State Medicaid Programs – New Mexico, Colorado

Health Insurance Coverage in the United States: 2016

  • How health-care reform affected America, in 51 graphs, By Philip Bump, September 14, 2017, Washington Post: “Last year, 8.6 percent of Americans lacked health insurance. Three years earlier, that figure was 14.5 percent, meaning that the rate dropped by 5.9 percentage points over the period that the Affordable Care Act went into effect, a 40 percent decline from the 2013 figure. In real terms, that’s about 19 million fewer people lacking health insurance, per estimates released Tuesday by the Census Bureau…”
  • States with the highest and lowest uninsured rates, By Mattie Quinn, September 13, 2017, Governing: “As discussions about the future of the Affordable Care Act (ACA) continue on Capitol Hill, at least one thing is certain: The law has led to a record number of people having health insurance. According to data released this week from the U.S. Census Bureau, only 8.8 percent of Americans were uninsured in 2016. That’s down from 13.3 percent in 2013, the year before much of the ACA took effect. Since then, every single state has seen their uninsured rate drop…”
  • Obamacare keeps shrinking the ranks of N.J.’s uninsured, Census data shows, By Disha Raychaudhuri, September 12, 2017, NJ.com: “About 66,000 more people in New Jersey had health insurance in 2016 than the previous year, according to a report released Tuesday by the U.S. Census Bureau. The latest data shows that the number of uninsured N.J residents has continued to drop, a trend that policy analysts attribute to the success of the Affordable Care Act…”
  • Uninsured rate continues to drop in Indiana under Obamacare, By Maureen Groppe, September 13, 2017, Indianapolis Star: “The number of Hoosiers without health insurance fell 41 percent after the coverage expansion elements of the Affordable Care Act went into effect, according to new federal data. The 8.1 percent of residents who still lacked insurance last year is now lower than the national 8.6 percent rate, the Census Bureau reported. But Indiana still has a higher share of its population uninsured than do its neighboring states, which expanded their Medicaid programs before Indiana did…”
  • Young, low-income Kansans more likely to be uninsured than counterparts in other states, By Jim McLean, September 14, 2017, KCUR: “Low-income Kansans are less likely to have health insurance than their counterparts in other states, according to an analysis of new data from the U.S. Census Bureau. The uninsured rate among Kansans living below the federal poverty level has been worse than the national rate for many years. But the gap has widened in recent years, mainly because of the state’s rejection of Medicaid expansion, said Robert St. Peter, president and CEO of the nonpartisan Kansas Health Institute…”

Rural Mental Health Center – Iowa

Rural mental health center draws plenty of praise, but it’s faltering for lack of money, By Tony Leys, September 8, 2017, Des Moines Register: “An innovative program that provides mental-health help in a rural area desperate for such services is on the cusp of closure, partly because state officials haven’t arranged a way for it to bill Medicaid. Numerous southern Iowans who’ve used the Oak Place center are stepping forward to explain why they want it to stay open, pushing aside fears about being identified publicly as people who were hamstrung by depression or anxiety — and who sought help…”

State Medicaid Programs

  • Oregon removes nearly 55,000 people from Medicaid after they failed eligibility checks, By Hillary Borrud, August 31, 2017, The Oregonian: “Oregon has kicked nearly 55,000 people off its Medicaid program, after the state found they no longer qualified or failed to respond to an eligibility check…”
  • How much Health-care freedom should Trump give states?, By Mattie Quinn, September 2017, Governing: “From the onset of the Affordable Care Act, critics protested that it amounted to federal overreach and was too strict on states. That fight has besieged the two political parties for the past decade. Now, much of the federal battle over health care has coalesced around how much freedom states should have in crafting their Medicaid programs…”
  • As health care debate simmers, Mead laments lack of Medicaid expansion in Wyoming, By Seth Klamann, August 27, 2017, Casper Star-Tribune: “Gov. Matt Mead lamented the $100 million that Wyoming left on the table by choosing not to expand Medicaid, and he expressed concern for the state’s hospitals while discussing health care with the Star-Tribune recently…”

Medicaid Expansion – Nevada

High-stakes health-care debate hits Nevada’s Medicaid program, By Ben Botkin, August 5, 2017, Las Vegas Review-Journal: “Marta Jensen, Nevada’s point person on Medicaid, watched on C-SPAN recently as the U.S. Senate debated health care reform. She had four different bills pulled up on her computer. The stakes were high for Nevada. Each of the bills would have repealed at least parts of the Affordable Care Act and affected Medicaid, the federal-state program that provides poor and disabled Americans with medical coverage. More than one-fifth of the state’s residents now receive their health insurance through Medicaid…”

State Medicaid Programs

  • In Florida, Medicaid is a matter of life and death, By Noreen Marcus, August 14, 2017, U.S. News & World Report: “The first thing Kristina Iavarone wants to buy when her son gets Medicaid is an asthma inhaler. He and his sibling lost their health insurance six months ago due to family finances. ‘They’ve been off health care for six months and six months is long enough,’ says Iavarone, a waitress in Tampa. Fortunately her son, 16, hasn’t had to go to the emergency room.  Since the teenaged Iavarones should be able to qualify for Florida KidCare, the state’s main Medicaid program for residents under 19, they shouldn’t have to wait much longer…”
  • Climbing cost of decades-old drugs threatens to break Medicaid bank, By Sydney Lupkin, August 14, 2017, Philadelphia Inquirer: “Skyrocketing price tags for new drugs to treat rare diseases have stoked outrage nationwide. But hundreds of old, commonly used drugs cost the Medicaid program billions of extra dollars in 2016 vs. 2015, a Kaiser Health News data analysis shows. Eighty of the drugs — some generic and some still carrying brand names — proved more than two decades old…”
  • With changes approved, Nebraska will continue Medicaid program that pays premiums for some, By Martha Stoddard, August 15, 2017, Omaha World-Herald: “Federal officials have approved changes that will allow Nebraska to continue a program in which Medicaid helps pay private health insurance premiums for some people…”
  • New life for Medicaid after GOP’s health care debacle, By Ricardo Alonso-Zaldivar (AP), August 14, 2017, Washington Post: “It may not equal Social Security and Medicare as a ‘third rail’ program that politicians touch at their own risk, yet Medicaid seems to have gotten stronger after the Republican failure to pass health care legislation…”

Disability Financial Assistance – Ohio

Ohio budget bill ended cash assistance program for people with disabilities, By Jackie Borchardt, August 7, 2017, Cleveland Plain Dealer: “Gov. John Kasich and state lawmakers last month quietly eliminated a state safety net program that provided cash benefits to about 6,000 disabled Ohioans with little or no income.  The state stopped accepting new applications for the Disability Financial Assistance program July 1 — a change buried in the 3,300-page state budget bill…”

State Medicaid Programs – Texas, Maine

  • How Medicaid expansion could help Texas mothers, By Behrouz Zand, August 3, 2017, Houston Chronicle: “Texas has one of the highest maternal mortality rates in the country. Between 2010 and 2012, the rate doubled. And the rate in Texas between 2012 and 2014 remained high, with approximately 35 maternal deaths per 100,000 live births. Texas’ rates are about seven times greater than in Canada and European countries. As a result, the Texas Legislature established the Maternal Mortality and Morbidity Task Force in 2013. This 15-member task force of mostly physicians and healthcare experts set out to find out why pregnancy-related deaths have skyrocketed and what can be done to decrease them…”
  • Maine moves ahead with plan to charge Medicaid recipients, make them work, By Patty Wight, August 3, 2017, Bangor Daily News: “People who receive MaineCare — the state’s version of Medicaid — may soon have to work and pay monthly premiums in order to get benefits. Maine’s Department of Health and Human Services officially filed an application this week to the federal government to make those changes. Critics say Maine’s plan would erect barriers to health care that will drive up costs for everyone…”

Medicaid Coverage

  • States that expanded Medicaid saw drop in medical debt, U study finds, By Christopher Snowbeck, July 24, 2017, Star Tribune: “The federal health law’s Medicaid expansion delivered a degree of economic stability to low-income Americans in states that adopted the program, according to a new report from University of Minnesota researchers. Low-income residents in states like Minnesota that expanded eligibility for Medicaid coverage saw a bigger decline in unpaid medical bills between 2012 and 2015 than people living in states that didn’t expand coverage, according to the study published in a blog by the journal Health Affairs…”
  • How crisis pregnancy center clients rely on Medicaid, By Sarah McCammon, July 24, 2017, National Public Radio: “When Taylor Merendo moved to Bloomington, Ind., nearly two years ago, fleeing an abusive marriage, she needed help. ‘I was six months pregnant and at that point in time, I really didn’t have a stable place to live,’ Merendo says. That’s where the Hannah Center in Bloomington stepped in. It’s what’s known as a crisis pregnancy center, where women are counseled against abortion and often get support after their babies are born…”
  • Alabama officials abandon Medicaid reform plan, By Amy Yurkanin, July 27, 2017, al.com: “State officials have abandoned a plan to transform Medicaid in Alabama from a fee-for-service model into managed care system led by local healthcare organizations due to uncertainty about funding and high start-up costs…”

Reform of Safety-Net Programs

  • GOP challenge: Reforming widely accepted ‘safety net’ programs, By Mark Turnbull, July 19, 2017, Christian Science Monitor: “The failure of Senate Republicans to close ranks on health-care reform this week put on display an old challenge: How conservatives can reform social safety-net programs when there’s a growing acceptance of them – even among Republican voters…”
  • Small tweaks to existing policies could make a huge difference for poor families, By Karen Weese, July 20, 2017, Washington Post: “It wasn’t much — just five bucks apiece — but both boys’ eyes sparkled when Carol Moore told them they could spend it on anything they wanted. ‘Meet me back here in 10 minutes,’ Moore told the boys, whom she’d met a few months ago when they came to her church’s homeless shelter. As the boys set out into the aisles of Walmart, she called after them: ‘Just get something you really want, okay?’ Ten minutes later, they came back and held out their treasure. It was deodorant…”

Medicaid Programs

  • Montana faces double quandary over Medicaid expansion, By Bobby Caina Calvan (AP), July 17, 2017, Washington Post: “For all the uncertainty over the fate of a health care overhaul in Washington, tens of thousands of Montana’s working poor are already in a double quandary: Even if Congress leaves Medicaid expansion mostly intact, the future of the state’s program remains uncertain…”
  • Holcomb asks feds to allow Medicaid work requirements, Associated Press, July 21, 2017, Indianapolis Star: “Gov. Eric Holcomb has submitted a finalized proposal allowing for changes to the state’s Healthy Indiana Plan 2.0 serving low-income Hoosiers…”
  • Study suggests why more skin in the game won’t fix Medicaid, By Don Sapatkin, July 19, 2017, Philadelphia Inquirer: “As patients and partisans of all stripes take a deep breath after the latest Republican effort to dismantle Obamacare, they might consider how trying to save health-care dollars can have unintended consequences. In the Netherlands,  the government sought to give people more ‘skin in the game’ in its national health system. The idea —  long supported by U.S. conservatives, even for poor people on Medicaid — is that when patients have to shell out some cash for their care, they won’t seek unnecessary services…”

Medicaid and Addiction Treatment

How Medicaid cuts could exacerbate the opioid epidemic, By Ronald Brownstein, July 13, 2017, The Atlantic: “When Christie Green took her job three years ago as public-health director for the Cumberland Valley District in southeastern Kentucky, she had nearly two decades of experience in the state’s public-health system. But Green still wasn’t prepared for what she saw when her predecessor took her around this hardscrabble swathe of Appalachia centered on Clay County, which The New York Times once described as the hardest place in the United States to live. ‘In the first week,’ Green recently told me, ‘I met more people who were raising their grandchildren than I had in my entire career before that…’”

Medicaid Coverage

Medicaid and Addiction Treatment

Medicaid expansion has delivered access to addiction treatment, report finds, By Sarah Fentem, July 7, 2017, National Public Radio: “This week, as senators have decamped from Washington for the Fourth of July recess, the future of the Senate’s Affordable Care Act replacement plan — and by extension, Medicaid — remains uncertain. Just days before the recess, a report from the Urban Institute, a public policy think tank, detailed big increases in Medicaid spending on opioid addiction treatment under the Affordable Care Act. It’s a trend that could be reversed if the Senate’s plan passes…”

State Medicaid Programs

States move to tighten Medicaid enrollment, even without a new health law, By Charles Ornstein, July 6, 2017, National Public Radio: “No corner of the health care system would be harder hit than Medicaid, the federal-state health insurance program for the poor, if Republican leaders in Congress round up the votes to repeal major portions of the Affordable Care Act. GOP lawmakers have proposed winding down the Medicaid expansion that added 17 million people in 31 states and the District of Columbia under the ACA, and also eventually capping the program’s spending per capita…”

Rural Health Care

  • Deaths from cancer higher in rural America, CDC finds, By Lena H. Sun, July 6, 2017, Washington Post: “Despite decreases in cancer death rates nationwide, a new report shows they are higher in rural America than in urban areas of the United States. The report released Thursday by the Centers for Disease Control and Prevention found that rural areas had higher rates of new cases as well as of deaths from cancers related to tobacco use, such as lung and laryngeal cancers, and those that can be prevented by screening, such as colorectal and cervical cancers…”
  • Kids in pro-Trump rural areas have a lot to lose if GOP rolls back Medicaid, By Noam Levey, July 6, 2017, Los Angeles Times: “Communities like this aging West Virginia coal town along the Kanawha River were key to President Trump’s victory last year; more than two-thirds of voters in surrounding Fayette County backed the Republican nominee. Now, families in this rural county and hundreds like it that supported Trump face the loss of a critical safety net for children as congressional Republicans move to cut hundreds of billions of dollars over the next decade from Medicaid, the half-century-old government health plan for the poor…”

Medicaid Cuts and State Programs

  • From birth to death, Medicaid affects the lives of millions, By Alison Kodjak, June 27, 2017, National Public Radio: “Medicaid is the government health care program for the poor.  That’s the shorthand explanation. But Medicaid is so much more than that — which is why it has become the focal point of the battle in Washington to repeal and replace the Affordable Care Act, also known as Obamacare. President Barack Obama expanded Medicaid under his signature health care law to cover 11 million more people, bringing the total number of people covered up to 69 million…”
  • For people who depend on Medicaid, proposed federal caps in health care plans instill fear, By Guy Boulton, June 24, 2017, Milwaukee Journal Sentinel: “Aaron Christensen was born with a condition so rare that fewer than 100 people have been diagnosed and reported with it worldwide. The boy, now 6, has Nicolaides-Baraitser syndrome, which is characterized by intellectual disability, distinctive facial and other physical features, and often seizures. When he was born, ‘everything kind of changed,’ said his mother, Sara Christensen. ‘We still don’t know what the future looks like.’ Aaron could depend on Medicaid to pay for all or most of his health care his entire life, through a special program. And that’s why they’re extremely anxious about congressional Republicans’ plans to cap what the federal government spends on Medicaid in future years…”
  • The who, what and how much of Mississippi Medicaid, By Sarah Fowler, June 28, 2017, Clarion-Ledger: “Each morning, Samantha Manning rushes to get her family ready for the day. Her eldest, 13-year-old Kennedy, is involved in a number of sports. Combine that with twin 8-year-old boys, and each day is different. Kennedy is a type 1 diabetic and goes to a small school that doesn’t have a nurse on staff. Because of the teen’s diabetes, the school’s policy demands one parent is present at all of her games…”
  • Veterans helped by Obamacare worry about Republican repeal efforts, By Stephanie O’Neill, June 28, 2017, National Public Radio: “Air Force veteran Billy Ramos, from Simi Valley, Calif., is 53 and gets health insurance for himself and for his family from Medicaid — the government insurance program for lower-income people. He says he counts on the coverage, especially because of his physically demanding work as a self-employed contractor in the heating and air conditioning business…”

Medicaid Cuts and State Programs

  • Republicans’ proposed Medicaid cuts would hit rural patients hard, By Bram Sable-Smith, June 22, 2017, National Public Radio: “For the hundreds of rural U.S. hospitals struggling to stay in business, health policy decisions made in Washington, D.C., this summer could make survival a lot tougher. Since 2010, at least 79 rural hospitals have closed across the country, and nearly 700 more are at risk of closing. These hospitals serve a largely older, poorer and sicker population than most hospitals, making them particularly vulnerable to changes made to Medicaid funding…”
  • G.O.P. health plan is really a rollback of Medicaid, By Margot Sanger-Katz, June 20, 2017, New York Times: “Tucked inside the Republican bill to replace Obamacare is a plan to impose a radical diet on a 52-year-old program that insures nearly one in five Americans. The bill, of course, would modify changes to the health system brought by the Affordable Care Act. But it would also permanently restructure Medicaid, which covers tens of millions of poor or disabled Americans, including millions who are living in nursing homes with conditions like Alzheimer’s or the aftereffects of a stroke…”
  • Republicans’ Medicaid rollback collides with opioid epidemic, By Ricardo Alonzo-Zaldivar (AP), June 20, 2017, ABC News: “The Republican campaign to roll back Barack Obama’s health care law is colliding with America’s opioid epidemic. Medicaid cutbacks would hit hard in states deeply affected by the addiction crisis and struggling to turn the corner, according to state data and concerned lawmakers in both parties…”
  • How states like Kansas punish the poor for being both too poor and not poor enough, By Max Ehrenfreund, June 19, 2017, Washington Post: “Obamacare was designed to make it easier for poor Americans to buy insurance. In many states, though, the law has left a hole where less needy households can receive benefits, while millions of Americans living in poverty cannot. They are, in effect, too poor to get help…”
  • In expanding Medicaid, Utah wants to make some enrollees work and cap their lifetime coverage, By Alex Stuckey, June 20, 2017, Salt Lake Tribune: “Utah health officials are proposing lifetime limits and work requirements for childless adults who would gain coverage under a Medicaid expansion plan, hoping the changes will help persuade the federal government to approve it…”
  • With Medicaid under the gun, new study highlights program’s successes in Cheshire County, By Ethan DeWitt, June 23, 2017, Keene Sentinel: “Amid fierce national clashes over the future of health care, and a new Republican bill unveiled Thursday, one federal program has proven a particular emotional flash point: Medicaid. Efforts to pare back the program, which provides coverage to low-income adults and children, have drawn alarm from Democrats and some Republican senators representing rural states…”

Health Insurance Coverage in the US

  • Charity care dips at Wisconsin hospitals, with more people insured; trend could end with Obamacare repeal, By David Wahlberg, June 11, 2017, Wisconsin State Journal: “Hospitals in Madison and throughout Wisconsin have provided less charity care in recent years as more people have gained insurance through the Affordable Care Act, with some hospitals directing the savings to disease prevention. That could change if Congress overturns the law, known as Obamacare, and increases the ranks of the uninsured. And if Medicare payment cuts that helped pay for the law’s expanded coverage also remain, hospitals could end up shifting more costs to people with private insurance, officials say…”
  • What the Obamacare overhaul could mean for Texas’ terrible maternal mortality rate, By Katie Leslie, June 12, 2017, Dallas Morning News: “Texas officials were already investigating why an alarming number of Lone Star women are dying from pregnancy-related complications when a study last year ranked the state’s maternal mortality rate as the nation’s worst. That’s why many doctors and health care advocates are watching Republican-led negotiations in Washington over replacing the Affordable Care Act, with some worried about what the changes could mean for Texas’ maternal health crisis…”
  • Nevada may become first state to offer Medicaid to all, regardless of income, By Alison Kodjak, June 13, 2017, National Public Radio: “Nevadans will find out this week whether their state will become the first in the country to allow anyone to buy into Medicaid, the government health care program for the poor and disabled…”
  • In Texas, people with erratic incomes risk being cut off from Medicaid, By Shefali Luthra, June 14, 2017, Iowa Public Radio: “Worries about whether her children can still get the health care they need are never far from Dawn Poole’s mind. It’s a constant, underlying concern. Much of her anxiety is a direct result of living in Texas. To qualify for Medicaid in the state, most children must come from families with incomes at or below 138 percent of the federal poverty level. In 2017, that’s $33,948 for a family of four. Texas also has one of the country’s strictest Medicaid verification systems: It runs regular checks on family finances after children are enrolled to make sure they continue to qualify…”

Drug Testing and Medicaid – Wisconsin

Wisconsin submits request to drug test Medicaid applicants, By Scott Bauer (AP), June 7, 2017, Chicago Tribune: “Wisconsin submitted a federal request Wednesday to become the first state in the country to drug test applicants for Medicaid health benefits. Republican Gov. Scott Walker expects President Donald Trump’s administration to approve the waiver, which would also impose new requirements on able-bodied, childless adults receiving Medicaid in the state. The request comes as Walker, a one-time GOP presidential candidate, prepares for a likely re-election bid…”