Impact of Medicaid Extension and Local Spending For Health Care by Texas Senate District

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8owl e (100) XRWWXRTWS V 2,112,466 $ 2,664,797 $ 29,248,340 $ S;RT;SRSSD V 79,364,402 $ ;ADRXDSR;SA V DR;SURSAX V 172,331,278 $
Camp (100) WDTRBAU V 2,333,867 $ 2,686,247 $ 4,673,099 $ DRSUTRSCX V 9,237,348 $ ;CRWXBRBDD V WSBRCTA V 20,081,187 $
Cass (100) ARBWWRDST V 260,823 $ 362,684 $ 1,068,733 $ ;RCS;RCST V 22,986,090 $ SXRTDDRX;S V ARBXXRUWU V 49,969,732 $
lrankl l n (100) DCXRUWU V 133,978 $ 326,373 $ - $ SAXRUDU V 6,837,670 $ ;BRTTTRDAD V X;CRDCD V 14,864,498 $
Cregg (100) ;BRWBTRUBT V 2,012,812 $ 2,761,742 $ 21,093,290 $ ASRWUDRBSA V 98,937,063 $ ;UTR;T;RDUX V WRWTXRWAA V 213,124,017 $
Parrl son (100) URCDARXST V 708,733 $ 1,433,931 $ 2,683,427 $ CR;STRSDW V 33,326,930 $ WXR;BWRU;X V CRW;ARSWX V 116,362,871 $
Lamar (100) SRCUBRDAX V 99,320 $ 4,491,033 $ 34,303 $ CRUCURSUX V 37,034,086 $ UTRUDXRUUX V SRSATRUWA V 80,308,868 $
Marl on (100) XXXRTTT V 4,000 $ 209,623 $ - $ ABTRXAU V 8,446,866 $ ;SRUWWRCSA V DUTRCAS V 18,362,748 $
Morrl s (100) TSURTUD V 131,693 $ 172,700 $ - $ ;DARDBB V 10,073,000 $ ;XRABCRSWD V TBURXAA V 21,897,823 $
anol a (100) ;RTASRWUX V 396,934 $ 1,177,840 $ - $ ;R;DDRWCB V 18,083,101 $ ATRBTSRC;U V ;RXAURTUD V 39,313,430 $
8ed 8l ver (100) WCUR;XS V 432,383 $ 323,127 $ - $ UAUR;AD V 9,370,480 $ ;URSTURTWU V WXBRCCA V 20,803,387 $
8usk (100) SRSDCRWSU V 418,483 $ 314,484 $ 4,337,434 $ CRWU;RTSW V 43,962,097 $ DBRDA;RX;C V SRTUARCU; V 93,369,739 $
Sml Lh (100) ;DRBBUR;TC V 3,298,637 $ 4,217,237 $ 79,302,666 $ WSRU;TRTBS V 113,333,922 $ ;WURUXTRSB; V ;BRSDBRTTX V 230,769,332 $
1l Lus (100) ;RTTSR;T; V 38,079 $ 2,664,843 $ - $ ARXXCRWCU V 22,991,736 $ SXRTWXRXTX V ARBXDRBTA V 49,982,027 $
upshur (100) ARWCURDAS V 333,033 $ 383,011 $ - $ SWSRB;; V 27,638,642 $ CCRCXAR;UB V ARCWCRWDX V 60,083,993 $
Wood (100) ARDWWRBWD V 209,018 $ 382,103 $ - $ UWAR;BS V 26,678,770 $ CART;WRB;B V ARSTWRUDW V 37,997,317 $
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Download this one-pager at www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid
Download the Iull report at www.mhm.org
Download the executive summary at www.texasimpact.org
For more information about the report, Smart, Affordable and Fair call Texas Impact at 512/472-3903 or
email medicaidreporttexasimpact.org

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8owl e (100) 3,387 42,340,327 $ 1,628,474 $ CSRTXWRWB; V 2,011 3,483,243 $ 2,812,363 $ WRATDRXBX V UARAXXRCBD V
Camp (100) 630 4,928,037 $ 189,341 $ UR;;DRUTW V 308 838,741 $ 430,033 $ ;RAXWRDDX V XRSWXRSDC V
Cass (100) 1,618 12,262,911 $ 471,630 $ ;ARDSCRUX; V 387 1,602,016 $ 821,377 $ ARCASRSTA V ;UR;UDRTUS V
lrankl l n (100) 481 3,647,847 $ 140,302 $ SRDWWR;CT V 204 336,363 $ 283,338 $ WC;RTA; V CRXSBRBDB V
Cregg (100) 6,966 32,792,869 $ 2,030,493 $ UCRWASRSXC V 2,803 7,644,232 $ 3,919,308 $ ;;RUXSRUCB V XXRSWXRTBU V
Parrl son (100) 3,768 28,336,223 $ 1,098,316 $ ATRXUCRUC; V 1,448 3,948,830 $ 2,024,632 $ URTDSRCWA V SURXAWRBAC V
Lamar (100) 2,607 19,737,414 $ 739,901 $ ABRU;DRS;C V 974 2,633,671 $ 1,361,601 $ CRB;DRADA V ACRUSCRUWX V
Marl on (100) 393 4,306,341 $ 173,321 $ CRXDTRXXA V 166 432,797 $ 232,136 $ XWCRTUS V URSXCRX;U V
Morrl s (100) 709 3,373,872 $ 206,687 $ URUWBRUUT V 239 706,263 $ 362,112 $ ;RBXWRSDD V XRXCWRTSD V
anol a (100) 1,273 9,648,269 $ 371,087 $ ;BRB;TRSUX V 471 1,283,743 $ 638,193 $ ;RTC;RTCB V ;;RTX;RATX V
8ed 8l ver (100) 674 3,103,781 $ 196,376 $ URSBAR;UD V 223 614,393 $ 313,008 $ TATRCB; V XRAS;RUUW V
8usk (100) 3,093 23,433,437 $ 902,036 $ ACRSUURU;S V 1,048 2,837,461 $ 1,463,062 $ CRSAARUAS V AWRXDWRBSX V
Sml Lh (100) 8,120 61,340,472 $ 2,366,941 $ XSRTBDRC;C V 4,441 12,112,733 $ 6,210,372 $ ;WRSASR;BU V WARASBRU;T V
1l Lus (100) 1,618 12,263,923 $ 471,766 $ ;ARDSDRXWT V 962 2,623,270 $ 1,344,988 $ SRTXWRAUT V ;XRDBURTCW V
upshur (100) 1,946 14,743,013 $ 367,116 $ ;URS;AR;AT V 733 1,999,834 $ 1,023,334 $ SRBAURABW V ;WRSSDRSSX V
Wood (100) 1,878 14,232,929 $ 347,420 $ ;CRDWBRSCT V 646 1,761,131 $ 902,967 $ ARXXCR;;T V ;DRCCCRCXW V
noLe: new local Lax revenues are an allocaLlon of Lhe sLaLewlde esLlmaLe based on Lhe counLy share of sLaLe personal lncome and furLher allocaLed ln parLlal counLles accordlng Lo Lhe share of
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sLays. 2016 ls Lhe flrsL full year of lmplemenLaLlon, Lhe federal maLch raLe falls Lo 93 percenL ln 2017 and Lo 90 percenL by 2020. lor full counLy-level daLa, see Appendlx C, and for furLher noLes and
cauLlons ln lnLerpreLlng Lhese daLa, see Appendlx A, ln "SmarL, Affordable and lalr: Why 1exas Should LxLend Medlcald Lo Low-lncome AdulLs," aL
hLLp://www.mhm.org/lmages/sLorles/advocacy_and_publlc_pollcy/SmarL20Affordable20and20lalr_lnL_luLL.pdf.

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uel La (100) 231 1,900,736 $ 73,103 $ )CHE1C2D) G 90 243,673 $ 123,961 $ 1E)C*1* G 'C1DFCDE2 G
lannl n (100) 1,727 13,083,238 $ 303,279 $ )1CF22CF1E G 367 1,346,647 $ 792,988 $ 'C11HC*1F G )FCH'2C)E) G
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kaufman (100) 2,097 13,889,672 $ 611,141 $ )*CF((C2)1 G 1,297 3,337,067 $ 1,813,303 $ FC1F(CFE1 G ')C2F)C12F G
8al ns (100) 494 3,747,231 $ 144,123 $ 1C2H)C1EE G 176 479,867 $ 246,034 $ E'FCH() G DC*)EC'EE G
8ockwal l (100) 1,346 11,717,692 $ 430,680 $ )'C)*2C1E' G 969 2,642,347 $ 1,334,872 $ 1CHHECD)H G )*C)*FCEH) G
van ZandL (100) 2,393 18,131,879 $ 698,149 $ )2C2F(C('2 G 940 2,364,620 $ 1,314,918 $ 1C2EHCF1E G ''CE'HCF*F G
noLe: new local Lax revenues are an allocaLlon of Lhe sLaLewlde esLlmaLe based on Lhe counLy share of sLaLe personal lncome and furLher allocaLed ln parLlal counLles accordlng Lo Lhe share of
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sLays. 2016 ls Lhe flrsL full year of lmplemenLaLlon, Lhe federal maLch raLe falls Lo 93 percenL ln 2017 and Lo 90 percenL by 2020. lor full counLy-level daLa, see Appendlx C, and for furLher noLes and
cauLlons ln lnLerpreLlng Lhese daLa, see Appendlx A, ln "SmarL, Affordable and lalr: Why 1exas Should LxLend Medlcald Lo Low-lncome AdulLs," aL
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Download this one-pager at
www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid

For more information about the report, Smart, Affordable and Fair call Texas
Impact at 512/472-3903 or email medicaidreporttexasimpact.org

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:-1&6-%& N(&$3 ;TOTB; ;CBORQCOBPH S DDOE;QO;DQ S ;DPOBCQOREE S DRODEC PDO;PROBQT S BDODTHO;DT S EBORP;ORTH S ;QEOQRDODEP S
Anderson (100) 3,833 29,218,922 $ 1,123,803 $ ;CO;PBOQBQ S 967 2,637,213 $ 1,332,138 $ ;OTHTO;R; S ;PO;;BOCHC S
Angel l na (100) 4,643 33,186,209 $ 1,333,316 $ ;EOR;TORBR S 2,039 3,361,940 $ 2,831,687 $ HOPD;OEBE S PPOTR;ODRB S
Cherokee (100) 2,694 20,417,098 $ 783,273 $ BDOBCBO;QD S 1,182 3,223,719 $ 1,632,847 $ POHQEORER S BEOCQHOT;Q S
Pardl n (100) 2,091 13,847,300 $ 609,319 $ DEOPRQOCDT S 827 2,234,962 $ 1,136,132 $ ;OPDDODDP S DTOHEHOD;; S
Penderson (100) 3,730 28,273,073 $ 1,087,426 $ BTO;ECOPTT S 1,402 3,822,936 $ 1,960,073 $ ROQH;OCDD S ;RODP;ORDC S
PousLon (100) 1,411 10,696,333 $ 411,403 $ DDODCQOTPD S 429 1,169,316 $ 399,323 $ DOQEHOHPD S DBOHQEOQHD S
!asper (100) 1,876 14,217,867 $ 346,841 $ DPOQEPOQCH S 702 1,914,934 $ 981,823 $ BOHTEOQQT S DQOEEDOPHH S
Ll berLy (100) 2,110 13,989,076 $ 614,964 $ DEOECPOCPD S 981 2,676,389 $ 1,372,326 $ POCPHOTDP S BCOERBOTRR S
MonLgomery (14) 1,749 13,234,722 $ 309,797 $ D;OQEPORDT S 924 2,320,798 $ 1,292,449 $ ;OHD;OBPQ S DQORQQOQEE S
nacogdoches (100) 3,816 28,923,721 $ 1,112,431 $ ;COC;EODQB S 1,419 3,870,103 $ 1,984,237 $ ROHRPO;EC S ;ROHTCOR;B S
newLon (100) 808 6,120,912 $ 233,420 $ EO;REO;;B S 263 723,081 $ 370,734 $ DOCT;OHDR S QOPRCODPQ S
Crange (100) 3,276 24,827,047 $ 934,886 $ BROQHDOT;P S 1,287 3,309,388 $ 1,799,416 $ RO;CTOCCP S ;DOCTCOT;Q S
ol k (100) 2,403 18,230,198 $ 701,161 $ DHOT;DO;RT S 787 2,146,273 $ 1,100,426 $ ;OBPEOQCD S BBODQHOCEC S
Sabl ne (100) 478 3,620,737 $ 139,239 $ ;OQRTOTTE S 134 420,396 $ 213,343 $ E;ROT;T S PO;TROT;R S
San AugusLl ne (100) 474 3,390,614 $ 138,101 $ ;OQBHOQDP S 136 423,728 $ 218,277 $ EPPOCCP S PO;QBOQDT S
San !acl nLo (100) 1,322 10,013,763 $ 383,222 $ DCOPCCOTHE S 303 1,371,316 $ 703,196 $ BOCQPOQDB S DBOPQROETH S
Shel by (100) 1,333 10,121,194 $ 389,277 $ DCORDCOPQC S 383 1,389,301 $ 814,838 $ BOPCPODRT S DBOTDPOE;C S
1rl nl Ly (100) 696 3,277,480 $ 202,980 $ ROPHCOPEC S 237 643,974 $ 331,200 $ TQQODQP S EOPRQOE;P S
1yl er (100) 1,133 8,741,379 $ 336,213 $ TOCQQOQT; S 316 860,889 $ 441,390 $ DO;CBOBQT S DCO;HCOCQB S
noLe: new local Lax revenues are an allocaLlon of Lhe sLaLewlde esLlmaLe based on Lhe counLy share of sLaLe personal lncome and furLher allocaLed ln parLlal counLles accordlng Lo Lhe share of counLy
populaLlon. varlaLlons ln personal lncome or Lhe concenLraLlon of dlrecL healLh care spendlng ln parLs of counLles could alLer Lhese allocaLlons. 8emalnlng columns reflecL allocaLlons of sLaLewlde
esLlmaLes accordlng Lo Lhe counLy share of adulLs below 138 lL or chlldren below 200 lL, as appllcable, and furLher allocaLed for parLlal counLles accordlng Lo Lhe share of Lhe counLy's LoLal
populaLlon. varlaLlons ln percenLages of adulLs below 138 lL and chlldren below 200 lL could alLer Lhese esLlmaLes. PosplLal charlLy cosL daLa exclude cerLaln hosplLals, such as Lhose exempL
from reporLlng, hosplLals LhaL reporL by sysLem, and oLhers, resulLlng ln a conservaLlve esLlmaLe of unrelmbursed charlLy cosLs. Medlcald exLenslon Lo adulLs would noL relleve all local unrelmbursed
cosLs due Lo lnellglble adulLs, such as undocumenLed lmmlgranLs, people served wlLh lncomes above 138 lL or healLh care for lncarceraLed adulLs oLher Lhan lnpaLlenL hosplLal sLays. 2016 ls Lhe flrsL
full year of lmplemenLaLlon, Lhe federal maLch raLe falls Lo 93 percenL ln 2017 and Lo 90 percenL by 2020. lor full counLy-level daLa, see Appendlx C, and for furLher noLes and cauLlons ln lnLerpreLlng
Lhese daLa, see Appendlx A, ln "SmarL, Affordable and lalr: Why 1exas Should LxLend Medlcald Lo Low-lncome AdulLs," aL

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Cal vesLon (1) 70 328,798 $ 20,338 $ P;RNCGD Q 34 92,939 $ 47,661 $ C;BNDAB Q DHRNOPD Q
Parrl s (3) 4,341 34,413,836 $ 1,323,610 $ GPNOGON;DD Q 3,201 8,729,008 $ 4,473,488 $ CGNAB;N;RD Q ;HNR;CNRDA Q
!efferson (100) 14,168 107,378,033 $ 4,129,924 $ CCCNPBONRPH Q 3,213 14,218,403 $ 7,289,980 $ ACNPBHNGHG Q CGGNBCDNG;C Q
MonLgomery (86) 10,487 79,480,716 $ 3,036,931 $ HANPGONDDD Q 3,343 13,113,732 $ 7,730,033 $ AANHDPNOHP Q CBPN;BGN;PC Q

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:-1&6-%& L(&$3 N@MQFG F@;MN@CM;AA P B@M;BCMNAN P FFOMQN@MQAN P BNMFNB FQMBB@MNAB P @AMA;FMNQB P ;QMBC;MGQ@ P FQOMBAGMOQC P
8razos (100) 17,138 130,039,263 $ 3,001,310 $ BF;MANAMOOC P 3,724 10,133,334 $ 3,206,888 $ B;MFC@MN@@ P B;AMNAFMBQG P
lreesLone (100) 1,074 8,139,127 $ 313,043 $ GMN;@MBOA P 381 1,040,121 $ 333,283 $ BM;OFMNAC P BAMA@;M;OC P
Crl mes (100) 1,343 11,711,667 $ 430,449 $ B@MBC@MBBC P 343 1,480,204 $ 738,922 $ @M@FQMB@; P BNMNABM@NB P
Leon (100) 779 3,907,042 $ 227,194 $ CMBFNM@FC P 299 813,363 $ 418,048 $ BM@FFMNBB P OMFCOMCNO P
Ll mesLone (100) 1,289 9,768,739 $ 373,722 $ BAMBNNMNGB P 302 1,369,463 $ 702,144 $ @MAOBMCBA P B@M@BCMAQA P
Madl son (100) 838 6,332,836 $ 244,341 $ CM;QOMBQO P 262 713,698 $ 366,949 $ BMAG@MCNO P OMCOQMGNN P
Ml l am (100) 1,172 8,883,133 $ 341,660 $ QM@@NMGB; P 381 1,384,380 $ 812,334 $ @MFQCMOBN P BBMC@BM;@Q P
8oberLson (100) 906 6,867,933 $ 264,132 $ OMBF@MBA; P 381 1,039,711 $ 333,073 $ BM;O@MOG; P GMOANMGQA P
Wal ker (100) 4,773 36,174,231 $ 1,391,317 $ FOM;C;M;NO P 1,064 2,902,987 $ 1,488,403 $ NMFQBMFQB P NBMQ;CMQFG P
Wl l l l amson (100) 13,403 101,382,443 $ 3,907,017 $ BA;MNGQMNC@ P 6,603 18,008,939 $ 9,233,442 $ @OM@N@MFGB P BF@MOFBMGNF P

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:-1&6-%& G(&$3 XBSD@;SXTC W BCS;TTS@X; W BB;SUVVSDCA W ;VSDUTSXVV W BX@SDCUSVUV W TX;S;XUS;V; W ;@@SA;VSDUC W TCSD;VS;DC W XCAS;@USVC@ W
!"##$ % '()*+ XBSD@;SXTC W ,-./00.(1/ 2 ,,/.344.5-) 2 /4.530.144 2 BX@SDCUSVUV W 01/./13./4/ 2 ;@@SA;VSDUC W TCSD;VS;DC W 1-)./(3.4-( 2
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:-1&6-%& L(&$3 @OM@@A @A;M@R;MARR Q OMRENMN;P Q @BNM@EAMP;N Q BRMBFO P@ME@;M;A; Q @;MF@FM;AN Q ORMBPPM@BA Q @REMEFPMOON Q
Parrl s (20) 27,220 206,296,099 $ 7,934,463 $ @BNM@EAMP;N Q 19,187 32,326,606 $ 26,828,604 $ ORMBPPM@BA Q @REMEFPMOON Q

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7(1#-&$31
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4&$&+F-,+ G(&$3 ASCBCSTUASTVA W AVXSUA;SBTB W ASVDDSBT;SYXX W CSXTYSY;TSXYA W DSTXBS;CCSVVB W CDSA;DSBATSBTC W AASUYASVVASTXY W CSAXTSTCXSYCC W TCSBTBSD;USVCD W
:-1&6-%& G(&$3 XCSTYDSDXU W CDSVYXSDB; W CCYSDT;SABD W YVSVBASCVB W CXCSUTUSTVD W TXDSU;VSAAT W YCUSTB;S;UV W TDSYCCSVTY W XTYSUBASVCV W
!"##$ % '()*+ XCSTYDSDXU W ,-./01.-)2 3 ,,0.-42.()- 3 0/./)(.,/) 3 CXCSUTUSTVD W 41-.52/.((4 3 YCUSTB;S;UV W TDSYCCSVTY W 140.5)(./,/ 3
!"!#$%&% ($ (&##$ )!*&#+," -,"%.#+&"/
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J+,+6$3 J?0,1
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E33 J?0,1
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FABBI J=2
.06(33++1
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J+,+6$3 J?0,1
*(,+6$&+
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4&$&+ J?0,1
*(,+6$&+
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E33 J?0,1
*(,+6$&+
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98-3,6+0
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4&$&+L-,+ M(&$3 CNBBON;;C ;NDCPNBHDN;GG Q ARANHH;NRPC Q ;NRB;NR;ONDHO Q PPBNCHR CNPBBNORPNGHO Q ;DRNGAPNP;D Q ANADRNHABNRDB Q CBNC;;N;RPNDOO Q
:-1&6-%& M(&$3 A;NBRR ABPNGHCNODA Q ;NHRRNAH; Q ACGNAHBN;OR Q CRNCBA PANBRONDCB Q ADN;BRNDPD Q ;HNHBONADD Q ARANBHPNBCP Q
Parrl s (20) 27,099 203,381,462 $ 7,899,287 $ ACGNAHBN;OR Q 19,102 32,094,610 $ 26,709,636 $ ;HNHBONADD Q ARANBHPNBCP Q

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7(1#-&$3 :-1&6-%&
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7(1#-&$31
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4&$&+G-,+ H(&$3 ATCBCTUVATUWA X AW;TVAETBUB X ATWDDTBUETY;; X CT;UYTYEUT;YA X DTU;BTECCTWWB X CDTAEDTBAUTBUC X AATVYATWWATU;Y X CTA;UTUC;TYCC X UCTBUBTDEVTWCD X
:-1&6-%& H(&$3 ;DTVD;TUDB X YTUVYTUWC X UCTEABTWBD X CAT;DVTVEW X DDTWEBTDEV X AEATU;YTEW; X DU;TC;ETAEC X ADTD;VTCEC X WVATCDWTBAD X
!"# # $ % '()*+ EAT;BVTEBA X ),(-.,-/0 1 0,0..,-/( 1 2 1 ETEAATDC; X .//,.33,43/ 1 UUVT;CCTBCA X C;TVVCTCEU X -)4,.5-,/.5 1
67# # 78 ')*+ CATCU;TYUE X ))3,43- 1 .3,44(,5() 1 /.,(-4,40) 1 UYT;D;TBYC X 9/,/).,(.0 1 V;TUEYTAWV X WTDVETVVV X /3.,4-5,45- 1
!"!#$%&% ($ (&##$ )!*&#+," -,"%.#+&"/
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!"#$%& () *+,-%$-, ./&+01-(0 $0, 2(%$3 4#+0,-05 )(6 7+$3&8 9$6+
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FCG;H I>2
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I+,+6$3 I?0,1
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4&$&+ I?0,1
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E33 I?0,1
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FABBH I>2
.06(33++1
*(,+6$&+
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I+,+6$3 I?0,1
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4&$&+ I?0,1
*(,+6$&+
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E33 I?0,1
*(,+6$&+
4%+0$6-(
ABCD E,?3&1 J
98-3,6+0
E33 I?0,1
*(,+6$&+
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4&$&+K-,+ L(&$3 CMBBNMOOC OMDCPMB;DMOGG Q ARAM;;OMRPC Q OMRBOMRONMD;N Q PPBMC;R CMPBBMNRPMG;N Q ODRMGAPMPOD Q AMADRM;ABMRDB Q CBMCOOMORPMDNN Q
:-1&6-%& L(&$3 CRMCON CNPMGCDMGNB Q PMP;RMBRB Q CPBMRBPMNGB Q CCMABB GBMPNNMD;N Q CPMDDBMDRR Q NDMABPMG;G Q CROMCCBM;CG Q
Col l l n (83) 14,869 112,691,733 $ 4,334,298 $ CCOMBADMBPG Q 8,146 22,216,068 $ 11,390,498 $ GGMDBDMPDP Q CPBMDGAMDCR Q
ual l as (3) 4,303 32,624,383 $ 1,234,792 $ GGM;ORMGOO Q 3,034 8,328,616 $ 4,270,201 $ CAMPR;M;CO Q NDMNO;MCRN Q

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4+0$&+ :-1&6-%& ; < 4+0$&(6 =+33> 7$0%(%?
9(@0&>
ABCD<ABCE F+G
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98$6-&> 9$6+
9(1&1 )(6 2(%$3
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7(1#-&$31
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S+,+6$3 S@0,1
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4&$&+G-,+ H(&$3 ATCBCTU;ATUVA W AVXT;AETBUB W ATVDDTBUETYXX W CTXUYTYEUTXYA W DTUXBTECCTVVB W CDTAEDTBAUTBUC W AAT;YATVVATUXY W CTAXUTUCXTYCC W UCTBUBTDE;TVCD W
:-1&6-%& H(&$3 EATAEXTCAD W ;CDTEXA W CA;TXADTUDD W ECTYBUT;Y; W ABCTDAXTUCU W UECTCDYTXDD W V;ETBYATCDX W UUTUYXTAXD W XBYTXDBTXAE W
!"# # "$ &'() ABTBDYTBEY W '*+,-./ 0 1',21*,3'* 0 /*,//3,-'' 0 YBTXVCTX;B W *33,'.',++/ 0 CYATDYCTAUC W ;TBE;TVDV W /*',4+/,//- 0
5"66"78 &1+() VATAUATBDX W 9 0 '3,*'1,/41 0 43,1.1,*-3 0 CDBTVEYTDAU W /-3,*4-,+3/ 0 DUDTYBBT;CE W ADTAXXTEU; W 4.-,/'.,233 0
!"!#$%&% ($ (&##$ )!*&#+," -,"%.#+&"/
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!"#$%& () *+,-%$-, ./&+01-(0 $0, 2(%$3 4#+0,-05 )(6 7+$3&8 9$6+
4+0$&+ :-1&6-%& ; < 4+0$&(6 =+33> 7$0%(%?
9(@0&>
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FCGHI JK2
.06(33++1
*(,+6$&+
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J+,+6$3 J@0,1
*(,+6$&+
4%+0$6-(
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4&$&+ J@0,1
*(,+6$&+
4%+0$6-(
ABCD E,@3&1
E33 J@0,1
*(,+6$&+
4%+0$6-(
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FABBI JK2
.06(33++1
*(,+6$&+
4%+0$6-(
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J+,+6$3 J@0,1
*(,+6$&+
4%+0$6-(
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4&$&+ J@0,1
*(,+6$&+
4%+0$6-(
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E33 J@0,1
*(,+6$&+
4%+0$6-(
ABCD E,@3&1 L
98-3,6+0
E33 J@0,1
*(,+6$&+
4%+0$6-(
4&$&+M-,+ N(&$3 COBBPOQQC QODCROBHDOQGG S A;AOHHQO;RC S QO;BQO;QPODHP S RRBOCH; CORBBOP;ROGHP S QD;OGARORQD S AOAD;OHABO;DB S CBOCQQOQ;RODPP S
:-1&6-%& N(&$3 ADOCAD C;HOBBPOCAG S QODCRORPG S ABRODC;ODDD S CQORHQ PQO;DGOCDC S APOR;COPBG S QAORRPORDP S AQHOCQPOAGB S
ual l as (9) 7,109 33,877,128 $ 2,072,197 $ RRO;P;OGAR S 3,043 13,734,103 $ 7,031,927 $ ABOHBDOBGB S QDOQRROGRR S
1arranL (34) 19,017 144,126,993 $ 3,343,346 $ CP;ODQBOGPC S 12,343 34,209,038 $ 17,339,476 $ RCOQPHORGR S ABCOPCHOHQD S

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9(A0&?
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4&$&+F-,+ G(&$3 BR;<;RSTBRSUB V BUWRTBDR<S< V BRUCCR<SDRXWW V ;RWSXRXDSRWXB V CRSW<RD;;RUU< V ;CRBDCR<BSR<S; V BBRTXBRUUBRSWX V ;RBWSRS;WRX;; V S;R<S<RCDTRU;C V
:-1&6-%& G(&$3 D;RW<TRS;W V = V ;BSRTTWRWT< V XTRBXDRCUX V ;TSRBXXRSCD V SD;RC;XR<<T V UTDRCTUR;UB V SSRSTBRCWS V W<DRCBURTXW V
!"##"$% '()*+ D;RW<TRS;W V , - ./012231324 - )21/)51(6) - ;TSRBXXRSCD V 05.1(.)1442 - UTDRCTUR;UB V SSRSTBRCWS V 3451(/612)3 -
!"!#$%&% ($ (&##$ )!*&#+," -,"%.#+&"/
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4+0$&+ :-1&6-%& ;< = 4+0$&(6 >+0,? :$@-1
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*(,+6$&+
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98-3,6+0
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4&$&+L-,+ M(&$3 ;N<<ONPP; PNC;QN<GCNPFF R BSBNGGPNSQ; R PNS<PNSPONCGO R QQ<N;GS ;NQ<<NOSQNFGO R PCSNFBQNQPC R BNBCSNGB<NSC< R ;<N;PPNPSQNCOO R
:-1&6-%& M(&$3 BCN;OQ ;SGN;OPNPB< R PNCB;N<CC R B<QNPCGNPGP R ;PNBOQ OPN<F;N<P; R BON;;FNQ<P R P;N;OONQPP R BPCNS;FNFCO R
1arranL (46) 26,143 198,147,720 $ 7,621,066 $ B<QNPCGNPGP R 17,243 47,031,071 $ 24,113,307 $ P;N;OONQPP R BPCNS;FNFCO R

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4+0$&+ :-1&6-%& ;; < 4+0$&(6 2$66= >$=3(6
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Aransas (100) 1,088 8,247,368 $ 317,214 $ <MPCNMO<A Q 363 994,183 $ 309,733 $ ;MPBFMR;< Q ;BMBC<MOBB Q
AusLl n (100) 1,430 10,841,124 $ 416,966 $ ;;MAP<MBRB Q 626 1,708,243 $ 873,841 $ AMP<NMB<F Q ;FM<NAM;OF Q
8url eson (100) 872 6,608,899 $ 234,188 $ CM<CFMB<O Q 349 931,120 $ 487,633 $ ;MNF<MOOF Q <MFB;M<CB Q
Cal houn (100) 810 6,133,974 $ 233,999 $ CMFO;MROF Q 462 1,238,727 $ 643,367 $ ;MRBNMBRN Q <MAOCMBCO Q
Col orado (100) 1,041 7,889,109 $ 303,427 $ <M;RAMPFC Q 461 1,237,906 $ 644,947 $ ;MRBAM<PF Q ;BMBRPMF<R Q
ueWl LL (100) 1,131 8,369,880 $ 329,611 $ <M<RRMNR; Q 377 1,028,227 $ 327,187 $ ;MPPPMN;F Q ;BMNPNMRBN Q
layeLLe (100) 1,137 8,613,064 $ 331,349 $ <MRNCMN;A Q 460 1,234,213 $ 643,034 $ ;M<ROMACR Q ;BM<NFMC<A Q
lorL 8end (49) 9,132 69,210,213 $ 2,661,931 $ O;M<OAM;NC Q 3,034 13,784,070 $ 7,067,291 $ ABM<P;MFC; Q RAMOAFMPBO Q
Col l ad (100) 369 2,793,377 $ 107,313 $ AMRBAM<RA Q 137 372,409 $ 190,940 $ PCFMFNR Q FMNCCMAN; Q
Conzal es (100) 1,131 8,369,880 $ 329,611 $ <M<RRMNR; Q 301 1,367,004 $ 700,883 $ AMBCOM<<O Q ;BMRCOMFO< Q
Parrl s (1) 1,267 9,601,406 $ 369,283 $ RMROBMCR; Q 893 2,433,378 $ 1,248,633 $ FMC<NMBF; Q ;FMCPNMOAA Q
!ackson (100) 437 3,461,087 $ 133,119 $ FMPRNMABP Q 243 662,380 $ 339,612 $ ;MBB;MRR; Q NMPRCM;RO Q
Lavaca (100) 874 6,626,972 $ 234,884 $ CM<<;M<PC Q 364 992,344 $ 308,892 $ ;MPB;MNFC Q <MF<FMARA Q
Lee (100) 819 6,203,236 $ 238,664 $ CMNNFMR;R Q 391 1,066,780 $ 346,934 $ ;MC;FMOFN Q <MBPOMCPF Q
MaLagorda (100) 1,929 14,621,310 $ 362,366 $ ;PM;<FM<OC Q 948 2,386,337 $ 1,326,063 $ FMR;AMNAB Q ;RMBRCMARC Q
nueces (1) 196 1,483,133 $ 37,121 $ ;MPNAMAON Q 82 222,832 $ 114,249 $ FFOMB<; Q ;M<ORMFPP Q
8efugl o (100) 409 3,096,603 $ 119,100 $ FMA;PMOBF Q 163 444,184 $ 227,740 $ CO;MRAN Q FM<<OMCAO Q
vl cLorl a (100) 3,303 23,031,881 $ 962,763 $ APMRRNMCNP Q 1,803 4,922,938 $ 2,324,061 $ OMNNCMRRR Q FFMNN;MCNP Q
Wal l er (100) 1,337 10,130,230 $ 389,624 $ ;BMP;RM<PP Q 709 1,933,001 $ 991,077 $ AMRANMBO< Q ;FMNNFMRFF Q
Washl ngLon (100) 1,823 13,832,298 $ 332,011 $ ;NMFCNMF;B Q 671 1,831,283 $ 938,926 $ AMOOBMA;A Q ;OM;FNMPA; Q
WharLon (100) 2,161 16,374,646 $ 629,794 $ ;OMBBNMNNB Q 1,070 2,917,732 $ 1,493,974 $ NMN;FMOAC Q A;MN;<M;CC Q
cosLs due Lo lnellglble adulLs, such as undocumenLed lmmlgranLs, people served wlLh lncomes above 138 lL or healLh care for lncarceraLed adulLs oLher Lhan lnpaLlenL hosplLal sLays. 2016 ls Lhe
flrsL full year of lmplemenLaLlon, Lhe federal maLch raLe falls Lo 93 percenL ln 2017 and Lo 90 percenL by 2020. lor full counLy-level daLa, see Appendlx C, and for furLher noLes and cauLlons ln
lnLerpreLlng Lhese daLa, see Appendlx A, ln "SmarL, Affordable and lalr: Why 1exas Should LxLend Medlcald Lo Low-lncome AdulLs," aL

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8exar (29) 21,631 163,937,987 $ 6,303,307 $ ;PBNAOFNA<O R 10,937 29,827,401 $ 13,292,938 $ OQN;ABNFF< R A;QNFCFNCFF R
8rewsLer (100) 329 4,006,306 $ 134,089 $ ON;CBNF<Q R 164 448,286 $ 229,842 $ CPGN;AG R ONGFGNQAF R
CrockeLL (100) 199 1,309,142 $ 38,044 $ ;NQCPN;GC R 98 268,233 $ 137,327 $ OBQNPCB R ;N<PAN<OC R
ul mml L (100) 622 4,711,173 $ 181,199 $ ONG<ANFPO R 324 883,837 $ 433,166 $ ;NFFPNBAF R CNAA<NF<C R
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lrl o (100) 1,131 8,726,317 $ 333,633 $ <NBCAN;QF R 430 1,228,376 $ 629,806 $ ;NGQGN;GA R ;BN<ABNFFQ R
kl nney (100) 202 1,330,228 $ 38,833 $ ;NQG<NBGF R 71 193,387 $ 99,233 $ A<ANGOA R ;NGG;N<AQ R
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Medl na (100) 2,304 18,980,230 $ 730,010 $ ;<NP;BNACB R 1,086 2,962,868 $ 1,319,103 $ ONOG;N<PF R AON;<ANAFF R
ecos (100) 1,048 7,946,342 $ 303,629 $ GNAQ;N<PB R 393 1,071,292 $ 349,267 $ ;NCABNQQG R <NGPANQA< R
8eal (100) 143 1,087,426 $ 41,824 $ ;N;A<NAQB R 31 140,269 $ 71,918 $ A;AN;GC R ;NFO;NOFC R
8eeves (100) 1,008 7,642,104 $ 293,927 $ PN<FCNBF; R 333 914,207 $ 468,727 $ ;NFGAN<FO R <NF;GN<CQ R
1errel l (100) 32 397,618 $ 13,293 $ O;AN<;; R 19 30,838 $ 26,073 $ PCN<FF R OG<NGOO R
uval de (100) 1,323 11,342,980 $ 443,961 $ ;;N<GCN<O; R 786 2,143,814 $ 1,099,164 $ FNAOAN<PG R ;QNAA<N<;< R
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Pl dal go (38) 23,394 177,303,696 $ 6,819,373 $ CHPOC;GO<DH S 18,161 49,329,421 $ 23,394,447 $ QPOT;GOHDH S ;RTO<PDOTGD S
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nueces (99) 18,328 138,910,263 $ 3,342,702 $ CPPO;R;OTDR S 7,642 20,842,077 $ 10,686,033 $ GCOR;HOCC< S CQROQHCO<QR S

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8ee (100) 2,292 17,368,691 $ 668,027 $ <GNBFCNP<G R 696 1,896,908 $ 972,372 $ ;NGCSNOGB R ;BNSBCN<SG R
8exar (1) 328 3,999,034 $ 133,809 $ ON<Q;NGOF R 267 727,397 $ 373,049 $ <N<BBNCOP R QN;QFNOSB R
Cal dwel l (100) 1,984 13,037,202 $ 378,334 $ <QNC<QNQQC R 1,020 2,782,816 $ 1,426,790 $ ON;BSNCBQ R <SNG;QN<C< R
uuval (100) 773 3,861,838 $ 223,436 $ CNBGPNF<O R 334 911,336 $ 467,233 $ <NFPGNQS< R PNOCQNSBQ R
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Pays (31) 1,394 12,083,388 $ 464,746 $ <;NQOGN<FO R 763 2,080,003 $ 1,066,447 $ FN<OCNOQB R <QNCSONQGO R
!l m Pogg (100) 344 2,603,603 $ 100,216 $ ;NPBQNG;B R 168 438,129 $ 234,889 $ CSFNB<G R FNFSGNGFS R
karnes (100) 1,030 7,938,391 $ 306,092 $ GN;CONOGF R 272 742,338 $ 380,617 $ <N<;;NSPQ R SNFGPNOQG R
La Sal l e (100) 312 3,882,803 $ 149,339 $ ONBF;N<O; R 162 440,903 $ 226,037 $ CCCNSCB R ONCSSN<B; R
Ll ve Cak (100) 644 4,882,874 $ 187,803 $ QNBPBNCPC R 193 327,033 $ 270,217 $ PSPN;QB R QNGCPNS;P R
McMul l en (100) 36 271,103 $ 10,427 $ ;G<NQFB R 11 29,120 $ 14,930 $ OONBQB R F;QNQG< R
San aLrl cl o (100) 3,189 24,170,374 $ 929,630 $ ;QN<BBNBBO R 1,331 4,173,639 $ 2,140,920 $ CNF<CNQPS R F<NO<CNQGF R
SLarr (100) 3,923 29,746,068 $ 1,144,080 $ FBNGSBN<OP R 2,290 6,246,037 $ 3,202,443 $ SNOOGNQB< R OBNFFGNCOG R
1ravl s (14) 3,066 38,393,703 $ 1,476,738 $ FSNGP;NOCF R 2,273 6,199,366 $ 3,178,607 $ SNFPGN<P; R OSN;QBNCFQ R
Webb (100) 11,376 87,733,086 $ 3,374,426 $ S<N<BSNQ<; R 9,641 26,292,383 $ 13,480,386 $ FSNPPFN<CG R <FBNGG;NCGB R
Wl l son (100) 2,288 17,341,381 $ 666,984 $ <GNBBGNQCQ R 921 2,310,481 $ 1,287,160 $ FNPSPNCO< R ;<NGBCN;BC R
ZapaLa (100) 891 6,736,499 $ 239,863 $ PNB<CNFCQ R 336 1,460,317 $ 748,828 $ ;N;BSNFOQ R SN;;QNPBS R

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4&$&+>-,+ F(&$3 ;RBABRST;RSU; V ;UWRT;DRASA V ;RUCCRASDRXWW V BRWSXRXDSRWX; V CRSWARDBBRUUA V BCR;DCRA;SRASB V ;;RTX;RUU;RSWX V BR;WSRSBWRXBB V SBRASARCDTRUBC V
:-1&6-%& F(&$3 UTRDS;RUCB V BBRWSBRDDC V SARBBBRD;A V CCRDTARC;X V DCRTA;RBCX V CB;RCUARCTA V XXSRUADRB;C V SDRAWBRD;C V WTXRXSBRSCU V
!"#$%& ()**+, BR;CBRD;X V )-*./*) 0 12-.343 0 5 0 U;WRCSC V )*./6*.672 0 BDRXCWRXB; V TWXRSSX V 24.-3/.36/ 0
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;<9 9 # ()**+, BRACDRSDB V 27).-2/ 0 442.17* 0 5 0 SS;RUXA V )1.1*3.632 0 ;CRTC;RCAS V BRSTSRTXD V 44.6*1./13 0
=: 9 9 ()**+, ;RSWURSCW V 6/6.*42 0 /64.**) 0 7*-.266 0 BRUWBR;DW V 24.36).762 0 SDRDUWRDXX V ;RBBAR;CB V 1).*21.471 0
=""> ()**+, CRSXURUU; V 236.6-4 0 -1*.432 0 ).*42.4*3 0 BRWW;RXCX V 4*.13*.-3* 0 CTRBSARTAS V ;RDCURWAB V 77.4/4.))/ 0
?"@A#"A ()**+, BARXAURCTU V ).1*3.7*- 0 )./*7.262 0 5 0 BRTAXR;D; V 32.*3-.**) 0 XDRXC;RCBD V SRDWARSXS V /).3*-.7-2 0
BCD&AA<A ()**+, BXRTDWRDDD V 1.3*6.*24 0 6.1/-.-/6 0 43.)13.743 0 CBRDUSRUSB V )/).))1./-3 0 SADRCCDRSXX V BDRBW;RCUB V 3)1.37/.31- 0
E<F<GG" ()**+, SR;WBRTWB V 3-1.414 0 ).413.*1* 0 -)4./1* 0 ;RBXWRAAA V 41.142.)6* 0 UDRBXARCSB V SRBTCRUUB V 66.234.-43 0
H"I&GF&9 9 ()**+, XCTRSTW V 34-.17* 0 121.3/6 0 221.-1- 0 DUBRSUU V 1.412.7/4 0 WRXBARWU; V CWBR;ST V )).747.2-6 0
J<GG<AK (1+, WR;CDRSSW V 5 0 )3.23).446 0 6./11.3*4 0 ;;RBTXRDCB V 32.716.422 0 XWRX;;RXSA V SRWSURBCC V /2.644.2/4 0
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4&$&+>-,+ L(&$3 BMAANMOOB OMCBPMAGCMOFF Q ;R;MGGOMRPB Q OMRAOMRONMCGN Q PPAMBGR BMPAAMNRPMFGN Q OCRMF;PMPOC Q ;M;CRMG;AMRCA Q BAMBOOMORPMCNN Q
:-1&6-%& L(&$3 FAMRRR ;FNMRNAMRCP Q RMAFCMBRB Q ;NFMROOMBPC Q BNMRAC NAMCP;MNPN Q ;AMGNFMARG Q CBMNRPMPP; Q FAPMNO;MOAR Q
8osque (100) 772 3,832,821 $ 223,109 $ CMAOOMRFA Q 312 830,633 $ 436,133 $ BM;GCMOCG Q OMFCNMCRG Q
Ll l l s (100) 3,040 23,040,777 $ 886,184 $ ;FMR;CMRCB Q 2,069 3,642,738 $ 2,893,113 $ GMPFPMGPB Q F;MNC;MGBB Q
lal l s (100) 1,091 8,271,666 $ 318,141 $ GMPGRMGAO Q 367 1,001,368 $ 313,318 $ BMPBPMAGC Q BAMBANMGRF Q
Pl l l (100) 1,632 12,321,963 $ 481,614 $ BFMAAFMPOR Q 712 1,940,793 $ 993,073 $ ;MRFPMGCC Q BPMRFRMNNP Q
Pood (100) 2,130 16,293,314 $ 626,666 $ BCMRBRMRGA Q 760 2,073,680 $ 1,063,203 $ FMBFCMGGP Q ;AMAPCMGCP Q
!ohnson (100) 2,960 22,432,300 $ 862,781 $ ;FM;RPMAGB Q 1,738 4,794,364 $ 2,438,242 $ OM;P;MGAP Q FAMPNOMGGO Q
McLennan (100) 13,433 101,938,977 $ 3,921,499 $ BAPMGGAMNOO Q 3,602 13,277,801 $ 7,833,148 $ ;FMBBAMRNR Q B;GMRRBMN;C Q
navarro (100) 2,301 18,936,132 $ 729,083 $ BRMCGPM;FP Q 1,174 3,202,391 $ 1,641,912 $ NMGNNMFAF Q ;NMP;RMPFG Q
Somervel l (100) 377 2,833,623 $ 109,832 $ ;MRCPMNPN Q 171 466,742 $ 239,303 $ OACMANO Q FMCOBMPAB Q
1arranL (3) 3,003 22,737,369 $ 873,283 $ ;FMCF;MCP; Q 1,981 3,401,343 $ 2,769,449 $ GMBOAMRR; Q FBMGAFMCNN Q

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9(A0&?
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:-1&6-%& H(&$3 EWS;BES<DT V <SUXWSTCB V CUDSXCUST;D V W;SETBS<WE V ;<ESDBXS<CC V <T<STTWSC<B V X<<SW;;STB; V <USD;;SEDT V WUXSUCESU;X V
!"# # "$ &'()* EWS;BES<DT V '+,-.+/01 2 0,(+-0,+/3( 2 .3+4/1+'.4 2 ;<ESDBXS<CC V '/'+//.+0'1 2 X<<SW;;STB; V <USD;;SEDT V .,-+,04+,3- 2
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4&$&+L-,+ M(&$3 CNBBONPPC PNDCQNBGDNP<< R ;S;NGGPNSQC R PNSBPNSPONDGO R QQBNCGS CNQBBNOSQN<GO R PDSN<;QNQPD R ;N;DSNG;BNSDB R CBNCPPNPSQNDOO R
:-1&6-%& M(&$3 ;PNP<O ;CBNCSQNCCD R GNBGONO;G R ;CGN;PSNQOO R CSNDPD Q<NDQSNSPQ R ;PNQC;N;OC R GCNCP;N;CD R ;SSNOQCNPDB R
ual l as (34) 27,734 210,193,116 $ 8,084,428 $ ;CGN;PSNQOO R 19,676 33,639,973 $ 27,312,241 $ GCNCP;N;CD R ;SSNOQCNPDB R

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!"#$%&" ()**+, CQTT<QDVB U -*./0-1 2 345/363 2 7 2 TVWQTDT U )-/)40/634 2 ;CQ;CVQRBC U CQCVTQVRD U .4/56-/-4- 2
!%8 8 ()**+, ;TQWSRQRVS U 4/316/**5 2 ))/00./100 2 6)/)10/-30 2 VRQC<CQVTV U )34/*43/).3 2 ;T<QRCBQDV; U C<Q;C;QDV; U -1-/55-/.35 2
!8 "#9: ()**+, CQB;RQ<;W U ).3/1*- 2 366/351 2 7 2 TDDQTW< U 5/4*0/1-0 2 CBQST<QRCC U WC;Q;BS U )1/4*-/).3 2
!&:;# ()**+, ;QTTDQ<WT U 0.0/34- 2 )/5.4/066 2 156/).) 2 ;QBSWQBSV U .3/)4./3*) 2 <BQTCBQSWV U ;Q;W<QBTT U 31/611/334 2
!<&#%= ()**+, RQW;CQBSR U 5*0/366 2 )/-.3/*35 2 7 2 CQR;TQBTW U .6/5*1/651 2 <<Q<BDQWTC U ;Q<VCQVRC U 5*/*)*/-15 2
>"8 8 "?"# ()**+, SRTQCB; U )4*/111 2 .*6/3)) 2 7 2 ;BDQTCC U 4/*43/3*- 2 CRQBBDQCBS U D;WQSR:@"#9?% ()**+, CQBRBQSBW U .*./0*1 2 ./))-/630 2 )0*/31* 2 ;QRB<Q;SS U 4/106/54. 2 CRQWDBQCVC U DWRQSS; U )4/16-/..* 2
>:&A%8 8 ()**+, TQDWBQDDC U 633/165 2 )/*55/.*4 2 -40/*4* 2 CQ<TTQ;VV U -4/-66/0*3 2 WCQDRVQRT; U RQ<TBQRSS U 4-/1-*/.)3 2
BC 8 8 %DEC % ()**+, ;Q<<<QBVR U -*0/66. 2 4*3/-6* 2 ./6*./164 2 RQTBDQV<V U )1/-.1/553 2 ;RQB<<QBCS U CQ;VDQVD; U -)/)1*/36* 2
F"@C 8 =:# ()**+, W;BQCDT U 13/0)1 2 5-5/.36 2 -33/650 2 SS;QB;W U 1/6*0/*)3 2 DQTDTQRWS U <;RQRWV U )*/.-5/046 2
G%&& ()**+, <Q<BCQRSV U ))3/-6- 2 3*4/316 2 6/144/665 2 DQSSDQR;R U -)/*31/53- 2 <SQSTDQ<D; U ;QDSCQSSW U 56/3)*/)*3 2
H"@E"D"D ()**+, CQSTSQTBT U 14/... 2 )/1*)/66* 2 7 2 CQ<BCQDDB U )-/.06/*-4 2 ;CQRSBQVVC U CQCSTQ<V; U .4/0*5/300 2
H8 "#: ()**+, CQ<VCQTVD U )*6/514 2 .05/.03 2 )*5/4.6 2 <BRQC;; U )*/31)/51- 2 CWQSTVQ;SC U S<DQDTW U ../0)5/5). 2
IC 8 8 D ()**+, RWDQ<CB U 30/30. 2 .54/56- 2 7 2 ;WVQWDR U ./6.6/)5- 2 <QRVDQCD< U ;<TQCVV U 3/0.4/5)3 2
J"# J"K" ()**+, RVBQSRV U )00/11* 2 116/-3) 2 7 2 <<DQRTC U 1/-0./4.. 2 DQBWWQDC; U RS<QS<C U 0/310/5)) 2
L"A8 :& (6*+, DQBDWQRRR U )/466/144 2 -/*63/0)- 2 )*/05*/*64 2 C<QBRTQSSC U 56/34./33) 2 CBVQDCSQD;W U WQBDWQBWS U )15/0)4/353 2
L&"MC D (3+, <Q<DRQD<$ !+-%-2?


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4+0$&+ :-1&6-%& ;< = 4+0$&(6 >6(? @6$1+6
9(A0&?
;BCD E,A3&1
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98-3,6+0
E33 @A0,1
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4%+0$6-(
4&$&+L-,+ >(&$3 CMBB<MNNC NMDCOMBHDMNGG P ;Q;MHHNMQOC P NMQBNMQN<MDH(&$3 G;MGCC ;<<MHHGMBH< P QM<CHMOHB P ;O<MGBCMDD< P COMQGC <GM<<DMQDD P ;;M;NOMHHO P DOMN;;MHOC P G;BMB;<MOCO P
8andera (100) 928 7,036,639 $ 270,640 $ NMGBNM;NQ P 297 810,441 $ 413,323 $ CM;;OMQDD P HMOGGM;<O P
8el l (100) 11,128 84,337,236 $ 3,243,741 $ HNMOHBMQQN P 6,992 19,069,137 $ 9,777,031 $ ;HMH<DMCHN P CCDM<;NMCH< P
8l anco (100) 479 3,632,786 $ 139,723 $ GMNN;MOBH P 171 463,922 $ 238,883 $ NB<MHBD P <M<NNMGCO P
8rown (100) 1,773 13,434,680 $ 316,718 $ CGMQOCMGQH P 712 1,940,793 $ 993,073 $ ;MQGOMHDD P CDMHHNM;D< P
8urneL (100) 1,943 14,726,939 $ 366,421 $ COM;QGMGDB P 770 2,101,139 $ 1,077,294 $ GMCNHM<O< P CHM<NCMHC< P
Cal l ahan (100) 369 4,313,336 $ 163,906 $ <M<NQM<D; P 214 384,433 $ 299,637 $ HH<MCCB P OMGDGMONG P
Comanche (100) 398 4,333,431 $ 174,364 $ <MNBNMHCO P 273 749,330 $ 384,192 $ CMCGGMO;; P OMH<CMGGN P
Coryel l (100) 2,701 20,474,331 $ 787,474 $ ;CM;DCMHBD P 1,379 4,307,313 $ 2,208,422 $ DMOCOMNGN P ;NMNNNMO<; P
Cl l l espl e (100) 1,008 7,642,104 $ 293,927 $ NMQGDMBGC P 394 1,073,803 $ 331,380 $ CMD;NMGHG P QMODGM<C< P
Paml l Lon (100) 331 2,312,223 $ 96,624 $ ;MDBHMH<Q P 128 349,831 $ 179,374 $ O;QM;;O P GMCGHMBN< P
kerr (100) 2,186 16,367,430 $ 637,209 $ CNM;B<MDGQ P 831 2,267,267 $ 1,162,460 $ GM<;QMN;N P ;BMDG<MGDD P
Lampasas (100) 936 7,093,872 $ 272,841 $ NMGDDMNC< P 369 1,003,239 $ 313,411 $ CMO;BMDDQ P HMHHNMGHG P
Ll ano (100) 742 3,623,889 $ 216,303 $ OMH<BMCQG P 214 384,863 $ 299,868 $ HH<MNGC P DMN;<MQ;G P
Ml l l s (100) 192 1,434,922 $ 33,939 $ CMOCBMHHB P 88 238,703 $ 122,386 $ GDCMBHQ P CMHNCMQDQ P
San Saba (100) 309 2,343,338 $ 90,136 $ ;M<GGMDN< P 103 283,869 $ 146,369 $ <G;M<GH P ;MHDDMCCG P
1ayl or (70) 4,737 36,034,796 $ 1,386,723 $ GNM<<CMOCQ P 2,013 3,493,482 $ 2,817,613 $ HMGCGMBQ< P <OMNO<MDCG P
1ravl s (3) 1,729 13,100,668 $ 303,872 $ CGMDB<MOGQ P 776 2,113,300 $ 1,084,343 $ GMCQQMH<O P CDMHB<MGHO P

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Cuadal upe (62) 83,093 22,879,383 $ 879,976 $ ;FNP<RNFCB Q 1,367 4,273,982 $ 2,191,332 $ CNOC<NFBO Q FAN;;ONCPC Q
Pays (69) 3,614 27,392,280 $ 1,033,349 $ ;GNOO<NG;R Q 1,729 4,713,233 $ 2,417,369 $ PNBF;NGAO Q F<N<PGNCFF Q
kendal l (100) 1,310 11,440,364 $ 440,022 $ BBNGGAN<G< Q 610 1,663,337 $ 832,919 $ ;N<BCNO<P Q BONFRPNAO; Q
1ravl s (7) 2,373 19,301,367 $ 730,060 $ ;AN;<BNC;G Q 1,133 3,148,822 $ 1,614,446 $ ONPCFN;CR Q ;<NABONGRC Q

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8exar (47) 33,403 268,333,096 $ 10,320,381 $ ;OGM<PPM<O< Q 17,902 48,821,744 $ 23,031,611 $ OFMGPFMFPP Q FP;MPBRMBF; Q

Impact of Med|ca|d Lxtens|on and Loca| Spend|ng for nea|th Care
Senate D|str|ct 27 - Senator Ldd|e Luc|o, Ir.
County
2014-2017 New
Loca| 1ax
kevenue (Adu|t
Lxpans|on)
2011 County
Ind|gent
nea|thcare &
Unre|mbursed
Ia|| nea|thcare
Costs
2011 1ota|
nosp|ta| D|str|ct
or C|ty]County
Unre|mbursed
nea|thcare
Lxpend|tures
2010 1ota|
nosp|ta| Char|ty
Care Costs
1ota|
Unre|mbursed
Char|ty Care
Costs for Loca|
Iur|sd|ct|ons &
nosp|ta|s
2014-2017 Adu|ts
Iedera| Iunds
L|m|ted
Scenar|o
2014-2017 Adu|ts
Iedera| Iunds
Moderate
Scenar|o
2014-2017
Adu|ts State
Iunds Moderate
Scenar|o
2014-2017 Adu|ts
Iedera| Iunds
Lnhanced Scenar|o
Statew|de 1ota| 2,101,392,3S2 5 2S8,927,030 5 2,S44,037,688 5 1,836,673,862 5 4,380,711,SS0 5 14,274,023,031 5 22,962,SS2,386 5 1,283,318,611 5 31,030,479,S14 5
D|str|ct 1ota| 37,402,099 5 7,420,491 5 17,148,738 5 62,377,371 5 79,S26,109 5 626,77S,014 5 1,008,289,9S8 5 S6,3S0,760 5 1,362,SS4,143 5
!"#$%&' )*++,- 20,032,903 5 ./01*/2.3 4 5/*60/360 4 73/+*+/1+7 4 3S,20S,096 5 1.1/026/3*7 4 S68,62S,030 5 31,779,006 5 325/0*7/752 4
89 :"; <& )07,- 1S,129,8S6 5 */7+1/55+ 4 3/.6*/7.* 4 1+/2*6/1+0 4 38,210,SSS 5 70*/.31/+67 4 388,617,474 5 21,718,842 5 .7./*.5/5+. 4
=$'$:> )*++,- 39,174 5 3/+*+ 4 5/+2* 4 ? 4 8,061 5 0++/553 4 644,906 5 36,042 5 53*/060 4
=; $@$%< )*++,- 2,200,166 5 333/60. 4 */1.0/217 4 0/303/32. 4 6,102,397 5 1*/11*/177 4 S0,402,S48 5 2,816,870 5 25/***/..5 4
A9 ; ; "B> )*++,- 1,202,016 5 *.6/2.+ 4 077/770 4 ? 4 422,224 5 77/11*/**6 4 3S,923,964 5 2,007,699 5 05/.0./6+1 4
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Impact of Med|ca|d Lxtens|on and Loca| Spend|ng for nea|th Care
Senate D|str|ct 27 - Senator Ldd|e Luc|o, Ir.
County
2016 Adu|ts
<138 IL
Lnro||ees
Moderate
Scenar|o
2016 Adu|ts
Iedera| Iunds
Moderate
Scenar|o
2016 Adu|ts
State Iunds
Moderate
Scenar|o
2016 Adu|ts
A|| Iunds
Moderate
Scenar|o
2016 Ch||dren
<200 IL
Lnro||ees
Moderate
Scenar|o
2016 Ch||dren
Iedera| Iunds
Moderate
Scenar|o
2016 Ch||dren
State Iunds
Moderate
Scenar|o
2016 Ch||dren
A|| Iunds
Moderate
Scenar|o
2016 Adu|ts &
Ch||dren
A|| Iunds
Moderate
Scenar|o
Statew|de 1ota| 1,004,771 7,61S,086,733 5 292,887,9S1 5 7,907,974,684 5 SS0,189 1,S00,49S,384 5 769,32S,S76 5 2,269,820,960 5 10,177,79S,644 5
D|str|ct 1ota| 4S,692 346,293,367 5 13,318,976 5 3S9,612,343 5 30,891 84,247,S16 5 43,194,914 5 127,442,430 5 487,0S4,773 5
Cameron (100) 24,881 188,373,302 $ 7,232,827 $ 19S,826,329 5 16,173 44,106,704 $ 22,614,142 $ 66,720,846 5 262,S47,17S 5
Pl dal go (42) 17,003 128,877,473 $ 4,936,826 $ 133,834,301 5 13,201 36,001,636 $ 18,438,367 $ S4,460,223 5 188,294,S24 5
kenedy (100) 28 213,870 $ 8,226 $ 222,096 5 10 28,300 $ 14,310 $ 42,810 5 264,906 5
kl eberg (100) 2,203 16,713,031 $ 642,886 $ 17,3S7,917 5 836 2,334,120 $ 1,196,737 $ 3,S30,8S7 5 20,888,773 5
Wl l l acy (100) 1,372 11,913,488 $ 438,211 $ 12,371,700 5 631 1,776,736 $ 910,938 $ 2,687,69S 5 1S,0S9,394 5
populaLlon. varlaLlons ln percenLages of adulLs below 138 lL and chlldren below 200 lL could alLer Lhese esLlmaLes. PosplLal charlLy cosL daLa exclude cerLaln hosplLals, such as Lhose exempL from
reporLlng, hosplLals LhaL reporL by sysLem, and oLhers, resulLlng ln a conservaLlve esLlmaLe of unrelmbursed charlLy cosLs. Medlcald exLenslon Lo adulLs would noL relleve all local unrelmbursed cosLs
due Lo lnellglble adulLs, such as undocumenLed lmmlgranLs, people served wlLh lncomes above 138 lL or healLh care for lncarceraLed adulLs oLher Lhan lnpaLlenL hosplLal sLays. 2016 ls Lhe flrsL full
year of lmplemenLaLlon, Lhe federal maLch raLe falls Lo 93 percenL ln 2017 and Lo 90 percenL by 2020. lor full counLy-level daLa, see Appendlx C, and for furLher noLes and cauLlons ln lnLerpreLlng Lhese
daLa, see Appendlx A, ln "SmarL, Affordable and lalr: Why 1exas Should LxLend Medlcald Lo Low-lncome AdulLs," aL

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PQCC%A? ()**+, ;BRWS;RSBB V )*424*0 . )3211*20*6 . 1*25032*37 . U<R;WER;<; V 0402/012315 . D;;RS;;RSBS V ;SRWB;RUCT V /3*23*/253/ .
P#:: ()**+, DUERDEC V 6/267) . 5672/66 . - . <STRUSS V 12)032114 . WRWSTR<B; V SECRB<; V 5273023*3 .
R">%: ()**+, ;EERWDE V 4/2)31 . 3/2775 . - . EURTT< V 026332*76 . SR<;DRBCE V ;CSRECU V /2)432/70 .
RA;Q$ $ %A< ()**+, WBDRBUW V - . //*2537 . )372/75 . ESBRDEE V /20432775 . <RDEDRWBD V DESRW;D V ))21/02)47 .
R9:"&8 ()**+, CSSRDUT V - . /*725/6 . - . UBTR<US V )21))2/3/ . ;R;EBRETD V C;WRTBT V 62*45241) .
R= BA<9$ $ ()**+, D<<R<SD V 02334 . 025*32165 . - . ;R<BERDS< V 525*52007 . CDRCWTREUW V ETCRTC; V )72)15260) .
R%B$ 9# ()**+, <<RD;B V - . 702*71 . - . T;RBTD V 4442046 . CRBECR<CU V UTRTBC V )21152677 .
S%$ ": ()**+, CRBDSRCSC V /32166 . 021532515 . - . ;RD<ER<D< V )*2/6/2773 . CWRTDTR;B< V TDER;D< V 0027*12663 .
T9"N": ()**+, ;UBRT;S V - . 026572050 . - . ;RS<TR;<; V 024*52/7) . DRCTWRD;< V ;SDRU;< V /243*2517 .
TQ::9$ > ()**+, WDWRS;C V 012314 . )23*)2644 . - . CREBCRSWW V 423*325*/ . CBRETBR<CD V WBSRBEC V )12/502)56 .
UA<$ 9= A<9& ()**+, C<ERCBT V - . 0216/2)13 . - . ;RDSURCDE V 026632/45 . SREWBRDSU V ;CBRCWC V /2*5)243* .
UAQ&&# ()**+, CR;WURUCD V - . 52*1)2)/7 . - . <RBDCRCUT V )024702551 . ;BRDC<RT<C V CRCDCRCWU V 032/76200) .
U<"A?9$ V%&8 ()**+, SCCRUCW V - . 77*2/4/ . - . TTBRUWU V )273420*/ . SRCETRCC; V CEERWE; V 120742*75 .
UB9W<9:> ()**+, EUTRTWU V 30)2335 . 0244*2541 . - . ;RWWBR<WD V 42)772465 . TRTESRS;< V UUERS<D V )621332130 .
UB9&$ = :N ()**+, <BRTBB V )/2051 . 5572050 . - . <<TR;<; V 37*2150 . CR;ECRWDU V ECRBWT V )23)52167 .
UB%:9E"$ $ ()**+, CCWRTSS V - . )21**255* . - . CRDBBR<<B V 5462551 . CRS<TRE;W V EERWW< V )25352**5 .
UQBB%: ()**+, DDWRTWT V 02637 . )2*4723*6 . - . CRBWTREBS V 62*332061 . DRTUBRSSC V ;EWRWWC V 424572465 .
X"#$ %& (6*+, SRBTBRWCB V 5)72775 . )261621)1 . 123542514 . WRCSBR;WC V 072/)4255) . DERD<SRWWD V ;RWUSREDC V 412)432)0) .
X9&&# ()**+, TC<RBTB V - . 02*)*23)/ . - . ;RBCBRECU V 725132)15 . CUR<DCRBWB V <<URSCE V 0)21*4251* .
X<&%A?@%&B%: ()**+, CDDRWDS V 12373 . 41/205/ . )32*1/ . WW;RSSB V 7*621*5 . CRDUSRSB< V <CR;;; V )2746276* .
X%@ H&99: ()**+, <RU;;RWDS V 3102606 . 02115213) . )32/602/65 . CTRT<CRBBT V 5*260727)7 . C;TR;;WRSUW V ER;;;RCS; V )31246*2007 .
YWB%: ()**+, ;TDRTE; V )62153 . /26/72/50 . - . URSUTRU<; V 021662//4 . SRTCDR<DT V ;C<RETC V /207*2663 .
Z"&8 ()**+, ETWR;UT V 0**201/ . 620*62)14 . - . SR;BSRCDW V 5264325)5 . CSRDWCR;W< V EU;RSCW V )52)7*27*/ .
Z= $ C"&N9& ()**+, TTDRSEU V - . )211724/1 . 65/2347 . CR<SURD;S V 725132)15 . CUR<DCRBWB V <<URSCE V 0)21*4251* .
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4&$&+L-,+ M(&$3 CNBBONPPC PNDCQNB<DNPGG R ;S;N<<PNSQC R PNSBPNSPOND<O R QQBNC<S CNQBBNOSQNG<O R PDSNG;QNQPD R ;N;DSN<;BNSDB R CBNCPPNPSQNDOO R
:-1&6-%& M(&$3 OON;QO GGQNGSDNB;Q R C;N<SSN<OP R GO<N;SQN<P; R CDNQB; OQNBBGNPBB R ;GNBPONBOQ R D<NBPPNPOQ R OCDNGPGNDCP R
8ayl or (100) 131 1,141,647 $ 43,909 $ CNC<QNQQD R 36 131,733 $ 77,806 $ ;;SNQQ< R CNOCQNCCO R
8orden (100) 27 207,846 $ 7,994 $ ;CQN<OB R 10 27,480 $ 14,089 $ OCNQDS R ;QPNOBS R
Chl l dress (100) 416 3,133,836 $ 121,301 $ GN;PQNCG< R 121 329,734 $ 169,070 $ OS<N<;O R GNPPGNSD; R
Coke (100) 131 991,034 $ 38,117 $ CNB;SNCQB R 34 146,831 $ 73,282 $ ;;;NCCG R CN;QCN;DO R
Col eman (100) 380 2,879,721 $ 110,738 $ ;NSSBNOPS R 147 400,709 $ 203,449 $ DBDNCQ< R GNQSDNDGP R
Concho (100) 279 2,111,394 $ 81,213 $ ;NCS;N<BS R 48 130,423 $ 66,871 $ CSPN;SD R ;NGSBNCBD R
CoLLl e (100) 68 312,084 $ 19,696 $ QGCNP<B R 28 77,317 $ 39,744 $ CCPN;DC R DOSNBOC R
Crane (100) 233 1,913,797 $ 73,683 $ CNS<SNO<; R 124 338,778 $ 173,696 $ QC;NOPO R ;NQBCNSQD R
Crosby (100) 293 2,232,083 $ 83,849 $ ;NGCPNSGO R 163 430,746 $ 231,104 $ D<CN<QC R ;NSSSNP<Q R
uawson (100) 818 6,202,243 $ 238,348 $ DNOOBNPSC R 326 890,009 $ 436,320 $ CNGODNG;S R PNP<PNC;B R
ul ckens (100) 128 969,948 $ 37,306 $ CNBBPN;QG R 41 110,738 $ 36,777 $ CDPNQCD R CNCPONPDS R
LasLl and (100) 806 6,108,863 $ 234,936 $ DNGOGN<;B R 310 843,713 $ 433,609 $ CN;PSNG;G R PND;GNCOG R
ll sher (100) 178 1,349,492 $ 31,904 $ CNOBCNGSD R 71 194,818 $ 99,886 $ ;SONPBG R CNDSDNBSS R
ll oyd (100) 311 2,333,387 $ 90,600 $ ;NOODNC<P R 179 488,479 $ 230,430 $ PG<NSGB R GNC<QNCCP R
loard (100) 36 427,741 $ 16,432 $ OOONCS; R 21 36,600 $ 29,019 $ <QNDCS R Q;SN<C; R
Carza (100) 417 3,136,849 $ 121,417 $ GN;P<N;DD R 119 324,423 $ 166,336 $ OSBNPQS R GNPDSNB;O R
Pal e (100) 2,022 13,323,367 $ 389,360 $ CQNSC;NP;P R 1,017 2,774,613 $ 1,422,384 $ ONCSPNCSP R ;BNCBSNS;O R
Pardeman (100) 188 1,427,811 $ 34,916 $ CNO<;NP;P R 83 223,168 $ 113,447 $ GOBNDCQ R CN<;GNGO; R
Paskel l (100) 279 2,114,607 $ 81,331 $ ;NCSQNSG< R 99 269,874 $ 138,368 $ OB<N;O; R ;NDBONCPS R
Pockl ey (100) 1,193 9,037,866 $ 348,379 $ SNOBDN;OQ R 371 1,338,341 $ 799,086 $ ;NGQPND;P R CCNPDGN<P; R
l rl on (100) 73 331,244 $ 21,202 $ QP;NOOQ R 30 80,798 $ 41,426 $ C;;N;;O R DSONDPB R
!ones (100) 1,288 9,739,722 $ 373,374 $ CBNCGQNBSD R 293 797,727 $ 409,006 $ CN;BDNPGG R CCNGOCN<;S R
kenL (100) 31 231,944 $ 8,921 $ ;OBN<DQ R 14 37,733 $ 19,346 $ QPNBPS R ;SPNSOO R
kl mbl e (100) 202 1,333,240 $ 38,971 $ CNQS;N;CC R 73 203,891 $ 103,364 $ GCCNOQQ R CNSBGNDDD R
kl ng (100) 14 103,429 $ 4,033 $ CBSNO<O R 3 12,714 $ 6,319 $ CSN;GG R C;<NPCP R
knox (100) 168 1,271,174 $ 48,891 $ CNG;BNBDQ R 80 218,196 $ 111,872 $ GGBNBD< R CNDQBNCGG R
Lamb (100) 701 3,310,614 $ 204,234 $ QNQCON<DS R 383 1,030,783 $ 338,732 $ CNQ<SNQGP R PNCBONOBD R
Lubbock (100) 18,480 140,033,030 $ 3,386,732 $ COQNOOCNPD; R 3,737 13,643,289 $ 8,021,363 $ ;GNDDDN<QG R CDSNCB<NDCQ R
Lynn (100) 291 2,201,962 $ 84,691 $ ;N;<DNDQG R 148 402,760 $ 206,301 $ DBSN;DB R ;N<SQNSCG R
Mason (100) 167 1,268,161 $ 48,773 $ CNGCDNSGP R 63 176,771 $ 90,633 $ ;DPNOBQ R CNQ<ONGOC R
McCul l och (100) 371 2,810,439 $ 108,094 $ ;NSC<NQG; R 163 449,106 $ 230,263 $ DPSNGDS R GNQSPNSBC R
Menard (100) 99 733,063 $ 28,964 $ P<;NB;S R 38 102,946 $ 32,782 $ CQQNP;P R SGPNPQP R
Ml Lchel l (100) 620 4,699,126 $ 180,736 $ ON<PSN<DC R 137 427,368 $ 219,118 $ DODNO<D R QNQ;DNGOP R
MoLl ey (100) 47 333,447 $ 13,671 $ GDSNCC< R 19 32,498 $ 26,917 $ PSNOCQ R OO<NQGG R
nol an (100) 742 3,620,877 $ 216,188 $ QN<GPNBDQ R 336 913,848 $ 469,368 $ CNG<QNOCD R PN;;;NO<C R
8eagan (100) 184 1,391,664 $ 33,326 $ CNOOQNCSB R 100 272,334 $ 139,630 $ OCCNSDO R CN<QPNCQO R
8unnel s (100) 472 3,378,363 $ 137,637 $ GNPCDN;B; R 220 600,838 $ 308,069 $ SB<NS;P R OND;QNC;S R
Schl el cher (100) 163 1,247,076 $ 47,964 $ CN;SQNBOB R 92 249,777 $ 128,064 $ GPPN<OC R CNDP;N<<C R
Scurry (100) 893 6,771,361 $ 260,443 $ PNBG;NBBQ R 371 1,011,001 $ 318,333 $ CNQ;SNGQQ R <NQDCNGDC R
Shackel ford (100) 139 1,034,291 $ 40,330 $ CNBSON<OC R 38 138,313 $ 81,170 $ ;GSNO<Q R CNGGONG;D R
SLephens (100) 436 3,307,462 $ 127,210 $ GNOGONDP; R 178 483,198 $ 248,768 $ PGGNSDP R ONCD<NDG< R
SLerl l ng (100) 36 421,716 $ 16,220 $ OGPNSGD R 23 61,321 $ 31,343 $ SGNBDO R QGCNBBB R
SLonewal l (100) 61 460,876 $ 17,726 $ OP<NDB; R 23 68,494 $ 33,118 $ CBGNDC; R Q<;N;CG R
SuLLon (100) 217 1,641,682 $ 63,142 $ CNPBON<;G R 108 294,482 $ 130,983 $ OOQNODP R ;NCQBN;SC R
1ayl or (30) 2,078 13,747,040 $ 603,633 $ CDNGQ;NDSQ R 880 2,400,168 $ 1,230,601 $ GNDGBNPDS R CSNS<GNODO R
1erry (100) 693 3,233,381 $ 202,033 $ QNOQQNOGQ R 303 827,667 $ 424,337 $ CN;Q;NB;O R DNPBPNOQS R
1hrockmorLon (100) 64 481,962 $ 18,337 $ QBBNOSS R 23 68,084 $ 34,907 $ CB;NSSC R DBGNOSB R
1om Creen (100) 3,633 42,833,423 $ 1,648,286 $ OONQBGNPBS R 2,343 6,393,349 $ 3,278,987 $ SNDPONGGP R QONCP<NBOQ R
upLon (100) 171 1,298,284 $ 49,934 $ CNGO<N;C< R 83 223,988 $ 113,868 $ GOCN<QD R CNDSBNBPO R
Ward (100) 389 4,464,169 $ 171,699 $ ONDGQN<D< R 266 726,362 $ 372,416 $ CNBS<NPP< R QNPGONDOD R
Wl l barger (100) 693 3,233,381 $ 202,033 $ QNOQQNOGQ R 289 788,704 $ 404,380 $ CNCSGNB<G R DNDO<NQC< R

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Cul berson (100) 130 1,133,622 $ 43,678 $ FRFT<RJEE V 69 189,486 $ 97,132 $ ;KGRGJK V FRSGUR<JK V
Ll aso (100) 40,232 304,919,034 $ 11,727,633 $ JFGRGSGRGK< V 23,492 69,323,633 $ 33,643,767 $ FEURFG<RSEE V S;FRKFGREK< V
PudspeLh (100) 213 1,614,371 $ 62,099 $ FRGTGRGTE V 112 303,146 $ 136,433 $ SGFRU<< V ;RFJKR;G< V
!eff uavl s (100) 114 864,319 $ 33,231 $ K<TRTG< V 38 103,766 $ 33,202 $ FUGR<GK V FREUSRTJK V
resl dl o (100) 436 3,433,062 $ 132,887 $ JRUKTR<S< V 244 663,661 $ 341,294 $ FREEGR<UU V SRU<SR<ES V

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Archer (100) 382 2,894,782 $ 111,338 $ ;L<<BLA@< P 147 401,119 $ 203,660 $ B<BLNNQ P ;LBA@LEQE P
Cl ay (100) 433 3,436,989 $ 132,192 $ ;LOBQLAEA P 138 431,880 $ 221,431 $ BO;L;AA P ML@@@LMQA P
Col l l n (13) 2,329 19,169,928 $ 737,303 $ AQLQ<NL@;; P 1,386 3,779,162 $ 1,937,631 $ OLNABLNQ; P @OLB@ML<@O P
Cooke (100) 1,390 10,333,873 $ 403,149 $ A<LQ;QL<@@ P 772 2,103,671 $ 1,079,608 $ ;LAEOL@NE P AMLA@ML;<A P
uenLon (17) 2,602 19,720,146 $ 738,467 $ @<LMNELBA; P 1,421 3,873,839 $ 1,987,198 $ OLEB;L<;N P @BL;MALBO< P
LraLh (100) 1,869 14,163,647 $ 344,736 $ AMLN<ELM<@ P 672 1,832,926 $ 939,768 $ @LNN@LBQM P ANLMEAL<QB P
Crayson (100) 4,611 34,948,241 $ 1,344,163 $ ;BL@Q@LM<M P 2,231 6,084,031 $ 3,119,381 $ QL@<;LM;@ P MOLMQOLE;O P
!ack (100) 432 3,427,932 $ 131,844 $ ;LOOQLNQB P 142 387,993 $ 198,930 $ OEBLQ@O P MLAMBLN@A P
MonLague (100) 813 6,173,133 $ 237,303 $ BLMA@LB;E P 314 836,787 $ 439,287 $ AL@QBL<NM P NLN<ELNA; P
al o l nLo (100) 1,263 9,388,024 $ 368,770 $ QLQOBLNQM P 332 1,430,673 $ 743,781 $ @LAQMLMOM P A@LAOAL@ME P
arker (100) 2,282 17,296,397 $ 663,246 $ ANLQBALBM; P 1,093 2,986,246 $ 1,331,091 $ MLOANL;;E P @@LMNELQEA P
Wl chl La (100) 6,968 32,810,943 $ 2,031,190 $ OMLEM@LA;; P 2,324 6,883,418 $ 3,329,228 $ A<LMA@LBMB P BOL@OMLNNQ P
Wl se (100) 2,762 20,932,193 $ 803,084 $ @ALN;NL@NQ P 1,132 3,087,141 $ 1,382,822 $ MLBBQLQB; P @BLM<NL@M@ P
?oung (100) 803 6,087,778 $ 234,143 $ BL;@ALQ@; P 330 900,673 $ 461,788 $ AL;B@LMB+3 4+3-5+6
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:-1&6-%& L(&$3 ;<MRA< AOCMFFCMRNA Q <BMCNRMNRF Q AFOMP;CMNNB Q <OMF;A NFMC;AMCAN Q ANMR;NMCNC Q O;MPCOMAO< Q ;C<M<B;MO<B Q
Andrews (100) 820 6,217,303 $ 239,127 $ CMNPCMN;A Q 392 1,068,421 $ 347,793 $ <MC<CMA<P Q FMBOAMCNO Q
ArmsLrong (100) 77 384,378 $ 22,476 $ CBCMFPP Q 28 77,317 $ 39,744 $ <<OMAC< Q OANM<<P Q
8al l ey (100) 338 2,714,046 $ 104,386 $ AMF<FMN;; Q 217 391,013 $ 303,022 $ FRNMB;O Q ;MO<AMNOB Q
8rl scoe (100) 73 331,244 $ 21,202 $ POAMNNP Q 30 81,208 $ 41,637 $ <AAMFNP Q CRPMARB Q
Carson (100) 238 1,931,944 $ 73,073 $ AMBAOMB<R Q 103 286,689 $ 146,990 $ N;;MCOR Q AMNCBMCRR Q
CasLro (100) 411 3,114,677 $ 119,793 $ ;MA;NMNOA Q 243 662,790 $ 339,822 $ <MBBAMC<A Q NMA;OMBFN Q
Cochran (100) 139 1,207,916 $ 46,438 $ <MAPNM;OP Q 87 236,242 $ 121,123 $ ;POM;CO Q <MC<<MON< Q
Col l l ngsworLh (100) 141 1,072,363 $ 41,243 $ <M<<;MCBR Q 72 196,048 $ 100,317 $ ARCMPCP Q <MN<BM<ON Q
ual l am (100) 346 2,623,678 $ 100,911 $ AMOANMPFR Q 172 467,972 $ 239,936 $ OBOMRBR Q ;MN;AMNRF Q
ueaf Sml Lh (100) 1,024 7,762,394 $ 298,361 $ FMBC<M<PP Q 624 1,702,091 $ 872,686 $ AMPONMOOO Q <BMC;PMR;A Q
uonl ey (100) 138 1,198,879 $ 46,111 $ <MANNMRRB Q 37 134,214 $ 79,067 $ A;;MAF< Q <MNOFMAO< Q
LcLor (100) 806 41,066,141 $ 1,379,467 $ NAMCNPMCBF Q 3,099 8,432,213 $ 4,333,371 $ <AMOFPMOFN Q PPMN;<M;RA Q
Cal nes (100) 849 6,434,187 $ 247,469 $ CMCF<MCPC Q 463 1,264,039 $ 648,101 $ <MR<AM<CB Q FMPR;MF<C Q
Cl asscock (100) 38 442,802 $ 17,031 $ NPRMF;; Q 28 76,286 $ 39,113 $ <<PMNBB Q POPMA;; Q
Cray (100) 1,123 8,327,708 $ 327,989 $ FMFPPMCRO Q 444 1,211,130 $ 620,974 $ <MF;AM<AN Q <BMCFOMFA< Q
Pal l (100) 131 1,141,647 $ 43,909 $ <M<FPMPPC Q 76 207,942 $ 106,613 $ ;<NMPPO Q <MPBBM<<; Q
Pansford (100) 264 1,997,128 $ 76,813 $ AMBO;MRN< Q 132 413,423 $ 211,968 $ CAPM;RA Q AMCRRM;;; Q
ParLl ey (100) 332 2,663,830 $ 102,333 $ AMOCFM;F; Q 101 276,436 $ 141,733 $ N<FM<CR Q ;M<FCMPP< Q
Pemphl l l (100) 174 1,316,338 $ 30,629 $ <M;CCMRFO Q 89 242,804 $ 124,489 $ ;COMAR; Q <MO;NMAFB Q
Poward (100) 2,027 13,362,326 $ 390,866 $ <PMRP;M;R; Q 708 1,929,720 $ 989,393 $ AMR<RM<<P Q <FMFOAMPBO Q
PuLchl nson (100) 1,037 7,838,986 $ 302,269 $ FM<C<MAPP Q 446 1,217,302 $ 624,128 $ <MFN<MN;< Q <BMBBAMCFC Q
Ll pscomb (100) 134 1,163,743 $ 44,836 $ <MA<BMPF< Q 74 202,200 $ 103,671 $ ;BPMFO< Q <MP<CMNPA Q
Lovl ng (100) 6 43,184 $ 1,738 $ NCMRAA Q 1 1,641 $ 841 $ AMNFA Q NRMNB; Q
MarLl n (100) 234 1,777,233 $ 68,333 $ <MFNPMPFR Q 126 343,699 $ 176,220 $ P<RMR<R Q AM;CPMPBO Q
Ml dl and (100) 3,311 40,232,831 $ 1,348,186 $ N<MFB<MB<O Q 2,730 7,443,723 $ 3,817,330 $ <<MAC;MAP; Q P;MBCNMAOB Q
Moore (100) 1,223 9,283,783 $ 337,069 $ RMCNBMFPN Q 667 1,818,161 $ 932,197 $ AMOPBM;PF Q <AM;R<MA<A Q
Cchl l Lree (100) 309 3,833,693 $ 148,296 $ NMBB;MRFR Q 297 810,831 $ 413,733 $ <MAACMPFC Q PMA;BMPOP Q
Cl dham (100) 79 399,440 $ 23,033 $ CAAMNRP Q 30 136,988 $ 70,233 $ ABOMAA; Q FARMO<F Q
armer (100) 333 4,039,441 $ 133,363 $ NM<RNMFBN Q 309 842,432 $ 431,927 $ <MAONM;PR Q PMNCRM<C; Q
oLLer (100) 6,133 46,482,183 $ 1,787,776 $ NFMACRMRC< Q 2,930 7,989,372 $ 4,096,369 $ <AMBFPMRN< Q CBM;PPMRBA Q
8andal l (100) 3,423 41,114,337 $ 1,381,321 $ NAMCRPMCPF Q 2,193 3,981,926 $ 3,067,019 $ RMBNFMRNP Q P<MONNMCB; Q
8oberLs (100) 39 293,201 $ 11,334 $ ;BCMPPP Q 16 42,633 $ 21,870 $ CNMPAP Q ;O<MBFB Q
Sherman (100) 142 1,073,377 $ 41,361 $ <M<<CMO;O Q 80 218,196 $ 111,872 $ ;;BMBCF Q <MNNCMFBP Q
Swl sher (100) 412 3,120,701 $ 120,027 $ ;MANBMOAF Q 183 300,374 $ 236,349 $ OPCMRAA Q ;MRROMCP< Q
Wheel er (100) 239 1,813,381 $ 69,743 $ <MFF;M<AC Q 114 309,637 $ 138,766 $ NCFMNA; Q AM;P<MPNR Q
Wl nkl er (100) 402 3,048,407 $ 117,246 $ ;M<CPMCPN Q 193 330,724 $ 272,110 $ FBAMF;N Q ;MRCFMNFF Q
?oakum (100) 410 3,103,640 $ 119,448 $ ;MAAPMBFF Q 236 642,283 $ 329,308 $ RO<MPR< Q NM<RCMCOF Q

Impact of Medicaid Extension and Local Spending For Health Care by Texas Senate District

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Impact of Medicaid Extension and Local Spending For Health Care by Texas Senate District

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