Medicaid and Work Requirements

  • Trump administration plan to add Medicaid work requirement stirs fears, By Phil Kalewitz, November 15, 2017, Washington Post: “The Trump administration’s recent endorsement of work requirements in Medicaid and increased state flexibility is part of broader strategy to shrink the fast-growing program for the poor and advance conservative ideas that Republicans failed to get through Congress…”
  • Mississippi seeks OK for job training for some on Medicaid, Emily Wagster Pettus (AP), November 16, 2017, Clarion Ledger: “Mississippi is seeking federal permission to require job training for some able-bodied adults who receive Medicaid, and the Trump administration has signaled that is open to approving such plans…”

Medicaid and Retroactive Eligibility

  • Several states roll back ‘retroactive Medicaid,’ a buffer for the poor, By Michelle Andrews, November 14, 2017, National Public Radio: “If you’re poor, uninsured and have a bad car wreck or fall seriously ill, there’s a chance in most states to enroll for Medicaid after the fact. If you qualify for Medicaid, the program will pay your medical bills going back three months. This ‘retroactive eligibility’ provides financial protection as patients await approval of their Medicaid applications. It protects hospitals, too, from having to absorb the costs of caring for these patients. But a growing number of states are rescinding this benefit…”
  • Legislator: ‘We made a mistake’ on policy changing Medicaid benefits, By Brianne Pfannenstiel, November 14, 2017, Des Moines Register: “A bipartisan group of legislators expressed concern Tuesday over a new law that will reduce coverage for thousands of new Medicaid beneficiaries in Iowa…”

Kids Count Report – Kentucky

A quarter of Kentucky kids are living in poverty, survey shows, By Deborah Yetter, November 14, 2017, Louisville Courier Journal: “One-quarter of the state’s children are living below the federal poverty level, according to a report by Kentucky Youth Advocates. Twelve percent of Kentucky children live in extreme poverty, which is below 50 percent of the poverty level. And nearly half of Kentucky’s children live in homes considered low income, or 200 percent of the poverty level, the report found…”

States and Medicaid Expansion

  • LePage says he’ll block voter-approved Medicaid expansion unless legislators fund it, By Scott Thistle, November 8, 2017, Portland Press Herald: “Just hours after a Medicaid expansion was endorsed by nearly 60 percent of Maine voters, Gov. Paul LePage and his Republican allies vowed to delay, if not derail, the citizen-initiated law that would provide health care to as many as 70,000 low-income residents of the state…”
  • Election results invigorate Medicaid expansion hopes, By Abby Goodnough and Margot Sanger-Katz, November 8, 2017, New York Times: “The election results in Maine and Virginia have energized supporters of expanding Medicaid under the Affordable Care Act in several holdout states. After months of battling Republican efforts to repeal the law, they now see political consensus shifting in their direction…”
  • Medicaid expansion takes a bite out of medical debt, By Alex Smith, November 10, 2017, National Public Radio: “As the administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Tuesday, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018…”

Medicaid and Work Requirements

States will be allowed to impose Medicaid work requirements, top federal official says, By Paige Winfield Cunningham, November 7, 2016, Washington Post: “The government will give states broader leeway in running their Medicaid programs and allow them to impose work requirements on enrollees, a top federal health official said Tuesday in outlining how the Trump administration plans to put its mark on the insurance program for low-income Americans…”

State Medicaid Programs – Iowa, Maine

  • Medicaid cuts to roughly 40,000 Iowans approved by the feds, By Clark Kauffman, October 31, 2017, Des Moines Register: “Over the protests of hospitals and medical providers, Iowa has received federal approval to reduce coverage for new Medicaid beneficiaries. An estimated 40,000 Iowans are expected to be affected by the change, which will reduce their coverage for medical care delivered in the days and weeks before they are officially declared eligible for Medicaid…”
  • Maine voters to decide if state will expand Medicaid, By Casey Leins, November 1, 2017, US News & World Report: “On Nov. 7, Maine voters will be the first in the nation to determine the fate of Medicaid expansion in their state. The issue has been a contentious one in Maine since the 2012 Supreme Court ruling granting states the power to decide whether to expand the program to more low-income Americans. Republican Gov. Paul LePage has vetoed the legislature’s five attempts to expand Medicaid, arguing that it is a measure of ‘pure welfare’ that would significantly impact taxpayers, according to The New York Times…”

Lead Poisoning in Children

  • Two-thirds of Medicaid-covered children not getting required tests for lead poisoning in Wisconsin, By David Wahlberg, October 26, 2017, Wisconsin State Journal: “Less than a third of Wisconsin children on Medicaid were tested for lead poisoning at ages 1 and 2 last year, despite a federal requirement that all such children get the testing, a new state report says. Children on Medicaid are three times as likely to have lead poisoning than other children, so many children who could face developmental problems from lead exposure are not being identified, a Madison pediatrician said…”
  • State gets OK to spend $15M to aid lead-poisoned children on Medicaid, By Lauren Cross, October 26, 2017, Northwest Indiana Times: “State health officials have been given the green light to spend up to $15 million over the next five years to bolster lead hazard testing and removal efforts in East Chicago, South Bend and other cities where low-income children are at risk for exposure. Much of the focus in East Chicago this past year has been on the U.S. Environmental Protection Agency’s investigation and cleanup of toxic soil left by past industry in the Calumet neighborhoods…”

Maternal Mortality

The quiet crisis among African Americans: Pregnancy and childbirth are killing women at inexplicable rates, By Ann M. Simmons, October 26, 2017, Los Angeles Times: “Three weeks after Cassaundra Lynn Perkins gave birth to premature twins, she returned to the hospital, feeling unwell. She phoned her mother from her hospital bed at 3:30 in the morning. ‘I’m just not feeling good,’ she said. Surely it was just another bout of the mysterious illness her daughter had been suffering from for most of her pregnancy, Cheryl Givens-Perkins thought as she rushed over to San Antonio’s North Central Baptist Hospital…”

Adverse Childhood Experiences

  • Massachusetts scores well on childhood trauma, but nearly 40 percent of children are still affected, By Dan Glaun, October 19, 2017, MassLive.com: “When children experience stressful or traumatic events, the effects can be long lasting and severe.  Suicide attempts, alcohol and drug abuse, high risk sexual behaviors and criminal convictions are all more common among people who grew up with what researchers call ‘adverse childhood experiences,’ according to multiple studies. And according to a new analysis by the Child and Adolescent Health Measurement Initiative, 38.8 percent of Massachusetts children have had at least one ACE — well below the national average of 46 percent…”
  • More than 40 percent of Maryland children experience traumatic events, By Meredith Cohn, October 19, 2017, Baltimore Sun: “More than four out of 10 children in Maryland have experienced a traumatic event such as the death or incarceration of a parent, or a drug addiction or mental health problem of a family member, according to a new analysis of national data. Nationally, the so-called adverse childhood experiences, or ACEs, were even more widespread with 46 percent of children reporting at least one, according to the analysis by the Johns Hopkins Bloomberg School of Public Health’s Child & Adolescent Health Measurement Initiative done in collaboration with the Robert Wood Johnson Foundation…”

Medicaid Enrollment

Report: Medicaid enrollments, costs begin to stabilize, By Christina A. Cassidy (AP), October 19, 2017, Washington Post: “States are seeing more stability in their Medicaid programs after experiencing a surge in enrollment and costs associated with the Affordable Care Act, suggesting that one of the major pillars of former President Barack Obama’s health overhaul may be nearing its peak. At the same time, they are experiencing a high level of uncertainty as Republicans in Congress continue to advocate for a major overhaul of a program that provides health insurance to tens of millions of lower-income and disabled Americans…”

Kids Count Report – Illinois

Report: For Illinois youth, future success tied to education funding, By Maudlyne Ihejirika, October 13, 2017, Chicago Sun-Times: “An annual tracking of child well-being finds huge gaps statewide in educational access and achievement that spans birth through college, and disproportionally affects low-income and minority children…”

Kids Count Report – Colorado

Annual ‘Kids Count’ report reveals lower child poverty rates, racial disparity in Weld County, By Kelly Ragan, October 12, 2017, Greeley Tribune: “Fewer children in Weld County are living in poverty than have in many years, which is a sign of recovery from the Great Recession, according to the annual ‘Kids Count in Colorado!’ report…”

Mobile Health Clinics

Mobile clinics assume greater role in preventive care, By Scott Rodd, October 11, 2017, Stateline: “One afternoon last month, the Family Van stopped at the corner of Washington and Roxbury streets in Boston. The regulars had already formed a line, waiting in the lingering summer heat for the red and green RV to arrive. The Family Van, which is funded in part by Harvard Medical School, provides free blood pressure tests, HIV counseling and basic medical care to underserved neighborhoods across Boston. The van has been operating since 1992, and mobile health clinics like it have been around for decades, but they are assuming a more prominent role as the U.S. health care system places a greater emphasis on preventive care…”

ACA Health Insurance Subsidies

Trump to end key ACA subsidies, a move that will threaten the law’s marketplaces, By Amy Goldstein and Juliet Eilperin, October 13, 2017, Washington Post: “President Trump is throwing a bomb into the insurance marketplaces created under the Affordable Care Act, choosing to end critical payments to health insurers that help millions of lower-income Americans afford coverage. The decision coincides with an executive order on Thursday to allow alternative health plans that skirt the law’s requirements…”

State Children’s Health Insurance Program

  • Funding disagreements put Children’s Health Insurance Program at risk, By Caroline Kelly, October 12, 2017, Dallas News: “Children’s health advocates are worried that lawmakers’ different ideas about how to fund a federal insurance program will leave nearly 1 million Texas children without coverage.  House and Senate committees each approved bills last week to renew the Children’s Health Insurance Program, which expired Sept. 30, for five years. Most states have leftover CHIP funds, but four expect to run out by December. Last week, the Texas Health and Human Services Commission estimated that the state program would run out of funding in January instead of February, in part because of demands following Hurricane Harvey…”
  • These 5 states just got a little money to continue CHIP, By Michael Ollove, October 12, 2017, Stateline: “While Congress has failed to restore funding to the popular Children’s Health Insurance Program (CHIP), the Trump administration has made $230 million in excess funds from previous years available to five states and four U.S. territories that were in danger of running out of money the soonest…”

State Medicaid Programs – Pennsylvania, New York

  • Gov. Wolf to veto controversial Medicaid work requirement bill, By Kate Giammarise, October 5, 2017, Pittsburgh Post-Gazette: “Gov. Tom Wolf will veto a budget-related bill passed by the Republican-controlled state House and Senate that would have required the administration to include a work-search requirement in the Medicaid program and could have limited certain Medicaid benefits…”
  • Erie County’s white Medicaid recipients cost taxpayers the most money, By Sandra Tan, October 6, 2017, Buffalo News: “The Medicaid costs for Erie County residents enrolled in the government health care program are expected to soon crack $2 billion even though the number of local Medicaid recipients has leveled off after years of growth. White Medicaid recipients are the ones costing the program more, according to a Medicaid data report being released today…”

State Children’s Health Insurance Program

States scramble to overcome Congress’ failure to move on CHIP, By Michael Ollove, October 6, 2017, Stateline: “By failing to reauthorize the Children’s Health Insurance Program before last week’s deadline, Congress has nudged the state of Minnesota toward a painful solution to the loss of federal funds: Unless it can find $95 million, the state said it will continue to provide full health care for certain low-income pregnant women in the program, while either reducing the number of children eligible for CHIP or scaling back their benefits.  That is the sort of agonizing choice that all states in the country will face in the coming months unless Congress acts quickly to restore federal funding to a program that is immensely popular with both parties…”

At-Home Health Care

The return of the doctor house call, By Mattie Quinn, September 28, 2017, Governing: “‘Do you hear that?’ asks Beth Hungate, as she walks into an apartment in the historic neighborhood of Richmond, Va., known as ‘the Fan.’ Hungate, a nurse practitioner at Virginia Commonwealth University’s (VCU) medical center, is there to see a patient of hers, a woman named Luckie Locke. Locke has been in quite a bit of discomfort recently and requested that Hungate stop by. But as Hungate walks through the door, she notices an incessant beeping noise. Hungate scans the apartment for the source of the beeping; eventually she traces it to a carbon monoxide detector. She calls her clinical coordinator to get a nonemergency fire department truck to come by. ‘You see? I would have never known this if I wasn’t coming to her house,’ Hungate says…”

Health Safety Net Programs

  • Clock ticking on federal funding for CHIP, other health safety net programs, By Kate Giammarise and Sean D. Hamill, September 26, 2017, Pittsburgh Post-Gazette: “Federal funding for several health care safety-net programs is set to expire at the end of the week unless Congress takes action — a prospect that is looking increasingly less likely, advocates say, as the clock ticks and congressional energy is consumed by an 11th-hour attempt to repeal the Affordable Care Act…”
  • Medicaid covers all that? It’s more than just health care for the poor, By Phil Galewitz, September 27, 2017, Governing: “When high levels of lead were discovered in the public water system in Flint, Mich., in 2015, Medicaid stepped in to help thousands of children get tested for poisoning and receive care. When disabled children need to get to doctors’ appointments — either across town or hundreds of miles away — Medicaid pays for their transportation.  When middle-class older Americans deplete their savings to pay for costly nursing home care, Medicaid offers coverage.  The United States has become a Medicaid nation…”

Kids Count Report – Alabama

  • Kids Count: Poverty rates are up; hunger stats have stabilized, By Lisa Singleton-Rickman, September 25, 2017, Times Daily: “The recently released Kids Count 2017 data didn’t come as a shock to Sarah Jennifer Thompson, especially in the area of childhood poverty. The founder of Sydney’s Safe Foundation has been fighting child hunger for a decade, the past seven years of which has included sending weekend food home with qualifying low-income students…”
  • Alabama teen pregnancy rate is at historic low, while poverty remains high, By Kym Klass, September 18, 2017, Montgomery Advertiser: “The number of children living in poverty continues to be high in Alabama, while the state’s teen pregnancy rate is at a historic low, according to the just-released Alabama Kids Count Data Book, produced by VOICES for Alabama’s Children…”