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http://www.nbcdfw.com/news/health/Do...-98202569.html

Doctors Threaten to Pull Out of Texas Medicaid

Updated 9:42 AM CDT, Mon, Jul 12, 2010

Cuts to the reimbursements given to doctors who treat patients covered by the state's low-income health care program are raising fears that already declining physician participation will fall even further, according to a published report.

The health care and insurance industries fear that a 1 percent cut in Medicaid fees scheduled to take effect Sept. 1 will be the first in a series of cuts as state agencies are asked to trim their two-year budgets by 10 percent to help cover an expected $18 billion revenue shortfall, The Dallas Morning News reported Sunday.

About 3.3 million poor and disabled Texans depend on Medicaid for health care, but less than a third of the state's 48,700 practicing doctors accept patients covered by the federal program, according to Texas Health and Human Services Commission. And some doctors who do participate in the program limit the number and kind of patients they accept.

The commission, which administers the program in Texas, is among the state agencies that state leaders expect to cut spending. Thomas Suehs, the commission's top executive, said he realizes the bind that physicians find themselves in.