Some Texas children with special needs like Addison have lost critical services since the state implemented $350 million in Medicaid cuts to speech, occupational and physical therapy in December. [...] the fallout could eventually be similar if some form of what's been approved in the U.S. House, and is under consideration in the Senate, becomes law, said Elizabeth Burak, the senior program director of Georgetown University's McCourt School of Public Policy's Center for Children and Families The Texas Legislature voted in 2015 to cut the state's Medicaid reimbursement for pediatric acute therapy services, which effectively capped how much providers can be paid. In a 2015 letter, Lt.