http://www.mcclatchydc.com/2010/11/14/103709/texas-push-to-opt-out-of-medicaid.htmlA push from conservative legislators for Texas to opt out of Medicaid is stirring alarm among healthcare providers and nursing homes, which say the potential loss of billions of federal dollars could drastically undercut efforts to provide healthcare for the poor.
The opt-out plan has quickly emerged as another high-profile topic for the 2011 Legislature, pushed by Gov. Rick Perry and a number of conservative lawmakers who believe that Texas can provide health coverage to the indigent more efficiently with a state-run plan free of federal mandates.
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"Unless our state leaders can come up with a financing plan to replace the current Medicaid structure that's even better than what we have now, I think it will ultimately end up backfiring and costing more in the long run," said Dr. Susan Bailey, a Fort Worth allergist and president of the Texas Medical Association.
Republican Rep. Mark Shelton, a Fort Worth pediatrician, said: "I think opting out of Medicaid without a viable alternative is not a good idea. We need to make sure . . . the vulnerable people in our society — the poor, children and the elderly — are taken care of."