AG Ken Paxton hasn’t challenged the Trump administration over Texas’ $10-billion Medicaid cut even though he sued Biden

Paxton's earlier lawsuit centered on the federal government withholding that funding stream, and a court ruled in Texas' favor. The legal argument that worked once would appear to apply equally now, yet Paxton has not filed any challenge against the current administration.

That is not a rounding error for a state where Medicaid covers millions of low-income residents, children, and people with disabilities. Lubbock, which leans heavily on University Medical Center and the broader South Plains health safety net, would feel a cut that size in real ways, from hospital reimbursement rates to the number of people who can access care at all.

For people here who depend on Medicaid, the question is not abstract. Whether the state fights a federal funding cut often determines whether hospitals can keep the lights on in rural and mid-sized markets like this one.

Paxton's office has not explained publicly why the same legal theory that justified suing one administration does not apply to another.