Finally. the State of Texas bears a disproportionate share of Medicaid savings under the House reconciliation proposal regarding disproportionate share hospital [DSH] payments. Texas alone represents over 13 percent of the cuts to the DSH program. and will have DSH payments cut by 40 percent in the year 2002. Texas has the third largest Medicaid population in the country and is disproportionately affected by legal and illegal immigrant populations. DSH payments to Texas are used to serve the uninsured population. especially in rural areas. Many people in this population. with no other options for health care. could be denied basic health care services if this provision is included.
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illegal immigrant