As part of the LBJ School of Public Affairs’s series of year-long Policy Research Projects (PRPs), Professors Sam Richardson and David Warner led a team of students in a study of the ongoing implementation of the Affordable Care Act (ACA) in Texas. The PRP delivered 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. Professor Warner recently presented the study findings at the National Press Club in Washington, DC, and Professor Richardson is continuing the study of the implementation of the ACA with a new class of students this fall.
The study focuses on the following three issues:
- Who governs (agencies, offices, program leaders);
- The interagency and federal-state relationships that develop; and
- State-level operations of the principal coverage-expanding policies adopted in the new law.
During fall semester of 2013, 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. In the spring semester, the PRP produced additional analyses looking at implementation issues in early 2014 and how various populations and markets are affected by the roll-out of the ACA in Texas.
- Warner/Richardson PRP December 2013 Report: “Managing Health Reform: Texas” (PDF)
- Warner/Richardson PRP Final Report. May 2014: “Enrolling in Health Insurance through the Affordable Care Act”
- Description of national project: “Rockefeller-Fels Institutes Field Network Study of the Implementation of the Affordable Care Act: Project Description” (PDF)
- LBJ School Feature 2/10/2014: “LBJ School Researchers Investigate Implementation of Affordable Care Act in Texas”
- KUT News 1/15/2014: “Despite Increased Enrollment, Online Spanish Sign-Up Faces Challenges”
- KUT News 12/3/2013: “How Texas’ Hands Off Approach to Obamacare Impacts Canceled Health Plans”
September 1, 2014