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Local government officials and community-based organizations are working together to incorporate new rules, maximize their resources and educate uninsured Texans on how to take advantage of the federal health law.
Physician groups generally don't have the public financing to pay for services that aren't expressly covered by the state program -- creating difficulties for their low-income patients, as well as for their own practices.
With the exclusion of roughly 40 Planned Parenthood clinics, claims for birth control and wellness exams dropped for the first six months of 2013, as did enrollment numbers.
Many physicians and hospitals have been unable to determine which health plans offered in the health law's insurance marketplace include them in their provider networks.
Texas community groups are relying on promotoras - health counselors, often women, who offer one-on-one counseling about coverage options in Spanish-speaking communities.
One South Texas health center had 50 people show up to enroll Tuesday, many could prove what they make, but not a single one had an email address required to sign up online.
Texas has strict new regulations on abortion facilities and the doctors performing them. But a Texas Tribune review of state inspection records turned up little evidence to suggest the facilities were putting patients in danger.
A recent rash of measles and whooping cough cases has spurred calls for new state legislation to change the immunization consent process.
The medical community is concerned the state's plans to produce more physicians to treat a surging population are insufficient.
The federal government is open to allowing Texas to expand Medicaid coverage under Obamacare in a way that is "uniquely Texan," HHS Sec. Kathleen Sebelius said Thursday in Austin.
The Lone Star State is not expanding its Medicaid program, but enrollment is still expected to surge as families seek coverage to comply with the individual insurance mandate.
Republicans in the Texas House agreed not to expand Medicaid, but left the door open to doing so if the Obama administration grants the state enough flexibility.
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