The Health Reform Monitoring Survey (HRMS)-Texas report is based on the HRMS, a national project that provides timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes. The Baker Institute and the Episcopal Health Foundation are partnering to fund and report on key factors about Texans obtained from an expanded representative sample of Texas residents.

More than one-third of Texas’ six million uninsured residents are “Young Invincibles,” and their participation in the Marketplace is critical to reduce the uninsured rate among all Texans. While these young adults have substantial need for health coverage, on the eve of the launch of the Marketplace, Texas’ “Young Invincibles” had a poor understanding of the Affordable Care Act’s health coverage opportunities and held a low opinion of the new law.

In this issue brief, Rice University's Baker Institute and The Episcopal Health Foundation ask, "Were Texans satisfied with the cost of health care and health insurance prior to the Affordable Care Act?" By Vivian Ho, Ph.D.; Elena M. Marks, J.D., M.P.H.; and Patricia Gail Bray, Ph.D.

Baker Institute health policy experts Hagop M. Kantarjian and Vivian Ho explain why Texas, which holds the notorious record of the highest rate of uninsured citizens in the U.S., should follow many Republican-led states that are now reconsidering the Medicaid expansion program under Obamacare.

Data on revenues by payer type are used to identify the determinants of rising hospital prices in Texas between 2000 and 2007. By Vivian Ho, Jerome Dugan and Meei-Hsiang Ku-Goto.

Efforts to expand health insurance coverage may come at the expense of significant long-term problems for the health care system.

Suggestions on how the incoming U.S. presidential administration should reform Medicare policies