DEFEND FORGOTTEN AMERICA: TEXAS MODEL SHOWS STATES CAN PROTECT HOSPITALS WITHOUT EXPANDING MEDICAID

DFA continues its national push to spotlight locally driven healthcare solutions that protect hospitals, patients, and taxpayers

WASHINGTON, D.C. — As rural and small urban hospitals face growing financial pressure, Texas offers a powerful blueprint for protecting healthcare access without expanding Medicaid.

Defend Forgotten America (DFA) today released the latest installment in its provider tax series, featuring Bell County Judge David Blackburn and Texas’s use of Local Provider Participation Funds, known as LPPFs.

According to the analysis featured in the video, Texas taxpayers have saved an estimated $19 billion compared to states that expanded Medicaid.

“Texas is proving states do not have to choose between hospital closures and Medicaid expansion,” said DFA Founder and CEO Jenn Pellegrino. “Local Provider Participation Funds give communities a conservative, locally controlled way to support hospitals, protect patients, and save taxpayers billions.”

LPPFs allow local communities to help fund hospitals serving Medicaid and uninsured patients while keeping decisions closer to the people affected. In Texas, the model has strengthened healthcare access without forcing the state into full Medicaid expansion.

“This is exactly the kind of local solution Washington should be encouraging,” Pellegrino added. “When communities find a responsible way to protect hospitals without expanding government dependency, that is a success story.”

The video is part of DFA’s broader effort to lead the national conversation on provider taxes, rural hospital stability, and state-based healthcare solutions that protect forgotten communities across America.

The video can be viewed below.

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