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After a Million Texas Kids Were Kicked Off Medicaid, Thousands More Are Still in Limbo

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After a Million Texas Kids Were Kicked Off Medicaid, Thousands More Are Still in Limbo


Nearly two out of three Texans who’ve lost Medicaid coverage since last April were children (image via Getty Images)

More than a million Texas kids in low-income families have lost their health insurance since last spring, according to state-reported data. Three out of four Medicaid recipients in Texas are children, and nearly two out of three Texans disenrolled during the post-pandemic “unwinding” process have been kids.

During the pandemic, a provision in a federal COVID relief package blocked states from kicking people off of Medicaid, even if they were no longer eligible. When that federal legislation expired in April 2023, states began reassessing people’s eligibility in a process called unwinding. It’s been chaotic in Texas with large backlogs and extremely long delays for families applying for health care or food assistance.

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“Texans in need have been forced to wait several months for their SNAP and/or Medicaid applications to be processed. As a result, countless Texas families will go hungry,” stated a December letter to the Texas Health and Human Services Commission (HHSC) sent by a pair of legislative caucuses, the Texas Women’s Health Caucus and the Texas House Early Childhood Caucus.

That letter implored the agency to resolve the backlogs by this March, but they have only grown.

HHSC Spokesperson Tiffany Young told the Chronicle that staff has moved aggressively to reduce the number of applications in the queue. The good news is that the maximum wait for an application to be assigned to an eligibility worker has gone down – from 120 days in November to less than 40 days in December.

But even with reduced lead time, backlogs grew from December to January. As of Dec. 8, there were 207,465 SNAP applications and 288,939 Medicaid applications waiting to be processed. As of Jan. 26, there were 18,173 more SNAP applications and 64,604 more Medicaid applications in the backlog, per data provided by HHSC spokesperson Jennifer Ruffcorn.

Though the current eligibility crisis is acute, HHSC has chronically failed to meet federal standards for timely processing of SNAP applications since at least 2021, two years before unwinding began, according to the joint caucus letter. (Young said HHSC found no factual errors in that letter.)

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Most Medicaid recipients in Texas are kids, and 65% of people kicked off Medicaid since last April were children.

Prior to unwinding, it would have been difficult to directly compare how efficiently states automatically renew coverage, but as part of the process states have reported their “ex parte” renewal rates, meaning the percentage of applications that are renewed automatically based on data. Now, it’s clear that Texas fails to renew coverage more often than any other U.S. state.

The joint caucus letter demanded an answer from HHSC on that point: Why does our system renew eligibility for so few people?

An HHSC spokesperson told the Chronicle the low renewal rate is a side effect of the state’s approach. During unwinding, Texas has reviewed applications from those most likely to no longer qualify first. “Not all states are distributing renewals in the same manner,” Young said.

But Texas is not the only state taking that approach. The research nonprofit Kaiser Family Foundation (KFF) closely tracks how states are handling unwinding and found 16 states are using a hybrid approach that involves frontloading applicants who are unlikely to qualify. KFF reports “several states will focus first on enrollees who have been flagged as potentially ineligible.”

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Whatever the cause of Texas’ worst-in-the-nation ex parte renewal rate, the two caucuses want to understand it better. The December letter asked for an analysis on ex parte renewal, adding that HHSC should “quickly address the shortcomings identified in that analysis.” HHSC did not answer whether such an analysis is planned.

The letter penned by the caucuses made several other demands, some of which HHSC met. (For example, HHSC asked for an emergency waiver from the USDA to extend SNAP for people up for recertification until backlogs are eliminated – though the USDA denied that request.) One demand HHSC has so far refused sticks out: The letter called for HHSC to request a waiver from the federal Medicaid agency – Centers for Medicare & Medicaid Services (CMS) – to temporarily extend children’s Medicaid for kids in limbo during unwinding. When asked if HHSC had requested that waiver, Young said “no,” adding that HHSC “has implemented dozens of strategies to make the unwinding as smooth as possible for clients and eligibility staff.”

Where does that leave us? Lawmakers in the two caucuses want to know “the full range of investments and policy changes needed to maintain a high-performing eligibility system,” per the letter. We asked HHSC what some of those investments and policy changes might be. Young answered that the 88th Legislature approved 25% salary increases for eligibility staff, plus more than 600 temporary staff to help with unwinding. “Hiring, training and retaining staff are long-term solutions to managing workload and reducing reliance on mandatory overtime,” Young said. “However, it takes a new eligibility adviser a year to be proficient with application processing and overtime is the most readily available tool to address workload quickly.”

Got something to say? The Chronicle welcomes opinion pieces on any topic from the community. Submit yours now at austinchronicle.com/opinion.

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Texas A&M avoids sweep taking Game 3, 9-7, hands Texas rare home loss

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Texas A&M avoids sweep taking Game 3, 9-7, hands Texas rare home loss


No. 15 Texas A&M walked out of Austin with a hard‑earned win on Sunday, taking Game 3 of the rivalry series 9–7 to avoid the sweep in what felt every bit like a postseason matchup. The Aggies built an early lead, added crucial insurance late, and held off a furious seventh‑inning push from No. 1 Texas to snap the Longhorns’ nation‑leading win streak.

A&M once again struck first, continuing a trend from the entire weekend. Kennedy Powell’s speed immediately created pressure, turning a single into extra bases after a throwing error. Ariel Kowalewski followed with an RBI double, and Micaela Wark delivered a two‑run home run to give the Aggies a 3–0 advantage before Texas recorded its third out.

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The Longhorns answered with a run in the bottom of the first, but KK Dement erased it with a solo shot in the second inning. A&M’s pitching and defense kept Texas quiet for the next three frames until a two‑run double trimmed the lead to 4–3.

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With momentum shifting, the Aggies responded with their biggest inning of the series. Frankie Vrazel doubled, Powell doubled her home, and after a walk to Mya Perez, Kowalewski punched a two‑RBI single through the infield. Texas appeared ready to escape the inning, but consecutive defensive errors extended the frame and allowed three more Aggie runs to score, pushing the lead to 9–3 entering the seventh.

Texas refused to fold. The Longhorns put two on with no outs and pushed across a pair of runs, one on a sacrifice fly, another on a groundout. Down to their final out with no one on base, Texas launched back‑to‑back solo home runs to suddenly cut the deficit to two. Sydney Lessentine steadied the moment, inducing a pop‑up to the catcher to close out the win.

Across all three games, the rivalry delivered exactly what it promised. Intensity, high‑level softball, and postseason energy. While Texas claimed the series, the Aggies leave Austin with a top‑25 win, a snapped streak, and a performance that reinforced their ability to compete with anyone in the country.





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Texas chose John Cornyn as a principled conservative, not a Trump lackey | Opinion

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Texas chose John Cornyn as a principled conservative, not a Trump lackey | Opinion


Voters deserve better than scorched-earth partisan politics that divide our country.

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Not for us

In 35 years as a loyal Republican, I watched my party become unrecognizable. Now, Sen. John Cornyn’s transformation from principled conservative to full-throated Donald Trump sycophant is complete.

In the span of a week, Cornyn reversed his longstanding defense of the Senate filibuster, trying to appease Trump and secure his coveted endorsement. He also co-sponsored the SAVE America Act, which would force Texans to present passports or birth certificates that match their current surnames. Texas voters deserve better than scorched-earth partisan politics that divide our country and paralyze effective governance.

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– Malcolm Jacobson, The Woodlands

Real fraud

I am sick and tired of hearing about voter fraud. There isn’t any to speak of, and what has been found was not perpetrated by people in the country illegally. Donald Trump has consistently claimed that there’s rampant fraud. Please show us your evidence, Mr. President. You can’t, because there is none, but people still believe him.

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Please wake up to what this man is doing to our country.

– Zelda L Blalock, North Richland Hills

Death penalty

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Texas is nearing its 600th execution since the death penalty was reinstated, with three already this year and three more scheduled. It should give us pause to know that four of the offenders are not white.

Legislators and district attorneys should step up, lock up the worst of the worst criminals and end the senseless barbaric practice of the state killing in our name.

– Bob Michael, Grapevine

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What reason?

For more than 80 years, nuclear deterrence has kept the world safe from nuclear war, largely because of the power of the U.S. military, skilled diplomacy and moral leadership. Even hostile nations have understood the risks of nuclear engagement.

In just a few weeks, the United States’ war on Iran has cost billions, displaced millions and killed thousands of civilians, according to United Nations and Iranian officials. U.S. military stockpiles are degraded, energy prices are rising and the Iranian people are suffering increased repression.

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The Iranian regime and military have been set back, but the country still has much enriched uranium and an even stronger incentive to develop nuclear weapons. It is difficult to understand the need for or benefits of this war.

– Karen Myers, Fort Worth



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Ted Cruz praises Trump, blasts Democrats as Texas takes center stage at CPAC

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Ted Cruz praises Trump, blasts Democrats as Texas takes center stage at CPAC


U.S. Sen. Ted Cruz warned on Saturday that Democrats would dismantle Republican victories and try to impeach President Donald Trump if they win control of Congress in November.

Speaking to the Conservative Political Action Conference in Grapevine, Cruz said Republicans have gained historic victories, from a sweeping crackdown on immigration to changes in the tax policy, since Trump took office in January 2025.

Democrats, Cruz said, “want to tear this country down.”

Cruz was among a slate of Texas lawmakers and politicians to address CPAC, one of the most influential conservative gatherings in the country, on the final day of the conference. They sought to frame Texas as both the nation’s leader and its ideological brainchild.

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Cruz portrayed the Republican party as a group of blue-collar workers and populists, blasting Democrats as coastal elites who are out of touch with the average American.

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Sen. Ted Cruz, R-Texas, pauses as he shares his remarks during the final day of the Conservative Political Action Conference, on Saturday, March 28, 2026 at Gaylord Texan Resort and Conference Center in Grapevine.

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Shafkat Anowar / Staff Photographer

The senator did not mention Democrat James Talarico, a Texas state representative who is running to flip the Senate seat currently held by incumbent John Cornyn. Instead, he singled out California Gov. Gavin Newsom, who he joked “should be named Texas realtor of the year.”

“Nobody in history has sold more homes in the state of Texas than Gavin Newsom,” Cruz said.

Cruz is considered a potential Republican contender to run for president in 2028; Newsom is one of the leading contenders on the Democratic side.

In his address Saturday, Cruz repeatedly praised Trump — who skipped CPAC this year for the first time in a decade — on foreign policy, jobs and economic prosperity and national security.

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“The world is safer when the president is strong and our enemies are afraid,” Cruz said.

Republicans could face a difficult landscape in November, with the party in power typically losing seats in the House of Representatives and often the Senate in midterm elections. A Reuters/Ipsos poll in March found Trump’s approval rating fell to 36%, the lowest number since he returned to the White House in January 2025.

In a statement, the Democratic National Committee’s rapid response director Kendall Witmer said rising gas prices, the Iran war and Trump’s tariffs have soured voters on Republicans.

“Donald Trump has broken one promise after another — and even his own supporters are fed up,“ Witmer said. ”Trump told Americans he would lower prices, create jobs, and put an end to forever wars — and he’s delivered on none of it.”

A group of attendees watch as Senator Ted Cruz, R-Texas, speaks during the final day of the...

A group of attendees watch as Senator Ted Cruz, R-Texas, speaks during the final day of the Conservative Political Action Conference, on Saturday, March 28, 2026 at Gaylord Texan Resort and Conference Center in Grapevine.

Shafkat Anowar / Staff Photographer

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Former U.S. Rep. Mayra Flores, who represented South Texas, said Republicans will lose in November if they do not make inroads with Latino voters, who she called the “future of the Republican party.” Flores urged the Trump administration to hire a Hispanic outreach coordinator.

“There is no future for the Republican party if we do not invest in the Hispanic community,” Flores said to little applause. “We are people of faith, family and hard work.”

U.S. Rep. Keith Self, a McKinney Republican, said the GOP must ban Sharia, the moral code laid out in Muslim scripture. Like many at the conference, Self warned that Sharia was seeping into Texas and the country, posing a risk to Americans.

Texas Lt. Gov. Dan Patrick has said “preventing Sharia law” in Texas will be among his major priorities for the next legislative session.

“Sharia has no place in America,” Self said, calling it a “religion of the sword.”

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In previous statements, the Texas chapter of the Council on American-Islamic Relations has accused state leaders of a “publicity stunt” and “inventing imaginary threats.”

One speaker after another stressed the importance of Texas to the country’s future. On Friday, Trump ally Steve Bannon called Texas the “crown jewel of the union.”

“Where Texas goes, so goes the nation,” Bannon told the crowd to cheers. “And where the nation goes, so goes the world.”

    Dallas police detain man at No Kings protest in downtown Dallas
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