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Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 1 - Representative George Lavender

 
     

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

 

Healthcare

 

Scenario

Scenario

Scenario

   

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$

258,927,030

$ 2,544,037,688

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

11,929,455

$

2,798,350

$

8,007,553

$

29,302,843

$

37,310,396

$

132,806,637

$ 213,645,400

$

11,940,098

$

288,710,031

Bowie (100%) Franklin (100%) Lamar (100%) Red River (100%)

$

6,886,983

$

2,112,466

$

2,664,797

$

29,248,540

$

31,913,337

$

79,364,402

$ 127,673,132

$

7,135,326

$

172,531,278

$

746,585

$

133,978

$

326,575

$

-

$

326,575

$

6,837,670

$ 10,999,727

$

614,747

$

14,864,498

$

3,450,726

$

99,320

$

4,491,053

$

54,303

$

4,545,356

$

37,034,086

$ 59,576,556

$

3,329,582

$

80,508,868

$

845,163

$

452,585

$

525,127

$

-

$

525,127

$

9,570,480

$ 15,395,985

$

860,442

$

20,805,387

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 1 - Representative George Lavender

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

9,348

$

70,851,368

$

2,725,053

$

73,576,421

3,414

$ 9,311,871

$

4,774,330

$

14,086,201

$ 87,662,622

Bowie (100%) Franklin (100%) Lamar (100%) Red River (100%)

5,587

$

42,340,327

$

1,628,474

$

43,968,801

2,011

$ 5,485,243

$

2,812,363

$

8,297,606

$ 52,266,407

481

$

3,647,847

$

140,302

$

3,788,149

204

$ 556,563

$

285,358

$

841,921

$ 4,630,070

2,607

$

19,757,414

$

759,901

$

20,517,314

974

$ 2,655,671

$

1,361,601

$

4,017,272

$ 24,534,586

674

$

5,105,781

$

196,376

$

5,302,157

225

$ 614,393

$

315,008

$

929,401

$ 6,231,558

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 2 - Representative Dan Flynn

 
   

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

Healthcare

 

Scenario

Scenario

Scenario

 

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$ $ 2,544,037,688

258,927,030

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

11,914,503

$ 482,602

$

12,782,697

$

4,566,683

$

17,349,380

$

121,587,438

$ 195,597,128

$

10,931,426

$

264,320,471

Hopkins (100%) Hunt (100%) Van Zandt (100%)

$

2,413,713

$ 20,869

$

3,717,613

$

1,855,715

$

5,573,328

$

24,312,971

$ 39,112,159

$

2,185,879

$

52,854,275

$

5,744,162

$ 124,442

$

8,677,199

$

2,710,968

$

11,388,167

$

63,249,860

$ 101,749,746

$

5,686,534

$

137,499,671

$

3,756,629

$ 337,291

$

387,885

$

-

$

387,885

$

34,024,608

$ 54,735,223

$

3,059,012

$

73,966,526

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 2 - Representative Dan Flynn

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

8,559

$

64,866,007

$

2,494,846

$

67,360,854

3,426

$ 9,343,042

$

4,790,312

$

14,133,354

$ 81,494,208

Hopkins (100%) Hunt (100%) Van Zandt (100%)

1,711

$

12,970,792

$

498,877

$

13,469,668

733

$ 1,999,034

$

1,024,933

$

3,023,967

$ 16,493,635

4,452

$

33,743,337

$

1,297,821

$

35,041,157

1,752

$ 4,779,388

$

2,450,461

$

7,229,849

$ 42,271,007

2,395

$

18,151,879

$

698,149

$

18,850,028

940

$ 2,564,620

$

1,314,918

$

3,879,537

$ 22,729,565

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 3 - Representative Cecil Bell, Jr.

 
   

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

Healthcare

 

Scenario

 

Scenario

Scenario

 

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$ $ 2,544,037,688

258,927,030

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

15,070,251

$ 894,893

$

9,311,197

$

3,742,849

$

13,054,046

$

65,425,425

$

105,249,567

$

5,882,130

$

142,229,160

Montgomery (27%)

$

12,387,225

$ 284,487

$

8,491,785

$

3,742,849

$

12,234,634

$

46,436,916

$

74,702,844

$

4,174,952

$

100,949,800

Waller (100%)

$

2,683,026

$ 610,406

$

819,412

$

-

$

819,412

$

18,988,509

$

30,546,723

$

1,707,179

$

41,279,360

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 3 - Representative Cecil Bell, Jr.

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

4,605

$

34,903,985

$

1,342,461

$

36,246,446

2,436

$ 6,644,501

$

3,406,731

$

10,051,232

$ 46,297,678

Montgomery (27%)

3,269

$

24,773,754

$

952,837

$

25,726,591

1,728

$ 4,711,500

$

2,415,654

$

7,127,154

$ 32,853,746

Waller (100%)

1,337

$

10,130,230

$

389,624

$

10,519,855

709

$ 1,933,001

$

991,077

$

2,924,078

$ 13,443,933

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 4 - Representative Lance Gooden

 
     

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

 

Healthcare

 

Scenario

 

Scenario

Scenario

   

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$

258,927,030

$ 2,544,037,688

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

11,694,330

$

1,650,796

$

8,136,011

$

10,821,311

$

18,957,322

$

73,701,852

$

118,563,816

$

6,626,230

$

160,221,390

Henderson (83%)

$

4,387,132

$

595,093

$

6,892,098

$

10,821,311

$

17,713,409

$

43,917,616

$

70,650,059

$

3,948,452

$

95,473,063

Kaufman (100%)

$

7,307,197

$

1,055,704

$

1,243,913

$

-

$

1,243,913

$

29,784,236

$

47,913,757

$

2,677,778

$

64,748,328

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 4 - Representative Lance Gooden

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

5,188

$

39,319,398

$

1,512,285

$

40,831,683

2,459

$ 6,705,112

$

3,437,807

$

10,142,919

$ 50,974,602

Henderson (83%)

3,091

$

23,429,727

$

901,143

$

24,330,870

1,162

$ 3,168,045

$

1,624,302

$

4,792,347

$ 29,123,217

Kaufman (100%)

2,097

$

15,889,672

$

611,141

$

16,500,813

1,297

$ 3,537,067

$

1,813,505

$

5,350,573

$ 21,851,385

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 5 - Representative Bryan Hughes

 
     

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

 

Healthcare

 

Scenario

 

Scenario

Scenario

   

Costs

Expenditures

   

Statewide Total

$2,101,392,352

$

258,927,030

$ 2,544,037,688

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

11,323,103

$

3,627,022

$

7,232,563

$

23,469,261

$ 30,701,824

$

103,345,813

$

166,251,913

$

9,291,396

$

224,664,771

Camp (100%)

$

879,025

$

2,335,867

$

2,686,247

$

4,673,099

$ 7,359,346

$

9,237,348

$

14,860,077

$

830,492

$

20,081,187

Morris (100%)

$

935,957

$

131,693

$

172,700

$

-

$ 172,700

$

10,073,000

$

16,204,387

$

905,622

$

21,897,823

Rains (100%)

$

696,305

$

110,528

$

127,107

$

-

$ 127,107

$

7,023,998

$

11,299,472

$

631,499

$

15,269,558

Smith (24%)

$

4,030,538

$

781,836

$

999,561

$

18,796,162

$ 19,795,723

$

27,340,960

$

43,983,271

$

2,458,113

$

59,436,859

Titus (100%)

$

1,993,191

$

58,079

$

2,664,845

$

-

$ 2,664,845

$

22,991,736

$

36,986,696

$

2,067,092

$

49,982,027

Wood (100%)

$

2,788,087

$

209,018

$

582,103

$

-

$ 582,103

$

26,678,770

$

42,918,010

$

2,398,578

$

57,997,317

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 5 - Representative Bryan Hughes

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

7,275

$

55,134,234

$

2,120,547

$

57,254,781

3,403

$ 9,280,230

$

4,758,107

$

14,038,337

$ 71,293,119

Camp (100%)

650

$

4,928,057

$

189,541

$

5,117,598

308

$ 838,741

$

430,035

$

1,268,776

$ 6,386,374

Morris (100%)

709

$

5,373,872

$

206,687

$

5,580,559

259

$ 706,265

$

362,112

$

1,068,377

$ 6,648,937

Rains (100%)

494

$

3,747,251

$

144,125

$

3,891,377

176

$ 479,867

$

246,034

$

725,901

$ 4,617,277

Smith (24%)

1,925

$

14,586,202

$

561,008

$

15,147,210

1,053

$ 2,870,936

$

1,471,970

$

4,342,906

$ 19,490,116

Titus (100%)

1,618

$

12,265,923

$

471,766

$

12,737,689

962

$ 2,623,270

$

1,344,988

$

3,968,259

$ 16,705,948

Wood (100%)

1,878

$

14,232,929

$

547,420

$

14,780,349

646

$ 1,761,151

$

902,967

$

2,664,119

$ 17,444,468

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 6 - Representative Matt Schaefer

 
     

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

Expansion)

Jail Healthcare

 

Healthcare

 

Scenario

Scenario

Scenario

 

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$

258,927,030

$ 2,544,037,688

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$ 12,974,656

$

2,516,800

$

3,217,676

$

60,506,504

$ 63,724,180

$

88,012,962

$ 141,586,030

$

7,912,883

$

191,332,493

Smith (76%)

$ 12,974,656

$

2,516,800

$

3,217,676

$

60,506,504

$ 63,724,180

$

88,012,962

$ 141,586,030

$

7,912,883

$

191,332,493

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 6 - Representative Matt Schaefer

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

6,195

$

46,954,271

$

1,805,933

$

48,760,204

3,389

$ 9,241,797

$

4,738,402

$

13,980,199

$ 62,740,403

Smith (76%)

6,195

$

46,954,271

$

1,805,933

$

48,760,204

3,389

$ 9,241,797

$

4,738,402

$

13,980,199

$ 62,740,403

Note: New local tax revenues are an allocation of the statewide estimate based on the county share of state personal income and further allocated in partial counties according to the share of county population. Variations in personal income or the concentration of direct health care spending in parts of counties could alter these allocations. Remaining columns reflect allocations of statewide estimates according to the county share of adults below 138% FPL or children below 200% FPL, as applicable, and further allocated for partial counties according to the share of the county's total population. Variations in percentages of adults below 138% FPL and children below 200% FPL could alter these estimates. Hospital charity cost data exclude certain hospitals, such as those exempt from reporting, hospitals that report by system, and others, resulting in a conservative estimate of unreimbursed charity costs. Medicaid extension to adults would not relieve all local unreimbursed costs due to ineligible adults, such as undocumented immigrants, people served with incomes above 138% FPL or health care for incarcerated adults other than inpatient hospital stays. 2016 is the first full year of implementation; the federal match rate falls to 95 percent in 2017 and to 90 percent by 2020. For full county-level data, see Appendix C, and for further notes and cautions in interpreting these data, see Appendix A, in "Smart, Affordable and Fair: Why Texas Should Extend Medicaid to Low-Income Adults," at

http://www.mhm.org/images/stories/advocacy_and_public_policy/Smart%20Affordable%20and%20Fair_FNL_FULL.pdf.

 

Extending Medicaid to Low-Income Adults Will Save Local Tax Dollars and Grow the Economy

Impact of Medicaid Extension and Local Spending for Health Care House District 7 - Representative David Simpson

 
     

2011 County

2011 Total

 

Total Unreimbursed Charity Care Costs for Local Jurisdictions & Hospitals

     

County

2014-2017 New

Local Tax

Revenue (Adult

Indigent

Healthcare &

Unreimbursed

Hospital District

or City/County

Unreimbursed

2010 Total

Hospital Charity

Care Costs

2014-2017 Adults

Federal Funds

Limited

2014-2017 Adults

Federal Funds

Moderate

2014-2017

Adults State

Funds Moderate

2014-2017 Adults

Federal Funds

Enhanced Scenario

 

Expansion)

Jail Healthcare

 

Healthcare

 

Scenario

 

Scenario

Scenario

   

Costs

Expenditures

   

Statewide Total

$ 2,101,392,352

$

258,927,030

$ 2,544,037,688

$1,836,673,862

$ 4,380,711,550

$ 14,274,023,031

$22,962,552,386

$ 1,283,318,611

$ 31,030,479,514

District Total

$

13,655,232

$

2,345,864

$

3,144,752

$

21,095,290

$

24,240,042

$

126,595,706

$

203,653,906

$

11,381,698

$

275,208,010

Gregg (100%)

$

10,809,509

$

2,012,812

$

2,761,742

$

21,095,290

$

23,857,032

$

98,957,065

$

159,191,756

$

8,896,822

$

215,124,017

Upshur (100%)

$

2,845,723

$

333,053

$

383,011

$

-

$

383,011

$

27,638,642

$

44,462,150

$

2,484,876

$

60,083,993

ANALYSIS BY BILLY HAMILTON CONSULTING

Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid Download the full report at www.mhm.org Download the executive summary at www.texasimpact.org

For more information about the report, “Smart, Affordable and Fair” call Texas Impact at 512/472-3903 or email medicaidreport@texasimpact.org

Impact of Medicaid Extension and Local Spending for Health Care House District 7 - Representative David Simpson

 
 

2016 Adults

 

2016 Adults

2016 Adults

2016 Adults

2016 Children

2016 Children

2016 Children

2016 Children

2016 Adults & Children All Funds Moderate Scenario

<138% FPL

 

<200% FPL

 

County

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

 

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Enrollees

Moderate

Scenario

Federal Funds

Moderate

Scenario

State Funds

Moderate

Scenario

All Funds

Moderate

Scenario

Statewide Total

1,004,771

$7,615,086,733

$

292,887,951

$7,907,974,684

550,189

$ 1,500,495,384

$

769,325,576

$ 2,269,820,960

$ 10,177,795,644

District Total

8,911

$

67,537,882

$

2,597,611

$

70,135,493

3,536

$ 9,644,086

$

4,944,662

$

14,588,748

$ 84,724,241

Gregg (100%)

6,966

$

52,792,869

$

2,030,495

$

54,823,364

2,803

$ 7,644,232

$

3,919,308

$

11,563,540

$ 66,386,905

Upshur (100%)

1,946

$