of State Health Services (DSHS). To read the HHSC letter, visit http://bit .ly/1qmjJHy. To read the DSHS letter, visit
http://bit.ly/1pJHbAH.
TMA encourages DSHS to invest in immunization services, chronic disease prevention, preventive care for low- income women, mental health services, and emergency preparedness. In regard to chronic disease preven-
tion, TMA states, “We support DSHS’ efforts to promote community-based ini- tiatives to increase physical activity and access to healthy foods in Texas commu- nities.” The association adds, “DSHS has been successful in identifying many po- tentially preventable hospitalizations. If given appropriate resources, the agency could better foster community engage- ment to help reduce the many condi- tions related to chronic diseases, such as pneumonia, diabetes, and heart failure, all of which are endemic across Texas.” TMA concludes its comments, writ-
ing, “We know DSHS faces a difficult task assigned by the Legislative Budget Board, especially when the state’s public health system is at a breaking point. We would welcome the opportunity to fur- ther discuss any potential cuts and steps that might be taken to avoid such action and/or recommendation.”
In the comments to HHSC, TMA
urges the agency to prioritize improv- ing Medicaid patients’ access to services, including women’s health care. The as- sociation specifically asks for support for maintaining the Medicaid primary care physician payment increase and for continued funding of the Texas Women’s Health Program. Last session, the legislature provided $71.3 million for the Texas Women’s Health Program, operated by HHSC. Ninety percent of the dollars replaced federal funding for the Medicaid wom- en’s health program, which Texas dis- continued in 2012 because of its “affili- ate ban rule,” which excluded from the federal program clinics affiliated with abortion providers. The Texas program provides low-income women aged 18 to 44 with access to birth control, basic pre- ventive health screenings, and treatment for sexually transmitted diseases. “While the investments made in the
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