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…”

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…”

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…”

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…”

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…”

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…”