Protecting Texas’ Seniors

Significant funding squeezes continue to challenge the provision of quality patient care. Today’s nursing and skilled nursing facilities are providing quality, state-of-the-art care in convenient, community based settings – specialized care that is far less expensive than other care settings, and care that MUST be protected.

  • Although the Texas nursing home community avoided the drastic $1.4 billion, 33% funding cut proposed during the last legislative session, a significant funding squeeze continues to challenge the provision of quality patient care.
  • Texas nursing home patient care funding suffered:
    • a phased-in 10-year $1.6 billion national Medicare reduction in 2009
    • a $58 million (3%) reduction in state Medicaid funding in 2011
    • a $234 million (10.4%) Medicare reduction in 2012
  • Nearly 70% of nursing home residents are on Medicaid, approximately 15% are in the Medicare program, and the remaining are private pay residents.
  • The average Medicaid rate in Texas is $126 per resident per day.
  • For more than a decade, funding for Texas’ Medicaid nursing home patient care has fallen significantly short of the actual costs of taking care of Medicaid residents.
  • Texas nursing home care has repeatedly ranked 49th in the nation for Medicaid reimbursement in recent years.
  • With a full 80 to 85 percent of Texas nursing home residents dependent upon either Medicare or Medicaid funding for their care, positive state and federal budgetary actions are needed to ensure good patient care.