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After weeks of financial uncertainty, CMS has released nearly $12 billion in supplemental Medicaid funding for Texas hospitals and providers. The funds had been frozen since September 1 over a dispute about how provider taxes were calculated. Texas Governor Greg Abbott called the release "a major victory for Texas patients."
After a tense standoff that had Texas hospitals bracing for the worst, the Centers for Medicare & Medicaid Services (CMS) has released nearly $12 billion in frozen supplemental Medicaid funding for the state. The funds had been on hold since September 1—a first for the program—due to a dispute between CMS and the Texas Health and Human Services Commission over how provider taxes were calculated under new federal rules.
The freeze had sent shockwaves through the state's healthcare system. The Texas Hospital Association warned that prolonged withholding could force hospitals to cut critical service lines like neonatal and obstetric care, or even shut down entirely. Governor Greg Abbott personally appealed to HHS Secretary RFK Jr. and CMS Administrator Dr. Mehmet Oz to resolve the standoff.
By the Numbers:
Why it matters: This resolution offers temporary relief, but the broader fight over Medicaid directed payment programs is far from over—new federal caps could still slash Texas' Medicaid spending by nearly a fifth in the coming years.