For years, some Texas families have been stuck in a persistent cycle. Their kids are covered by Medicaid, until suddenly they’re kicked off. Sometimes parents don’t realize their children have lost coverage until they’re at the doctor’s office and find out they’ll have to pay out of pocket. Maybe they missed the letter from the state, telling them they needed to submit income verification or other information again. Maybe it arrived the same day the renewal forms were due back, or after those forms were due, or maybe it never arrived at all. So having missed the 10-day window to respond, their children were automatically kicked off Medicaid. Then they have to start a new application. Sometimes the children go without coverage for weeks, even months.