MedicaidExpansion

State Sen. Nathan Johnson Announces Priority Legislation

Texas State Senator Nathan Johnson | Priorities: Nathan Johnson for Texas State Senate, District 16

March 6, 2023 Maria Lawson

People Newspapers

State Sen. Nathan Johnson, D-Dallas, announced a set of bills for the 88th Legislative Session aimed at providing Texans with reliable energy, reforming the criminal justice system, equipping skills with necessary resources for students, utilizing early prevention to reduce healthcare costs, and a strategy to expand Medicaid in Dallas.

“Good results come from good systems,” Johnson said. “Many of the bills I’ve filed aim to make the state systems on which we rely — for power, for free and fair elections, for public education, for health and healthcare, and for public safety and law enforcement — more responsive, efficient, and effective.”

The bills are as follows.

Electrical Grid Resiliency: Power in Numbers

  • Senate Bill 1212 (Distributed Energy Resources): this bill brings small-scale residential electricity generation, such as rooftop solar and local microgrids, onto the grid by creating a standardized framework for their integration into power distribution systems.

Building Public Health and Criminal Justice Systems That Protect and Improve People’s Lives

  • Senate Bill 86 (Fentanyl Test Strips): reduces deadly fentanyl overdoses by decriminalizing the use, possession, delivery, and manufacturing of testing equipment that identifies the presence of fentanyl.

  • Senate Bill 623 (Overdose Prevention Testing): reduces deadly overdoses by broadening legal forms of drug testing and tightening the definition of “paraphernalia.” This will allow individuals to use the latest forms of drug-testing equipment to detect fentanyl and newer deadly drugs.

Providing Public Schools with Resources, Stability, and Respect

  • Senate Bill 88 (Basic Allotment Inflation Adjustment): raises the per-student basic allotment and ties it to inflation to help public schools manage finances with stability and keep prior promises to public education.

  • Senate Bill 89 (Pre-Kindergarten for Teachers): offers pre-K programs to the children of public school teachers and provides teachers with automatic qualification for their children to enroll in public school pre-K.

  • Senate Bill 90 (Charter School Campus Application): raises the threshold of transparency and accountability in the establishment of new open-enrollment charter school campuses and sites. It requires charter expansion applications to include a study of the financial impact on the local school district and approval by the full State Board of Education.

  • Senate Bill 263 (School Enrollment Funding): changes the Texas school finance system to be based on enrollment instead of attendance.

  • Senate Bill 350 (Paid Parental Leave Policy): requires school districts and open-enrollment charter schools to adopt a paid parental leave policy and reimburses schools for associated costs.

Fair, Accessible, and Secure Elections

  • Senate Bill 92 (Online Voter Registration): creates an online registration system for mail-in applications and Volunteer Deputy Registrar applications to make it easier to register to vote and save the state and county election officials time and money.

  • Senate Bill 94 (Earlier Voter Pre-Registration): changes the pre-registration age to 17 years to help kids pre-register in time to vote in the year they turn 18.

  • Senate Bill 293 (Against Intimidation of Election Officials): establishes a criminal offense for a person who harasses an election official, intentionally interferes with or prevents and election official from performing their duty, or disseminates personal information about an election official.

Lowering Healthcare Costs Through Early Prevention, Early Detection, and Administrative Efficiencies

  • Senate Bill 290 (Health Information Exchange): authorizes the Texas Health Services Authority, a statewide Health Information Exchange, to collect and analyze clinical data as permitted under HIPAA to promote statewide interoperability of electronic health records. It ensures oversight of Texans’ clinical data by a Texas HIE and protects the privacy of patients.

  • Senate Bill 294 (Asthma Medicine in Schools): allows schools to stock quick-relief medications to treat children in respiratory distress, such as inhalers, by aligning requirements to those currently in place for epinephrine.

  • Senate Bill 550 (Express Lane Eligibility): reduces administrative burdens and streamlines the eligibility process for CHIP and Medicaid enrollment or re-enrollment by allowing the Texas Health and Human Services Commission to use previously verified income data.

  • Senate Bill 244 (State-Based Exchange): established the Texas Health Insurance Exchange Authority to implement a state-based exchange to reduce net monthly premium payments, apply savings to higher enrollment, and lower out-of-pocket expenses.

  • Senate Bill 619 (Early Hearing Program Reform): provides newborn and infant hearing screenings by enhancing provider understanding, improving reporting and referral rates, and reducing the state’s loss to follow-up/documentation.

Leading the Charge for Medicaid Expansion in Texas

  • Senate Bill 195 (Live Well Texas Program by 1115 Waiver): expands access to state Medicaid health insurance while preserving state control over funds and generating positive net revenue for the state. It directs HHSC to seek a waiver expanding eligibility for Medicaid benefits to all individuals for whom federal matching funds are available, encourages personal healthcare responsibility, encourages personal healthcare responsibility, increases healthcare responsibility, and ensures Medicare rate parity for Medicaid providers.

  • Senate Bill 71 & Senate Joint Resolution 10 (Medicaid Expansion by Constitutional Amendment): a constitutional amendment to be submitted to voters on Nov. 7, 2023, that would require the state to expand Medicaid. If voters approve, the amendment provided in SJR 10 directs Texas HHSC to adopt rules pursuant to Senate Bill 71.

  • Senate Bill 72 (Medicaid Expansion by Legislature): would require Medicaid expansion by simple legislation vote.

  • Senate Bill 343 (Medicaid Expansion by 1115 Waiver): directs HHSC to use its discretion to craft a federally-acceptable section 1115 waiver to expand Medicaid coverage to all individuals for whom federal matching funds are available, encourage personal healthcare responsibility, and increase healthcare accessibility.

Texas government is getting less transparent

Legislators need to shine the light

Texas State Capitol | Priorities: Nathan Johnson for Texas State Senate, District 16

By Dallas Morning News Editorial

2:31 AM on Feb 16, 2023

Dallas Morning News

The Texas Public Information Act passed in 1973 enabled Texans to shine a light on government, from everyday business to corrupt dealing. But ever since its passage, the Texas Legislature and government officials have chipped away at the law with new exceptions.

During the pandemic, state and local government didn’t always provide stable ways for the public to hear meetings remotely. Public officials, meanwhile, relied on prior opinions from the attorney general’s office to deny public information requests, even when the requests and the prior opinions didn’t clearly align.

Public information requests are crucial to public access to information about local government, whether that’s zoning in a specific area or how money is being spent by a school district. But bureaucrats and politicians are too often devoted to skirting or undermining the law.

The Sunshine Coalition, an umbrella group including politically diverse public policy advocates from the Texas Public Policy Foundation to the American Civil Liberties Union of Texas, is advocating for a number of bills this session that aim to strengthen open government.

That includes two bills filed by state Sen. Nathan Johnson, D-Dallas, that aim to restore the law’s intention and address new workarounds.

Senate Bill 618 would amend the TPIA to clarify the meaning of non-business days under the statute to address the failure of government bodies to respond timely to information requests. The law gives government agencies 10 business days to respond to a request, a timeline that is frequently abused or ignored.

While people who request public information and are either denied what they ask for or ignored altogether have always been able to file a complaint with the attorney general’s office, Johnson’s proposed law formalizes the process.

Meanwhile, loopholes continue to plague the law. In 2015, a legal decision saw many government contracts shielded from the public eye. In 2019, the Sunshine Coalition helped pass Senate Bill 943 in an effort to open contracts while protecting proprietary information. But some government bodies still found ways around it.

Johnson has now filed Senate Bill 680, which fine tunes definitions to clarify what contractual information must be released, including material matters like operating costs.

There are other bills filed this session that attempt to close other loopholes in the current code, and we urge the Legislature to evaluate their effectiveness and consider passing them.

The opening chapter of the TPIA states that Texans, in delegating their authority to public officials, do not give those officials the right to decide what is “good for people to know and what is not good for them to know.” These powerful words should not be forgotten.

Public records belong to Texans. Elected officials should remember that.

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Dallas Morning News Editorial. Dallas Morning News editorials are written by the paper's Editorial Board and serve as the voice and view of the paper. The board considers a broad range of topics and is overseen by the Editorial Page Editor.editorialboard@dallasnews.com@dmnopinion

Why Do Texas Republicans Still Oppose Medicaid Expansion?

Texas State Senator Nathan Johnson | Priorities: Nathan Johnson for Texas State Senate, District 16

Senator Nathan Johnson outside Texas Capitol

State Sen. Nathan Johnson, a Democrat from Dallas, has made Medicaid expansion in Texas a priority during his first term. None of his bills has succeeded, but he's determined to break through Republican opposition if he wins another term. Credit: Jordan Vonderhaar

This story is being co-published with The Texas Tribune.

by Kim Krisberg and David Leffler

November 7, 2022

One afternoon in April 2021, state Sen. Nathan Johnson sprinted through the Texas Capitol building, determined to reach the House chamber in time to see history made. For one of the few times since the Affordable Care Act was passed in 2010, the full Texas House was going to vote on a proposal to expand Medicaid, the program that provides health care to America’s poorest.An ongoing series on the 11 states that refuse to expand Medicaid. Read other project stories.Eighteen percent of Texans don’t have health insurance—the highest rate in the nation—and Johnson had already filed five pieces of legislation that session to use Medicaid expansion to get as many as 1.2 million of those people insured.To him, the approach made sense. The federal government would pick up 90% of the cost. Research showed that by rejecting Medicaid expansion, Texas was turning its back on more than $5 billion in federal money every year.All of Johnson’s bills were likely dead that session, doomed by opposition from Republicans whose hostility toward the Affordable Care Act goes back to 2013, when then-Gov. Rick Perry called it a “criminal act.” But as he ran to the House chamber that day, Johnson clung to a faint hope that this new effort would succeed. Nine Republicans had recently signed onto a House version of his last expansion bill, suggesting that cracks were forming in the GOP front.If Republicans were looking for a way to expand Medicaid on their own terms, this bare-bones amendment to a House budget bill could be it.

Read more at

Public Health Watch