National Updates
The openenrollment period for the Affordable Care Act marketplace has officially begun on November 1; many states report significant premium increases as enhanced subsidies are set to expire. The Texas Tribune
Global health agencies continue to highlight risks from vector-borne and zoonotic diseases, with cross-border cooperation deemed critical.
Texas Updates
Texans already face steeper ACA marketplace premiums this year as the expiration of enhanced tax credits looms—hospital and health policy leaders warn of large coverage loss if Congress does not act soon. Houston Chronicle+1
The Texas Department of State Health Services (DSHS) has issued a pertussis (whooping cough) health alert for Texas, noting a recent uptick in cases across the state has triggered increased surveillance and public education efforts. dshs.texas.gov
Clinical Tips for Providers
nsurance Coverage: Encourage patients to review marketplace options now; highlight potential premium increases and coverage gaps if tax credits expire.
Vaccines: Given the pertussis alert in Texas, ensure all age-appropriate pertussis vaccinations are current—especially for pregnant patients and households with young children.
Public Health Awareness: Remind patients of the broader health care policy shifts that could affect access, affordability, and preventive services—being proactive can mitigate disruptions.
