We live in a state with a good economy and bountiful natural resources, yet 1 in 5 Texas children don't have health insurance (nearly twice the national average), mothers are dying in childbirth or right after at alarming rates, and many Texas families are one medical incident away from dire financial straights. If there is one decision the Legislature could make that would change lives overnight it would be to expand Medicaid, which would provide millions of working Texans with health insurance, add billions of dollars back into the Texas economy, and lower all of our insurance premiums. We also need to focus on maternal mortality, mental health services, and ensuring we are providing folks with culturally competent care to improve health outcomes.