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Texas' 1115 Waiver Extended

Today the Centers for Medicare & Medicaid Services (CMS) extended Texas' 1115 waiver for Uncompensated Care (UC) and Delivery System Reform Incentive Payment (DSRIP) until December 2017. I, along with others in Texas, worked hard with President Obama and CMS to get the initial waiver in 2011 and today's extension. Since the waiver has been implemented, it has been instrumental for Texas' health care system.
The UC payments have provided Texas hospitals with billions of dollars since 2012 to help cover the costs incurred for treating those who are unable to afford medical care. These payments have helped many Texas hospitals continue to serve their communities and provide care to anyone in need.
DSRIP projects have also played a significant role in developing community partnerships to provide a better, more comprehensive approach to healthcare in Texas. These projects allow healthcare providers to partner with community organizations and develop programs that enhance access, improve quality, and mitigate the 
cost of care. There are 1,451 DSRIP projects across the state that have encouraged prevention, intervention, and the management of chronic illnesses including HIV/AIDS, mental illness, diabetes, and other illnesses.
The initial 1115 waiver that was set to expire this September will have funneled approximately $29 bill in federal funds to Texas over its 5-year timeline. And, because of today's extension, federal funding will continue at the same level until at least December 2017. I will continue to work with other Texas leaders and our federal partners to keep the benefits of the 1115 waiver into 2018 and beyond.  


Flooding Update

I hope everyone is recovering from this month's floods. However, if you suffered uncovered losses, President Obama has made a federal disaster declaration as well as Individual Assistance declaration for the following counties: Harris, Fayette, Grimes, and Parker. Residents and business owners who sustained losses in the designated counties can apply for assistance, by registering online at or by calling 1-800-621-FEMA(3362) or 1-800-462-7585 (TTY) for the hearing and speech impaired.  The toll-free telephone numbers will operate from 7:00 a.m. to 9:00 p.m. (local time) seven days a week until further notice. If you have any additional questions, as always feel free to contact my office at 512-463-0524.


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