• State’s poor being shifted to different medical plan, By Chen May Yee, November 10, 2009, Minneapolis-St. Paul Star-Tribune: “The Pawlenty administration, which faced criticism for proposing to eliminate a state health-care program for the indigent, has decided to transfer most of those recipients to a subsidized insurance plan for the working poor. The General Assistance Medical Care (GAMC) program for adults making less than $7,800 a year is scheduled to go away March 1, potentially leaving some 36,000 recipients — many with chronic illnesses and often homeless and mentally ill — without regular access to medical care. Now some 28,000 will be automatically enrolled in MinnesotaCare, a subsidized health insurance plan. The remainder are those whose GAMC eligibility is running out or who already are applying for MinnesotaCare…”
• More Alaska Medicaid kids may get braces, Associated Press, November 10, 2009, Fairbanks Daily News-Miner: “The state of Alaska must pay for braces on the teeth of foster children and young people on Medicaid who need them, a Superior Court judge ruled Monday. Judge William Morse issued an order in a lawsuit brought by an advocacy group for foster children called Facing Foster Care in Alaska. He granted a preliminary injunction against a state rule that limits braces to severe conditions such as cleft palate. The state argued that Facing Foster Care does not have the right to bring a lawsuit. Morse disagreed and ruled the state cannot use its own regulations to limit services that are required by federal code. The braces still have to be medically necessary - not just for the sake of appearance…”
• KidCare numbers drop; Medicaid kids rise, By Bill McCarthy, November 9, 2009, Wyoming Tribune Eagle: “The number of children on Wyoming Kid Care CHIP is declining, but the number of children on Medicaid is going up. Bob Peck, chief financial officer for the Wyoming Department of Health, said one explanation could be that parents are losing their jobs. Formerly working parents who had their children on the Kid Care program for child health insurance may be having to enroll their families directly into Medicaid, he said…”

Ky. increases number of kids in health programs, By Beth Musgrave, November 3, 2009, Lexington Herald-Leader: “State officials said Monday that they are on target to enroll 35,000 children in two key public health programs by the end of 2009, six months ahead of schedule. In November 2008, Gov. Steve Beshear pledged to increase the number of children in Kentucky Children’s Health Insurance Program or Medicaid programs by decreasing some of the road blocks to the government health insurance program for low-income families. Currently, there are 32,000 new children enrolled in the two programs, Beshear said at a press conference Monday at Second Street School in Frankfort. But both programs combined have enrolled on average 2,600 children a month. Current rates indicate that the Cabinet for Health and Family Services, which oversees the health insurance programs, will meet the 35,000 goal by December instead of June 2010, as originally projected…”

• Medicaid, S-CHIP expansion plan could hurt states’ budgets, By Richard Wolf, October 18, 2009, USA Today: “The government programs that provide health care to the poor would expand to cover nearly one in five Americans under health insurance legislation pending in Congress, putting pressure on federal and state budgets. Medicaid, one of the fastest-growing government programs for two decades, and the State Children’s Health Insurance Program would grow from about 50 million people today to more than 60 million in 2019, according to data from the Congressional Budget Office and Kaiser Family Foundation. That would be the biggest single expansion since Medicaid was created in 1965…”
• Medicaid expansion brings pro, con reactions, By Emily Bregel, October 19, 2009, Chattanooga Times Free Press: “Local physicians said health care reform proposals to expand Medicaid coverage drastically, while well-intentioned, are likely unsustainable. ‘Where is the money going to come from to make this happen?’ said Dr. Mack Worthington, a family practice physician in Chattanooga who said almost one-quarter of his patients are on TennCare. ‘I’m all for increasing access, but I just wonder how it’s going to be funded.’ The U.S. Senate Finance Committee last week passed a health reform proposal that would expand Medicaid programs to anyone who earns up to 133 percent of the poverty level, or about $29,000 a year for a family of four…”
• Uninsured & overwhelmed, By Ben Piper, October 18, 2009, Hattiesburg American: “Casey Little finds herself in a health care predicament. Little, 25, of Seminary needs health insurance to be able to afford treatments that could relieve the pain she suffers from fibromyalgia. But the nerve disorder has left her constantly hurting, unable to work - and unable to get insurance…”
• Pressure mounts: 12,000 caught in a backlog, By Andra Bryan Stefanoni, October 19, 2009, Joplin Globe: “When Candice Sinclair was nearing the end of her pregnancy, she applied for Medicaid to cover her expenses and those of her soon-to-be-born son, Jake. That was in June. Their applications still haven’t been processed, meaning Sinclair is left without means to pay an estimated $5,000 hospital bill, and for Jake’s first year of immunizations and checkups…”
• Kansas has backlog of 12,000 Medicaid applications, Associated Press, October 19, 2009, Kansas City Star: “Rising unemployment, the swelling ranks of the uninsured, outdated technology and the state’s budget problems have led to a backlog of 12,000 Medicaid applications in Kansas, health officials said. A contractor that processes applications for the Kansas Health Policy Authority is supposed to complete them in two to six weeks, but has taken up to four months in some cases…”
• Lessons from the Massachusetts healthcare experiment, By James Oliphant and Kim Geiger, October 17, 2009, Los Angeles Times: “Three years ago, Massachusetts passed the most sweeping healthcare bill in the country, adopting a plan that closely resembles the proposals being considered by Congress. It is a plan that now offers powerful lessons for the whole nation. The state’s system, like the proposals moving toward votes in the House and Senate, focused on three goals: making medical insurance almost universal, fostering competition through a regulated insurance exchange, and helping low-income workers pay for coverage. Today, Massachusetts leads the nation with 96% of its residents covered by insurance — an even larger share than some of the plans before Congress would cover. The employer-based insurance system remains intact despite fears that the state’s healthcare overhaul might cause companies to pull back…”

From healthy kids to healthy adults, By Megha Satyanarayana, October 12, 2009, Detroit Free Press: “Jamel Bomer of Redford Township, a Westin Book Cadillac valet, is the father of a 1-year-old on Medicaid. ‘He can go to any doctor that accepts it,’ Bomer said of son Ryan. ‘Without it, we wouldn’t be able to provide him care.’ Even with publicly funded Medicaid, which many doctors don’t take, Bomer and his fiancée are working off a $230 bill for the part of Ryan’s birth that wasn’t covered on Bomer’s $5.15 per hour plus tips. ‘Our income is tight to the penny.’ Although Ryan is covered, neither Bomer nor his fiancée, a TV news intern, have insurance. While Congress and the president debate over comprehensive health care reform, local and national experts say making sure all children have coverage now will mean they have a better chance of growing into healthy adults who will be less of a burden on the health care system…”

• ‘Shockingly wide’ health gaps among states, By Rita Rubin, October 8, 2009, USA Today: “A new ’scorecard’ lists ’shockingly wide variations’ among the states when it comes to the health of their residents, says the president of the Commonwealth Fund, which compared such factors as access to care, insurance coverage and avoidable hospital admissions. ‘The differences we see among the states translate to real lives and real dollars,’ Karen Davis said Wednesday at a news conference…”
• Report shows healthcare disparities among states, By Andrew Zajac, October 7, 2009, Chicago Tribune: “Even as state and federal initiatives have extended a medical safety net beneath children in recent years, more and more adult Americans have been living without insurance coverage - compounding the already-serious problems of the healthcare system and fueling sharp disparities in the cost and quality of care across the country. Those disparities, graphically documents in state-by-state rankings released Wednesday by the non-partisan Commonwealth Fund, underscored one of the biggest challenges in designing a healthcare overhaul: The nation doesn’t have one system and one reality, it has at least 50 - each with its own economic, social and demographic characteristics…”

• Kentucky insures greater share of children, By Jere Downs, September 21, 2009, Louisville Courier-Journal: “Kentucky has provided health insurance for a greater share of its children than Indiana or the nation as a whole, the U.S. Census Bureau reported Tuesday. Ninety-three percent of the children in Kentucky had health insurance, greater than Indiana’s 82 percent and higher than the national average of 90 percent, the Census figures showed…”
• Census: Nevada leads nation in uninsured children, By Frank X. Mullen, Jr., September 23, 2009, Reno Gazette-Journal: “Nevada has a larger percentage of children without health insurance than any other state. And among the 75 percent of adult Nevadans covered by employer-sponsored health insurance, family insurance premiums have risen 97 percent since 1999 as wages increased an average of 43 percent. That’s the verdict of the Census Bureau’s American Community survey released Tuesday, the first time the annual update has included health insurance data…”
• Survey shows disparities in health care coverage for Minnesota kids, By Tim Nelson, September 22, 2009, Minnesota Public Radio: “Minnesota ranks third in the nation in the percentage of people who have health insurance, according to recent figures from the U.S. Census. But new survey data indicate some disparities around the state - particularly for kids. The Census Bureau’s annual American Community Survey looked closely at health insurance coverage for the first time in 2008. Overall, Minnesota fared well, ranking behind only Massachusetts and Hawaii in the percentage of its population covered by health insurance…”

Michigan struggles to insure kids, By Kim Kozlowski, September 15, 2009, Detroit News: “Michigan’s budget crisis is expected to prevent expansion of children’s health insurance coverage because the state can’t afford to match an extra $100 million in federal funds. Michigan has to come up with a 26 percent match, or about $33 million, for its MIChild program to get federal funds from the recently renewed Children’s Health Insurance Program, state health officials say. But the need comes as lawmakers scramble to close a $2.8 billion deficit for the fiscal year that begins Oct. 1. Democratic and Republican lawmakers agree it is unlikely the state can come up with the $33 million at a time when budget talks are focused on cuts, and millions of federal dollars for other health programs have been bypassed due to cuts made earlier this year…”

• Rule limits reach of Iowa health program, By Nigel Duara (AP), September 14, 2009, Des Moines Register: “A state program offering health care to low-income adults without children is serving thousands of people who have never had health insurance, but more than half of those enrolling are from six Iowa counties. That’s because people seeking care through IowaCare can only go to the University of Iowa Hospitals in Iowa City. The exception are people who live in Polk County, who can request a waiver to seek treatment at a Des Moines hospital. The situation has frustrated some hospital administrators and legislators, who call it unequal treatment that hurts patients and hospitals…”
• ALL Kids insurance program eligibility expands Oct. 1, By Phillip Rawls (AP), September 14, 2009, Montgomery Advertiser: “Many middle-class Alabama children will qualify for publicly funded health insurance starting Oct. 1 because the Legislature is expanding eligibility to cover families of four making up to $66,150 annually. ‘For so many middle-income families, it never entered their minds they would be eligible for a public program,’ Cathy Caldwell, who directs the ALL Kids health insurance program for the state Department of Public Health…”

• 10,000 working parents to lose health insurance, By Casey Newton, September 8, 2009, Arizona Republic: “Nearly 10,000 working parents will lose their health insurance this month in the wake of state budget cuts, leaving some families with nowhere to turn as they seek affordable coverage. KidsCare Parents, a program that provides low-income families with inexpensive insurance, will end Sept. 30. The Arizona Health Care Cost Containment System, which administers the program, could not pay the $6 million annual cost following cuts by the Legislature. The state faces a $3 billion budget shortfall. The move comes as demand for government assistance is skyrocketing. Arizona has lost an estimated 240,000 jobs since December 2007, and AHCCCS has added 150,000 people to its rolls since January…”
• Legislature gets one right: Healthy Kids continues, Editorial, September 8, 2009, Vacaville Reporter: “The California Legislature came together last week and accomplished the seemingly impossible. On a bipartisan vote — unanimous, even, in the Assembly — it found a way to keep more than 600,000 children from losing their health insurance. More amazing, it found a way to pay for the Healthy Families program. During the summer’s contentious budget negotiations, the Legislature sliced $144 million from the program that provides medical insurance for children whose parents cannot afford it. Then the governor lopped off another $50 million in a line-item veto. Both were insane decisions. Not only does the federal government contribute $2 for every $1 the state puts into the program, but Healthy Families has consistently proven that it saves taxpayers money in the long run…”

• California board votes to drop healthcare coverage for 60,000 children, By Patrick McGreevy and Evan Halper, August 14, 2009, Los Angeles Times: “The announcement by state officials that California has enough cash to stop paying bills with IOUs did little to take the sting out of other budget news Thursday: Tens of thousands of poor children are about to lose their healthcare coverage. A state board voted Thursday to begin terminating health insurance for more than 60,000 children Oct. 1 as a result of the budget amendments signed into law recently by Gov. Arnold Schwarzenegger. Those children would be up for an annual review of their coverage next month, but instead they may be dropped from the California Healthy Families program under the action by the state Managed Risk Medical Insurance Board…”
• State will boot children from insurance program starting Oct. 1, By James Rufus Koren, August 14, 2009, San Bernardino Sun: “Starting in October, hundreds of thousands of California children will likely lose their state-subsidized health insurance as cuts to the Healthy Families program begin to take effect. As they struggled to balance the state’s budget, the state Legislature and Gov. Arnold Schwarzenegger cut $178 million from the program, which provides low-cost health insurance to more than 900,000 children, mostly in low- and middle-income families. Those cuts left the program with about half the state funding officials said it would need to be fully funded…”

• States make deep cuts to health, By Pauline Vu, August 5, 2009, Stateline.org: “Although states are facing their worst fiscal crisis since the Great Depression, 14 found the dollars this year to increase health coverage for about 250,000 children. That’s one of the few bright spots for health within state budgets in a year in which all but a handful of states faced shortfalls and were forced to shrink taxpayer-financed programs. The 14 states – Alabama, Arkansas, Colorado, Indiana, Iowa, Kansas, Montana, Nebraska, North Dakota, Oklahoma, Oregon, Rhode Island, Washington and West Virginia – took advantage of an additional $33 million that Congress appropriated when it reauthorized the Children’s Health Insurance Program (CHIP) in February. At the same time, President Obama rescinded a Bush administration directive that had hampered states’ ability to expand coverage for children whose families earned too much to qualify for Medicaid but too little to buy their own health insurance…”
• Health fund for jobless runs low, By Kay Lazar, August 5, 2009, Boston Globe: “A unique state program that helps pay most health insurance costs for 27,000 unemployed Massachusetts residents is on the cusp of going broke, setting off a debate between healthcare advocates and business leaders who say funding it is a burden on companies fighting for their survival. The state’s Medical Security Program, financed solely by a tax on employers, will run out of money in January because of the surge in unemployment over the past year, state officials said yesterday. The most logical way to maintain it, officials said, is to increase the per-employee tax, which hasn’t been raised since 1990…”

• California deal leaves more kids uninsured, By Ryan Knutson, August 1, 2009, Wall Street Journal: “California’s budget deal is expected to nearly double the state’s number of uninsured children and puts a spotlight on a key provision in the health-care bills in Congress. Gov. Arnold Schwarzenegger this week signed a revised annual budget to close California’s $24 billion shortfall, including a $1.4 billion cut to Medi-Cal, the state’s version of Medicaid. In addition, California slashed $178.6 million from Healthy Families, its version of the Children’s Health Insurance Program…”
• Sacramento-area parents fear Healthy Families cuts, By Bobby Caina Calvan, August 3, 2009, Sacramento Bee: ” Monique Kolster and her children are in a tense waiting game. Her daughter Elle is a healthy 2-year-old, but 4-year-old Tadd has a chronic ailment requiring frequent visits to doctors and specialists. Sometime soon Kolster will learn if the children can keep their medical coverage from California’s budget-ravaged Healthy Families program, the safety net for hundreds of thousands of children…”

• Defying slump, 13 states insure more children, By Kevin Sack, July 18, 2009, New York Times: “Despite budgets ravaged by the recession, at least 13 states have invested millions of dollars this year to cover 250,000 more children with subsidized government health insurance…”
• Governors fear Medicaid costs in health plan, By Kevin Sack and Robert Pear, July 19, 2009, New York Times: “The nation’s governors, Democrats as well as Republicans, voiced deep concern Sunday about the shape of the health care plan emerging from Congress, fearing that Washington was about to hand them expensive new Medicaid obligations without money to pay for them…”
• More uninsured patients cause struggle for local hospitals, By Sarah Tompkins, July 19, 2009, Munster Times: “While about 700 working Hoosiers each week lose health insurance during the declining economy, local hospitals and doctors are left to figure out how they can continue to treat more and more uninsured…”
• Millions more lacking insurance, By Mark Johnson, July 19, 2009, Milwaukee Journal Sentinel: “This month, Pierre Aterianus is due back at the doctor for twice-a-year tests of his high cholesterol, but he may stay home and simply hope he isn’t heading toward a heart attack or stroke. Aterianus, who is 57 and lives in Whitefish Bay with his 23-year-old daughter, was laid off in January from his engineering job…”
• Healthy Kids expansion to take time, By Margot Sanger-Katz, July 17, 2009, Concord Monitor: “Gov. John Lynch signed a bill yesterday that will allow young adults to purchase low-cost health insurance from a state plan originally designed for low-income children…”