmit documents proving their eligibility, rather than relying on automatic approvals like other states. More than a million people lost coverage for bureaucratic reasons like failing to return a form. The state has acknowledged some errors, which they later fixed.
Amid this upheaval, Texas implemented the extended coverage, including reinstating women who lost Medicaid at two months but were still in their one-year postpartum period.
“It was really confusing for members who were like, ‘you terminated my Medicaid a month ago, I have the notice,’ and then they’re told that it’s being turned back on for a few more months,” Forester said. “And it’s really hard for a doctor to be able to educate their patients when it’s totally dependent on where they are in the postpartum period.”
Splinter said he’s had at least a dozen patients over the last year who had to call their managed care organization to get their coverage reinstated.
“I’m having to act a little like a social worker and educate the patient on who they need to call and what they need to say,” he said. As a family physician trained in high-risk pregnancies practicing in an underserved area, Splinter said, “there’s only so much of me to go around, especially if I have to spend more time on non-doctor work like this.”
A spokesperson for the state’s health agency said everyone who was enrolled in Medicaid or CHIP during their pregnancy were automatically reinstated for the remainder of their postpartum period. While some of this is naturally sorting itself out the longer the policy is in effect, Splinter said he was surprised at the work his patients had to do to get the coverage they qualified for.
“You’re leaving pregnant patients and new moms to fight up the chain and solve it themselves from the bottom” he said. “That just isn’t the right way to be doing this.”
More work to be done
As more new moms are able to take advantage of this extended coverage, doctors and advocates hope the health care system is able to meet their needs. In the short term, Splinter said, he’s hopeful that the state can proactively go back through its records and ensure women who qualify for this coverage are actually getting it.
In the long term, the state needs to address long-standing structural problems facing its health care system, like significant shortages in primary care and mental health providers. Advocates are pushing for increased reimbursement rates and reforms to the bureaucracy that providers must go through to accept Medicaid, to ensure doctors are willing to see these patients.
They also want Medicaid coverage to catch up to the extended time period women can receive these benefits.
For example, Texas Medicaid covers one postpartum depression screening, even though national groups recommend at least four, Kent Davis said. With an extra ten months of coverage, that’s a lot more touch points for doctors to be screening patients for mental health needs. She’d also like to see Medicaid cover lactation support among other needs that can emerge in the first 12 months postpartum.
“It takes a comprehensive strategy,” Kent Davis said. “Obviously the coverage issue was one part to address and, and we’re so happy that we were able to pass House Bill 12. But now that we have this coverage, what do we do to make sure women can get it?”
Disclosure: Texans Care for Children has been a financial supporter of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.
This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/01/30/texas-postpartum-medicaid-slow-rollout/.
The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.
News from the South - Texas News Feed
Mobile IV hydration company treated 250+ first responders, volunteers after Kerrville floods
SUMMARY: Following the July 4 floods in Central Texas, Lone Star IV Medics provided free IV hydration therapy to over 250 volunteers and first responders assisting with recovery efforts. Stationed in the Hill Country for two weeks, they offered essential fluids and vitamins to combat dehydration caused by heat, humidity, and strenuous outdoor labor. Initially running low on supplies, Lone Star IV received discounted IV fluids and vitamins from Olympia Pharmaceuticals, enabling extended treatment. Led by nurse Pam McLeod, the team screened patients for heat-related illnesses to prevent serious conditions. Lone Star IV coordinated with recovery organizations for targeted support, marking their first natural disaster response.
The post Mobile IV hydration company treated 250+ first responders, volunteers after Kerrville floods appeared first on www.kxan.com
News from the South - Texas News Feed
Former Sid Miller allies told police the ag commissioner feared the DEA, told a friend to get rid of marijuana
“Former Sid Miller allies told police the ag commissioner feared the DEA, told a friend to get rid of marijuana” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.
Sign up for The Brief, The Texas Tribune’s daily newsletter that keeps readers up to speed on the most essential Texas news.
A former friend of Texas Agriculture Commissioner Sid Miller told a Texas Ranger that in 2022 Miller asked him to dispose of three bags of marijuana cigarettes and gummies because he was afraid that the Drug Enforcement Administration might find them on his property.
At the time, the friend, Michael Hackney, was living in a motorhome on Miller’s Stephenville ranch, where Miller was licensed to grow hemp.
“I’ve got to get rid of this. I’ve had it at the house, and if the DEA comes, I can’t get caught with this stuff,” Miller said, according to Hackney. “He says, ‘You do with it whatever you want. Get rid of it. But don’t leave it here.’”
Hackney added, “He was really, really nervous about that deal.”
Recording of Michael Hackney’s interview with a Texas Ranger in July 2024
Having trouble viewing? Watch this video on texastribune.org.
The Texas Tribune obtained a recording of the Texas Ranger’s July 2024 interview with Hackney through an open records request to the Texas Department of Public Safety, but has not been able to confirm whether Miller was — or has ever been — under investigation by the DEA or any other law enforcement agency. He has not been charged with a crime, and a Department of Public Safety spokesperson said Miller is not under active investigation by state police. A DEA spokesperson said the federal agency could not comment on any ongoing or past investigations unless they are fully adjudicated in the courts.
In an interview with the Tribune, Miller flatly denied the accusations.
“If I had marijuana cigarettes and gummies and I thought the DEA was going to investigate me, I damn sure wouldn’t have given them to anybody else to get rid of. I’d have just gotten rid of them myself,” he said. “I would never do that and it didn’t happen.”
Law enforcement records reviewed by the Tribune show Miller entangled in a morass of accusations related to his hemp farming operation made by former associates. The records were from two separate state investigations, neither of which targeted Miller. One investigation was into bribery accusations against a top Miller aide. The second was in response to an accusation of illegal coercion that Miller made against one of his own high-ranking Texas Departure of Agriculture employees. Miller accused the employee of trying to blackmail him with threats of explicit photos.
Miller dismissed the accusations made to law enforcement as lies from a disgruntled former employee and former friend. He said DPS has never reached out to question him about the claims.
Recorded interviews conducted during both investigations revealed people close to Miller believed his hemp farm was under scrutiny by the DEA.
Texas Agriculture Commissioner Sid Miller denies accusations against him to Texas Tribune reporter Kate McGee.
Having trouble viewing? Watch this video on texastribune.org.
That included Freddy Vest, a former agriculture department director who oversaw the hemp licensing program and who Miller accused of blackmail. DPS investigated the claim but did not charge Vest with a crime.
During that investigation, Vest told officers in June of this year that a colleague had informed him three or four years ago that the DEA had contacted the agency asking for information about Miller’s hemp farm.
When Vest relayed the information to Miller in early 2022, he said Miller grew angry.
“I said, ‘Sid, I hate to be the bearer of bad news, but I told you I’d never lie to you, and I never hold anything back from you. … I’ve heard that there’s been a DEA agent that is inquiring on your hemp program,’” Vest recounted to the officers.
“[Miller] said, ‘What’s a DEA?’ I said, ‘Drug Enforcement Agency.’ And so he went back home. He got mad at me for telling him or that I knew about it,” Vest added to the officers.
Miller confirmed Vest told him the DEA was looking into his hemp operation, but said he was wrong.
“Freddy is a damn drama queen. He’s full of it,” Miller told the Tribune. “I checked out his story and it didn’t check out. It never happened. I never, ever talked to the DEA. They never stepped foot on my place.”
Miller, a Republican in his third-term in the state elected office, was registered to grow hemp in Texas between 2020 and 2023 — under a license granted by his own office. He was one of the hundreds of people who applied for that opportunity after state lawmakers legalized growing parts of the cannabis plant in 2019 as long as it did not contain more than .3% of tetrahydrocannabinol, or THC.
Miller planted 10 hemp crops at his Stephenville tree nursery through 2022, including varieties called Sweet Wife, China Blossom and ACDC, records show.
State lawmakers in May voted to ban the sale of substances containing consumable THC in Texas citing concern that they are dangerous to people’s health. At first, Miller opposed that ban, arguing it would be harmful to Texas farmers, though he ultimately supported it.
Gov. Greg Abbott vetoed the ban in June, calling for a focus on regulation. Lawmakers returned to Austin on July 21 to once again tackle that issue, among others.
Scrutiny over hemp licenses
When Hackney spoke to the Texas Ranger about Miller’s hemp business, the Ranger was investigating Miller’s close political consultant Todd Smith.
Smith was arrested in May 2021 for soliciting up to $150,000 to guarantee prospective growers supposedly exclusive hemp licenses from Miller’s office. Licenses to grow hemp are unlimited in Texas and cost $100. After the indictment, Miller told reporters that he parted ways with Smith following his arrest. He later said the investigation was politically motivated and that Smith did nothing wrong. Miller has denied involvement and was not implicated in the case.
Smith pled guilty to commercial bribery in 2024, a few weeks before his jury trial was scheduled to begin and about a week after Miller was subpoenaed to testify. Smith agreed to two years of deferred adjudication, meaning he would have to follow terms of probation but then could have his charges dismissed. A few months after Smith pleaded guilty, Miller hired Smith as chief of staff of the Texas Department of Agriculture. Smith did not respond to request for comment.
Hackney’s interview with the Texas Ranger, in which he described Miller asking him to get rid of the marijuana, is embedded in Smith’s 180-page investigative file from DPS.
“Sid shows up at my motor home and has three bags of product and by product, I mean, marijuana cigarettes that were in little cigar wrapping, gummies and so forth,” Hackney said in the interview.
Hackney responded, “What in the world is this?” he told the Ranger. But he did what Miller asked, he said.
Hackney’s motorhome had been parked on Miller’s property in Stephenville for about five years at the time to help manage his horse and cattle operation, he told the Ranger. Hackney, a former calf roper, got close to Miller traveling around the country and showing horses with him. He said two had a falling out in 2023 which resulted in Hackney moving off Miller’s property. Miller said he asked Hackney to leave his property because “he wore out his welcome.”
In the interview, Hackney told the Ranger he witnessed Miller tell an employee at his nursery to make sure if they had anything illegal on the property to get rid of it. And once at Miller’s house, he said he saw Miller smoke marijauna.
Miller said he told his employees to only grow legal hemp on the property.
Reached by the Tribune, Hackney said he stood by his statements to DPS, but stressed that he only came forward because he was asked by the Rangers to interview about Miller’s relationship to Smith. He was told by DPS that his statements would be confidential.
“I did not want to hurt Sid and especially his family in any way, but I did answer my questions to the best I could with the knowledge I had,” Hackney told the Tribune.
It’s unclear whether any investigators took any further action in response to Hackney’s claims. Asked about them, the DPS spokesperson initially said Hackney’s interview was included in a report that was submitted to the Travis County District Attorney’s office, and directed further questions to that office.
A spokesperson for the Travis County DA’s office said they do not have a record of receiving a copy of Hackney’s interview. Hours before publication, DPS sent an additional statement saying it did not send Hackney’s interview to the the district attorney’s office after it was determined that it “had no investigative value” to the Smith case.
A second investigation
Nearly a year after Hackney was interviewed by the Rangers, Vest, the employee fired by Miller after 10 years at the agency, got a knock on his door from two DPS agents asking to talk to him about his recent termination from the agriculture department.
In the interview, Vest said a former assistant commissioner, Walt Roberts, once told him that he accompanied Miller to a shop in Bastrop where Miller dropped off multiple garbage bags of his harvested hemp in exchange for two large garbage bags of black tubes with individually rolled joints inside.
“[Roberts] said [Miller] took his hemp down there, and what this guy was doing was spraying it with synthetic THC, turning it back into marijuana,” Vest told law enforcement.
Miller denied to Roberts he was doing anything illegal and remarked that “there’s some college kids that’d like to have this,” Vest told officers.
Roberts confirmed Vest’s account to the Tribune, adding that he felt uncomfortable being present for the exchange. He declined to answer further questions. Roberts was hired by Miller when he first took state office. Roberts has publicly disclosed he pleaded guilty for a federal felony and misdemeanor for his role in a campaign finance conspiracy in Oklahoma in 2003.
Miller denied he ever sold or exchanged his hemp in Bastrop.
Vest was interviewed after Miller reported him to DPS and accused him of threatening to expose intimate pictures involving Miller if he didn’t fire certain employees at the agency, according to a written request from Miller’s office for DPS to investigate the incident.
In a recording of that DPS interview, Vest told the officers Hackney had photos of Miller that could be incriminating.
The Tribune reviewed copies of both photos. One photo was of Miller laying next to a blonde woman on a bed smiling. Miller told the Tribune that it was a sick woman lying in a hospital bed who he took a selfie with. The other photo was a screen shot of what appeared to be Miller’s own Facebook story post of a woman naked on a bed, but only her backside is visible. Vest told police this woman was Miller’s wife. Miller told the Tribune he was unaware of this photo. Miller’s wife did not respond to a request for comment.
Vest told Miller about the photos in May, but didn’t tell him who had them, despite Miller’s repeated requests for more information, according to a recording of their conversation that Miller secretly recorded and sent to DPS.
When Miller fired Vest and reported him to DPS, he submitted his audio recording and a transcript of the conversation as evidence. The Tribune obtained copies via an open records request.
When Vest tells Miller about the photos, Miller asks where the photo came from and tries to guess who has copies of the photos, according to the recording shared with DPS.
In that recording of Miller and Vest’s conversation, Vest said that he had known about the photos for a while, but had previously convinced the person not to publicize them. But the person was more recently considering making them public and wanted Miller to fire Smith and another agency head.
Hackney told the Tribune that he never intended to release the photos.
Vest insisted in his DPS interview that neither he nor Hackney ever directly threatened Miller. He had tried, he said, to get Miller away from Smith for years.
“I didn’t show these [photos] to anyone to extort anything out of Sid or anything,” Vest told the officers. “And since I was terminated, I haven’t. It’s not a vendetta for me against Sid Miller.” Vest declined an interview with the Tribune.
The agents said in the interview with Vest that there was no evidence that Vest tried to blackmail Miller and closed the case. Vest was never charged with a crime. Miller told the Tribune he is still considering further legal action.
Political storms
Miller is gearing up to run for reelection for a fourth term next year. So far, he’s garnered at least one primary challenger: Nate Sheets, founder of Nature Nate’s Honey Company.
Miller previously served in the Texas state House from 2001 to 2013. Since he was first elected agriculture commissioner in 2014, he’s repeatedly weathered political controversies and criticism.
Miller has frequently faced backlash for posting misleading and false information on his political social media pages.
In 2016, Miller came under fire for using state funds to travel to Oklahoma to receive what he called a “Jesus shot,” an injection that a doctor in Oklahoma City claimed could take away all pain for life.
Miller later reimbursed the state for the trip and Travis County prosecutors did not pursue charges.
In 2017, the Texas Ethics Commission fined Miller $2,750 for sloppy campaign accounting. The next year, the ethics commission fined Miller $500 for using state funds to travel to a rodeo in Mississippi after an investigation found the primary purpose of the trip to Jackson was personal.
Kate McGee is continuing to report on issues related to the Texas Department of Agriculture. If you have a tip reach out at mcgee@texastribune.org.
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This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/07/31/sid-miller-hemp-dea-texas-marijuana-gummies/.
The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.
The post Former Sid Miller allies told police the ag commissioner feared the DEA, told a friend to get rid of marijuana appeared first on feeds.texastribune.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The article presents a factual, investigative report on allegations involving Texas Agriculture Commissioner Sid Miller without adopting an overt ideological stance. It details accusations from multiple sources, Miller’s denials, and related investigations, maintaining a neutral tone throughout. The coverage includes balanced perspectives and official statements, focusing on documented events and law enforcement records rather than editorializing. While the subject is a Republican politician with a history of controversy, the article refrains from partisan framing and simply reports the facts, consistent with The Texas Tribune’s nonpartisan editorial approach.
News from the South - Texas News Feed
Glass panels keep falling from downtown Austin building
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The post Glass panels keep falling from downtown Austin building appeared first on www.kxan.com
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