In a letter to the Texas congressional delegation — followed up by a speech to the Conservative Political Action Conference (CPAC) — Gov. Rick Perry firmly rejected a one-size-fits-all Medicaid expansion and staked out the “Texas Medicaid Solution” negotiation parameters. Specific Medicaid reforms the governor mentioned in the letter include:
- Cost sharing: establish copays, deductibles, and premium payments on a sliding scale;
- Asset testing: ensure care is there for those who need it most;
- Health savings accounts: improve patients’ control over health care spending; and
- Promote the use of existing private coverage and employer-sponsored coverage.