Advocating for family medicine in Texas


Legislative priorities for the 86th Texas Legislature

This session TAFP will support a range of policy reforms to keep patients safe and increase their access to the care they need; to modernize Medicaid and enact fair payment rates for the program; to allow physicians to provide medications to their patients at the point of care; to improve public health, mental health, and maternal health; and to strengthen our primary care physician workforce across the state.


TAFP issue briefs

> Primary Care Physician Workforce and Loan Repayment

Increase access to care for Texans by restoring funding to the Physician Education Loan Repayment Program and raise the maximum amount of loan assistance to $180,000 per physician to reflect the growing cost of medical education.

> Support Texas’ Existing Family Medicine Residency Programs

Invest in our state’s primary care workforce by restoring funding to the Family Practice Residency Program, a budget strategy administered by the Texas Higher Education Coordinating Fund that directly supports many of the existing residency programs that produce family physicians for Texas.

> Patient Choice and Price Transparency for Pharmaceuticals

As a member of the Texas Employers for Affordable Medications, TAFP calls on the Texas Legislature to save patients and employers time and money by allowing doctors to provide medications at the point of care.

> Support SB 10 for Better Mental Health Services in Texas

TAFP joins a host of organizations in support of SB 10 by Sen. Jane Nelson and Rep. John Zerwas to help Texas children and families affected by mental illness by offering a wider range of care options more quickly.


Texas Public Health Coalition

As a member of the Texas Public Health Coalition, TAFP supports responsible reforms to reduce preventable disease, promote a safe and healthy environment, and encourage healthy behaviors for all Texans.

TPHC One-Pagers

> Child Vaccinations
> Tobacco
> Maternal Health
> Chronic Disease
> Adult Vaccinations
> Public Health Infrastructure


Past publications

The state of health care in Texas

> Condition critical: The case for rescuing primary care in Texas
This Texas Family Physician article describes the possible threats to the state’s economy and citizens if the Texas Legislature continues to ignore the primary care workforce shortage throughout the state.

> The Primary Solution: Mending Texas’ Fractured Health Care System
This document created by TAFP and its partners in the Primary Care Coalition defines recommendations to fight the health care crisis facing Texas and lay the foundation for an efficient health care delivery system.

Direct primary care

> Direct Primary Care: An alternative to fee-for-service
Direct primary care is an innovative model for delivering and purchasing health care services that gives physicians and their patients an alternative to the third-party, fee-for-service system. TAFP supports legislation that will improve access to direct primary care by recognizing these arrangements, protecting them, and defining them as outside the scope of state insurance regulation.

Physician workforce and graduate medical education

> The right kind of doctors for Texas: Revisiting barriers to building the primary care workforce, 20 years later
This Texas Family Physician article recalls twenty years ago, when TAFP called for changes in medical education to ensure Texas would have the primary care physician workforce needed to care for a rapidly growing population. Now, the state is in a perilous position as academic institutions have no financial incentive to train new primary care physicians and medical students are actively discouraged from these disciplines.

> GME 101: What you need to know about graduate medical education in Texas
With funding as complex as graduate medical education – part federal, part state, and part institutional support – it is easy to get lost in the explanation. This document is a primer that covers the basics of GME.

Scope of practice

> Physicians tell House Committee: Independent practice for nurse practitioners is the wrong answer for Texas primary care shortage

> The Question of Independent Diagnosis and Prescriptive Authority for Advanced Practice Registered Nurses in Texas: Is the Reward Worth the Risk?

> Primary Care Coalition Issue Briefs — Collaboration Between Physicians and Nurses Works: