Railing against "brazen intrusions into the sovereignty of our state," Gov. Rick Perry told federal officials he opposes expanding Medicaid in Texas or creating health insurance exchanges, two key provisions of the Patient Protection and Affordable Care Act.
TMA President Michael E. Speer, MD, said the association is already at work developing an alternative approach to present to Governor Perry and the Texas Legislature. "I do not know what that system looks like … yet. But I do know we need to fix the system so poor patients can receive care. We need to win realistic payment rates, we need to reduce the stifling state bureaucracy, and we need to eliminate the fraud-and-abuse witch hunts."