It's the second time the Biden administration has rejected a Medicaid waiver application from the State of Texas in as many years.
The letter brings an end to the year-long fight between the federal and state government, viewed as an effort to force Medicaid expansion.
The Biden administration's maneuver aimed at forcing Texas' hand toward Medicaid expansion is losing support as a court case drags and bills pile up.
The Biden administration denied Texas' application to renew a Medicaid waiver that reimburses hospitals for uncompensated care after the Trump administration had already approved it.
In April, the State of Texas received notice that the previously accepted renewal of a Medicaid waiver would be rescinded — opening the state and area hospitals up to billions of dollars in uncompensated health care.
The State of Texas' previously approved request for a waiver through its Medicaid program was retroactively denied by the Centers for Medicare and Medicaid Services.
