Texas added 393 people through PPACA's preexisting conditions coverage. The City of San Angelo dropped at least 122 previously insured people with premium increases. That wipes out 31% of the statewide gain. Irony grows with San Angelo's approval for PPACA's Early Retiree Reinsurance Program (ERRP).
When the city applied for federal health reform funds it stated on the application:
"Reimbursement through ERRP will allow the City 'to continue to provide the same quality of care without passing on additional costs to its participants.'"