The Texas Public Policy Foundation (TPPF) today released a paper by Dr. Deane Waldman, director of the Center for Health Care Policy at TPPF, titled, “The Saga of 1115—A Block Grant Can Fix Texas Medicaid, but Only Temporarily.” The paper discusses how with a waiver of all federal Medicaid insurance mandates, Texas can both expand access to medical care for more than four million Texans in Medicaid, and manage the Texas state budget more effectively. Without a complete waiver from all federal mandates, Texas Medicaid is trouble both medically and financially.

“The root cause of Texas Medicaid problems is the lack of control by Texas of a supposedly jointly funded, state administered program for people ‘unable to support’ themselves,” said Waldman. “If the root cause is lack of local control, then the obvious cure is to restore control to Texas.”

To read the paper, please visit:

For more information or to request an interview with Dr. Waldman, please contact Caroline Espinosa at [email protected] or 512-472-2700.


Dr. Deane Waldman, MD, MBA, is Director of the Center for Health Care Policy at the Texas Public Policy Foundation. 

The Texas Public Policy Foundation is a non-profit, free-market research institute based in Austin, Texas.

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