Continuous Medicaid coverage ended in April. Many of the roughly half-million people stripped from the rolls don’t even know they’ve lost coverage yet.
“What if they get sick?” Erika said. “How am I going to be able to pay for medicine, or doctor visits, or anything like that?”
For people who aren’t eligible anymore, advocates worry they may not be able to access other options because the state isn’t giving them alternatives. There is a policy for 90 days of retroactive coverage, but it requires applicants to jump through a lot of hoops and is “cumbersome” to access, said Adrienne Lloyd, health policy manager at Children’s Defense Fund-Texas.
She said she called 211, the phone number for assistance with the state’s social services, and was told she had been sent multiple letters — none of which she had received. Eubank said Texas’ federally-qualified community health centers, which are required to provide care for all patients, including those without insurance, were initially bracing for a deluge of patients once the unwinding began, but didn’t see the increase they expected. It shows that many Texans “don’t even know what is coming,” she said.
“There hasn't been a systematic and comprehensive outreach campaign being directed by the state, and so I think a lot of this is people just don't know,” she added. In 2021, 32% of community health center patients used Medicaid coverage, Eubank said. A majority were children, while some were disabled adults and pregnant Texans needing prenatal care.
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