Texas Health Care

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Date Submitted: 09/10/2012 08:02 AM

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“White Paper” on how to achieve universal health care in Texas from

Health Care for All Texas

Texas Health Insurance Plan (TIP)

Our mission

Accessible, affordable, accountable, comprehensive, responsible, universal health care for Texans by Texans

Texas is rich in resources, but our current health care system is in crisis. Many attempts have been made to fix it, and nothing has worked. A new comprehensive statewide approach is needed to address this situation.

9 PRINCIPLES OF THE TEXAS HEALTH INSURANCE PLAN

1. Universal Coverage

All Texas residents will have guaranteed health care coverage. Most residents, including individuals on Medicaid and the Children’s Health Insurance Program, will be covered under the Texas Health Insurance Plan (TIP).

Populations with already established benefits (Medicare beneficiaries, retirees with benefits, veterans, and/or federal employees) will not lose their benefits under TIP.

2. Comprehensive Coverage

All medically necessary services equivalent to the Federal Employees Health Benefit Plan (FEHBP) will be covered, including: out-patient, in-patient hospital, specialist, and emergency care, rehabilitative, mental health, occupational health, prescription drugs and supplies, and preventive and public health measures.

Texans covered under TIP will be able to buy supplemental health insurance but not for any services covered by TIP.

All medically necessary prescription drugs and medical supplies will be covered based on a state formulary established and updated by an expert panel.

The emphasis of TIP will be health maintenance, disease prevention, good communication between patient and provider, health education, and better quality of care.

3. Public Accountability

The Texas legislature will establish the Texas Health Insurance Plan (TIP) as a Health Care Authority. The official name will be "TIP Health Care Authority." The TIP Health Care Authority will be a quasi...