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September 01.2025
3 Minutes Read

Congress Must Renew ACA Premium Tax Credits for Bexar County Residents

U.S. Capitol building under clear blue sky, Bexar County health insurance premiums context.

Understanding the ACA Premium Tax Credit and Its Importance

Over 234,000 Bexar County residents depend on Affordable Care Act (ACA) marketplace premium tax credits, set to expire at the end of 2025. This expiration could lead to increases in health care premiums for many, pushing costs above 8.5% of their annual income. Such a financial pressure is bound to affect both low-income individuals and small businesses, which rely on these credits to provide affordable health insurance for their employees.

The premium tax credits not only enhance health coverage access but also reduce the number of uninsured individuals in states like Texas, where Medicaid expansion has not occurred. According to The Century Foundation, a staggering 3.3 million Texans utilize these crucial financial supports, facilitating coverage for over 25,000 children in Bexar County alone.

The Economic Ripple Effects on Local Communities

The looming expiration of the tax credits poses a larger threat; it could increase the uninsured population, placing additional strain on local healthcare providers. With many medical institutions already facing capacity issues, this potential spike in uninsured residents could lead to increased emergency room visits and long wait times for patients seeking care.

Furthermore, local businesses may find themselves facing tough decisions regarding employee benefits. Employers might have to reconsider their health insurance offerings or, worse, shift to part-time hiring, ultimately stifling economic growth in the region. Many local businessmen and women express concern that without support from Congress, their ability to provide healthcare coverage could dwindle, leading to financial stress for employees who depend on these benefits.

The Role of Political Action in Health Care Sustainability

As Congress prepares to reconvene after their break, the future of health care affordability hangs in the balance. While some senators have indicated a willingness to extend the credits, uncertainty remains around what final decisions will be made. This situation demonstrates the ongoing importance of political advocacy and lobbying efforts aimed at safeguarding the interests of vulnerable populations across Bexar County.

Healthcare providers, businesses, and advocacy groups in San Antonio are urging constituents to communicate with their representatives. The implications of potential premium hikes not only affect personal finances but also threaten the overall economic landscape and future health of the community. In a panel discussion, Dan Miller, president of Methodist Healthcare, emphasized, “What it means for families is hundreds to thousands of dollars per month.” Hence, active civic engagement is paramount for those wanting to influence the outcome.

Why Community Action Matters

In light of these challenges, community involvement remains critical. The expiration of premium tax credits could lead to a healthcare crisis, manifesting itself in lost insurance for thousands and increased struggles for local healthcare providers.

Engaging in local advocacy can create a voice for those affected. Part-time workers, small business employees, and self-employed individuals must rally together to make their concerns heard ahead of upcoming congressional votes. Sending letters, organizing town halls, and utilizing social media platforms can significantly sway public opinion and encourage lawmakers to consider extending crucial tax credits.

The Future of Healthcare in Texas

As Bexar County prepares for 2026, the community can expect significant changes if no action is taken regarding these tax incentives. The rise in healthcare premiums could lead to a surge in uninsured individuals, causing further complexities in healthcare delivery and potential bankruptcies for your local businesses. A conversation about healthcare affordability must remain alive as we head into an election year, influencing not just individual health but community vitality.

Locally, community leaders should be proactive in fostering conversations and creating awareness around the implications of the tax credits. By prioritizing health care issues at public forums, we can push these challenges into the spotlight and encourage legislative action that protects our citizens.

San Antonio News

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09.11.2025

George Hernández: Lifelong Contributions to San Antonio's Healthcare Innovation

Update Celebrating a Decade of Transformational LeadershipGeorge Hernández, a pivotal figure in the healthcare landscape of San Antonio, has recently been awarded the Innovation in Healthcare and Bioscience Lifetime Achievement Award by BioMedSA. This honor recognizes his extraordinary contributions to the University Health system, where he served for 34 years, including 19 years as president and CEO. Hernández's leadership not only transformed the hospital system into a nationally recognized entity but also prioritized the care of underserved populations.Impact on Healthcare AccessibilityDuring his tenure, Hernández focused on expanding access to medical care for all residents in Bexar County. A testament to his forward-thinking approach is the development of the Community First Health Plans—University Health's nonprofit health insurance provider that, under his guidance, ensured that uninsured individuals received necessary medical treatment. “Our mission was to represent the uninsured. But how we did it was unique; we expanded care for everyone, and then everyone benefits,” he stated. This mission has resonated across the community, impacting thousands and reflecting a model of inclusivity and egalitarianism.A Legacy of Infrastructure and GrowthUnder Hernández's stewardship, University Health underwent considerable growth and infrastructure improvement. Notable projects include the Robert B. Green Pavilion Sky Tower extension and the recently opened $573 million Women’s and Children’s Hospital, which set a new standard for healthcare facilities in the region. Currently, the organization is undertaking a $1.5 billion expansion that will further enhance medical services across San Antonio.The Power of Leadership Through CollaborationOne of Hernández's insights into successful leadership is his belief in teamwork. He likens his role to a “symphony conductor”, emphasizing that having the right people is crucial for success. His philosophy illustrates that visionary leaders do not need to dominate every aspect of their organization; instead, they should focus on cultivating talent, guiding efforts, and ensuring that a diverse team can deliver unified results. This approach has greatly contributed to University Health's reputation as a compassionate and innovative health provider.Recognition by Peers and InfluencersThe accolades received by Hernández underscore the high regard in which he is held. Figures such as Henry Cisneros, former U.S. Secretary of Housing and Urban Development, have praised his contributions, noting that few in the political and public service arenas have matched his impact on San Antonio's healthcare system. Cisneros stated that Hernández is “absolutely one of the finest public officials we have in the recent history of San Antonio.” This recognition goes beyond mere praise; it signifies the lasting influence of Hernández’s policies on community welfare.Looking Ahead: The Future of San Antonio's Healthcare SystemThe expansions and innovations spearheaded by Hernández have positioned University Health as a leader not just locally but nationally in public health systems. As the healthcare landscape continues to evolve, the initiatives put forth during his leadership will serve as a benchmark for future leaders. With increasing focus on health equity, particularly for underserved populations, the need for innovative solutions remains critical.In conclusion, George Hernández's remarkable career, marked by a relentless pursuit of excellence and inclusivity, exemplifies what it means to be a transformative leader in healthcare. His legacy encourages current and future healthcare executives to prioritize access and community well-being while pushing for systemic improvements. As San Antonio moves forward, the framework established by Hernández will undoubtedly influence the trajectory of its healthcare system for years to come.

09.10.2025

How Opioid Settlement Funds Are Transforming Addiction Treatment in San Antonio

Update Understanding the Impact of Opioid Settlements on Health Services In a landmark shift in public health funding, University Health in San Antonio is directing its share of over $30 million from nationwide opioid settlements toward critical addiction recovery services in Bexar County. This initiative is part of a broader effort in Texas which has secured an astounding $3.3 billion to combat the opioid crisis. These funds directly support vulnerable populations, including inmates and newborns affected by their mothers’ substance use during pregnancy. Where the Money is Going: A Focus on Recovery and Treatment The devastation wrought by the opioid epidemic necessitates substantial funding for recovery and rehabilitation. University Health intends to utilize approximately $5.6 million received through these allocations for key initiatives, including improving addiction treatment access for Bexar County's inmates. This engagement reflects a growing acknowledgment that effective recovery starts within correctional facilities. Alongside this, a portion of the funds will assist babies born with Neonatal Abstinence Syndrome (NAS)—a condition resulting from prenatal opioid exposure. NAS can cause serious complications such as seizures and feeding issues, and the extended care required for these infants places a heavy burden on local healthcare services. Bexar County's NAS rate reached a staggering 7.7 per 1,000 hospital births, signifying a pressing public health crisis that necessitates immediate action. Innovative Approaches to Naloxone Distribution One of the most notable uses of the settlement funds is a $25 million grant awarded to University Health for a statewide distribution of naloxone—an opioid overdose reversal medication. This initiative not only increases access to this life-saving drug across Texas but also includes training for its effective use. A specific focus on rural areas, with $3.1 million directed there, showcases the commitment to combatting opioid abuse across diverse communities. The Texas Opioid Abatement Fund further amplifies these efforts through competitive grants, ensuring that even smaller localities receive support to tackle the crisis effectively. Providing naloxone in conjunction with educational resources marks a proactive approach, ensuring that both the treatment and prevention of overdoses are prioritized. The Role of Local Organizations in Tackling the Crisis Collaborative efforts with local organizations, such as Corazon Ministries, are vital to distribute harm reduction supplies, including naloxone, to the community. These partnerships epitomize a grassroots approach to health crises, emphasizing the importance of local engagement in public health strategies. Corazon Ministries, for instance, has implemented a program to provide Narcan to visitors at Grace Lutheran Church, highlighting a community-based effort that complements larger institutional initiatives. Such outreach is essential for long-term recovery and education on the dangers of opioid use. Future Implications: Financial Allocations and Community-Centric Care The strategic financial allocations from these opioid settlements represent not only a reaction to a public health crisis but also a proactive investment in the future well-being of the community. As more settlements are finalized, projected funds could lead to even greater investments in mental health and addiction recovery services across Texas. As we continue to see the repercussions of the opioid crisis, the allocation of these funds serves as a model for other regions facing similar challenges. It underscores the necessity for a holistic and rehabilitative approach to healthcare that addresses the root causes of addiction while providing necessary medical care and community support. Recommendations: What You Can Do The community can play a pivotal role in these efforts by educating themselves about the opioid crisis and supporting local organizations involved in recovery and prevention. Advocacy for additional funding and resources can also lead to more comprehensive approaches that engage the entire community in tackling addiction. As Bexar County navigates this critical juncture, the investment of opioid settlement funds into local health services not only heralds a path toward recovery but also signals a collective commitment to healing and rebuilding the fabric of our community.

09.09.2025

Transforming Kelly Air Force Base into an Aerospace Innovation Hub in San Antonio

Update Revitalizing San Antonio: A New Era After Kelly Air Force Base Closure When the Department of Defense announced the closure of Kelly Air Force Base in 1995, it marked not just the end of a military presence but a significant turning point for San Antonio. Nearly three decades later, this closure has transformed into a testament to resilience and innovation, culminating in the establishment of Port San Antonio, a thriving hub of aerospace and technology. From Base to Innovation Hub: The Transformation Journey Initially, the closing of Kelly Air Force Base posed a considerable threat to local jobs and the economy, as highlighted by Tullos Wells, a key figure in the fight to keep the base operational. “The entire community felt it. We knew what it meant, whether we worked there or had family who worked there,” he recalled. However, instead of despair, city leaders opted for a proactive response, highlighting the community's determination. Port San Antonio, now home to over 19,000 jobs and numerous companies including Boeing and StandardAero, has become a model of economic adaptation. Local business leaders appealed to new enterprises, fostering growth where the military base had once dominated. Paving the Way for Future Generations: Education and Opportunity Recognizing the need to prepare younger generations for emerging careers in aerospace and technology, various local foundations have stepped up their educational initiatives. The Dee Howard Foundation is one such organization, dedicated to ensuring youth understand the vast opportunities in the aerospace industry. As Christopher Mammen, the Foundation's leader, emphasized, “Our mission is centered around making sure they know what the industry is about.” These initiatives are not only focused on traditional education but also on hands-on experiences with cutting-edge technologies. Programs run by organizations like the Wex Foundation equip students with essential resources, helping them to open doors into careers that are rapidly evolving. Technological Innovations: Preparing for a New Era of Aerospace Innovation at Port San Antonio goes beyond mere job creation; it encompasses exciting technological advancements that position the area as a future leader in aerospace innovation. For instance, the development of vertiports dedicated to electric aircraft promises to revolutionize local transportation. Mammen highlights, “Testing will happen in the coming years. The technology is there and it’s ready for us.” This forward-thinking vision echoes the sentiments of a community eager to adapt and thrive in a rapidly changing world. Other initiatives, such as the Astroport project, explore lunar habitats and construction possibilities using materials found on the moon, showcasing San Antonio's capacity to think beyond terrestrial boundaries. The Emotional Legacy: Lessons from Kelly Air Force Base The closure of Kelly Air Force Base brought profound grief to many who witnessed its impact. Beyond economic statistics, there’s a human element, with countless families affected and concerned about their futures. Acknowledging this personal history is crucial as San Antonio advances. Wells aptly noted, “It is amazing and it didn’t happen by accident. Our message was, ‘You come, you continue your work here or you bring your work here and we’ll give you a deal.’” This collaboration between government, local businesses, and concerned citizens illustrates the power of a united front in overcoming adversity. As communities engage with this legacy, they lay the groundwork for a sustainable and hopeful future, proving that closures can indeed lead to new beginnings.

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