Texas Health Care Spending

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Health Care Spending in the Texas State Budget

Texas budgeted $27 billion dollars in health care spending for the 2008-2009 biennium, of which 42.6 percent comes from State Funds and 48.4 percent comes from Federal Funds (9 percent comes from “Other Funds”). The breakdown of this spending can be seen in the table below which presents a listing from the 2008-2009 State Budget (p. IX-48 of the Conference Committee Version of HB 1) of how health care spending will be allocated. It is important to note that while Medicaid and the Children’s Health Insurance Program (CHIP) are often referred to as the main sources of state health spending, a large proportion also goes towards health care plans for state employees, university students, prisoners, and a number of other recipients of state-mandated health insurance. At the local level we also pay taxes that go towards our health districts, health care for local public employees such as teachers and other school district employees, as well as the County Indigent Health Program.

State Budget Health Care Appropriations (2008-2009) – Informal Listing

Conference Committee Version of HB 1 – p. IX-48

 

Programs

All Funds – 2008

(in millions)

All Funds – 2009

(in millions)

Article I

Employees Retirement System - State Employee Group Health Insurance

$1,078.71

$1,117.2

Employee Children’s Insurance Program (SKIP)

8.2

8.3

Workers’ Compensation (State Office of Risk Management agencies)

45.9

45.9

Article II

Health and Human Services Commission - Medicaid

13,393.3

12,761.4

Health and Human Services Commission–CHIP

1,002.2

1,056.2

Department of Aging and Disability Services

5,318.0

5,451.1

Department of Assistive and Rehabilitative Services

371.1

388.3

Department of State Health Services

1,394.5

1,419.6

Article II Special Provisions

0.0

445.4

House Bill 15: Frew Settlement

895.7

884.2

Article III

Health-Related Higher Education Institutions

1,960.8

2,163.9

Higher Education Group Health Insurance

687.2

689.0

Higher Education Workers’ Compensation Non-State Office of Risk Management

15.0

15.1

Teacher Retirement System–TRS Care

242.2

254.3

Teacher Retirement System–School Employee Children’s Health Insurance Program

13.1

13.2

Texas Education Agency–Independent School District Employee Insurance

508.1

517.2

Article V

Texas Department of Criminal Justice–Correctional Health Care

373.1

381.4

Texas Department of Criminal Justice–Psychiatric Care

43.1

47.9

Texas Department of Criminal Justice–Substance Abuse Treatment

87.0

108.2

Texas Department of Criminal Justice–Special Needs Offenders

20.4

20.4

Texas Youth Commission

27.2

27.8

Article VII

Texas Department of Transportation

53.8

53.9

Office of Rural Community Affairs

3.4

3.4

Total (may not add because of rounding)

$27,542.2

$26,982.6

Method of Finance

Total, General Revenue

$11,433.9

$11,203.8

Total, General Revenue – Dedicated

302.7

304.1

Total, Federal Funds

13,320.4

12,778.7

Total, Other Funds

2,485.3

2,695.9

Total, All Funds (may not add because of rounding)

$27,542.2

$26,982.6

 

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