Guillory was able to receive care immediately, she told the Travis County Commissioners Court on Tuesday, only because of the subsidy she receives from the county's health district,
Had she been diagnosed just a few years earlier, Guillory said, she might not have received that care, as for years before she had gone without insurance.
"I'm here today because of" Sendero, she said. "I'd like to continue to be here. I have a son who's 6 years old who needs me here. I have continued care, but I need to be able to afford (it) for years to come."
Almost a week after
Many, like Guillory, said Sendero provided affordable care that they or their family members would not have otherwise been able to receive.
Sendero Health Plans, created by
The nonprofit in May cut its other two plans, through the
Under state law, county commissioners give final approval of
They agreed to postpone the vote for a week, however, after
"Not only in the communications today but in the future public meeting, we're going to embrace all that people have to offer because that helps inform the decision," Geeslin said.
In addition to the coming Commissioners Court vote, Sendero board members also will need to vote on any decision made by
Regardless of whether Sendero ends up offering a plan in 2019, it will continue to offer coverage to its members through the end of the year, officials have said. If it doesn't end up offering a plan, members will have to choose a new one during the enrollment period that runs
The decision by
During a news conference outside the Commissioners Court doors,
"Sendero has a more robust provider pool," Ortega said. "Why do rich people get to have a choice for their insurance and the working poor are stuck with MAP?"
Ortega and others have said the suggested move would increase available federal dollars by decreasing the amount that Sendero has to pay back to the federal government under the risk adjustment provision of the Affordable Care Act. The provision requires insurers with healthier members to pay insurers with sicker members as an attempt to level the playing field.
Sendero's members on average are relatively healthy, requiring it to return millions of dollars, said
Sendero has floundered financially since it was created. At the end of last year, the nonprofit was
Prior to the court postponing the vote Tuesday, Commissioner
"These are not simply emotional. These have been very serious cases of illnesses that people have," Gómez said. "That's what makes the decision even harder. ... That (risk-adjustment) money can be returned to this community and put to work for those people who are depending on us."
"I think public confidence is predicated on putting it out there and letting them see what we see," Travillion said.
"I do think that Sendero provides a wonderful program for people and a very needed program, but it is a number and cents thing, and you have to consider if it's sustainable," Daugherty said.
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