Debate over the waiver was key to the federal government’s push for Texas to expand...
“It is not the best use of the federal government’s limited resources to continue to litigate this matter,” reads a letter sent Friday to state health officials from the U.S. Centers for Medicare and Medicaid Services. “This should resolve the issue without the need for further litigation and will create no disruption to the people who rely on Texas’ Medicaid program.”
The announcement concludes a yearlong legal battle over the so-called 1115 waiver, specifically how long it should stay in effect and how parts of itThe waiver was initially set to expire this October, but in the waning days of his administration in 2021, President Donald Trump granted a 10-year extension — a move some health care advocates said was a way to remove the pressing need for the state to expand its Medicaid program to include more working poor adults.
Shortly after, under the Biden administration, which has been pressuring Texas and 11 other states to expand Medicaid coverage to more people, CMS rescinded the agreement in April 2021.to reinstate it last May, saying moves to shut it down were nothing but a political ploy by President Joe Biden to pressure the state into expanding Medicaid in order to continue helping hospitals care for the uninsured.
A majority of Texans support expanding Medicaid to include millions more mostly working poor people, according to recent surveys.from a federal judge in August, who ordered that the extension stay in place while the feds and the state negotiated over the details of the waiver. The Friday decision means that the CMS action last April is rescinded and that the waiver extension stays in place without further litigation.
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