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The University of Texas at Austin

Lyndon B. Johnson School of Public Affairs

Richardson and Warner Lead Students in Study of Implementation of Affordable Care Act in Texas

January 27, 2014

As part of the LBJ School of Public Affairs's series of year-long Policy Research Projects (PRPs), Professors Sam Richardson and David Warner are leading a team of students in a study of the ongoing implementation of the Affordable Care Act (ACA) in Texas. The PRP is providing the Texas analysis for a nationwide, state-by-state study of federalism and the implementation of the ACA, under the aegis of the Nelson Rockefeller Institute of Government at SUNY Albany and the Fels Institute of Government at the University of Pennsylvania.

The study focuses on the following three issues:

  1. Who governs (agencies, offices, program leaders);
  2. The interagency and federal-state relationships that develop; and
  3. State-level operations of the principal coverage-expanding policies adopted in the new law.

During fall semester, the PRP produced a report detailing the decisions Texas made leading up to the October 2013 opening of the ACA health insurance exchanges, how early implementation tasks were carried out in the state, and what the consequences of Texas' policy decisions have been. The PRP will be producing additional analyses during spring semester looking at issues in implementation that arise in early 2014 and how various populations and markets are affected by the roll-out of the ACA in Texas.

Final reports from Texas and the other states will be available this spring on a Rockefeller/Fels website for the nationwide Managing Health Reform study.