Gears of bureaucracy turn slowly (and sometimes not at all)
, Democrats and Republicans alike said it was time to show support for Texas moms.
Even though the law takes effect Sept. 1, coverage won’t be accessible for new moms for about seven months, thanks to gunk in the bureaucratic gears. Why? Because Texas is one of 10 states that opted out of Medicaid expansion, we rely on federal funding through the 1115 Medicaid waiver to cover limited, especially-vulnerable populations. But securing that funding is a complicated mess. The state tried to fund the previously passed six months' coverage by altering its 1115 waiver agreement, but the federal agency that needed to sign off never did.
It's also possible CMS won't approve the amendment at all. But this time, at least, they'll be required to make a decision in a timely manner, and if they reject it they'll have to explain why.
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