June 2018 Texas Residents’ Views on State and National Health Policy Priorities Selected Findings from the Kaiser Family Foundation/Episcopal Health Foundation 2018 Texas Health Policy Survey Prepared by: Liz Hamel, Bryan Wu, Mollyann Brodie Kaiser Family Foundation and Shao-Chee Sim, Elena Marks Episcopal Health Foundation Executive Summary Texas, the nation’s second most-populous state, has a diverse population in terms of race, ethnicity, immigration status, income, and geography. One of 17 states that did not expand Medicaid under the Affordable Care Act, Texas also has the largest number of uninsured residents among U.S. states. In a new survey, the Kaiser Family Foundation and the Episcopal Health Foundation sought to gauge Texans’ views on health policy priorities at both the state and national level. Overall, the survey finds that health care is a priority for Texans, with over half saying the state legislature should increase spending on health care programs, similar to the share who want to increase spending on public safety and infrastructure, but behind the share calling for increases in public education spending. Within health care, initiatives that would lower the cost of health care and prescription drugs, reduce maternal mortality, improve access to health insurance and provide funding for mental health programs are seen as the highest priorities. There is also a robust level of support for state action to expand coverage to low-income adults in Texas, including through Medicaid. Roughly two-thirds of Texans say the state government is currently not doing enough to make sure low-income adults can get the health care they need, and the same share says the state should expand its Medicaid program. This support exists in spite of the fact that only three in ten Texans are aware of the fact that Texas has a higher uninsured rate than other states. Support for Medicaid may be related to the fact that about seven in ten Texans report some level of connection to the program, saying that they themselves, a child, or a close friend or family member has received help from Medicaid at some point. While partisans differ in their opinion of whether the state should expand Medicaid, majorities of Texans across political parties say they have a favorable view of Medicaid and that the program is working well for most low-income people covered by it. Future briefs based on the survey will cover Texans’ experiences with health care affordability and access, the views and experiences of those with private insurance, women and children’s health care in Texas, and Texans’ views on social determinants of health. Texas Residents’ Views on State and National Health Policy Priorities 1 Texans’ Views on Health Care as a Priority for the State Legislature Health care programs are one of many spending priorities Texas residents see for their state government. When asked whether the state legislature should increase, decrease, or maintain current levels of spending in various areas, a majority (54 percent) of Texans want spending on health care programs to increase (Figure 1). This is lower than the share who want the state to increase spending on public education (71 percent) and similar to the shares who want increases in spending on infrastructure (55 percent) and public safety (52 percent). By contrast, pluralities of Texans want state spending on transportation and welfare programs to stay about the same. Figure 1 Majority Want State Government to Increase Spending on Education, Infrastructure, Health, and Public Safety Thinking about priorities in the state budget, do you think the state legislature should increase or decrease spending on each of the following, or keep it about the same? Increase spending Keep it about the same 71% Public education Infrastructure 55% Health care programs 54% Welfare programs 21% 5% 28% 12% 41% 36% 29% 5% 38% 52% Public safety Transportation Decrease spending 3% 49% 43% 9% 23% NOTE: Some items asked of half sample. Don’t know/Refused responses not shown. Question wording abbreviated. See topline for full question wording. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Texans’ views of state spending on health care vary somewhat by demographic group. Democrats, women, Black residents, and those with at least some college education are more likely to support increases in state spending on health care programs. However, across groups few say the state should decrease spending; rather there is a greater preference among Republicans, White and Hispanic residents, and those with no college education to keep state spending at its current level (Table 1). Texas Residents’ Views on State and National Health Policy Priorities 2 Table 1: Views of State Spending on Health Care by Key Demographics Percent who say the state legislature should ______ spending on health care programs: Party Identification Gender Race/Ethnicity Education level Dem. Ind. Rep. Male Female White Black Hisp. High school or less Some college 4-year college degree Increase 69% 55% 41% 50% 59% 53% 77% 46% 48% 60% 58% Decrease 6 13 16 15 9 12 10 13 14 12 11 Keep about the same 23 28 34 27 29 27 11 37 33 23 26 Don’t know/Refused 1 4 9 8 3 7 2 4 5 5 5 When asked about various things the state legislature might focus on within health care, all are viewed as important by a majority of Texans, with issues of affordability, insurance access, and maternal and mental health rising to the top (Figure 2). Majorities say top priority should be given to lowering what individuals pay for care (61 percent), reducing maternal mortality (59 percent), lowering prescription drug costs (56 percent), increasing access to health insurance (55 percent), and increasing funding for mental health programs (54 percent). Nearly half (46 percent) say expanding Medicaid to cover more low-income Texans should be a top priority, while about four in ten say the same about dealing with the prescription painkiller addiction epidemic (41 percent), improving hospital access in rural areas (38 percent), and increasing contraception access (36 percent). Fewer say the state legislature should place a top priority on decreasing state spending on health care (24 percent), while one-third (33 percent) say this should not be done. While there are differences in how various demographic groups in Texas view health care priorities for the state legislature, lowering the amount individuals pay for health care and lowering prescription drug costs are seen as a top priority by majorities of Texans regardless of political party, race/ethnicity, gender, or self-reported income level. Texas Residents’ Views on State and National Health Policy Priorities 3 Figure 2 Texans Rank Lowering Costs and Reducing Maternal Mortality as Top Health Priorities Should each of the following things the Texas state legislature might do when it comes to health care be a top priority, an important but not a top priority, not too important, or should it not be done? Top priority Important but not a top priority Not too important Should not be done 4% 61% Lowering the amount individuals pay for health care 28% 6% 4% Reducing the number of women who die from causes related to pregnancy and childbirth 59% 30% 4% 6% 56% Lowering the cost of prescription drugs 32% 6% 55% Increasing access to health insurance 4% 32% 6% 6% 54% Increasing funding for mental health programs 38% 46% Expanding Medicaid to cover more low-income Texans 33% 41% 39% Improving access to hospitals for people in rural areas 38% 48% Increasing women's access to family planning services and contraception 36% Dealing with the prescription painkiller addiction epidemic Decreasing state government spending on health care 24% 38% 30% 11% 1% 9%10% 11%7% 8% 3% 13% 11% 33% NOTE: Some items asked of half sample. Don’t know/Refused responses not shown. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Rating the State on Access to Care for Vulnerable Groups Texas has the largest number of uninsured individuals of any state in the nation. According to Kaiser Family Foundation analysis of Census data, 21 percent of adults between the ages of 19-64 in Texas are uninsured, substantially higher than the national average of 12 percent.1 However, most Texas residents are unaware of this fact. About three in ten (31 percent) correctly answer that the share of the population without health insurance is higher in Texas compared to the average in other states, while about one in five (19 percent) believe the uninsured rate is lower in Texas than other states and about a third (34 percent) think it’s about the same (Figure 3). Among Texans, Democrats and those with higher levels of education are more likely to be aware of the fact that Texas has a higher uninsured rate than other states. However, those who are uninsured themselves are no more likely than their insured counterparts to be aware of this fact. Texas Residents’ Views on State and National Health Policy Priorities 4 Figure 3 Most Texans Don’t Know the Uninsured Rate in Texas Is Higher Than Other States As far as you know, is the share of the population that does NOT have health insurance higher or lower in Texas compared to the average in other states, or is it about the same? Higher (CORRECT ANSWER) Total Democrats Independents Republicans High school or less Some college College graduate Insured ages 18-64 Uninsured ages 18-64 Lower About the same Don’t know 31% 19% 34% 16% 38% 29% 24% 19% 21% 19% 31% 35% 39% 12% 15% 17% 28% 25% 41% 15% 24% 19% 41% 31% 29% 17% 20% 10% 29% 36% 20% 16% 35% 32% 16% 14% SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Despite this lack of understanding about the uninsured rate, a majority of Texans believes the state should be doing more to provide access to health care for low-income adults. Sixty-four percent of Texas residents say the state government is not doing enough to make sure low-income adults in Texas can get the health care they need, while about a third (32 percent) say the state is doing enough in this area already (Figure 4). Responses are more evenly split when it comes to state efforts to help children and immigrants obtain health care; about equal shares say the state is doing enough and not doing enough to help each of these groups get the health care they need. On the other side of the spectrum, more Texans say the state is doing enough (50 percent) than say it is not doing enough (38 percent) to make sure pregnant women can get needed health care. Texas Residents’ Views on State and National Health Policy Priorities 5 Figure 4 Two-Thirds of Texans Say the State Is Not Doing Enough to Help Low-Income Adults Get Needed Health Care Do you think the Texas state government is doing enough or not doing enough to make sure … can get the health care they need? Not doing enough …low-income adults… Doing enough 64% …children… 32% 45% …pregnant women… 50% 38% …immigrants… 50% 41% 42% NOTE: “Doing too much (Vol.)” and Don’t know/Refused responses not shown. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) As is true on many questions of health care policy nationally, Democrats in Texas are more likely than Republicans to say the state is not doing enough to help each of these groups get the health care they need. Other demographic differences exist, too. For example, Black residents are more likely than either White or Hispanic Texans to say the state is not doing enough to help low-income adults, children, and pregnant women get needed health care, while both Black and Hispanic residents are more likely than White residents to say the same about immigrants. Similarly, residents with lower incomes are more likely than those with higher incomes to say the state should be doing more to help low-income adults and immigrants get health care. Those who were themselves born outside the U.S. are also more likely than U.S.-born Texans to say the state is not doing enough to help immigrants access care (Table 2). Table 2: Perceptions of State Efforts on Helping Different Groups Get Needed Health Care Percent who say the state is not doing enough to help ______ get the health care they need: Party Identification Race/Ethnicity Income (% of FPL) Nativity Dem. Ind. Rep. White Black Hisp. Less than 138% 138%250% 250% or more Nativeborn Foreignborn 80% 69% 43% 58% 83% 65% 74% 65% 57% 64% 62% Children 61 46 30 46 65 36 43 46 46 48 33 Pregnant women 55 41 17 37 52 34 39 41 37 40 30 Immigrants 61 43 16 27 54 53 51 41 34 37 56 Low-income adults Texas Residents’ Views on State and National Health Policy Priorities 6 Role of Federal and State Government in Health Care To a certain extent, Texans’ ratings of the job the state is doing to help different groups access health care reflect underlying preferences about the level of government involvement in the health system. Overall, the vast majority of Texans feel that both the state and federal governments should play at least a minor role in making the health care system work well, with more seeing a major role for the state rather than the federal government (67 percent versus 54 percent, Figure 5). Figure 5 Texans More Likely to See Major Role for State than Federal Government in Health Care When it comes to making the health care system work well, do you think … should play a major role, a minor role, or no role? Major role …the federal government… …state governments… Minor role 54% No role 31% 67% 14% 28% 5% NOTE: Don’t know/Refused responses not shown. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Reflecting patterns often seen in surveys, partisans differ in their responses to questions about government involvement, particularly at the federal level. While 73 percent of Democrats and 57 percent of independents in Texas say the federal government should play a major role in making the health care system work well, just 28 percent of Republicans agree. Republicans are more likely to support state rather than federal government in health care, with a slim majority (53 percent) of Republicans saying the state should play a major role, along with 70 percent of independents and 78 percent of Democrats. Likely reflecting these partisan differences, Texans who are Black or Hispanic, have lower self-reported incomes, or live in urban areas are more likely than their White, higher-income, suburban and rural counterparts to say both the federal and state government should play a major role in the health care system (Table 3). Texas Residents’ Views on State and National Health Policy Priorities 7 Table 3: Views on the Role of Governments in Making the Health Care System Work Well Percent who say ______ should play a major role when it comes to making the health care system work well: Total The federal government State governments Party Identification Race/Ethnicity Income (% of FPL) Geography Dem. Ind. Rep. White Black Hisp. Less than 138% 138%250% 250% or more Urban Suburban Rural 54% 73% 57% 28% 39% 74% 67% 65% 55% 46% 60% 51% 38% 67 78 70 53 57 73 78 75 70 60 69 66 57 Texans’ Views of the Affordable Care Act In addition to being divided on the role the federal government should play in the health care system, Texans are also divided in their view of the Affordable Care Act (ACA) – the most comprehensive federal health care legislation of the past several decades. Overall, 48 percent of Texas residents say they have a favorable view of the ACA and about an equal share (47 percent) say they have an unfavorable view (Figure 6). Nationally, the most recent Kaiser Health Tracking poll finds that 49 percent of U.S. adults have a favorable view of the law and 42 percent view it unfavorably.2 Like the nation overall, opinion of the ACA divides sharply along partisan lines in Texas, with two-thirds of Democrats (67 percent) expressing a favorable view of the law and about eight in ten Republicans (83 percent) expressing an unfavorable view. Those who get their insurance from the ACA marketplace are also more likely to express a favorable view of the law than those with employer coverage, Medicaid, the uninsured, or seniors (most of whom get coverage through Medicare). Figure 6 Texans Are Divided in Their Views of the ACA As you may know a health reform bill was signed into law in 2010, known commonly as the Affordable Care Act or Obamacare. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? Very favorable Total Democrats Independents 22% 41% 21% Employer coverage ages 18-64 Medicaid ages 18-64 26% 19% 26% 16% 33% 5% Republicans Marketplace insurance ages 18-64 Very unfavorable Somewhat unfavorable Somewhat favorable 35% 21% 26% 10% 21% 9% 21% 30% 19% 28% 26% 62% 16% 18% 20% 18% 17% Uninsured ages 18-64 24% 22% 23% Ages 65+ 23% 23% 14% 31% 25% 23% 34% NOTE: Don’t know/Refused responses not shown. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Texas Residents’ Views on State and National Health Policy Priorities 8 Texans’ Views and Awareness of Medicaid As one of 17 states that did not expand Medicaid under the ACA, low-income adults in Texas are eligible for Medicaid only if they meet certain criteria (i.e. people with disabilities, pregnant women, parents with very low incomes). Compared to other U.S. states, particularly those that have expanded Medicaid, adults covered by Medicaid in Texas mostly have very low incomes due to strict eligibility criteria. Roughly 4 million people are covered by Medicaid in Texas, nearly three-quarters of whom are children.3 Among non-elderly adults enrolled in Medicaid in Texas, 60 percent are women.4 Among all non-elderly individuals with Medicaid in Texas (including children), 57 percent are Hispanic, 22 percent are white, and 16 percent are Black,5 and 70 percent are in families with at least one full-time worker.6 Despite relatively strict eligibility criteria, the survey finds that about seven in ten Texas residents report some level of personal connection to the Medicaid program, similar to the share in national Kaiser Health Tracking polls.7 This includes 31 percent who say they personally have received help from Medicaid at some point (either directly receiving health insurance, getting help to pay their Medicare premiums, or having pregnancy-related care or long-term care paid for in part by Medicaid), 11 percent who say they’ve had a child covered by Medicaid, and 29 percent who say a close friend or family member has received help from Medicaid (Figure 7). Reflecting the demographic makeup of Medicaid recipients in Texas, the share reporting a personal connection to Medicaid in the survey is higher among women (78 percent), Hispanic and Black residents (78 percent each), and those with self-reported incomes below 250 percent of the federal poverty level (80 percent). The share reporting a personal connection to Medicaid is similar among Texans living in urban, suburban, and rural areas (71 percent, 70 percent, and 74 percent, respectively). Figure 7 Women, Hispanic and Black Texans, Those with Lower Incomes More Likely to Report a Connection to Medicaid Percent who report a connection to the Medicaid program through each of the following: Self Child 31% Total White 13% 7% 15% 20% 80% 61% 65% 33% 18% 12% 40% 71% 29% 13% 39% 21% Percent reporting any connection: 40% 37% Hispanic Men 8% 24% Black Women 11% 45% <250% FPL 250%+ FPL Friends/family 29% 22% 31% 11% 78% 78% 64% 27% 78% SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Texas Residents’ Views on State and National Health Policy Priorities 9 In addition to reporting personal connections to the program, six in ten Texans say Medicaid is either very important (41 percent) or somewhat important (19 percent) to them and their families (Figure 8). Again, the share saying Medicaid is personally important is higher among those with lower incomes as well as residents who are Black or Hispanic. Perhaps reflecting these demographic differences, there is also a partisan difference on this question, with Democrats and independents more likely than Republicans to say Medicaid is important for their families (70 percent, 61 percent, and 41 percent, respectively). Figure 8 Six in Ten Texans Say Medicaid is Important for Their Family Percent who say Medicaid is very or somewhat important for them and their family: 60% Total 78% <250% FPL 250%+ FPL White 37% 42% 77% Black 80% Hispanic 70% Democrats 61% Independents Republicans 41% SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Seven in ten Texans (71 percent) express a very or somewhat favorable view of Medicaid, similar to the 74 percent of adults nationally who said the same in a KFF Tracking Poll in February 2018. In Texas, favorable views of Medicaid are expressed by majorities of both those with a personal connection to Medicaid (73 percent of those with any personal connection, including 76 percent of those currently covered) and those with no connection to the program (65 percent). While majorities across different demographic groups express a favorable view of Medicaid, Texans who are Black or Hispanic, have lower incomes, identify as Democrats, or are currently covered by the program are more likely than their counterparts to say they have a very favorable view of Medicaid (Table 4). Texas Residents’ Views on State and National Health Policy Priorities 10 Table 4: Views on Medicaid by Key Demographic Groups In general, do you have a favorable or an unfavorable opinion of Medicaid? NET Favorable Party Identification Total Dem. 71% 78% Race/Ethnicity Income (% of FPL) Ind. Rep. White Black Hisp. 71% 60% 64% 72% 78% Less than 138% Medicaid Connection 138%250% 250% or more Currently covered Any connection 75% 66% 70% 76% 73% No connection 65% Very favorable 34 45 32 22 23 45 44 45 34 24 50 37 25 Somewhat favorable 37 32 39 38 41 27 35 30 32 46 27 35 40 NET Unfavorable 26 20 24 36 31 25 19 20 28 27 21 25 29 Somewhat unfavorable 17 13 17 22 21 19 13 15 18 17 13 17 19 Very unfavorable 8 7 7 14 10 6 6 5 10 10 8 8 10 NOTE: Don’t know/Refused responses not shown. When asked whether Medicaid is working well for most low-income people covered by the program, six in ten Texans (60 percent) say it is working well, somewhat higher than the 52 percent of adults nationally who said so in a February 2018 KFF poll. Majorities across race/ethnicity, income, and political party in Texas say Medicaid is working well, as do 64 percent of those with a personal connection to Medicaid, including 68 percent of those who are currently covered by the program (Table 5). Table 5: Perceptions of the Medicaid Program on Low-Income People in Texas Would you say the current Medicaid program is working well for most low-income people covered by the program in Texas, or not? Party Identification Race/Ethnicity Income (% of FPL) Medicaid Connection Total Dem. Ind. Rep. White Black Hisp. Less than 138% 138%250% 250% or more Currently covered Any connection No connection 60% 59% 58% 63% 53% 54% 71% 66% 60% 56% 68% 64% 49% Not working well 33 38 36 28 38 41 24 30 35 35 30 32 38 Don’t know 7 3 6 9 9 5 4 4 5 9 2 4 12 Working well NOTE: Refused responses not shown. Texas Residents’ Views on State and National Health Policy Priorities 11 While most Texans have a favorable view of Medicaid, knowledge about the program is somewhat mixed. When asked whether Texas has expanded Medicaid under the ACA, about half (51 percent) of Texans correctly answer that the state has not expanded, but one in five (19 percent) incorrectly think it has expanded and three in ten (31 percent) say they don’t know. When asked whether they think Texas should expand Medicaid under the health care law, about two-thirds (64 percent) of Texans say the state should expand its program, while about a third (34 percent) say Medicaid should be kept as it is today (Figure 9). Figure 9 Half of Texans Know Texas Has Not Expanded Medicaid; Two in Three Say It Should As you may know, under the health care law, states have the option of expanding their Medicaid program to cover more low-income uninsured adults. As far as you know, has Texas expanded its Medicaid program, or not? Yes 19% No (CORRECT ANSWER) 51% For states that expand Medicaid to cover more low-income uninsured adults, the federal government pays at least 90 percent of the costs of expansion. Do you think Texas should…?1 Keep Medicaid as it is today 34% Don’t know 31% Expand Medicaid to cover more low-income uninsured people 64% Other/Don’t know/Refused 2% 1 Respondents who said “Yes” to the first question were read “Though not everyone is aware, Texas has not expanded Medicaid under the health care law.” before receiving the second question. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Partisans differ somewhat in both their awareness and opinions of state Medicaid expansion. Democrats are somewhat more likely than Republicans and independents to know that Texas has not expanded its Medicaid program (62 percent, 43 percent, and 52 percent, respectively). The difference is even bigger on the question of what the state should do, with Democrats more than twice as likely as Republicans to want Medicaid expansion in the state (82 percent versus 37 percent). In addition, large shares of Texans with lower incomes – who are more likely to benefit from Medicaid expansion in the state – support such an expansion (75 percent of those with incomes below 138 percent of the federal poverty level and 68 percent of those with incomes between 138 and 250 percent of poverty). Still, there is majority support for expansion in Texas among those who are less likely to be eligible for Medicaid under expansion themselves, with 54 percent of individuals with incomes at least 250 percent of the poverty level saying the state should expand Medicaid (Figure 10). Texas Residents’ Views on State and National Health Policy Priorities 12 Figure 10 Support for Medicaid Expansion in Texas Higher Among Democrats, Independents, and Lower-Income Residents As far as you know, has Texas expanded its Medicaid program, or not? No (CORRECT ANSWER) Yes Don’t know Total Democrats Independents Republicans 51% 19% 62% 52% 43% 31% Do you think Texas should…? Expand Medicaid Keep Medicaid as it is 64% 14% 23% 23% 18% 82% 25% 39% Under 138% FPL 49% 22% 29% 138%-250% FPL 52% 20% 28% 250%+ FPL 54% 15% 31% 34% 18% 71% 37% 28% 59% 75% 68% 54% 23% 30% 43% NOTE: Don’t know/Refused and “Other/Neither (Vol.)” responses not shown. Question wording abbreviated. See topline for full question wording. SOURCE: KFF/Episcopal Health Foundation Texas Health Policy Survey (conducted March 28-May 8, 2018) Texas Residents’ Views on State and National Health Policy Priorities 13 Endnotes 1 Kaiser Family Foundation estimates based on the Census Bureau's March Current Population Survey (CPS: Annual Social and Economic Supplements), 2014-2017, https://www.kff.org/other/state-indicator/adults-19-64/ 2 Kirzinger A, Wu B, Munana C, and Brodie M, Kaiser Health Tracking Poll: Preview of the Role of Health Care in the 2018 Midterm Campaigns, May 2018, https://www.kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-previewrole-of-health-care-2018-midterm-campaigns/ 3 Texas Health and Human Services, Healthcare Statistics, data for February 2018 accessed May 31, 2018: https://hhs.texas.gov/about-hhs/records-statistics/data-statistics/healthcare-statistics 4 Kaiser Family Foundation estimates based on the Census Bureau's March Current Population Survey (CPS: Annual Social and Economic Supplements), 2014-2017, https://www.kff.org/medicaid/state-indicator/distribution-by-gender-4/ 5 Kaiser Family Foundation estimates based on the Census Bureau's March Current Population Survey (CPS: Annual Social and Economic Supplements), 2014-2017, https://www.kff.org/medicaid/state-indicator/distribution-byraceethnicity-4/ 6 Kaiser Family Foundation estimates based on the Census Bureau's March Current Population Survey (CPS: Annual Social and Economic Supplements), 2014-2017, https://www.kff.org/medicaid/state-indicator/distribution-byemployment-status-4/ 7 Kirzinger A, Wu B, and Brodie M, Kaiser Health Tracking Poll – February 2018: Health Care and the 2018 Midterms, Attitudes Towards Proposed Changes to Medicaid, March 2018, https://www.kff.org/health-reform/poll-finding/kaiserhealth-tracking-poll-february-2018-health-care-2018-midterms-proposed-changes-to-medicaid/ Texas Residents’ Views on State and National Health Policy Priorities 14 THE HENRY J. KAISER FAMILY FOUNDATION Headquarters 185 Berry Street Suite 2000 San Francisco CA 94107 650 854 9400 Washington Offices and Conference Center 1330 G Street NW Washington DC 20005 202 347 5270 This publication (#9202) is available on the Kaiser Family Foundation’s website at kff.org. The Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. Filling the need for trusted information on national health issues. EPISCOPAL HEALTH FOUNDATION 500 Fannin, Suite 300 Houston, TX 77002 Phone: 713-225-0900 www.episcopalhealth.org By providing millions of dollars in grants, working with congregations and community partners, and providing important research, the Episcopal Health Foundation supports solutions that address the underlying causes of poor health in Texas.