Health and Human Services Secretary Kathleen Sebelius says she remains hopeful Texas will expand Medicaid coverage as part of the implementation of the Affordable Care Act.
But Democratic lawmakers who joined Sebelius in Houston to promote the health care law say they expect Texas will continue to fight the law's implementation, including proposing new rules for ``navigators'' _ those trained to walk people through the enrollment process for insurance.
Gov. Rick Perry has refused to enact a provision in the new health law to expand Medicaid and cover more of the working poor. The Texas Department of Insurance is proposing additional rules for navigators, including criminal background checks and privacy training.
About 14,000 Texans enrolled for insurance coverage in October and November on the federal online exchange.