Impact of Medicaid Extension and Local Spending For Health Care By Texas House District

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

County

2014-2017 New Local Tax

Revenue (Adult Expansion)

2011 County Indigent

Healthcare & Unreimbursed Jail Healthcare

Costs

2011 Total Hospital District or City/County Unreimbursed

Healthcare Expenditures

2010 Total Hospital Charity

Care Costs

Total Unreimbursed Charity Care

Costs for Local Jurisdictions &

Hospitals

2014-2017 Adults Federal Funds

Limited Scenario


Moderate Scenario

2014-2017 Adults State

Funds Moderate Scenario


Enhanced Scenario

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%) 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$

Frankl in (100%) 746,585$ 133,978$ 326,575$ -$ 326,575$ 6,837,670$ 10,999,727$ 614,747$ 14,864,498$

Lamar (100%) 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$

Red River (100%) 845,163$ 452,585$ 525,127$ -$ 525,127$ 9,570,480$ 15,395,985$ 860,442$ 20,805,387$

ANALYSIS BY BILLY HAMILTON CONSULTING

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

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 [email protected]

http://www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid

http://www.mhm.org/

http://www.texasimpact.org/

mailto:[email protected]

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

County

2016 Adults <138% FPL Enrollees Moderate Scenario

2016 Adults Federal Funds

Moderate Scenario

2016 Adults State Funds Moderate Scenario

2016 Adults All Funds Moderate Scenario

2016 Children <200% FPL Enrollees Moderate Scenario

2016 Children Federal Funds

Moderate Scenario

2016 Children State Funds Moderate Scenario

2016 Children All Funds Moderate Scenario

2016 Adults & Children

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%) 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$ Frankl in (100%) 481 3,647,847$ 140,302$ 3,788,149$ 204 556,563$ 285,358$ 841,921$ 4,630,070$ Lamar (100%) 2,607 19,757,414$ 759,901$ 20,517,314$ 974 2,655,671$ 1,361,601$ 4,017,272$ 24,534,586$ Red River (100%) 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.

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

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,914,503$ 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%) 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$ Hunt (100%) 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$ Van Zandt (100%) 3,756,629$ 337,291$ 387,885$ -$ 387,885$ 34,024,608$ 54,735,223$ 3,059,012$ 73,966,526$







http://www.mhm.org/



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

County



Moderate Scenario





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%) 1,711 12,970,792$ 498,877$ 13,469,668$ 733 1,999,034$ 1,024,933$ 3,023,967$ 16,493,635$ Hunt (100%) 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$ Van Zandt (100%) 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.

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

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 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$ Wal ler (100%) 2,683,026$ 610,406$ 819,412$ -$ 819,412$ 18,988,509$ 30,546,723$ 1,707,179$ 41,279,360$







http://www.mhm.org/



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

County



Moderate Scenario





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.

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

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$







http://www.mhm.org/



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

County



Moderate Scenario





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.

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

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$ Ra ins (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$ Ti tus (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$







http://www.mhm.org/



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

County



Moderate Scenario





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









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

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$







http://www.mhm.org/



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

County



Moderate Scenario





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.

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

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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$







http://www.mhm.org/



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

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 14,745,013$ 567,116$ 15,312,129$ 733 1,999,854$ 1,025,354$ 3,025,208$ 18,337,336$

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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 8 - Representative Byron Cook

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,373,023$ 1,598,375$ 4,629,017$ 2,009,517$ 6,638,534$ 129,029,262$ 207,568,755$ 11,600,489$ 280,498,347$ Anderson (100%) 3,411,854$ 163,709$ 500,636$ 587,290$ 1,087,926$ 54,769,116$ 88,106,814$ 4,924,066$ 119,063,275$ Freestone (100%) 1,293,840$ 152,281$ 1,801,330$ -$ 1,801,330$ 15,256,304$ 24,542,744$ 1,371,631$ 33,165,873$ Hi l l (100%) 2,385,348$ 797,032$ 973,001$ 608,277$ 1,581,278$ 23,471,672$ 37,758,766$ 2,110,241$ 51,025,365$ Navarro (100%) 3,281,981$ 485,353$ 1,354,050$ 813,950$ 2,168,000$ 35,532,170$ 57,160,431$ 3,194,551$ 77,243,834$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 8 - Representative Byron Cook

County



Moderate Scenario





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 9,083 68,836,166$ 2,647,545$ 71,483,711$ 3,234 8,820,520$ 4,522,408$ 13,342,928$ 84,826,639$ Anderson (100%) 3,855 29,218,922$ 1,123,805$ 30,342,727$ 967 2,637,215$ 1,352,138$ 3,989,353$ 34,332,080$ Freestone (100%) 1,074 8,139,127$ 313,043$ 8,452,170$ 381 1,040,121$ 533,285$ 1,573,406$ 10,025,576$ Hi l l (100%) 1,652 12,521,965$ 481,614$ 13,003,579$ 712 1,940,793$ 995,073$ 2,935,866$ 15,939,445$ Navarro (100%) 2,501 18,956,152$ 729,083$ 19,685,235$ 1,174 3,202,391$ 1,641,912$ 4,844,303$ 24,529,538$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 9 - Representative Chris Paddie

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,613,643$ 2,089,834$ 5,054,018$ 3,754,182$ 8,808,200$ 128,803,410$ 207,205,428$ 11,580,184$ 280,007,365$ Cass (100%) 2,088,739$ 260,825$ 362,684$ 1,068,755$ 1,431,439$ 22,986,090$ 36,977,613$ 2,066,585$ 49,969,752$ Harrison (100%) 5,472,639$ 708,753$ 1,453,951$ 2,685,427$ 4,139,378$ 53,526,930$ 86,108,516$ 4,812,386$ 116,362,871$ Marion (100%) 666,999$ 4,000$ 209,625$ -$ 209,625$ 8,446,866$ 13,588,432$ 759,423$ 18,362,748$ Panola (100%) 1,923,856$ 396,934$ 1,177,840$ -$ 1,177,840$ 18,085,101$ 29,093,415$ 1,625,957$ 39,315,430$ Sabine (100%) 711,242$ 2,962$ 1,018,684$ -$ 1,018,684$ 6,786,853$ 10,917,978$ 610,178$ 14,754,027$ Shelby (100%) 1,750,168$ 716,360$ 831,235$ -$ 831,235$ 18,971,570$ 30,519,474$ 1,705,656$ 41,242,537$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 9 - Representative Chris Paddie

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 9,067 68,715,676$ 2,642,911$ 71,358,586$ 3,409 9,297,106$ 4,766,760$ 14,063,866$ 85,422,452$

Cass (100%) 1,618 12,262,911$ 471,650$ 12,734,561$ 587 1,602,016$ 821,377$ 2,423,392$ 15,157,953$

Harrison (100%) 3,768 28,556,225$ 1,098,316$ 29,654,541$ 1,448 3,948,850$ 2,024,632$ 5,973,482$ 35,628,024$

Marion (100%) 595 4,506,341$ 173,321$ 4,679,662$ 166 452,797$ 232,156$ 684,953$ 5,364,615$

Panola (100%) 1,273 9,648,269$ 371,087$ 10,019,356$ 471 1,283,745$ 658,195$ 1,941,940$ 11,961,296$

Sabine (100%) 478 3,620,737$ 139,259$ 3,759,996$ 154 420,396$ 215,543$ 635,939$ 4,395,935$

Shelby (100%) 1,335 10,121,194$ 389,277$ 10,510,470$ 583 1,589,301$ 814,858$ 2,404,159$ 12,914,630$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 10 - Representative Jim Pitts

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,836,454$ 2,631,703$ 4,499,967$ 2,495,244$ 6,995,211$ 52,267,115$ 84,081,857$ 4,699,121$ 113,624,143$ El l i s (100%) 10,929,555$ 2,508,687$ 3,075,247$ 258,284$ 3,333,531$ 43,188,554$ 69,477,219$ 3,882,905$ 93,888,144$ Henderson (17%) 906,899$ 123,016$ 1,424,721$ 2,236,960$ 3,661,680$ 9,078,561$ 14,604,638$ 816,216$ 19,736,000$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 10 - Representative Jim Pitts

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,679 27,884,123$ 1,072,466$ 28,956,589$ 2,309 6,297,630$ 3,228,885$ 9,526,515$ 38,483,104$

El l i s (100%) 3,040 23,040,777$ 886,184$ 23,926,961$ 2,069 5,642,738$ 2,893,113$ 8,535,851$ 32,462,811$

Henderson (17%) 639 4,843,346$ 186,283$ 5,029,629$ 240 654,892$ 335,772$ 990,664$ 6,020,293$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 11 - Representative Travis Clardy

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 10,511,561$ 683,208$ 9,627,198$ 18,129,120$ 27,756,318$ 136,448,501$ 219,504,049$ 12,267,523$ 296,627,125$

Cherokee (100%) 3,072,890$ 264,722$ 530,084$ 7,855,847$ 8,385,931$ 38,270,626$ 61,565,772$ 3,440,754$ 83,196,998$ Nacogdoches (100%) 4,063,836$ -$ 8,582,629$ 5,935,819$ 14,518,448$ 54,215,779$ 87,216,663$ 4,874,317$ 117,860,368$ Rusk (100%) 3,374,835$ 418,485$ 514,484$ 4,337,454$ 4,851,938$ 43,962,097$ 70,721,614$ 3,952,451$ 95,569,759$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 11 - Representative Travis Clardy

County



Moderate Scenario





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 9,605 72,794,276$ 2,799,780$ 75,594,056$ 3,649 9,951,283$ 5,102,166$ 15,053,449$ 90,647,504$ Cherokee (100%) 2,694 20,417,098$ 785,273$ 21,202,371$ 1,182 3,223,719$ 1,652,847$ 4,876,565$ 26,078,937$ Nacogdoches (100%) 3,816 28,923,721$ 1,112,451$ 30,036,172$ 1,419 3,870,103$ 1,984,257$ 5,854,360$ 35,890,532$ Rusk (100%) 3,095 23,453,457$ 902,056$ 24,355,513$ 1,048 2,857,461$ 1,465,062$ 4,322,523$ 28,678,036$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 12 - Representative Kyle Kacal

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,889,156$ 2,924,518$ 10,068,481$ 13,738,264$ 23,806,745$ 144,094,289$ 231,803,792$ 12,954,924$ 313,248,401$ Brazos (16%) 1,940,136$ 327,302$ 679,738$ 2,860,951$ 3,540,689$ 39,610,396$ 63,721,054$ 3,561,208$ 86,109,542$ Fa l l s (100%) 1,047,371$ 261,829$ 332,560$ -$ 332,560$ 15,504,742$ 24,942,403$ 1,393,967$ 33,705,954$ Limestone (100%) 1,527,817$ 535,773$ 6,483,876$ 548,744$ 7,032,620$ 18,310,953$ 29,456,742$ 1,646,262$ 39,806,413$ McLennan (30%) 5,134,485$ 1,635,117$ 2,297,953$ 10,328,569$ 12,626,521$ 57,794,633$ 92,973,949$ 5,196,077$ 125,640,486$ Robertson (100%) 1,239,346$ 164,497$ 274,354$ -$ 274,354$ 12,873,565$ 20,709,643$ 1,157,409$ 27,986,007$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 12 - Representative Kyle Kacal

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 10,143 76,873,248$ 2,956,663$ 79,829,911$ 3,550 9,681,155$ 4,963,667$ 14,644,822$ 94,474,733$

Brazos (16%) 2,788 21,131,856$ 812,764$ 21,944,620$ 605 1,650,311$ 846,138$ 2,496,450$ 24,441,070$

Fal ls (100%) 1,091 8,271,666$ 318,141$ 8,589,807$ 367 1,001,568$ 513,518$ 1,515,086$ 10,104,893$

Limestone (100%) 1,289 9,768,759$ 375,722$ 10,144,481$ 502 1,369,465$ 702,144$ 2,071,610$ 12,216,090$

McLennan (30%) 4,068 30,833,014$ 1,185,885$ 32,018,899$ 1,694 4,620,100$ 2,368,792$ 6,988,891$ 39,007,790$

Robertson (100%) 906 6,867,953$ 264,152$ 7,132,105$ 381 1,039,711$ 533,075$ 1,572,785$ 8,704,890$

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









Impact of Medicaid Extension and Local Spending for Health CareHouse District 13 - Representative Lois W. Kolkhorst

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 13,535,208$ 1,378,123$ 11,423,854$ 2,668,264$ 14,092,118$ 123,947,591$ 199,393,896$ 11,143,617$ 269,451,239$

Austin (100%) 2,362,602$ 170,182$ 1,547,272$ -$ 1,547,272$ 20,321,036$ 32,690,353$ 1,826,981$ 44,176,158$

Burleson (100%) 1,250,760$ 10,357$ 1,297,651$ -$ 1,297,651$ 12,387,984$ 19,928,490$ 1,113,753$ 26,930,394$

Colorado (100%) 1,662,933$ 174,019$ 2,962,420$ 398,947$ 3,361,367$ 14,787,661$ 23,788,840$ 1,329,498$ 32,147,084$

Fayette (100%) 2,007,366$ 384,957$ 2,134,997$ 388,669$ 2,523,666$ 16,148,420$ 25,977,885$ 1,451,838$ 35,105,254$

Grimes (100%) 1,691,842$ 226,619$ 675,471$ 418,982$ 1,094,453$ 21,952,817$ 35,315,391$ 1,973,687$ 47,723,507$

Lavaca (100%) 1,491,549$ 45,346$ 1,641,799$ 885,934$ 2,527,733$ 12,421,861$ 19,982,989$ 1,116,798$ 27,004,042$

Washington (100%) 3,068,155$ 366,643$ 1,164,245$ 575,732$ 1,739,977$ 25,927,812$ 41,709,948$ 2,331,063$ 56,364,800$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 13 - Representative Lois W. Kolkhorst

County



Moderate Scenario





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 8,725 66,125,132$ 2,543,274$ 68,668,406$ 3,474 9,475,518$ 4,858,234$ 14,333,752$ 83,002,159$ Austin (100%) 1,430 10,841,124$ 416,966$ 11,258,090$ 626 1,708,243$ 875,841$ 2,584,083$ 13,842,173$ Burleson (100%) 872 6,608,899$ 254,188$ 6,863,087$ 349 951,120$ 487,653$ 1,438,773$ 8,301,860$ Colorado (100%) 1,041 7,889,109$ 303,427$ 8,192,536$ 461 1,257,906$ 644,947$ 1,902,853$ 10,095,389$ Fayette (100%) 1,137 8,615,064$ 331,349$ 8,946,412$ 460 1,254,215$ 643,054$ 1,897,269$ 10,843,682$ Grimes (100%) 1,545 11,711,667$ 450,449$ 12,162,116$ 543 1,480,204$ 758,922$ 2,239,125$ 14,401,241$ Lavaca (100%) 874 6,626,972$ 254,884$ 6,881,856$ 364 992,544$ 508,892$ 1,501,436$ 8,383,292$ Washington (100%) 1,825 13,832,298$ 532,011$ 14,364,310$ 671 1,831,285$ 938,926$ 2,770,212$ 17,134,521$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 14 - Representative John Raney

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 9,998,894$ 1,686,821$ 3,503,172$ 14,744,507$ 18,247,678$ 204,140,402$ 328,399,686$ 18,353,423$ 443,783,407$

Brazos (84%) 9,998,894$ 1,686,821$ 3,503,172$ 14,744,507$ 18,247,678$ 204,140,402$ 328,399,686$ 18,353,423$ 443,783,407$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 14 - Representative John Raney

County



Moderate Scenario





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 14,370 108,907,409$ 4,188,747$ 113,096,156$ 3,119 8,505,222$ 4,360,750$ 12,865,972$ 125,962,128$ Brazos (84%) 14,370 108,907,409$ 4,188,747$ 113,096,156$ 3,119 8,505,222$ 4,360,750$ 12,865,972$ 125,962,128$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 15 - Representative Steve Toth

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 17,026,610$ 391,035$ 11,672,211$ 5,144,657$ 16,816,868$ 63,828,923$ 102,681,283$ 5,738,596$ 138,758,505$ Montgomery (37%) 17,026,610$ 391,035$ 11,672,211$ 5,144,657$ 16,816,868$ 63,828,923$ 102,681,283$ 5,738,596$ 138,758,505$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 15 - Representative Steve Toth

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 4,493 34,052,263$ 1,309,702$ 35,361,966$ 2,375 6,476,098$ 3,320,388$ 9,796,486$ 45,158,451$

Montgomery (37%) 4,493 34,052,263$ 1,309,702$ 35,361,966$ 2,375 6,476,098$ 3,320,388$ 9,796,486$ 45,158,451$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 16 - Representative Brandon Creighton

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 16,955,186$ 389,395$ 11,623,248$ 5,123,076$ 16,746,324$ 63,561,172$ 102,250,553$ 5,714,523$ 138,176,437$ Montgomery (37%) 16,955,186$ 389,395$ 11,623,248$ 5,123,076$ 16,746,324$ 63,561,172$ 102,250,553$ 5,714,523$ 138,176,437$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 16 - Representative Brandon Creighton

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 4,474 33,909,420$ 1,304,208$ 35,213,628$ 2,365 6,448,931$ 3,306,460$ 9,755,391$ 44,969,020$

Montgomery (37%) 4,474 33,909,420$ 1,304,208$ 35,213,628$ 2,365 6,448,931$ 3,306,460$ 9,755,391$ 44,969,020$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 17 - Representative Tim Kleinschmidt

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 9,962,618$ 2,800,243$ 7,215,477$ 50,000$ 7,265,477$ 126,511,012$ 203,517,658$ 11,374,084$ 275,023,892$ Bastrop (100%) 4,461,940$ 1,985,456$ 2,481,067$ 50,000$ 2,531,067$ 55,712,048$ 89,623,705$ 5,008,841$ 121,113,128$ Ca ldwel l (100%) 2,084,741$ 491,104$ 1,101,176$ -$ 1,101,176$ 28,186,333$ 45,343,218$ 2,534,117$ 61,274,626$ Gonzales (100%) 1,330,500$ 2,805$ 1,719,965$ -$ 1,719,965$ 16,063,725$ 25,841,638$ 1,444,223$ 34,921,136$ Karnes (100%) 834,046$ -$ 1,333,765$ -$ 1,333,765$ 14,917,526$ 23,997,753$ 1,341,173$ 32,429,399$ Lee (100%) 1,251,390$ 320,878$ 579,505$ -$ 579,505$ 11,631,379$ 18,711,344$ 1,045,729$ 25,285,603$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 17 - Representative Tim Kleinschmidt

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 8,905 67,492,698$ 2,595,873$ 70,088,571$ 3,995 10,896,661$ 5,586,875$ 16,483,536$ 86,572,107$

Bastrop (100%) 3,922 29,721,970$ 1,143,153$ 30,865,122$ 1,811 4,937,703$ 2,531,632$ 7,469,335$ 38,334,457$

Caldwel l (100%) 1,984 15,037,202$ 578,354$ 15,615,556$ 1,020 2,782,816$ 1,426,790$ 4,209,605$ 19,825,161$

Gonzales (100%) 1,131 8,569,880$ 329,611$ 8,899,491$ 501 1,367,004$ 700,883$ 2,067,887$ 10,967,378$

Karnes (100%) 1,050 7,958,391$ 306,092$ 8,264,483$ 272 742,358$ 380,617$ 1,122,975$ 9,387,458$

Lee (100%) 819 6,205,256$ 238,664$ 6,443,919$ 391 1,066,780$ 546,954$ 1,613,734$ 8,057,653$










Impact of Medicaid Extension and Local Spending for Health CareHouse District 18 - Representative John Otto

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,846,900$ 668,124$ 7,899,314$ 3,935,698$ 11,835,012$ 116,550,938$ 187,494,934$ 10,478,615$ 253,371,560$ Liberty (100%) 5,463,992$ 310,992$ 851,423$ -$ 851,423$ 29,970,564$ 48,213,502$ 2,694,530$ 65,153,388$ San Jacinto (100%) 1,744,225$ 275,218$ 316,500$ -$ 316,500$ 18,773,950$ 30,201,563$ 1,687,888$ 40,812,927$ Walker (100%) 3,638,684$ 81,915$ 6,731,391$ 3,935,698$ 10,667,089$ 67,806,424$ 109,079,870$ 6,096,196$ 147,405,245$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 18 - Representative John Otto

County



Moderate Scenario





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 8,204 62,179,072$ 2,391,503$ 64,570,574$ 2,549 6,951,092$ 3,563,925$ 10,515,017$ 75,085,591$ Liberty (100%) 2,110 15,989,076$ 614,964$ 16,604,041$ 981 2,676,589$ 1,372,326$ 4,048,914$ 20,652,955$ San Jacinto (100%) 1,322 10,015,765$ 385,222$ 10,400,986$ 503 1,371,516$ 703,196$ 2,074,712$ 12,475,698$ Walker (100%) 4,773 36,174,231$ 1,391,317$ 37,565,547$ 1,064 2,902,987$ 1,488,403$ 4,391,391$ 41,956,938$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 19 - Representative James White

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,624,844$ 1,493,713$ 4,015,036$ -$ 4,015,036$ 118,385,985$ 190,446,967$ 10,643,596$ 257,360,793$ Hardin (100%) 4,401,132$ 356,561$ 533,325$ -$ 533,325$ 29,705,188$ 47,786,593$ 2,670,671$ 64,576,484$ Jasper (100%) 2,450,092$ 566,062$ 967,627$ -$ 967,627$ 26,650,539$ 42,872,594$ 2,396,040$ 57,935,944$ Newton (100%) 828,686$ 89,863$ 170,975$ -$ 170,975$ 11,473,283$ 18,457,015$ 1,031,516$ 24,941,915$ Polk (100%) 3,618,361$ 481,227$ 680,533$ -$ 680,533$ 34,171,411$ 54,971,386$ 3,072,211$ 74,285,664$ Tyler (100%) 1,326,573$ -$ 1,662,577$ -$ 1,662,577$ 16,385,564$ 26,359,379$ 1,473,159$ 35,620,786$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 19 - Representative James White

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 8,333 63,158,056$ 2,429,156$ 65,587,212$ 2,897 7,900,161$ 4,050,526$ 11,950,687$ 77,537,899$

Hardin (100%) 2,091 15,847,500$ 609,519$ 16,457,019$ 827 2,254,962$ 1,156,152$ 3,411,114$ 19,868,133$

Jasper (100%) 1,876 14,217,867$ 546,841$ 14,764,708$ 702 1,914,954$ 981,825$ 2,896,779$ 17,661,488$

Newton (100%) 808 6,120,912$ 235,420$ 6,356,332$ 265 723,081$ 370,734$ 1,093,815$ 7,450,147$

Polk (100%) 2,405 18,230,198$ 701,161$ 18,931,359$ 787 2,146,275$ 1,100,426$ 3,246,701$ 22,178,060$

Tyler (100%) 1,153 8,741,579$ 336,215$ 9,077,793$ 316 860,889$ 441,390$ 1,302,279$ 10,380,072$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 20 - Representative Marsha Farney

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,955,608$ 1,940,415$ 5,141,820$ 589,028$ 5,730,847$ 85,839,447$ 138,089,507$ 7,717,471$ 186,607,462$ Burnet (100%) 3,621,093$ 609,577$ 1,325,056$ -$ 1,325,056$ 27,604,764$ 44,407,651$ 2,481,831$ 60,010,346$ Mi lam (100%) 1,669,159$ 591,525$ 1,099,156$ -$ 1,099,156$ 16,650,941$ 26,786,288$ 1,497,017$ 36,197,691$ Wi l l iamson (22%) 7,665,356$ 739,313$ 2,717,608$ 589,028$ 3,306,636$ 41,583,743$ 66,895,568$ 3,738,623$ 90,399,425$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 20 - Representative Marsha Farney

County



Moderate Scenario





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 6,042 45,794,716$ 1,761,335$ 47,556,052$ 2,793 7,618,517$ 3,906,123$ 11,524,640$ 59,080,691$ Burnet (100%) 1,943 14,726,939$ 566,421$ 15,293,360$ 770 2,101,159$ 1,077,294$ 3,178,454$ 18,471,814$ Milam (100%) 1,172 8,883,155$ 341,660$ 9,224,815$ 581 1,584,380$ 812,334$ 2,396,714$ 11,621,529$ Wil l iamson (22%) 2,927 22,184,622$ 853,255$ 23,037,877$ 1,442 3,932,978$ 2,016,494$ 5,949,472$ 28,987,349$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 21 - Representative Allan Ritter

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 13,715,059$ 4,794,990$ 5,739,793$ 8,540,577$ 14,280,370$ 118,616,136$ 190,817,210$ 10,664,288$ 257,861,122$

Jefferson (36%) 7,231,532$ 3,443,467$ 4,183,816$ 7,203,745$ 11,387,562$ 72,079,327$ 115,953,667$ 6,480,355$ 156,694,161$ Orange (100%) 6,483,527$ 1,351,523$ 1,555,976$ 1,336,832$ 2,892,808$ 46,536,810$ 74,863,543$ 4,183,933$ 101,166,960$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 21 - Representative Allan Ritter

County



Moderate Scenario





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 8,350 63,280,840$ 2,433,878$ 65,714,718$ 3,154 8,601,426$ 4,410,075$ 13,011,500$ 78,726,219$ Jefferson (36%) 5,074 38,453,793$ 1,478,992$ 39,932,785$ 1,867 5,091,838$ 2,610,659$ 7,702,496$ 47,635,281$ Orange (100%) 3,276 24,827,047$ 954,886$ 25,781,934$ 1,287 3,509,588$ 1,799,416$ 5,309,004$ 31,090,937$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 22 - Representative Joe Deshotel

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 12,961,734$ 6,172,040$ 7,499,036$ 12,911,930$ 20,410,966$ 129,194,352$ 207,834,334$ 11,615,332$ 280,857,239$

Jefferson (64%) 12,961,734$ 6,172,040$ 7,499,036$ 12,911,930$ 20,410,966$ 129,194,352$ 207,834,334$ 11,615,332$ 280,857,239$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 22 - Representative Joe Deshotel

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 9,094 68,924,241$ 2,650,932$ 71,575,173$ 3,346 9,126,566$ 4,679,321$ 13,805,887$ 85,381,060$

Jefferson (64%) 9,094 68,924,241$ 2,650,932$ 71,575,173$ 3,346 9,126,566$ 4,679,321$ 13,805,887$ 85,381,060$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 23 - Representative Craig Eiland

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 15,294,475$ 5,350,977$ 12,271,686$ -$ 12,271,686$ 66,191,930$ 106,482,640$ 5,951,044$ 143,895,474$ Chambers (100%) 3,512,091$ 884,099$ 5,096,862$ -$ 5,096,862$ 13,443,842$ 21,627,044$ 1,208,680$ 29,225,738$ Galveston (44%) 11,782,384$ 4,466,878$ 7,174,823$ -$ 7,174,823$ 52,748,088$ 84,855,596$ 4,742,363$ 114,669,736$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 23 - Representative Craig Eiland

County



Moderate Scenario





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 4,659 35,312,910$ 1,358,189$ 36,671,098$ 2,321 6,331,159$ 3,246,077$ 9,577,236$ 46,248,334$ Chambers (100%) 946 7,172,191$ 275,854$ 7,448,045$ 508 1,384,230$ 709,715$ 2,093,945$ 9,541,990$ Galveston (44%) 3,713 28,140,718$ 1,082,335$ 29,223,054$ 1,814 4,946,929$ 2,536,362$ 7,483,291$ 36,706,345$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 24 - Representative Greg Bonnen

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 14,902,484$ 5,649,755$ 9,074,793$ -$ 9,074,793$ 66,716,341$ 107,326,258$ 5,998,191$ 145,035,499$ Galveston (56%) 14,902,484$ 5,649,755$ 9,074,793$ -$ 9,074,793$ 66,716,341$ 107,326,258$ 5,998,191$ 145,035,499$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 24 - Representative Greg Bonnen

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 4,696 35,592,679$ 1,368,949$ 36,961,628$ 2,294 6,256,928$ 3,208,017$ 9,464,946$ 46,426,574$

Galveston (56%) 4,696 35,592,679$ 1,368,949$ 36,961,628$ 2,294 6,256,928$ 3,208,017$ 9,464,946$ 46,426,574$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 25 - Representative Dennis Bonnen

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,675,702$ 2,076,586$ 15,884,860$ 1,777,830$ 17,662,690$ 84,503,791$ 135,940,843$ 7,597,388$ 183,703,862$ Brazoria (44%) 11,149,489$ 2,045,117$ 7,112,520$ 1,522,672$ 8,635,192$ 57,096,648$ 91,851,103$ 5,133,324$ 124,123,126$ Matagorda (100%) 2,526,213$ 31,469$ 8,772,340$ 255,158$ 9,027,498$ 27,407,143$ 44,089,740$ 2,464,063$ 59,580,736$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 25 - Representative Dennis Bonnen

County



Moderate Scenario





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 5,948 45,082,154$ 1,733,929$ 46,816,083$ 3,171 8,647,572$ 4,433,735$ 13,081,307$ 59,897,390$ Brazoria (44%) 4,019 30,460,643$ 1,171,563$ 31,632,207$ 2,222 6,061,215$ 3,107,672$ 9,168,887$ 40,801,094$ Matagorda (100%) 1,929 14,621,510$ 562,366$ 15,183,876$ 948 2,586,357$ 1,326,063$ 3,912,420$ 19,096,296$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 26 - Representative Rick Miller

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 16,216,376$ 1,905,153$ 4,308,218$ 4,864,528$ 9,172,746$ 72,471,259$ 116,584,167$ 6,515,592$ 157,546,188$ Fort Bend (27%) 16,216,376$ 1,905,153$ 4,308,218$ 4,864,528$ 9,172,746$ 72,471,259$ 116,584,167$ 6,515,592$ 157,546,188$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 26 - Representative Rick Miller

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,101 38,662,886$ 1,487,034$ 40,149,920$ 2,823 7,700,192$ 3,947,999$ 11,648,191$ 51,798,111$

Fort Bend (27%) 5,101 38,662,886$ 1,487,034$ 40,149,920$ 2,823 7,700,192$ 3,947,999$ 11,648,191$ 51,798,111$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 27 - Representative Ron Reynolds

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 16,215,667$ 1,905,070$ 4,308,029$ 4,864,316$ 9,172,345$ 72,468,090$ 116,579,069$ 6,515,307$ 157,539,300$

Fort Bend (27%) 16,215,667$ 1,905,070$ 4,308,029$ 4,864,316$ 9,172,345$ 72,468,090$ 116,579,069$ 6,515,307$ 157,539,300$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 27 - Representative Ron Reynolds

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,101 38,661,195$ 1,486,969$ 40,148,164$ 2,823 7,699,855$ 3,947,826$ 11,647,681$ 51,795,846$

Fort Bend (27%) 5,101 38,661,195$ 1,486,969$ 40,148,164$ 2,823 7,699,855$ 3,947,826$ 11,647,681$ 51,795,846$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 28 - Representative John Zerwas

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 16,244,941$ 1,908,509$ 4,315,807$ 4,873,097$ 9,188,904$ 72,598,917$ 116,789,530$ 6,527,070$ 157,823,706$ Fort Bend (27%) 16,244,941$ 1,908,509$ 4,315,807$ 4,873,097$ 9,188,904$ 72,598,917$ 116,789,530$ 6,527,070$ 157,823,706$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 28 - Representative John Zerwas

County



Moderate Scenario





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 5,110 38,730,990$ 1,489,653$ 40,220,644$ 2,828 7,713,756$ 3,954,953$ 11,668,709$ 51,889,353$ Fort Bend (27%) 5,110 38,730,990$ 1,489,653$ 40,220,644$ 2,828 7,713,756$ 3,954,953$ 11,668,709$ 51,889,353$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 29 - Representative Ed Thompson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 14,250,543$ 2,613,934$ 9,090,756$ 1,946,179$ 11,036,935$ 72,977,180$ 117,398,039$ 6,561,078$ 158,646,016$ Brazoria (56%) 14,250,543$ 2,613,934$ 9,090,756$ 1,946,179$ 11,036,935$ 72,977,180$ 117,398,039$ 6,561,078$ 158,646,016$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 29 - Representative Ed Thompson

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,137 38,932,791$ 1,497,415$ 40,430,206$ 2,841 7,747,046$ 3,972,022$ 11,719,068$ 52,149,274$

Brazoria (56%) 5,137 38,932,791$ 1,497,415$ 40,430,206$ 2,841 7,747,046$ 3,972,022$ 11,719,068$ 52,149,274$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 30 - Representative Geanie Morrison

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,380,021$ 3,434,309$ 12,815,581$ 6,806,660$ 19,622,241$ 100,989,733$ 162,461,699$ 9,079,571$ 219,542,860$ Aransas (100%) 2,036,757$ 903,356$ 1,376,696$ -$ 1,376,696$ 15,459,571$ 24,869,738$ 1,389,906$ 33,607,758$ Ca lhoun (100%) 1,439,689$ 1,716,414$ 3,793,366$ 826,968$ 4,620,334$ 11,501,514$ 18,502,431$ 1,034,054$ 25,003,288$ DeWitt (100%) 1,414,509$ 189,120$ 1,955,801$ -$ 1,955,801$ 16,063,725$ 25,841,638$ 1,444,223$ 34,921,136$ Gol iad (100%) 451,092$ 271,169$ 945,419$ -$ 945,419$ 5,239,767$ 8,429,188$ 471,086$ 11,390,796$ Refugio (100%) 571,961$ 29,407$ 2,411,795$ -$ 2,411,795$ 5,804,397$ 9,337,506$ 521,849$ 12,618,252$ Victoria (100%) 7,466,013$ 324,844$ 2,332,503$ 5,979,692$ 8,312,195$ 46,920,758$ 75,481,199$ 4,218,452$ 102,001,631$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 30 - Representative Geanie Morrison

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 7,109 53,877,283$ 2,072,203$ 55,949,486$ 3,308 9,020,670$ 4,625,027$ 13,645,697$ 69,595,183$

Aransas (100%) 1,088 8,247,568$ 317,214$ 8,564,782$ 365 994,185$ 509,733$ 1,503,918$ 10,068,700$

Calhoun (100%) 810 6,135,974$ 235,999$ 6,371,973$ 462 1,258,727$ 645,367$ 1,904,094$ 8,276,067$

DeWitt (100%) 1,131 8,569,880$ 329,611$ 8,899,491$ 377 1,028,227$ 527,187$ 1,555,413$ 10,454,904$

Gol iad (100%) 369 2,795,377$ 107,515$ 2,902,892$ 137 372,409$ 190,940$ 563,349$ 3,466,241$

Refugio (100%) 409 3,096,603$ 119,100$ 3,215,703$ 163 444,184$ 227,740$ 671,924$ 3,887,627$

Victoria (100%) 3,303 25,031,881$ 962,765$ 25,994,645$ 1,805 4,922,938$ 2,524,061$ 7,446,999$ 33,441,645$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 31 - Representative Ryan Guillen

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 9,313,754$ 2,575,730$ 12,003,110$ 346,593$ 12,349,703$ 154,748,161$ 248,942,625$ 13,912,770$ 336,408,989$ Atascosa (100%) 2,842,401$ 768,473$ 4,122,594$ -$ 4,122,594$ 36,977,623$ 59,485,724$ 3,324,506$ 80,386,123$ Brooks (100%) 433,554$ 803,419$ 1,307,277$ -$ 1,307,277$ 6,470,661$ 10,409,321$ 581,750$ 14,066,651$ Duval (100%) 792,564$ 21,011$ 226,742$ -$ 226,742$ 10,987,701$ 17,675,862$ 987,859$ 23,886,302$ Jim Hogg (100%) 381,913$ 80,054$ 92,062$ -$ 92,062$ 4,884,050$ 7,856,948$ 439,105$ 10,617,498$ Kenedy (100%) 39,174$ 7,010$ 8,061$ -$ 8,061$ 400,887$ 644,906$ 36,042$ 871,494$ La Sa l le (100%) 341,699$ 209,518$ 390,290$ -$ 390,290$ 7,278,082$ 11,708,215$ 654,342$ 15,821,914$ Live Oak (100%) 759,394$ 376,038$ 558,094$ -$ 558,094$ 9,152,653$ 14,723,830$ 822,877$ 19,897,069$ McMul len (100%) 60,499$ 3,226$ 190,775$ -$ 190,775$ 508,167$ 817,486$ 45,687$ 1,104,711$ Starr (100%) 2,460,540$ 147,332$ 4,684,991$ 346,593$ 5,031,584$ 55,757,219$ 89,696,370$ 5,012,902$ 121,211,324$ Wi l lacy (100%) 1,202,016$ 159,650$ 422,224$ -$ 422,224$ 22,331,119$ 35,923,964$ 2,007,699$ 48,545,903$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 31 - Representative Ryan Guillen

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 10,893 82,557,011$ 3,175,270$ 85,732,280$ 5,280 14,400,507$ 7,383,347$ 21,783,854$ 107,516,134$

Atascosa (100%) 2,603 19,727,291$ 758,742$ 20,486,033$ 1,239 3,380,393$ 1,733,176$ 5,113,569$ 25,599,602$

Brooks (100%) 455 3,452,050$ 132,771$ 3,584,821$ 221 602,499$ 308,910$ 911,409$ 4,496,230$

Duval (100%) 773 5,861,858$ 225,456$ 6,087,314$ 334 911,336$ 467,255$ 1,378,591$ 7,465,905$

Jim Hogg (100%) 344 2,605,605$ 100,216$ 2,705,820$ 168 458,129$ 234,889$ 693,018$ 3,398,839$

Kenedy (100%) 28 213,870$ 8,226$ 222,096$ 10 28,300$ 14,510$ 42,810$ 264,906$

La Sa l le (100%) 512 3,882,803$ 149,339$ 4,032,142$ 162 440,903$ 226,057$ 666,960$ 4,699,102$

Live Oak (100%) 644 4,882,874$ 187,803$ 5,070,676$ 193 527,033$ 270,217$ 797,250$ 5,867,927$

McMul len (100%) 36 271,103$ 10,427$ 281,530$ 11 29,120$ 14,930$ 44,050$ 325,581$

Starr (100%) 3,925 29,746,068$ 1,144,080$ 30,890,147$ 2,290 6,246,057$ 3,202,443$ 9,448,501$ 40,338,648$

Wil lacy (100%) 1,572 11,913,488$ 458,211$ 12,371,700$ 651 1,776,736$ 910,958$ 2,687,695$ 15,059,394$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 32 - Representative Todd Hunter

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,298,453$ 18,187$ 17,570,750$ 23,695,575$ 41,266,325$ 129,231,881$ 207,894,707$ 11,618,706$ 280,938,824$ Nueces (49%) 13,298,453$ 18,187$ 17,570,750$ 23,695,575$ 41,266,325$ 129,231,881$ 207,894,707$ 11,618,706$ 280,938,824$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 32 - Representative Todd Hunter

County



Moderate Scenario





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 9,097 68,944,262$ 2,651,702$ 71,595,964$ 3,793 10,344,388$ 5,303,716$ 15,648,104$ 87,244,068$ Nueces (49%) 9,097 68,944,262$ 2,651,702$ 71,595,964$ 3,793 10,344,388$ 5,303,716$ 15,648,104$ 87,244,068$ 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









Impact of Medicaid Extension and Local Spending for Health CareHouse District 33 - Representative Scott Turner

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 18,495,810$ 1,825,803$ 2,332,473$ -$ 2,332,473$ 51,597,930$ 83,005,342$ 4,638,957$ 112,169,393$ Col l in (12%) 10,214,408$ 819,627$ 1,083,371$ -$ 1,083,371$ 29,633,820$ 47,671,784$ 2,664,255$ 64,421,337$ Rockwal l (100%) 8,281,402$ 1,006,175$ 1,249,102$ -$ 1,249,102$ 21,964,109$ 35,333,558$ 1,974,703$ 47,748,056$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 33 - Representative Scott Turner

County



Moderate Scenario





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 3,632 27,527,117$ 1,058,735$ 28,585,853$ 2,112 5,759,219$ 2,952,835$ 8,712,054$ 37,297,907$ Col l in (12%) 2,086 15,809,426$ 608,055$ 16,417,481$ 1,143 3,116,672$ 1,597,963$ 4,714,635$ 21,132,116$ Rockwal l (100%) 1,546 11,717,692$ 450,680$ 12,168,372$ 969 2,642,547$ 1,354,872$ 3,997,419$ 16,165,791$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 34 - Representative Abel Herrero

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,782,000$ 18,849$ 18,209,642$ 24,557,173$ 42,766,815$ 133,930,899$ 215,453,994$ 12,041,175$ 291,154,078$ Nueces (51%) 13,782,000$ 18,849$ 18,209,642$ 24,557,173$ 42,766,815$ 133,930,899$ 215,453,994$ 12,041,175$ 291,154,078$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 34 - Representative Abel Herrero

County



Moderate Scenario





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 9,428 71,451,153$ 2,748,121$ 74,199,275$ 3,931 10,720,521$ 5,496,566$ 16,217,087$ 90,416,362$ Nueces (51%) 9,428 71,451,153$ 2,748,121$ 74,199,275$ 3,931 10,720,521$ 5,496,566$ 16,217,087$ 90,416,362$










Impact of Medicaid Extension and Local Spending for Health CareHouse District 35 - Representative Oscar Longoria

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 8,024,642$ 1,289,602$ 3,711,312$ 13,944,273$ 17,655,585$ 133,829,036$ 215,290,128$ 12,032,017$ 290,932,637$ Cameron (17%) 3,398,719$ 921,518$ 1,390,303$ 4,582,482$ 5,972,785$ 59,968,553$ 96,471,124$ 5,391,526$ 130,366,397$ Hidalgo (13%) 4,625,923$ 368,084$ 2,321,010$ 9,361,790$ 11,682,800$ 73,860,483$ 118,819,005$ 6,640,492$ 160,566,240$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 35 - Representative Oscar Longoria

County



Moderate Scenario





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 9,420 71,396,810$ 2,746,031$ 74,142,842$ 6,780 18,490,437$ 9,480,313$ 27,970,750$ 102,113,592$ Cameron (17%) 4,221 31,992,784$ 1,230,492$ 33,223,275$ 2,744 7,483,004$ 3,836,644$ 11,319,648$ 44,542,923$ Hidalgo (13%) 5,199 39,404,027$ 1,515,539$ 40,919,566$ 4,036 11,007,433$ 5,643,670$ 16,651,103$ 57,570,669$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 36 - Representative Sergio Muñoz, Jr.

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 7,838,909$ 623,741$ 3,933,093$ 15,864,126$ 19,797,219$ 125,161,107$ 201,346,072$ 11,252,720$ 272,089,316$

Hidalgo (22%) 7,838,909$ 623,741$ 3,933,093$ 15,864,126$ 19,797,219$ 125,161,107$ 201,346,072$ 11,252,720$ 272,089,316$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 36 - Representative Sergio Muñoz, Jr.

County



Moderate Scenario





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 8,810 66,772,534$ 2,568,174$ 69,340,708$ 6,839 18,652,769$ 9,563,543$ 28,216,312$ 97,557,021$ Hidalgo (22%) 8,810 66,772,534$ 2,568,174$ 69,340,708$ 6,839 18,652,769$ 9,563,543$ 28,216,312$ 97,557,021$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 37 - Representative René Oliveira

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 8,338,643$ 2,260,913$ 3,411,061$ 11,242,967$ 14,654,028$ 147,130,832$ 236,688,664$ 13,227,927$ 319,849,580$ Cameron (42%) 8,338,643$ 2,260,913$ 3,411,061$ 11,242,967$ 14,654,028$ 147,130,832$ 236,688,664$ 13,227,927$ 319,849,580$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 37 - Representative René Oliveira

County



Moderate Scenario





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 10,357 78,493,221$ 3,018,970$ 81,512,191$ 6,732 18,359,299$ 9,413,077$ 27,772,375$ 109,284,567$ Cameron (42%) 10,357 78,493,221$ 3,018,970$ 81,512,191$ 6,732 18,359,299$ 9,413,077$ 27,772,375$ 109,284,567$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 38 - Representative Eddie Lucio III

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 8,295,541$ 2,249,226$ 3,393,430$ 11,184,853$ 14,578,283$ 146,370,327$ 235,465,243$ 13,159,553$ 318,196,308$ Cameron (41%) 8,295,541$ 2,249,226$ 3,393,430$ 11,184,853$ 14,578,283$ 146,370,327$ 235,465,243$ 13,159,553$ 318,196,308$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 38 - Representative Eddie Lucio III

County



Moderate Scenario





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 10,303 78,087,497$ 3,003,365$ 81,090,862$ 6,697 18,264,401$ 9,364,421$ 27,628,823$ 108,719,685$ Cameron (41%) 10,303 78,087,497$ 3,003,365$ 81,090,862$ 6,697 18,264,401$ 9,364,421$ 27,628,823$ 108,719,685$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 39 - Representative Armando Martinez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 7,824,805$ 622,618$ 3,926,016$ 15,835,583$ 19,761,600$ 124,935,916$ 200,983,808$ 11,232,474$ 271,599,770$ Hidalgo (22%) 7,824,805$ 622,618$ 3,926,016$ 15,835,583$ 19,761,600$ 124,935,916$ 200,983,808$ 11,232,474$ 271,599,770$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 39 - Representative Armando Martinez

County



Moderate Scenario





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 8,794 66,652,396$ 2,563,554$ 69,215,950$ 6,827 18,619,209$ 9,546,336$ 28,165,545$ 97,381,495$ Hidalgo (22%) 8,794 66,652,396$ 2,563,554$ 69,215,950$ 6,827 18,619,209$ 9,546,336$ 28,165,545$ 97,381,495$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 40 - Representative Terry Canales

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 7,824,944$ 622,630$ 3,926,086$ 15,835,865$ 19,761,951$ 124,938,138$ 200,987,383$ 11,232,673$ 271,604,601$

Hidalgo (22%) 7,824,944$ 622,630$ 3,926,086$ 15,835,865$ 19,761,951$ 124,938,138$ 200,987,383$ 11,232,673$ 271,604,601$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 40 - Representative Terry Canales

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 8,795 66,653,581$ 2,563,599$ 69,217,181$ 6,827 18,619,540$ 9,546,506$ 28,166,046$ 97,383,227$

Hidalgo (22%) 8,795 66,653,581$ 2,563,599$ 69,217,181$ 6,827 18,619,540$ 9,546,506$ 28,166,046$ 97,383,227$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 41 - Representative Bobby Guerra

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 7,830,233$ 623,050$ 3,928,740$ 15,846,569$ 19,775,308$ 125,022,585$ 201,123,232$ 11,240,266$ 271,788,180$ Hidalgo (22%) 7,830,233$ 623,050$ 3,928,740$ 15,846,569$ 19,775,308$ 125,022,585$ 201,123,232$ 11,240,266$ 271,788,180$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 41 - Representative Bobby Guerra

County



Moderate Scenario





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 8,801 66,698,633$ 2,565,332$ 69,263,965$ 6,832 18,632,125$ 9,552,959$ 28,185,084$ 97,449,049$ Hidalgo (22%) 8,801 66,698,633$ 2,565,332$ 69,263,965$ 6,832 18,632,125$ 9,552,959$ 28,185,084$ 97,449,049$ 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









Impact of Medicaid Extension and Local Spending for Health CareHouse District 42 - Representative Richard Raymond

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 8,338,064$ 1,356,025$ 3,202,921$ 7,689,693$ 10,892,614$ 105,657,640$ 169,970,939$ 9,499,243$ 229,690,483$

Webb (64%) 8,338,064$ 1,356,025$ 3,202,921$ 7,689,693$ 10,892,614$ 105,657,640$ 169,970,939$ 9,499,243$ 229,690,483$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 42 - Representative Richard Raymond

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 7,437 56,367,577$ 2,167,984$ 58,535,561$ 6,194 16,892,321$ 8,660,936$ 25,553,256$ 84,088,817$

Webb (64%) 7,437 56,367,577$ 2,167,984$ 58,535,561$ 6,194 16,892,321$ 8,660,936$ 25,553,256$ 84,088,817$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 43 - Representative J.M. Lozano

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,099,169$ 2,152,944$ 4,033,363$ 10,177,311$ 14,210,674$ 145,550,338$ 234,146,130$ 13,085,831$ 316,413,723$ Bee (100%) 1,727,816$ 215,996$ 481,230$ -$ 481,230$ 32,556,569$ 52,373,597$ 2,927,027$ 70,775,139$ Jim Wel ls (100%) 3,122,660$ 472,818$ 899,293$ 5,429,546$ 6,328,839$ 36,356,530$ 58,486,575$ 3,268,666$ 79,035,921$ Kleberg (100%) 2,200,166$ 777,945$ 1,354,632$ 4,747,765$ 6,102,397$ 31,331,322$ 50,402,548$ 2,816,870$ 68,111,558$ San Patricio (100%) 5,048,527$ 686,185$ 1,298,208$ -$ 1,298,208$ 45,305,916$ 72,883,410$ 4,073,268$ 98,491,105$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 43 - Representative J.M. Lozano

County



Moderate Scenario





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 10,246 77,650,039$ 2,986,540$ 80,636,579$ 4,307 11,745,245$ 6,021,956$ 17,767,202$ 98,403,781$ Bee (100%) 2,292 17,368,691$ 668,027$ 18,036,718$ 696 1,896,908$ 972,572$ 2,869,480$ 20,906,198$ Jim Wel ls (100%) 2,559 19,395,942$ 745,998$ 20,141,940$ 1,224 3,338,558$ 1,711,727$ 5,050,285$ 25,192,225$ Kleberg (100%) 2,205 16,715,031$ 642,886$ 17,357,917$ 856 2,334,120$ 1,196,737$ 3,530,857$ 20,888,773$ San Patricio (100%) 3,189 24,170,374$ 929,630$ 25,100,004$ 1,531 4,175,659$ 2,140,920$ 6,316,579$ 31,416,583$ 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









Impact of Medicaid Extension and Local Spending for Health CareHouse District 44 - Representative John Kuempel

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,137,118$ 1,941,724$ 8,037,644$ 6,441,032$ 14,478,676$ 101,571,302$ 163,397,266$ 9,131,857$ 220,807,140$ Guadalupe (100%) 10,089,859$ 1,813,375$ 4,273,442$ 6,441,032$ 10,714,474$ 69,065,549$ 111,105,418$ 6,209,399$ 150,142,473$ Wi lson (100%) 3,047,259$ 128,349$ 3,764,202$ -$ 3,764,202$ 32,505,753$ 52,291,849$ 2,922,458$ 70,664,668$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 44 - Representative John Kuempel

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 7,150 54,187,546$ 2,084,136$ 56,271,682$ 3,444 9,393,489$ 4,816,177$ 14,209,666$ 70,481,348$

Guadalupe (100%) 4,862 36,845,965$ 1,417,152$ 38,263,117$ 2,524 6,883,008$ 3,529,017$ 10,412,026$ 48,675,143$

Wilson (100%) 2,288 17,341,581$ 666,984$ 18,008,565$ 921 2,510,481$ 1,287,160$ 3,797,641$ 21,806,206$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 45 - Representative Jason Isaac

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,762,445$ 2,462,420$ 4,933,195$ 9,450,241$ 14,383,436$ 80,804,208$ 129,989,342$ 7,264,774$ 175,661,292$ Blanco (100%) 1,023,426$ 125,403$ 577,564$ -$ 577,564$ 6,809,439$ 10,954,311$ 612,209$ 14,803,125$ Hays (100%) 10,739,020$ 2,337,017$ 4,355,631$ 9,450,241$ 13,805,872$ 73,994,770$ 119,035,031$ 6,652,565$ 160,858,167$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 45 - Representative Jason Isaac

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,688 43,108,453$ 1,658,017$ 44,766,471$ 2,662 7,261,159$ 3,722,901$ 10,984,060$ 55,750,531$

Blanco (100%) 479 3,632,786$ 139,723$ 3,772,508$ 171 465,922$ 238,885$ 704,806$ 4,477,315$

Hays (100%) 5,209 39,475,668$ 1,518,295$ 40,993,963$ 2,492 6,795,238$ 3,484,016$ 10,279,254$ 51,273,217$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 46 - Representative Dawnna Dukes

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 15,300,800$ 2,494,167$ 25,416,928$ 18,380,977$ 43,797,906$ 83,986,210$ 135,108,214$ 7,550,854$ 182,578,687$ Travis (16%) 15,300,800$ 2,494,167$ 25,416,928$ 18,380,977$ 43,797,906$ 83,986,210$ 135,108,214$ 7,550,854$ 182,578,687$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 46 - Representative Dawnna Dukes

County



Moderate Scenario





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 5,912 44,806,028$ 1,723,309$ 46,529,337$ 2,653 7,234,609$ 3,709,288$ 10,943,897$ 57,473,234$ Travis (16%) 5,912 44,806,028$ 1,723,309$ 46,529,337$ 2,653 7,234,609$ 3,709,288$ 10,943,897$ 57,473,234$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 47 - Representative Paul Workman

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 47 - Representative Paul Workman

County



Moderate Scenario





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 6,228 47,203,437$ 1,815,517$ 49,018,954$ 2,795 7,621,707$ 3,907,759$ 11,529,466$ 60,548,420$ Travis (17%) 6,228 47,203,437$ 1,815,517$ 49,018,954$ 2,795 7,621,707$ 3,907,759$ 11,529,466$ 60,548,420$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 48 - Representative Donna Howard

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health Care

House District 48 - Representative Donna Howard

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 6,146 46,582,545$ 1,791,636$ 48,374,181$ 2,758 7,521,455$ 3,856,358$ 11,377,813$ 59,751,994$

Travis (17%) 6,146 46,582,545$ 1,791,636$ 48,374,181$ 2,758 7,521,455$ 3,856,358$ 11,377,813$ 59,751,994$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 49 - Representative Elliott Naishtat

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 49 - Representative Elliott Naishtat

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,944 45,048,085$ 1,732,619$ 46,780,703$ 2,667 7,273,693$ 3,729,327$ 11,003,020$ 57,783,723$

Travis (16%) 5,944 45,048,085$ 1,732,619$ 46,780,703$ 2,667 7,273,693$ 3,729,327$ 11,003,020$ 57,783,723$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 50 - Representative Mark Strama

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 50 - Representative Mark Strama

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 51 - Representative Eddie Rodriguez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 51 - Representative Eddie Rodriguez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 52 - Representative Larry Gonzales

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,784,172$ 1,329,463$ 4,886,919$ 1,059,215$ 5,946,134$ 74,777,668$ 120,294,477$ 6,722,952$ 162,560,121$ Wil l iamson (39%) 13,784,172$ 1,329,463$ 4,886,919$ 1,059,215$ 5,946,134$ 74,777,668$ 120,294,477$ 6,722,952$ 162,560,121$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 52 - Representative Larry Gonzales

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,264 39,893,338$ 1,534,359$ 41,427,698$ 2,593 7,072,449$ 3,626,146$ 10,698,596$ 52,126,293$

Wil l iamson (39%) 5,264 39,893,338$ 1,534,359$ 41,427,698$ 2,593 7,072,449$ 3,626,146$ 10,698,596$ 52,126,293$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 53 - Representative Harvey Hilderbran

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,475,361$ 775,554$ 10,505,487$ 7,595,603$ 18,101,090$ 108,866,322$ 175,132,731$ 9,787,723$ 236,665,878$ Bandera (100%) 1,554,780$ 302,934$ 586,575$ -$ 586,575$ 13,189,758$ 21,218,301$ 1,185,837$ 28,673,383$ Crockett (100%) 252,038$ 42,997$ 1,951,421$ -$ 1,951,421$ 2,828,797$ 4,550,672$ 254,325$ 6,149,557$ Edwards (100%) 120,362$ 41,774$ 101,996$ -$ 101,996$ 1,558,379$ 2,506,957$ 140,107$ 3,387,780$ Kerr (100%) 4,401,398$ 115,373$ 508,547$ 7,488,776$ 7,997,323$ 31,054,653$ 49,957,472$ 2,791,996$ 67,510,105$ Kimble (100%) 299,740$ -$ 1,802,669$ -$ 1,802,669$ 2,873,967$ 4,623,337$ 258,387$ 6,247,753$ Llano (100%) 1,481,587$ 107,648$ 296,295$ 106,827$ 403,122$ 10,541,643$ 16,958,291$ 947,756$ 22,916,612$ Mason (100%) 277,647$ 65,174$ 75,998$ -$ 75,998$ 2,377,093$ 3,824,017$ 213,715$ 5,167,592$ Medina (100%) 3,111,187$ -$ 1,051,967$ -$ 1,051,967$ 35,577,340$ 57,233,097$ 3,198,612$ 77,342,031$ Menard (100%) 133,459$ -$ 509,853$ -$ 509,853$ 1,411,575$ 2,270,794$ 126,909$ 3,068,641$ Real (100%) 209,086$ 97,275$ 115,316$ -$ 115,316$ 2,038,315$ 3,279,027$ 183,256$ 4,431,118$ Schleicher (100%) 187,109$ -$ 2,435,147$ -$ 2,435,147$ 2,337,568$ 3,760,435$ 210,161$ 5,081,670$ Sutton (100%) 446,969$ 2,379$ 1,069,703$ -$ 1,069,703$ 3,077,234$ 4,950,331$ 276,661$ 6,689,638$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 53 - Representative Harvey Hilderbran

County



Moderate Scenario





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 7,663 58,079,386$ 2,233,823$ 60,313,208$ 2,997 8,173,316$ 4,190,577$ 12,363,893$ 72,677,101$ Bandera (100%) 928 7,036,639$ 270,640$ 7,307,279$ 297 810,441$ 415,525$ 1,225,966$ 8,533,245$ Crockett (100%) 199 1,509,142$ 58,044$ 1,567,186$ 98 268,233$ 137,527$ 405,760$ 1,972,946$ Edwards (100%) 110 831,384$ 31,976$ 863,360$ 40 109,508$ 56,146$ 165,654$ 1,029,014$ Kerr (100%) 2,186 16,567,430$ 637,209$ 17,204,639$ 831 2,267,267$ 1,162,460$ 3,429,727$ 20,634,366$ Kimble (100%) 202 1,533,240$ 58,971$ 1,592,211$ 75 205,891$ 105,564$ 311,455$ 1,903,666$ Llano (100%) 742 5,623,889$ 216,303$ 5,840,193$ 214 584,863$ 299,868$ 884,731$ 6,724,923$ Mason (100%) 167 1,268,161$ 48,775$ 1,316,937$ 65 176,771$ 90,633$ 267,405$ 1,584,341$ Medina (100%) 2,504 18,980,250$ 730,010$ 19,710,260$ 1,086 2,962,868$ 1,519,105$ 4,481,973$ 24,192,233$ Menard (100%) 99 753,065$ 28,964$ 782,029$ 38 102,946$ 52,782$ 155,727$ 937,757$ Real (100%) 143 1,087,426$ 41,824$ 1,129,250$ 51 140,269$ 71,918$ 212,186$ 1,341,436$ Schleicher (100%) 165 1,247,076$ 47,964$ 1,295,040$ 92 249,777$ 128,064$ 377,841$ 1,672,881$ Sutton (100%) 217 1,641,682$ 63,142$ 1,704,823$ 108 294,482$ 150,985$ 445,467$ 2,150,291$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 54 - Representative Jimmie Aycock

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 14,221,621$ 4,127,263$ 7,125,165$ 33,955,882$ 41,081,046$ 88,742,831$ 142,760,166$ 7,978,502$ 192,919,164$ Bel l (48%) 12,262,116$ 4,079,041$ 5,723,395$ 33,955,882$ 39,679,277$ 75,445,793$ 121,369,285$ 6,783,020$ 164,012,565$ Lampasas (100%) 1,959,505$ 48,222$ 1,401,770$ -$ 1,401,770$ 13,297,038$ 21,390,881$ 1,195,482$ 28,906,599$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 54 - Representative Jimmie Aycock

County



Moderate Scenario





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 6,247 47,343,650$ 1,820,910$ 49,164,560$ 3,706 10,105,974$ 5,181,478$ 15,287,452$ 64,452,011$ Bel l (48%) 5,311 40,249,778$ 1,548,068$ 41,797,846$ 3,337 9,100,715$ 4,666,067$ 13,766,782$ 55,564,628$ Lampasas (100%) 936 7,093,872$ 272,841$ 7,366,714$ 369 1,005,259$ 515,411$ 1,520,669$ 8,887,383$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 55 - Representative Ralph Sheffield

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,431,273$ 4,467,965$ 6,269,104$ 37,193,477$ 43,462,582$ 82,639,332$ 132,941,497$ 7,429,762$ 179,650,691$ Bel l (52%) 13,431,273$ 4,467,965$ 6,269,104$ 37,193,477$ 43,462,582$ 82,639,332$ 132,941,497$ 7,429,762$ 179,650,691$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 55 - Representative Ralph Sheffield

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,817 44,087,478$ 1,695,672$ 45,783,151$ 3,655 9,968,442$ 5,110,964$ 15,079,405$ 60,862,556$

Bel l (52%) 5,817 44,087,478$ 1,695,672$ 45,783,151$ 3,655 9,968,442$ 5,110,964$ 15,079,405$ 60,862,556$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 56 - Representative Charles "Doc" Anderson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,844,292$ 3,771,906$ 5,300,944$ 23,826,065$ 29,127,010$ 133,321,350$ 214,473,417$ 11,986,373$ 289,828,973$ McLennan (70%) 11,844,292$ 3,771,906$ 5,300,944$ 23,826,065$ 29,127,010$ 133,321,350$ 214,473,417$ 11,986,373$ 289,828,973$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 56 - Representative Charles "Doc" Anderson

County



Moderate Scenario





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 9,385 71,125,964$ 2,735,614$ 73,861,578$ 3,908 10,657,701$ 5,464,357$ 16,122,058$ 89,983,636$ McLennan (70%) 9,385 71,125,964$ 2,735,614$ 73,861,578$ 3,908 10,657,701$ 5,464,357$ 16,122,058$ 89,983,636$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 57 - Representative Trent Ashby

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,885,267$ 1,649,038$ 6,242,715$ 2,784,336$ 9,027,051$ 125,607,604$ 202,064,350$ 11,292,862$ 273,059,961$ Angel ina (100%) 6,077,844$ 1,104,149$ 2,250,489$ -$ 2,250,489$ 65,954,438$ 106,100,588$ 5,929,692$ 143,379,188$ Houston (100%) 1,460,983$ 114,157$ 1,421,188$ 2,784,336$ 4,205,524$ 20,050,014$ 32,254,361$ 1,802,614$ 43,586,978$ Leon (100%) 1,211,847$ 49,446$ 56,863$ -$ 56,863$ 11,072,396$ 17,812,110$ 995,473$ 24,070,421$ Madison (100%) 719,804$ 270,471$ 450,557$ -$ 450,557$ 11,908,048$ 19,156,420$ 1,070,604$ 25,887,056$ San Augustine (100%) 547,386$ -$ 1,050,820$ -$ 1,050,820$ 6,730,390$ 10,827,147$ 605,102$ 14,631,281$ Trini ty (100%) 867,401$ 110,815$ 1,012,798$ -$ 1,012,798$ 9,892,319$ 15,913,726$ 889,378$ 21,505,037$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 57 - Representative Trent Ashby

County



Moderate Scenario





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 8,842 67,010,737$ 2,577,336$ 69,588,073$ 3,423 9,334,019$ 4,785,686$ 14,119,704$ 83,707,777$ Angel ina (100%) 4,643 35,186,209$ 1,353,316$ 36,539,525$ 2,039 5,561,940$ 2,851,687$ 8,413,626$ 44,953,152$ Houston (100%) 1,411 10,696,535$ 411,405$ 11,107,941$ 429 1,169,316$ 599,525$ 1,768,841$ 12,876,781$ Leon (100%) 779 5,907,042$ 227,194$ 6,134,236$ 299 815,363$ 418,048$ 1,233,411$ 7,367,647$ Madison (100%) 838 6,352,856$ 244,341$ 6,597,197$ 262 715,698$ 366,949$ 1,082,647$ 7,679,844$ San Augustine (100%) 474 3,590,614$ 138,101$ 3,728,714$ 156 425,728$ 218,277$ 644,004$ 4,372,719$ Trini ty (100%) 696 5,277,480$ 202,980$ 5,480,460$ 237 645,974$ 331,200$ 977,174$ 6,457,634$ 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









Impact of Medicaid Extension and Local Spending for Health CareHouse District 58 - Representative Rob Orr

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,847,221$ 1,685,509$ 2,434,706$ -$ 2,434,706$ 53,018,763$ 85,291,030$ 4,766,699$ 115,258,160$ Bosque (100%) 1,241,726$ 180,901$ 528,434$ -$ 528,434$ 10,970,762$ 17,648,612$ 986,336$ 23,849,479$ Johnson (100%) 10,605,495$ 1,504,608$ 1,906,272$ -$ 1,906,272$ 42,048,001$ 67,642,417$ 3,780,363$ 91,408,682$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 58 - Representative Rob Orr

County



Moderate Scenario





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 3,732 28,285,122$ 1,087,889$ 29,373,011$ 2,070 5,645,199$ 2,894,375$ 8,539,573$ 37,912,584$ Bosque (100%) 772 5,852,821$ 225,109$ 6,077,930$ 312 850,635$ 436,133$ 1,286,768$ 7,364,698$ Johnson (100%) 2,960 22,432,300$ 862,781$ 23,295,081$ 1,758 4,794,564$ 2,458,242$ 7,252,805$ 30,547,887$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 59 - Representative J.D. Sheffield

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 11,871,053$ 2,081,065$ 6,464,233$ 4,566,833$ 11,031,066$ 95,874,185$ 154,232,341$ 8,619,653$ 208,422,105$ Comanche (100%) 1,030,906$ 202,904$ 2,113,759$ 190,540$ 2,304,299$ 8,497,682$ 13,670,181$ 763,992$ 18,473,220$ Coryel l (100%) 5,760,771$ 755,476$ 1,066,208$ 389,080$ 1,455,288$ 38,377,905$ 61,738,352$ 3,450,399$ 83,430,215$ Erath (100%) 2,457,400$ 379,179$ 855,608$ 3,225,988$ 4,081,596$ 26,548,906$ 42,709,097$ 2,386,903$ 57,715,002$ Hami l ton (100%) 620,175$ 45,914$ 636,257$ 355,769$ 992,026$ 4,709,015$ 7,575,369$ 423,368$ 10,236,987$ McCul loch (100%) 604,056$ -$ 550,879$ 179,598$ 730,477$ 5,267,998$ 8,474,604$ 473,624$ 11,452,169$ Mi l l s (100%) 367,410$ 59,592$ 268,673$ -$ 268,673$ 2,727,163$ 4,387,174$ 245,188$ 5,928,615$ San Saba (100%) 380,938$ 199,440$ 447,351$ -$ 447,351$ 4,392,822$ 7,066,712$ 394,941$ 9,549,611$ Somervel l (100%) 649,398$ 438,560$ 525,497$ 225,858$ 751,355$ 5,352,693$ 8,610,852$ 481,239$ 11,636,287$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 59 - Representative J.D. Sheffield

County



Moderate Scenario





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 6,749 51,148,175$ 1,967,238$ 53,115,413$ 3,183 8,679,842$ 4,450,280$ 13,130,121$ 66,245,534$ Comanche (100%) 598 4,533,451$ 174,364$ 4,707,815$ 275 749,330$ 384,192$ 1,133,522$ 5,841,337$ Coryel l (100%) 2,701 20,474,331$ 787,474$ 21,261,806$ 1,579 4,307,315$ 2,208,422$ 6,515,737$ 27,777,542$ Erath (100%) 1,869 14,163,647$ 544,756$ 14,708,402$ 672 1,832,926$ 939,768$ 2,772,694$ 17,481,096$ Hamil ton (100%) 331 2,512,225$ 96,624$ 2,608,849$ 128 349,851$ 179,374$ 529,225$ 3,138,074$ McCul loch (100%) 371 2,810,439$ 108,094$ 2,918,532$ 165 449,106$ 230,263$ 679,369$ 3,597,901$ Mil ls (100%) 192 1,454,922$ 55,959$ 1,510,880$ 88 238,703$ 122,386$ 361,089$ 1,871,969$ San Saba (100%) 309 2,343,538$ 90,136$ 2,433,674$ 105 285,869$ 146,569$ 432,438$ 2,866,113$ Somervel l (100%) 377 2,855,623$ 109,832$ 2,965,454$ 171 466,742$ 239,305$ 706,047$ 3,671,501$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 60 - Representative James L. Keffer

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,339,900$ 2,440,553$ 13,672,309$ 2,123,778$ 15,796,087$ 106,805,423$ 171,817,371$ 9,602,436$ 232,185,662$ Brown (100%) 2,557,465$ 929,583$ 1,628,977$ 467,121$ 2,096,098$ 25,182,501$ 40,510,968$ 2,264,055$ 54,744,558$ Ca l lahan (100%) 935,102$ 180,444$ 207,511$ -$ 207,511$ 8,085,503$ 13,007,109$ 726,934$ 17,577,176$ Coleman (100%) 603,396$ 10,657$ 1,282,487$ -$ 1,282,487$ 5,397,863$ 8,683,517$ 485,300$ 11,734,484$ Eastland (100%) 1,829,181$ 215,575$ 952,529$ -$ 952,529$ 11,450,698$ 18,420,682$ 1,029,485$ 24,892,817$ Hood (100%) 4,365,552$ 247,783$ 850,342$ 1,032,304$ 1,882,646$ 30,540,840$ 49,130,903$ 2,745,801$ 66,393,119$ Pa lo Pinto (100%) 1,977,723$ 134,733$ 5,099,035$ 624,353$ 5,723,388$ 17,972,175$ 28,911,752$ 1,615,804$ 39,069,939$ Shackel ford (100%) 311,516$ -$ 990,565$ -$ 990,565$ 1,976,205$ 3,179,112$ 177,672$ 4,296,098$ Stephens (100%) 759,965$ 721,778$ 2,660,864$ -$ 2,660,864$ 6,199,638$ 9,973,328$ 557,384$ 13,477,472$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 60 - Representative James L. Keffer

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 7,518 56,979,911$ 2,191,535$ 59,171,446$ 2,911 7,939,535$ 4,070,714$ 12,010,249$ 71,181,694$

Brown (100%) 1,773 13,434,680$ 516,718$ 13,951,398$ 712 1,940,793$ 995,073$ 2,935,866$ 16,887,264$

Cal lahan (100%) 569 4,313,556$ 165,906$ 4,479,462$ 214 584,453$ 299,657$ 884,110$ 5,363,573$

Coleman (100%) 380 2,879,721$ 110,758$ 2,990,479$ 147 400,709$ 205,449$ 606,158$ 3,596,637$

Eastland (100%) 806 6,108,863$ 234,956$ 6,343,820$ 310 845,713$ 433,609$ 1,279,323$ 7,623,143$

Hood (100%) 2,150 16,293,314$ 626,666$ 16,919,980$ 760 2,073,680$ 1,063,205$ 3,136,885$ 20,056,865$

Palo Pinto (100%) 1,265 9,588,024$ 368,770$ 9,956,794$ 532 1,450,673$ 743,781$ 2,194,454$ 12,151,248$

Shackel ford (100%) 139 1,054,291$ 40,550$ 1,094,841$ 58 158,315$ 81,170$ 239,485$ 1,334,326$

Stephens (100%) 436 3,307,462$ 127,210$ 3,434,672$ 178 485,198$ 248,768$ 733,967$ 4,168,638$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 61 - Representative Phil King

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,964,405$ 804,260$ 17,806,111$ 4,540,980$ 22,347,091$ 71,657,201$ 115,274,596$ 6,442,404$ 155,776,498$ Parker (100%) 9,540,045$ 165,929$ 14,956,050$ -$ 14,956,050$ 32,421,058$ 52,155,601$ 2,914,844$ 70,480,549$ Wise (100%) 4,424,360$ 638,331$ 2,850,061$ 4,540,980$ 7,391,041$ 39,236,143$ 63,118,995$ 3,527,560$ 85,295,949$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 61 - Representative Phil King

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,044 38,228,592$ 1,470,330$ 39,698,922$ 2,227 6,073,387$ 3,113,913$ 9,187,300$ 48,886,223$

Parker (100%) 2,282 17,296,397$ 665,246$ 17,961,643$ 1,095 2,986,246$ 1,531,091$ 4,517,338$ 22,478,981$

Wise (100%) 2,762 20,932,195$ 805,084$ 21,737,279$ 1,132 3,087,141$ 1,582,822$ 4,669,963$ 26,407,242$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 62 - Representative Larry Phillips

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,798,580$ 3,400,147$ 5,907,011$ 1,997,301$ 7,904,312$ 93,598,726$ 150,571,821$ 8,415,076$ 203,475,455$ Delta (100%) 320,085$ 92,172$ 105,998$ -$ 105,998$ 3,562,816$ 5,731,485$ 320,318$ 7,745,250$ Fannin (100%) 2,096,863$ 296,200$ 1,019,767$ -$ 1,019,767$ 24,527,530$ 39,457,320$ 2,205,169$ 53,320,708$ Grayson (100%) 8,381,632$ 3,011,775$ 4,781,247$ 1,997,301$ 6,778,548$ 65,508,380$ 105,383,017$ 5,889,589$ 142,409,497$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 62 - Representative Larry Phillips

County



Moderate Scenario





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 6,589 49,934,234$ 1,920,547$ 51,854,782$ 2,888 7,876,373$ 4,038,330$ 11,914,703$ 63,769,485$ Delta (100%) 251 1,900,736$ 73,105$ 1,973,841$ 90 245,675$ 125,961$ 371,636$ 2,345,478$ Fannin (100%) 1,727 13,085,258$ 503,279$ 13,588,537$ 567 1,546,647$ 792,988$ 2,339,635$ 15,928,171$ Grayson (100%) 4,611 34,948,241$ 1,344,163$ 36,292,404$ 2,231 6,084,051$ 3,119,381$ 9,203,432$ 45,495,835$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 63 - Representative Tan Parker

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 14,863,790$ 1,237,072$ 2,962,350$ -$ 2,962,350$ 53,392,174$ 85,891,734$ 4,800,270$ 116,069,924$ Denton (25%) 14,863,790$ 1,237,072$ 2,962,350$ -$ 2,962,350$ 53,392,174$ 85,891,734$ 4,800,270$ 116,069,924$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 63 - Representative Tan Parker

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,758 28,484,334$ 1,095,551$ 29,579,885$ 2,053 5,598,371$ 2,870,365$ 8,468,736$ 38,048,621$

Denton (25%) 3,758 28,484,334$ 1,095,551$ 29,579,885$ 2,053 5,598,371$ 2,870,365$ 8,468,736$ 38,048,621$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 64 - Representative Myra Crownover

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 64 - Representative Myra Crownover

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,764 28,527,059$ 1,097,195$ 29,624,254$ 2,056 5,606,768$ 2,874,671$ 8,481,439$ 38,105,693$

Denton (25%) 3,764 28,527,059$ 1,097,195$ 29,624,254$ 2,056 5,606,768$ 2,874,671$ 8,481,439$ 38,105,693$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 65 - Representative Ron Simmons

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 65 - Representative Ron Simmons

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,723 28,212,831$ 1,085,109$ 29,297,940$ 2,033 5,545,009$ 2,843,006$ 8,388,015$ 37,685,954$

Denton (25%) 3,723 28,212,831$ 1,085,109$ 29,297,940$ 2,033 5,545,009$ 2,843,006$ 8,388,015$ 37,685,954$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 66 - Representative Van Taylor

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 18,744,492$ 1,504,101$ 1,988,098$ -$ 1,988,098$ 54,381,115$ 87,482,639$ 4,889,182$ 118,219,795$ Col l in (22%) 18,744,492$ 1,504,101$ 1,988,098$ -$ 1,988,098$ 54,381,115$ 87,482,639$ 4,889,182$ 118,219,795$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 66 - Representative Van Taylor

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,828 29,011,927$ 1,115,843$ 30,127,770$ 2,097 5,719,415$ 2,932,426$ 8,651,841$ 38,779,611$

Col l in (22%) 3,828 29,011,927$ 1,115,843$ 30,127,770$ 2,097 5,719,415$ 2,932,426$ 8,651,841$ 38,779,611$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 67 - Representative Jeff Leach

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 67 - Representative Jeff Leach

County



Moderate Scenario





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 3,828 29,013,949$ 1,115,921$ 30,129,870$ 2,097 5,719,814$ 2,932,631$ 8,652,445$ 38,782,315$ Col l in (22%) 3,828 29,013,949$ 1,115,921$ 30,129,870$ 2,097 5,719,814$ 2,932,631$ 8,652,445$ 38,782,315$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 68 - Representative Drew Springer

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,614,868$ 583,743$ 23,436,412$ 4,464,230$ 27,900,642$ 101,994,775$ 164,078,505$ 9,169,930$ 221,727,733$ Chi ldress (100%) 367,647$ -$ 310,140$ 661,186$ 971,326$ 5,911,677$ 9,510,086$ 531,495$ 12,851,469$ Col l ingsworth (100%) 216,656$ 7,120$ 1,414,217$ -$ 1,414,217$ 2,010,083$ 3,233,611$ 180,718$ 4,369,745$ Cooke (100%) 3,463,753$ -$ 3,069,167$ 1,302,230$ 4,371,397$ 19,745,113$ 31,763,869$ 1,775,202$ 42,924,152$ Cottle (100%) 116,643$ 62,430$ 402,708$ -$ 402,708$ 959,871$ 1,544,140$ 86,298$ 2,086,676$ Crosby (100%) 506,053$ 8,067$ 542,778$ -$ 542,778$ 4,183,909$ 6,730,634$ 376,158$ 9,095,452$ Dickens (100%) 148,466$ 35,426$ 40,740$ -$ 40,740$ 1,818,109$ 2,924,783$ 163,459$ 3,952,410$ Fi sher (100%) 301,518$ 25,358$ 877,673$ -$ 877,673$ 2,529,543$ 4,069,263$ 227,421$ 5,499,005$ Floyd (100%) 520,439$ -$ 716,202$ 84,869$ 801,071$ 4,415,407$ 7,103,044$ 396,971$ 9,598,709$ Garza (100%) 424,321$ -$ 696,467$ -$ 696,467$ 5,917,323$ 9,519,169$ 532,002$ 12,863,744$ Hal l (100%) 216,388$ -$ 247,031$ -$ 247,031$ 2,139,948$ 3,442,524$ 192,394$ 4,652,060$ Hardeman (100%) 276,941$ 5,067$ 1,441,549$ 330,931$ 1,772,480$ 2,676,346$ 4,305,426$ 240,619$ 5,818,144$ Haskel l (100%) 406,956$ -$ 767,515$ 23,811$ 791,326$ 3,963,703$ 6,376,390$ 356,360$ 8,616,744$ Jack (100%) 683,103$ 17,762$ 1,286,749$ -$ 1,286,749$ 6,425,490$ 10,336,655$ 577,689$ 13,968,454$ Kent (100%) 53,367$ 27,997$ 763,191$ -$ 763,191$ 434,765$ 699,405$ 39,088$ 945,141$ King (100%) 21,244$ -$ -$ -$ -$ 197,621$ 317,911$ 17,767$ 429,610$ Montague (100%) 1,596,881$ 273,620$ 686,310$ 368,856$ 1,055,166$ 11,574,916$ 18,620,512$ 1,040,653$ 25,162,857$ Motley (100%) 88,420$ -$ 92,094$ -$ 92,094$ 666,263$ 1,071,815$ 59,901$ 1,448,399$ Stonewal l (100%) 116,933$ -$ 1,400,880$ -$ 1,400,880$ 863,884$ 1,389,726$ 77,668$ 1,878,008$ Throckmorton (100%) 144,643$ 4,797$ 645,285$ 17,045$ 662,330$ 903,408$ 1,453,308$ 81,222$ 1,963,930$ Wheeler (100%) 445,656$ -$ 3,868,406$ 54,531$ 3,922,937$ 3,399,073$ 5,468,072$ 305,597$ 7,389,288$ Wi lbarger (100%) 994,375$ -$ 1,449,654$ 385,769$ 1,835,423$ 9,847,148$ 15,841,060$ 885,317$ 21,406,840$ Young (100%) 1,504,466$ 116,097$ 2,717,656$ 1,235,002$ 3,952,658$ 11,411,174$ 18,357,100$ 1,025,932$ 24,806,895$


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 [email protected]



http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 68 - Representative Drew Springer

County



Moderate Scenario





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 7,180 54,413,465$ 2,092,826$ 56,506,291$ 3,104 8,464,517$ 4,339,880$ 12,804,397$ 69,310,687$ Chi ldress (100%) 416 3,153,836$ 121,301$ 3,275,138$ 121 329,754$ 169,070$ 498,824$ 3,773,962$ Col l ingsworth (100%) 141 1,072,365$ 41,245$ 1,113,609$ 72 196,048$ 100,517$ 296,565$ 1,410,174$ Cooke (100%) 1,390 10,533,873$ 405,149$ 10,939,022$ 772 2,105,671$ 1,079,608$ 3,185,278$ 14,124,301$ Cottle (100%) 68 512,084$ 19,696$ 531,780$ 28 77,517$ 39,744$ 117,261$ 649,041$ Crosby (100%) 295 2,232,085$ 85,849$ 2,317,934$ 165 450,746$ 231,104$ 681,851$ 2,999,785$ Dickens (100%) 128 969,948$ 37,306$ 1,007,253$ 41 110,738$ 56,777$ 167,516$ 1,174,769$ Fisher (100%) 178 1,349,492$ 51,904$ 1,401,396$ 71 194,818$ 99,886$ 294,703$ 1,696,099$ Floyd (100%) 311 2,355,587$ 90,600$ 2,446,187$ 179 488,479$ 250,450$ 738,930$ 3,185,117$ Garza (100%) 417 3,156,849$ 121,417$ 3,278,266$ 119 324,423$ 166,336$ 490,759$ 3,769,024$ Hal l (100%) 151 1,141,647$ 43,909$ 1,185,556$ 76 207,942$ 106,615$ 314,557$ 1,500,113$ Hardeman (100%) 188 1,427,811$ 54,916$ 1,482,727$ 83 225,168$ 115,447$ 340,615$ 1,823,342$ Haskel l (100%) 279 2,114,607$ 81,331$ 2,195,938$ 99 269,874$ 138,368$ 408,242$ 2,604,179$ Jack (100%) 452 3,427,952$ 131,844$ 3,559,796$ 142 387,995$ 198,930$ 586,925$ 4,146,721$ Kent (100%) 31 231,944$ 8,921$ 240,865$ 14 37,733$ 19,346$ 57,079$ 297,944$ King (100%) 14 105,429$ 4,055$ 109,484$ 5 12,714$ 6,519$ 19,233$ 128,717$ Montague (100%) 815 6,175,133$ 237,505$ 6,412,638$ 314 856,787$ 439,287$ 1,296,074$ 7,708,713$ Motley (100%) 47 355,447$ 13,671$ 369,118$ 19 52,498$ 26,917$ 79,415$ 448,533$ Stonewal l (100%) 61 460,876$ 17,726$ 478,602$ 25 68,494$ 35,118$ 103,612$ 582,213$ Throckmorton (100%) 64 481,962$ 18,537$ 500,499$ 25 68,084$ 34,907$ 102,991$ 603,490$ Wheeler (100%) 239 1,813,381$ 69,745$ 1,883,126$ 114 309,657$ 158,766$ 468,423$ 2,351,549$ Wilbarger (100%) 693 5,253,381$ 202,053$ 5,455,435$ 289 788,704$ 404,380$ 1,193,083$ 6,648,518$ Young (100%) 803 6,087,778$ 234,145$ 6,321,923$ 330 900,673$ 461,788$ 1,362,460$ 7,684,383$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 69 - Representative James Frank

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 12,133,669$ 3,311,595$ 6,651,545$ 36,512,422$ 43,163,967$ 116,183,928$ 186,904,528$ 10,445,618$ 252,573,713$

Archer (100%) 824,371$ 133,552$ 168,031$ -$ 168,031$ 5,426,095$ 8,728,933$ 487,838$ 11,795,856$ Baylor (100%) 263,269$ -$ 524,177$ 440,678$ 964,855$ 2,139,948$ 3,442,524$ 192,394$ 4,652,060$ Clay (100%) 963,023$ 134,958$ 241,451$ 39,957$ 281,408$ 6,442,429$ 10,363,905$ 579,212$ 14,005,278$ Foard (100%) 84,606$ -$ 239,652$ -$ 239,652$ 801,775$ 1,289,811$ 72,084$ 1,742,988$ Knox (100%) 259,065$ 1,368$ 640,689$ 309,013$ 949,702$ 2,382,739$ 3,833,101$ 214,222$ 5,179,866$ Wichita (100%) 9,739,335$ 3,041,717$ 4,837,545$ 35,722,774$ 40,560,319$ 98,990,943$ 159,246,255$ 8,899,868$ 215,197,664$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 69 - Representative James Frank

County



Moderate Scenario





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 8,178 61,983,275$ 2,383,972$ 64,367,247$ 2,986 8,142,965$ 4,175,016$ 12,317,981$ 76,685,228$ Archer (100%) 382 2,894,782$ 111,338$ 3,006,120$ 147 401,119$ 205,660$ 606,779$ 3,612,898$ Baylor (100%) 151 1,141,647$ 43,909$ 1,185,556$ 56 151,753$ 77,806$ 229,558$ 1,415,114$ Clay (100%) 453 3,436,989$ 132,192$ 3,569,181$ 158 431,880$ 221,431$ 653,311$ 4,222,491$ Foard (100%) 56 427,741$ 16,452$ 444,192$ 21 56,600$ 29,019$ 85,619$ 529,812$ Knox (100%) 168 1,271,174$ 48,891$ 1,320,065$ 80 218,196$ 111,872$ 330,068$ 1,650,133$ Wichita (100%) 6,968 52,810,943$ 2,031,190$ 54,842,133$ 2,524 6,883,418$ 3,529,228$ 10,412,646$ 65,254,779$











House District 70 - Representative Scott Sanford

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 18,745,146$ 1,504,153$ 1,988,167$ -$ 1,988,167$ 54,383,011$ 87,485,688$ 4,889,352$ 118,223,916$

Col l in (22%) 18,745,146$ 1,504,153$ 1,988,167$ -$ 1,988,167$ 54,383,011$ 87,485,688$ 4,889,352$ 118,223,916$







http://www.mhm.org/




House District 70 - Representative Scott Sanford

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 3,828 29,012,938$ 1,115,882$ 30,128,820$ 2,097 5,719,614$ 2,932,529$ 8,652,143$ 38,780,963$

Col l in (22%) 3,828 29,012,938$ 1,115,882$ 30,128,820$ 2,097 5,719,614$ 2,932,529$ 8,652,143$ 38,780,963$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 71 - Representative Susan King

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,353,817$ 2,966,606$ 8,813,379$ 15,746,924$ 24,560,303$ 125,929,443$ 202,582,091$ 11,321,797$ 273,759,612$ Jones (100%) 1,143,744$ 211,687$ 1,906,203$ -$ 1,906,203$ 18,294,014$ 29,429,493$ 1,644,739$ 39,769,589$ Nolan (100%) 1,043,131$ 57,433$ 2,487,848$ -$ 2,487,848$ 10,535,997$ 16,949,208$ 947,248$ 22,904,337$ Taylor (100%) 10,166,943$ 2,697,486$ 4,419,328$ 15,746,924$ 20,166,252$ 97,099,432$ 156,203,390$ 8,729,810$ 211,085,685$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 71 - Representative Susan King

County



Moderate Scenario





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 8,864 67,182,435$ 2,583,940$ 69,766,375$ 3,523 9,609,224$ 4,926,788$ 14,536,012$ 84,302,387$ Jones (100%) 1,288 9,759,722$ 375,374$ 10,135,096$ 293 797,727$ 409,006$ 1,206,733$ 11,341,829$ Nolan (100%) 742 5,620,877$ 216,188$ 5,837,065$ 336 915,848$ 469,568$ 1,385,416$ 7,222,481$ Taylor (100%) 6,835 51,801,836$ 1,992,378$ 53,794,214$ 2,895 7,895,650$ 4,048,213$ 11,943,863$ 65,738,077$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 72 - Representative Drew Darby

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced

Scenario

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 12,546,214$ 1,157,956$ 10,223,211$ 17,989,063$ 28,212,274$ 126,911,899$ 204,162,564$ 11,410,126$ 275,895,386$

Coke (100%) 217,257$ -$ 1,366,873$ -$ 1,366,873$ 1,857,633$ 2,988,365$ 167,012$ 4,038,332$ Concho (100%) 197,517$ 32,159$ 815,411$ -$ 815,411$ 3,958,057$ 6,367,307$ 355,853$ 8,604,470$ Glasscock (100%) 121,513$ -$ 10,275$ -$ 10,275$ 830,006$ 1,335,227$ 74,622$ 1,804,361$ Howard (100%) 2,335,012$ 317,299$ 543,719$ 456,525$ 1,000,244$ 28,796,133$ 46,324,201$ 2,588,942$ 62,600,279$ Irion (100%) 174,127$ 26,145$ 58,532$ -$ 58,532$ 1,033,273$ 1,662,221$ 92,897$ 2,246,245$ Reagan (100%) 250,923$ -$ 2,389,282$ -$ 2,389,282$ 2,608,591$ 4,196,428$ 234,528$ 5,670,849$ Runnels (100%) 646,321$ 24,746$ 1,701,366$ -$ 1,701,366$ 6,707,805$ 10,790,814$ 603,071$ 14,582,183$ Sterl ing (100%) 80,900$ 15,284$ 889,282$ -$ 889,282$ 790,482$ 1,271,645$ 71,069$ 1,718,439$ Tom Green (100%) 8,522,643$ 742,323$ 2,448,471$ 17,532,538$ 19,981,009$ 80,329,919$ 129,226,356$ 7,222,132$ 174,630,229$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 72 - Representative Drew Darby

County



Moderate Scenario





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 8,934 67,706,569$ 2,604,099$ 70,310,667$ 3,555 9,694,124$ 4,970,317$ 14,664,440$ 84,975,108$ Coke (100%) 131 991,034$ 38,117$ 1,029,150$ 54 146,831$ 75,282$ 222,113$ 1,251,264$ Concho (100%) 279 2,111,594$ 81,215$ 2,192,809$ 48 130,425$ 66,871$ 197,296$ 2,390,106$ Glasscock (100%) 58 442,802$ 17,031$ 459,833$ 28 76,286$ 39,113$ 115,400$ 575,233$ Howard (100%) 2,027 15,362,526$ 590,866$ 15,953,393$ 708 1,929,720$ 989,395$ 2,919,115$ 18,872,507$ Irion (100%) 73 551,244$ 21,202$ 572,445$ 30 80,798$ 41,426$ 122,224$ 694,670$ Reagan (100%) 184 1,391,664$ 53,526$ 1,445,190$ 100 272,334$ 139,630$ 411,964$ 1,857,154$ Runnels (100%) 472 3,578,565$ 137,637$ 3,716,202$ 220 600,858$ 308,069$ 908,927$ 4,625,129$ Sterl ing (100%) 56 421,716$ 16,220$ 437,936$ 23 61,521$ 31,543$ 93,064$ 531,000$ Tom Green (100%) 5,655 42,855,423$ 1,648,286$ 44,503,709$ 2,345 6,395,349$ 3,278,987$ 9,674,337$ 54,178,045$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 73 - Representative Doug Miller

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 16,410,648$ 3,422,037$ 5,437,933$ 2,702,478$ 8,140,411$ 87,432,965$ 140,652,992$ 7,860,738$ 190,071,631$ Comal (100%) 10,001,894$ 2,946,604$ 3,791,375$ -$ 3,791,375$ 51,663,651$ 83,111,067$ 4,644,866$ 112,312,265$ Gi l lespie (100%) 2,444,083$ 309,772$ 805,370$ 2,702,478$ 3,507,848$ 14,324,665$ 23,044,019$ 1,287,872$ 31,140,570$ Kendal l (100%) 3,964,670$ 165,661$ 841,188$ -$ 841,188$ 21,444,650$ 34,497,905$ 1,928,000$ 46,618,796$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 73 - Representative Doug Miller

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 6,155 46,644,847$ 1,794,033$ 48,438,879$ 2,598 7,084,388$ 3,632,268$ 10,716,656$ 59,155,535$

Comal (100%) 3,637 27,562,179$ 1,060,084$ 28,622,263$ 1,593 4,345,048$ 2,227,768$ 6,572,816$ 35,195,079$

Gi l lespie (100%) 1,008 7,642,104$ 293,927$ 7,936,031$ 394 1,075,803$ 551,580$ 1,627,383$ 9,563,414$

Kendal l (100%) 1,510 11,440,564$ 440,022$ 11,880,585$ 610 1,663,537$ 852,919$ 2,516,457$ 14,397,042$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 74 - Representative Poncho Nevárez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 9,330,251$ 1,140,387$ 26,076,924$ 6,356,001$ 32,432,925$ 147,357,154$ 237,052,747$ 13,248,275$ 320,341,584$ Brewster (100%) 752,817$ 4,501$ 756,417$ 451,969$ 1,208,386$ 7,509,580$ 12,080,625$ 675,155$ 16,325,171$ Culberson (100%) 152,082$ -$ 1,570,930$ -$ 1,570,930$ 2,128,655$ 3,424,358$ 191,379$ 4,627,511$ Hudspeth (100%) 208,795$ 265,865$ 305,744$ -$ 305,744$ 3,026,417$ 4,868,583$ 272,093$ 6,579,167$ Jeff Davis (100%) 164,487$ 12,335$ 175,967$ -$ 175,967$ 1,620,488$ 2,606,872$ 145,691$ 3,522,800$ Kinney (100%) 224,317$ 93,465$ 880,794$ -$ 880,794$ 2,868,321$ 4,614,254$ 257,879$ 6,235,479$ Loving (100%) 9,222$ -$ -$ -$ -$ 84,695$ 136,248$ 7,615$ 184,118$ Maverick (100%) 2,494,650$ 341,691$ 3,729,192$ 4,217,903$ 7,947,095$ 50,043,162$ 80,504,195$ 4,499,175$ 108,789,465$ Pecos (100%) 978,025$ 420,457$ 10,284,826$ -$ 10,284,826$ 14,894,941$ 23,961,420$ 1,339,143$ 32,380,301$ Pres idio (100%) 439,915$ 2,074$ 348,538$ -$ 348,538$ 6,476,307$ 10,418,404$ 582,258$ 14,078,925$ Reeves (100%) 662,671$ -$ 5,274,823$ -$ 5,274,823$ 14,324,665$ 23,044,019$ 1,287,872$ 31,140,570$ Terrel l (100%) 84,153$ -$ 317,463$ -$ 317,463$ 745,312$ 1,198,979$ 67,008$ 1,620,243$ Va l Verde (100%) 3,159,117$ -$ 2,432,231$ 1,686,129$ 4,118,360$ 43,634,611$ 70,194,790$ 3,923,008$ 94,857,834$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 74 - Representative Poncho Nevárez

County



Moderate Scenario





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 10,373 78,613,962$ 3,023,614$ 81,637,576$ 5,039 13,741,408$ 7,045,418$ 20,786,826$ 102,424,402$ Brewster (100%) 529 4,006,306$ 154,089$ 4,160,395$ 164 448,286$ 229,842$ 678,128$ 4,838,523$ Culberson (100%) 150 1,135,622$ 43,678$ 1,179,300$ 69 189,486$ 97,152$ 286,638$ 1,465,938$ Hudspeth (100%) 213 1,614,571$ 62,099$ 1,676,670$ 112 305,146$ 156,453$ 461,599$ 2,138,269$ Jeff Davis (100%) 114 864,519$ 33,251$ 897,769$ 38 103,766$ 53,202$ 156,968$ 1,054,738$ Kinney (100%) 202 1,530,228$ 58,855$ 1,589,083$ 71 193,587$ 99,255$ 292,842$ 1,881,925$ Loving (100%) 6 45,184$ 1,738$ 46,922$ 1 1,641$ 841$ 2,482$ 49,403$ Maverick (100%) 3,523 26,697,661$ 1,026,833$ 27,724,494$ 2,041 5,566,451$ 2,854,000$ 8,420,451$ 36,144,945$ Pecos (100%) 1,048 7,946,342$ 305,629$ 8,251,970$ 393 1,071,292$ 549,267$ 1,620,558$ 9,872,529$ Pres idio (100%) 456 3,455,062$ 132,887$ 3,587,949$ 244 665,661$ 341,294$ 1,006,955$ 4,594,904$ Reeves (100%) 1,008 7,642,104$ 293,927$ 7,936,031$ 335 914,207$ 468,727$ 1,382,934$ 9,318,965$ Terrel l (100%) 52 397,618$ 15,293$ 412,911$ 19 50,858$ 26,075$ 76,933$ 489,844$ Val Verde (100%) 3,072 23,278,746$ 895,336$ 24,174,082$ 1,551 4,231,028$ 2,169,309$ 6,400,337$ 30,574,419$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 75 - Representative Mary González

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 10,007,437$ 1,191,262$ 14,607,030$ 16,974,469$ 31,581,498$ 113,997,528$ 183,387,276$ 10,249,048$ 247,820,670$ El Paso (20%) 10,007,437$ 1,191,262$ 14,607,030$ 16,974,469$ 31,581,498$ 113,997,528$ 183,387,276$ 10,249,048$ 247,820,670$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 75 - Representative Mary González

County



Moderate Scenario





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 8,024 60,816,846$ 2,339,109$ 63,155,956$ 5,085 13,866,658$ 7,109,635$ 20,976,294$ 84,132,249$ El Paso (20%) 8,024 60,816,846$ 2,339,109$ 63,155,956$ 5,085 13,866,658$ 7,109,635$ 20,976,294$ 84,132,249$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 76 - Representative Naomi Gonzalez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 76 - Representative Naomi Gonzalez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 77 - Representative Marisa Márquez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 77 - Representative Marisa Márquez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 78 - Representative Joe Moody

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 78 - Representative Joe Moody

County



Moderate Scenario





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 8,048 60,995,841$ 2,345,994$ 63,341,835$ 5,099 13,907,471$ 7,130,560$ 21,038,031$ 84,379,866$ El Paso (20%) 8,048 60,995,841$ 2,345,994$ 63,341,835$ 5,099 13,907,471$ 7,130,560$ 21,038,031$ 84,379,866$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 79 - Representative Joe C. Pickett

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 10,068,037$ 1,198,475$ 14,695,482$ 17,077,257$ 31,772,738$ 114,687,834$ 184,497,768$ 10,311,111$ 249,321,335$

El Paso (20%) 10,068,037$ 1,198,475$ 14,695,482$ 17,077,257$ 31,772,738$ 114,687,834$ 184,497,768$ 10,311,111$ 249,321,335$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 79 - Representative Joe C. Pickett

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 80 - Representative Tracy O. King

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 9,059,003$ 3,147,329$ 10,894,581$ 6,522,556$ 17,417,137$ 129,059,077$ 207,616,718$ 11,603,170$ 280,563,162$ Dimmit (100%) 603,202$ 120,753$ 1,153,801$ -$ 1,153,801$ 8,830,814$ 14,206,088$ 793,942$ 19,197,419$ Frio (100%) 892,285$ 45,302$ 1,456,711$ 108,523$ 1,565,234$ 16,357,333$ 26,313,963$ 1,470,620$ 35,559,413$ Uvalde (100%) 1,755,731$ 285,612$ 1,996,664$ 2,134,862$ 4,131,526$ 21,636,624$ 34,806,733$ 1,945,260$ 47,036,131$ Webb (36%) 4,639,978$ 754,603$ 1,782,366$ 4,279,171$ 6,061,537$ 58,796,512$ 94,585,666$ 5,286,152$ 127,818,482$ Zapata (100%) 679,981$ 1,750,832$ 4,217,278$ -$ 4,217,278$ 12,664,652$ 20,373,565$ 1,138,627$ 27,531,848$ Zavala (100%) 487,826$ 190,227$ 287,761$ -$ 287,761$ 10,773,142$ 17,330,701$ 968,569$ 23,419,869$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 80 - Representative Tracy O. King

County



Moderate Scenario





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 9,085 68,852,072$ 2,648,157$ 71,500,229$ 5,950 16,227,491$ 8,320,068$ 24,547,559$ 96,047,788$ Dimmit (100%) 622 4,711,175$ 181,199$ 4,892,374$ 324 883,857$ 453,166$ 1,337,023$ 6,229,396$ Frio (100%) 1,151 8,726,517$ 335,635$ 9,062,153$ 450 1,228,376$ 629,806$ 1,858,182$ 10,920,335$ Uvalde (100%) 1,523 11,542,980$ 443,961$ 11,986,941$ 786 2,143,814$ 1,099,164$ 3,242,978$ 15,229,919$ Webb (36%) 4,139 31,367,508$ 1,206,443$ 32,573,951$ 3,447 9,400,262$ 4,819,650$ 14,219,912$ 46,793,863$ Zapata (100%) 891 6,756,499$ 259,865$ 7,016,365$ 536 1,460,517$ 748,828$ 2,209,345$ 9,225,709$ Zavala (100%) 758 5,747,392$ 221,054$ 5,968,446$ 407 1,110,665$ 569,454$ 1,680,119$ 7,648,565$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 81 - Representative Tryon D. Lewis

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,646,647$ 252,974$ 50,579,180$ 8,303,610$ 58,882,790$ 102,711,855$ 165,232,068$ 9,234,400$ 223,286,602$ Andrews (100%) 1,160,386$ 16,436$ 10,258,573$ 392,056$ 10,650,629$ 11,653,965$ 18,747,677$ 1,047,760$ 25,334,701$ Ector (100%) 10,201,519$ -$ 34,263,225$ 7,911,554$ 42,174,779$ 76,976,017$ 123,830,949$ 6,920,597$ 167,339,138$ Ward (100%) 796,259$ 200,245$ 3,203,146$ -$ 3,203,146$ 8,367,818$ 13,461,268$ 752,316$ 18,190,905$ Winkler (100%) 488,484$ 36,293$ 2,854,237$ -$ 2,854,237$ 5,714,056$ 9,192,175$ 513,727$ 12,421,859$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 81 - Representative Tryon D. Lewis

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 7,230 54,796,022$ 2,107,539$ 56,903,561$ 3,952 10,777,720$ 5,525,892$ 16,303,612$ 73,207,173$

Andrews (100%) 820 6,217,305$ 239,127$ 6,456,432$ 392 1,068,421$ 547,795$ 1,616,215$ 8,072,647$

Ector (100%) 5,418 41,066,141$ 1,579,467$ 42,645,608$ 3,099 8,452,213$ 4,333,571$ 12,785,784$ 55,431,392$

Ward (100%) 589 4,464,169$ 171,699$ 4,635,868$ 266 726,362$ 372,416$ 1,098,778$ 5,734,646$

Winkler (100%) 402 3,048,407$ 117,246$ 3,165,654$ 195 530,724$ 272,110$ 802,834$ 3,968,488$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 82 - Representative Tom Craddick

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 19,291,069$ 625,064$ 36,565,633$ 4,002,863$ 40,568,496$ 96,433,168$ 155,131,576$ 8,669,909$ 209,637,287$ Crane (100%) 300,452$ 20,990$ 4,102,593$ -$ 4,102,593$ 3,591,047$ 5,776,900$ 322,856$ 7,806,623$ Dawson (100%) 922,841$ -$ 2,011,122$ -$ 2,011,122$ 11,625,733$ 18,702,261$ 1,045,222$ 25,273,328$ Martin (100%) 394,708$ -$ 2,674,969$ 88,771$ 2,763,740$ 3,331,317$ 5,359,074$ 299,505$ 7,241,993$ Midland (100%) 17,378,096$ 590,588$ 22,417,368$ 3,914,092$ 26,331,460$ 75,451,515$ 121,378,491$ 6,783,535$ 164,025,005$ Upton (100%) 294,972$ 13,487$ 5,359,582$ -$ 5,359,582$ 2,433,556$ 3,914,849$ 218,791$ 5,290,337$







http://www.mhm.org/




House District 82 - Representative Tom Craddick

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 6,788 51,446,389$ 1,978,707$ 53,425,096$ 3,390 9,244,198$ 4,739,633$ 13,983,831$ 67,408,927$

Crane (100%) 253 1,915,797$ 73,685$ 1,989,482$ 124 338,778$ 173,696$ 512,474$ 2,501,956$

Dawson (100%) 818 6,202,243$ 238,548$ 6,440,791$ 326 890,009$ 456,320$ 1,346,329$ 7,787,120$

Martin (100%) 234 1,777,233$ 68,355$ 1,845,589$ 126 343,699$ 176,220$ 519,919$ 2,365,507$

Midland (100%) 5,311 40,252,831$ 1,548,186$ 41,801,017$ 2,730 7,445,723$ 3,817,530$ 11,263,253$ 53,064,270$

Upton (100%) 171 1,298,284$ 49,934$ 1,348,218$ 83 225,988$ 115,868$ 341,856$ 1,690,074$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 83 - Representative Charles Perry

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,530,484$ 326,652$ 26,764,359$ 16,232,524$ 42,996,883$ 152,303,563$ 245,010,011$ 13,692,986$ 331,094,645$ Borden (100%) 64,161$ 20,402$ 23,462$ -$ 23,462$ 389,595$ 626,739$ 35,027$ 846,945$ Gaines (100%) 1,133,174$ 225,700$ 6,107,966$ -$ 6,107,966$ 12,060,498$ 19,401,666$ 1,084,310$ 26,218,470$ Lubbock (40%) 8,203,239$ 42,384$ 6,934,087$ 16,232,524$ 23,166,610$ 104,377,763$ 167,912,007$ 9,384,175$ 226,908,142$ Lynn (100%) 457,471$ 35,391$ 839,533$ -$ 839,533$ 4,127,446$ 6,639,802$ 371,082$ 8,972,707$ Mitchel l (100%) 488,834$ 2,776$ 2,807,438$ -$ 2,807,438$ 8,808,229$ 14,169,756$ 791,912$ 19,148,321$ Scurry (100%) 1,265,514$ -$ 8,041,159$ -$ 8,041,159$ 12,692,884$ 20,418,981$ 1,141,165$ 27,593,221$ Terry (100%) 918,090$ -$ 2,010,715$ -$ 2,010,715$ 9,847,148$ 15,841,060$ 885,317$ 21,406,840$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 83 - Representative Charles Perry

County



Moderate Scenario





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 10,721 81,252,835$ 3,125,109$ 84,377,944$ 3,733 10,180,777$ 5,219,831$ 15,400,608$ 99,778,552$ Borden (100%) 27 207,846$ 7,994$ 215,840$ 10 27,480$ 14,089$ 41,569$ 257,409$ Gaines (100%) 849 6,434,187$ 247,469$ 6,681,656$ 463 1,264,059$ 648,101$ 1,912,160$ 8,593,816$ Lubbock (40%) 7,347 55,684,772$ 2,141,722$ 57,826,494$ 2,281 6,220,443$ 3,189,311$ 9,409,754$ 67,236,248$ Lynn (100%) 291 2,201,962$ 84,691$ 2,286,653$ 148 402,760$ 206,501$ 609,260$ 2,895,913$ Mitchel l (100%) 620 4,699,126$ 180,736$ 4,879,861$ 157 427,368$ 219,118$ 646,486$ 5,526,347$ Scurry (100%) 893 6,771,561$ 260,445$ 7,032,005$ 371 1,011,001$ 518,355$ 1,529,355$ 8,561,361$ Terry (100%) 693 5,253,381$ 202,053$ 5,455,435$ 303 827,667$ 424,357$ 1,252,024$ 6,707,459$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 84 - Representative John Frullo

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,429,061$ 64,218$ 10,506,116$ 24,594,555$ 35,100,672$ 158,146,985$ 254,410,296$ 14,218,344$ 343,797,734$ Lubbock (60%) 12,429,061$ 64,218$ 10,506,116$ 24,594,555$ 35,100,672$ 158,146,985$ 254,410,296$ 14,218,344$ 343,797,734$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 84 - Representative John Frullo

County



Moderate Scenario





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 11,132 84,370,258$ 3,245,010$ 87,615,268$ 3,456 9,424,846$ 4,832,254$ 14,257,100$ 101,872,367$ Lubbock (60%) 11,132 84,370,258$ 3,245,010$ 87,615,268$ 3,456 9,424,846$ 4,832,254$ 14,257,100$ 101,872,367$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 85 - Representative Phil Stephenson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 14,540,462$ 1,633,243$ 8,201,201$ 6,286,946$ 14,488,148$ 84,634,804$ 136,151,604$ 7,609,167$ 183,988,674$ Fort Bend (18%) 10,618,423$ 1,247,487$ 2,821,005$ 3,185,275$ 6,006,281$ 47,453,915$ 76,338,885$ 4,266,386$ 103,160,667$ Jackson (100%) 955,290$ 41,590$ 2,209,116$ -$ 2,209,116$ 6,487,599$ 10,436,570$ 583,273$ 14,103,475$ Wharton (100%) 2,966,749$ 344,166$ 3,171,080$ 3,101,671$ 6,272,751$ 30,693,290$ 49,376,149$ 2,759,507$ 66,724,533$







http://www.mhm.org/




House District 85 - Representative Phil Stephenson

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 5,958 45,152,048$ 1,736,617$ 46,888,665$ 3,162 8,622,189$ 4,420,721$ 13,042,910$ 59,931,576$

Fort Bend (18%) 3,340 25,316,316$ 973,704$ 26,290,020$ 1,849 5,042,057$ 2,585,135$ 7,627,193$ 33,917,213$

Jackson (100%) 457 3,461,087$ 133,119$ 3,594,205$ 243 662,380$ 339,612$ 1,001,991$ 4,596,197$

Wharton (100%) 2,161 16,374,646$ 629,794$ 17,004,440$ 1,070 2,917,752$ 1,495,974$ 4,413,726$ 21,418,166$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 86 - Representative John T. Smithee

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,405,034$ 536,633$ 8,345,759$ -$ 8,345,759$ 110,227,081$ 177,321,776$ 9,910,063$ 239,624,048$ Dal lam (100%) 601,946$ 4,819$ 875,256$ -$ 875,256$ 4,917,928$ 7,911,447$ 442,151$ 10,691,146$ Deaf Smith (100%) 1,356,447$ 980$ 4,275,302$ -$ 4,275,302$ 14,550,517$ 23,407,346$ 1,308,177$ 31,631,553$ Hartley (100%) 491,457$ 5,800$ 1,062,067$ -$ 1,062,067$ 4,996,976$ 8,038,611$ 449,258$ 10,862,990$ Oldham (100%) 172,873$ 14,202$ 16,332$ -$ 16,332$ 1,123,614$ 1,807,552$ 101,019$ 2,442,638$ Parmer (100%) 713,743$ -$ 1,529,344$ -$ 1,529,344$ 7,571,689$ 12,180,540$ 680,739$ 16,460,191$ Randal l (100%) 10,068,567$ 510,833$ 587,457$ -$ 587,457$ 77,066,357$ 123,976,279$ 6,928,719$ 167,535,531$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 86 - Representative John T. Smithee

County



Moderate Scenario





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 7,759 58,805,340$ 2,261,744$ 61,067,084$ 3,450 9,407,844$ 4,823,537$ 14,231,381$ 75,298,466$ Dal lam (100%) 346 2,623,678$ 100,911$ 2,724,589$ 172 467,972$ 239,936$ 707,909$ 3,432,498$ Deaf Smith (100%) 1,024 7,762,594$ 298,561$ 8,061,155$ 624 1,702,091$ 872,686$ 2,574,777$ 10,635,932$ Hartley (100%) 352 2,665,850$ 102,533$ 2,768,383$ 101 276,436$ 141,733$ 418,169$ 3,186,551$ Oldham (100%) 79 599,440$ 23,055$ 622,495$ 50 136,988$ 70,235$ 207,223$ 829,718$ Parmer (100%) 533 4,039,441$ 155,363$ 4,194,804$ 309 842,432$ 431,927$ 1,274,359$ 5,469,163$ Randal l (100%) 5,425 41,114,337$ 1,581,321$ 42,695,658$ 2,193 5,981,926$ 3,067,019$ 9,048,945$ 51,744,603$






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


Impact of Medicaid Extension and Local Spending for Health CareHouse District 87 - Representative Walter "Four" Price

County

2014-2017 New

Local Tax

Revenue (Adult

Expansion)

2011 County

Indigent

Healthcare &

Unreimbursed

Jail Healthcare

Costs

2011 Total

Hospital District

or City/County

Unreimbursed

Healthcare

Expenditures

2010 Total

Hospital Charity

Care Costs

Total

Unreimbursed

Charity Care

Costs for Local

Jurisdictions &

Hospitals

2014-2017 Adults

Federal Funds

Limited

Scenario

2014-2017 Adults

Federal Funds

Moderate

Scenario

2014-2017

Adults State

Funds Moderate

Scenario

2014-2017 Adults

Federal Funds

Enhanced Scenario

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 12,640,229$ 680,416$ 23,559,026$ 50,753,816$ 74,312,842$ 124,935,694$ 200,983,452$ 11,232,454$ 271,599,288$

Carson (100%) 539,997$ 11,102$ 103,185$ -$ 103,185$ 3,658,803$ 5,885,899$ 328,948$ 7,953,918$ Hutchinson (100%) 1,720,432$ 37,935$ 3,441,445$ -$ 3,441,445$ 14,731,198$ 23,698,008$ 1,324,421$ 32,024,339$ Moore (100%) 1,467,765$ -$ 2,937,600$ -$ 2,937,600$ 17,401,899$ 27,994,351$ 1,564,533$ 37,830,208$ Potter (100%) 8,631,057$ 631,379$ 15,924,181$ 50,753,816$ 66,677,997$ 87,128,065$ 140,162,500$ 7,833,325$ 189,408,804$ Sherman (100%) 280,978$ -$ 1,152,615$ -$ 1,152,615$ 2,015,729$ 3,242,694$ 181,226$ 4,382,020$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 87 - Representative Walter "Four" Price

County



Moderate Scenario





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 8,794 66,652,278$ 2,563,549$ 69,215,827$ 4,228 11,529,921$ 5,911,556$ 17,441,477$ 86,657,304$ Carson (100%) 258 1,951,944$ 75,075$ 2,027,019$ 105 286,689$ 146,990$ 433,679$ 2,460,699$ Hutchinson (100%) 1,037 7,858,986$ 302,269$ 8,161,255$ 446 1,217,302$ 624,128$ 1,841,431$ 10,002,686$ Moore (100%) 1,225 9,283,785$ 357,069$ 9,640,854$ 667 1,818,161$ 932,197$ 2,750,358$ 12,391,212$ Potter (100%) 6,133 46,482,185$ 1,787,776$ 48,269,961$ 2,930 7,989,572$ 4,096,369$ 12,085,941$ 60,355,902$ Sherman (100%) 142 1,075,377$ 41,361$ 1,116,737$ 80 218,196$ 111,872$ 330,068$ 1,446,805$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 88 - Representative Ken King

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 12,195,705$ 3,034,012$ 23,360,062$ 4,166,140$ 27,526,202$ 117,053,458$ 188,303,337$ 10,523,794$ 254,463,996$ Armstrong (100%) 174,693$ 7,929$ 13,368$ -$ 13,368$ 1,095,382$ 1,762,136$ 98,481$ 2,381,266$ Ba i ley (100%) 490,460$ 38,561$ 1,439,845$ 129,635$ 1,569,480$ 5,087,317$ 8,183,942$ 457,380$ 11,059,383$ Briscoe (100%) 121,759$ 5,292$ 6,086$ -$ 6,086$ 1,033,273$ 1,662,221$ 92,897$ 2,246,245$ Castro (100%) 693,930$ 31,203$ 1,661,376$ -$ 1,661,376$ 5,838,275$ 9,392,005$ 524,895$ 12,691,900$ Cochran (100%) 279,837$ -$ 1,893,986$ -$ 1,893,986$ 2,264,167$ 3,642,354$ 203,562$ 4,922,100$ Donley (100%) 269,126$ 2,512$ 335,385$ -$ 335,385$ 2,247,228$ 3,615,104$ 202,039$ 4,885,277$ Gray (100%) 1,802,740$ 120,747$ 245,810$ 642,777$ 888,587$ 15,984,677$ 25,714,473$ 1,437,116$ 34,749,292$ Hale (100%) 2,250,069$ 738,623$ 1,178,354$ 1,807,116$ 2,985,470$ 28,722,731$ 46,206,120$ 2,582,342$ 62,440,710$ Hansford (100%) 490,360$ -$ 2,147,336$ -$ 2,147,336$ 3,743,497$ 6,022,146$ 336,562$ 8,138,036$ Hemphi l l (100%) 406,926$ -$ 3,844,994$ 58,517$ 3,903,511$ 2,467,433$ 3,969,348$ 221,837$ 5,363,985$ Hockley (100%) 1,815,550$ 320,090$ 1,156,203$ -$ 1,156,203$ 16,978,426$ 27,313,112$ 1,526,460$ 36,909,615$ Lamb (100%) 932,799$ 1,687,583$ 2,606,403$ -$ 2,606,403$ 9,954,428$ 16,013,641$ 894,962$ 21,640,057$ Lipscomb (100%) 251,920$ -$ 1,878,726$ -$ 1,878,726$ 2,185,118$ 3,515,189$ 196,455$ 4,750,256$ Ochi l tree (100%) 861,475$ -$ 1,977,697$ 1,360,335$ 3,338,032$ 7,227,265$ 11,626,466$ 649,774$ 15,711,443$ Roberts (100%) 75,623$ -$ 80,618$ -$ 80,618$ 553,337$ 890,151$ 49,748$ 1,202,907$ Swisher (100%) 561,803$ -$ 867,192$ 167,760$ 1,034,952$ 5,849,567$ 9,410,171$ 525,911$ 12,716,449$ Yoakum (100%) 716,634$ 81,472$ 2,026,684$ -$ 2,026,684$ 5,821,336$ 9,364,755$ 523,372$ 12,655,076$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 88 - Representative Ken King

County

2016 Adults

<138% FPL

Enrollees

Moderate

Scenario

2016 Adults

Federal Funds

Moderate

Scenario

2016 Adults

State Funds

Moderate

Scenario

2016 Adults

All Funds

Moderate

Scenario

2016 Children

<200% FPL

Enrollees

Moderate

Scenario

2016 Children

Federal Funds

Moderate

Scenario

2016 Children

State Funds

Moderate

Scenario

2016 Children

All Funds

Moderate

Scenario

2016 Adults &

Children

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 8,240 62,447,163$ 2,401,814$ 64,848,977$ 4,126 11,252,664$ 5,769,403$ 17,022,067$ 81,871,044$

Armstrong (100%) 77 584,378$ 22,476$ 606,855$ 28 77,517$ 39,744$ 117,261$ 724,115$

Bai ley (100%) 358 2,714,046$ 104,386$ 2,818,433$ 217 591,015$ 303,022$ 894,037$ 3,712,470$

Briscoe (100%) 73 551,244$ 21,202$ 572,445$ 30 81,208$ 41,637$ 122,845$ 695,290$

Castro (100%) 411 3,114,677$ 119,795$ 3,234,472$ 243 662,790$ 339,822$ 1,002,612$ 4,237,084$

Cochran (100%) 159 1,207,916$ 46,458$ 1,254,375$ 87 236,242$ 121,125$ 357,367$ 1,611,741$

Donley (100%) 158 1,198,879$ 46,111$ 1,244,990$ 57 154,214$ 79,067$ 233,281$ 1,478,271$

Gray (100%) 1,125 8,527,708$ 327,989$ 8,855,697$ 444 1,211,150$ 620,974$ 1,832,124$ 10,687,821$

Hale (100%) 2,022 15,323,367$ 589,360$ 15,912,727$ 1,017 2,774,613$ 1,422,584$ 4,197,197$ 20,109,924$

Hansford (100%) 264 1,997,128$ 76,813$ 2,073,941$ 152 413,423$ 211,968$ 625,392$ 2,699,333$

Hemphi l l (100%) 174 1,316,358$ 50,629$ 1,366,987$ 89 242,804$ 124,489$ 367,293$ 1,734,280$

Hockley (100%) 1,195 9,057,866$ 348,379$ 9,406,245$ 571 1,558,541$ 799,086$ 2,357,627$ 11,763,872$

Lamb (100%) 701 5,310,614$ 204,254$ 5,514,869$ 385 1,050,785$ 538,752$ 1,589,537$ 7,104,406$

Lipscomb (100%) 154 1,165,745$ 44,836$ 1,210,581$ 74 202,200$ 103,671$ 305,871$ 1,516,452$

Ochi l tree (100%) 509 3,855,693$ 148,296$ 4,003,989$ 297 810,851$ 415,735$ 1,226,586$ 5,230,575$

Roberts (100%) 39 295,201$ 11,354$ 306,555$ 16 42,655$ 21,870$ 64,525$ 371,080$

Swisher (100%) 412 3,120,701$ 120,027$ 3,240,728$ 183 500,374$ 256,549$ 756,922$ 3,997,651$

Yoakum (100%) 410 3,105,640$ 119,448$ 3,225,088$ 236 642,283$ 329,308$ 971,591$ 4,196,678$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 89 - Representative Jodie Laubenberg

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 89 - Representative Jodie Laubenberg

County



Moderate Scenario





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 3,828 29,013,443$ 1,115,902$ 30,129,345$ 2,097 5,719,714$ 2,932,580$ 8,652,294$ 38,781,639$ Col l in (22%) 3,828 29,013,443$ 1,115,902$ 30,129,345$ 2,097 5,719,714$ 2,932,580$ 8,652,294$ 38,781,639$










Impact of Medicaid Extension and Local Spending for Health CareHouse District 90 - Representative Lon Burnam

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,722,724$ -$ 23,696,125$ 13,236,976$ 36,933,101$ 70,977,411$ 114,181,020$ 6,381,287$ 154,298,692$ Tarrant (9%) 13,722,724$ -$ 23,696,125$ 13,236,976$ 36,933,101$ 70,977,411$ 114,181,020$ 6,381,287$ 154,298,692$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 90 - Representative Lon Burnam

County



Moderate Scenario





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 4,996 37,865,929$ 1,456,382$ 39,322,311$ 3,296 8,987,614$ 4,608,079$ 13,595,693$ 52,918,003$ Tarrant (9%) 4,996 37,865,929$ 1,456,382$ 39,322,311$ 3,296 8,987,614$ 4,608,079$ 13,595,693$ 52,918,003$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 91 - Representative Stephanie Klick

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 91 - Representative Stephanie Klick

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 92 - Representative Jonathan Stickland

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 92 - Representative Jonathan Stickland

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 93 - Representative Matt Krause

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 93 - Representative Matt Krause

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 94 - Representative Diane Patrick

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 94 - Representative Diane Patrick

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 95 - Representative Nicole Collier

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 95 - Representative Nicole Collier

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 96 - Representative Bill Zedler

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 96 - Representative Bill Zedler

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 97 - Representative Craig Goldman

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 97 - Representative Craig Goldman

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 98 - Representative Giovanni Capriglione

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 98 - Representative Giovanni Capriglione

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 99 - Representative Charlie Geren

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 99 - Representative Charlie Geren

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 100 - Representative Eric Johnson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 15,487,996$ 706,778$ 30,619,767$ 16,395,610$ 47,015,377$ 78,026,445$ 125,520,769$ 7,015,036$ 169,622,678$ Dal las (7%) 15,487,996$ 706,778$ 30,619,767$ 16,395,610$ 47,015,377$ 78,026,445$ 125,520,769$ 7,015,036$ 169,622,678$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 100 - Representative Eric Johnson

County



Moderate Scenario





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 5,492 41,626,537$ 1,601,021$ 43,227,558$ 3,897 10,626,693$ 5,448,458$ 16,075,151$ 59,302,709$ Dal las (7%) 5,492 41,626,537$ 1,601,021$ 43,227,558$ 3,897 10,626,693$ 5,448,458$ 16,075,151$ 59,302,709$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 101 - Representative Chris Turner

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 101 - Representative Chris Turner

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 102 - Representative Stefani Carter

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 102 - Representative Stefani Carter

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 103 - Representative Rafael Anchia

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 103 - Representative Rafael Anchia

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 104 - Representative Roberto R. Alonzo

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 104 - Representative Roberto R. Alonzo

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 105 - Representative Linda Harper-Brown

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 105 - Representative Linda Harper-Brown

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 106 - Representative Pat Fallon

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 106 - Representative Pat Fallon

County



Moderate Scenario





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 3,637 27,566,841$ 1,060,263$ 28,627,104$ 1,987 5,418,045$ 2,777,909$ 8,195,954$ 36,823,058$ Denton (24%) 3,637 27,566,841$ 1,060,263$ 28,627,104$ 1,987 5,418,045$ 2,777,909$ 8,195,954$ 36,823,058$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 107 - Representative Kenneth Sheets

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 107 - Representative Kenneth Sheets

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 108 - Representative Dan Branch

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 108 - Representative Dan Branch

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 109 - Representative Helen Giddings

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 109 - Representative Helen Giddings

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 110 - Representative Toni Rose

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 110 - Representative Toni Rose

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 111 - Representative Yvonne Davis

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 111 - Representative Yvonne Davis

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 112 - Representative Angie Chen Button

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 112 - Representative Angie Chen Button

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 113 - Representative Cindy Burkett

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 113 - Representative Cindy Burkett

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 114 - Representative Jason Villalba

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 114 - Representative Jason Villalba

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 115 - Representative Bennett Ratliff

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 115 - Representative Bennett Ratliff

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 116 - Representative Trey Martinez Fischer

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,042,188$ 45,050$ 28,603,600$ 13,612,285$ 42,215,884$ 107,527,651$ 172,979,216$ 9,667,368$ 233,755,723$ Bexar (10%) 13,042,188$ 45,050$ 28,603,600$ 13,612,285$ 42,215,884$ 107,527,651$ 172,979,216$ 9,667,368$ 233,755,723$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 116 - Representative Trey Martinez Fischer

County



Moderate Scenario





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 7,569 57,365,214$ 2,206,354$ 59,571,569$ 3,827 10,437,210$ 5,351,308$ 15,788,518$ 75,360,087$ Bexar (10%) 7,569 57,365,214$ 2,206,354$ 59,571,569$ 3,827 10,437,210$ 5,351,308$ 15,788,518$ 75,360,087$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 117 - Representative Philip Cortez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 117 - Representative Philip Cortez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 118 - Representative Joe Farias

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 118 - Representative Joe Farias

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 119 - Representative Roland Gutierrez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 119 - Representative Roland Gutierrez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 120 - Representative Ruth Jones McClendon

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 120 - Representative Ruth Jones McClendon

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 121 - Representative Joe Straus

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 121 - Representative Joe Straus

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 122 - Representative Lyle Larson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 122 - Representative Lyle Larson

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 123 - Representative Mike Villarreal

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 123 - Representative Mike Villarreal

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 124 - Representative José Menéndez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 124 - Representative José Menéndez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 125 - Representative Justin Rodriguez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 125 - Representative Justin Rodriguez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 126 - Representative Patricia Harless

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 17,016,952$ 3,046,905$ 24,352,225$ 13,699,428$ 38,051,653$ 80,515,530$ 129,524,947$ 7,238,820$ 175,033,730$ Harris (4%) 17,016,952$ 3,046,905$ 24,352,225$ 13,699,428$ 38,051,653$ 80,515,530$ 129,524,947$ 7,238,820$ 175,033,730$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 126 - Representative Patricia Harless

County



Moderate Scenario





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 5,668 42,954,445$ 1,652,094$ 44,606,539$ 3,995 10,895,312$ 5,586,183$ 16,481,495$ 61,088,035$ Harris (4%) 5,668 42,954,445$ 1,652,094$ 44,606,539$ 3,995 10,895,312$ 5,586,183$ 16,481,495$ 61,088,035$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 127 - Representative Dan Huberty

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 127 - Representative Dan Huberty

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 128 - Representative Wayne Smith

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 128 - Representative Wayne Smith

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 129 - Representative John E. Davis

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 129 - Representative John E. Davis

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 130 - Representative Allen Fletcher

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 130 - Representative Allen Fletcher

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 131 - Representative Alma A. Allen

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 131 - Representative Alma A. Allen

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 132 - Representative Bill Callegari

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 132 - Representative Bill Callegari

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 133 - Representative Jim Murphy

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 133 - Representative Jim Murphy

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 134 - Representative Sarah Davis

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 134 - Representative Sarah Davis

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 135 - Representative Gary Elkins

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 135 - Representative Gary Elkins

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 136 - Representative Tony Dale

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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 13,649,813$ 1,316,505$ 4,839,285$ 1,048,890$ 5,888,175$ 74,048,785$ 119,121,925$ 6,657,421$ 160,975,592$ Wil l iamson (39%) 13,649,813$ 1,316,505$ 4,839,285$ 1,048,890$ 5,888,175$ 74,048,785$ 119,121,925$ 6,657,421$ 160,975,592$







http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 136 - Representative Tony Dale

County



Moderate Scenario





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 5,212 39,504,484$ 1,519,403$ 41,023,888$ 2,568 7,003,512$ 3,590,801$ 10,594,313$ 51,618,201$ Wil l iamson (39%) 5,212 39,504,484$ 1,519,403$ 41,023,888$ 2,568 7,003,512$ 3,590,801$ 10,594,313$ 51,618,201$ 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.

Impact of Medicaid Extension and Local Spending for Health CareHouse District 137 - Representative Gene Wu

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 137 - Representative Gene Wu

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 138 - Representative Dwayne Bohac

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 138 - Representative Dwayne Bohac

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 139 - Representative Sylvester Turner

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 139 - Representative Sylvester Turner

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 140 - Representative Armando Walle

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 140 - Representative Armando Walle

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 141 - Representative Senfronia Thompson

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 141 - Representative Senfronia Thompson

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 142 - Representative Harold V. Dutton, Jr.

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 142 - Representative Harold V. Dutton, Jr.

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 143 - Representative Ana Hernandez Luna

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 143 - Representative Ana Hernandez Luna

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 144 - Representative Mary Ann Perez

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 144 - Representative Mary Ann Perez

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 145 - Representative Carol Alvarado

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 145 - Representative Carol Alvarado

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 146 - Representative Borris Miles

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 146 - Representative Borris Miles

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 147 - Representative Garnet Coleman

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 147 - Representative Garnet Coleman

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 148 - Representative Jessica Farrar

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 148 - Representative Jessica Farrar

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 149 - Representative Hubert Vo

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 149 - Representative Hubert Vo

County



Moderate Scenario





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$


Impact of Medicaid Extension and Local Spending for Health CareHouse District 150 - Representative Debbie Riddle

County





Costs




Care Costs



Hospitals


Limited Scenario


Moderate Scenario




Enhanced Scenario

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$








http://www.mhm.org/



Impact of Medicaid Extension and Local Spending for Health CareHouse District 150 - Representative Debbie Riddle

County



Moderate Scenario





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$


Documents

Impact of Medicaid Extension and Local Spending For Health Care By Texas House District