
Corner Stores in Minneapolis Okay with Requirement to Sell Healthy ProduceBy Debra Miller | Friday, October 12, 2012 at 11:43 amSince 2008, as a condition of doing business, the city of Minneapolis requires corner stores to sell perishable produce. The current requirement is to sell five varieties of fresh produce and for stores that are certified by the Women, Infants and Children program (WIC) 7 varieties and 30 pounds in total stock are required. According to Governing magazine, Minneapolis is the first city to move from incentives to requirements. |
Paid Sick Leave for Food WorkersBy Hannah Oglesby | Thursday, June 7, 2012 at 11:08 amGoing to work sick can impact your recovery time, co-workers’ health, and potentially customers depending on the job. Sick food workers, regardless of the location of the worker in the food supply chain, can cause others to get sick. The Food Chain Workers Alliance’s new report shows that more than half of workers go to work sick. Handling food while sick can spread diseases like Hepatitis A, E. coli, Salmonella, and Shigella. The CDC estimates that 3,000 Americans die of foodborne disease each year. |
Weight of the Nation: Will You Watch?By Hannah Oglesby | Tuesday, May 8, 2012 at 9:10 amThe Centers for Disease Control and Prevention, CDC, began a conference series that started yesterday titled “Weight of the Nation”. This conference coincides with a public health HBO project that involves CDC, the Institute of Medicine (IOM), National Institutes of Health (NIH), the Michael & Susan Dell Foundation and Kaiser Permanente. |
Diabetes New Policy Emphasis for CSGBy Debra Miller | Monday, March 26, 2012 at 4:32 pmRecognizing that diabetes is a serious disease with costly impact on the 26 million individuals who already have it and the millions more who will develop it as well as on the nation’s already taxed health care system, CSG is undertaking a diabetes initiative in 2012 and 2013. CSG will offer a Diabetes Policy Academy during the National Leadership Conference in La Quinta, Calif. on May 17th from 8 a.m. to 12 noon. |
States at the Forefront of Contraception MandatesBy Debra Miller | Thursday, March 1, 2012 at 4:15 pmIn the 12 years since New Hampshire mandated health insurance companies to cover contraceptive services, no one has asked for repeal. That is, until the controversy broke out last month over exempting religious organizations from President Obama’s national mandate, New Hampshire Rep. Terie Norelli told CSG. The 1999 legislation, which Norelli co-sponsored, does not contain any exemption for religious organizations. |
State Laws Required Insurance Coverage of Contraceptives Before Federal RuleBy Debra Miller | Wednesday, February 29, 2012 at 11:42 amStates already have grappled with insurance coverage of contraceptives before the Obama administration issues rules in 2012 called for under the Affordable Care Act. Twenty-six states have passed laws mandating insurance coverage for contraceptives; another two have administrative rulings requiring coverage. Nineteen states also have included exemption provisions for religious organizations. The Hawaii statute was the model used for the Obama compromise on exemptions. |
Top 5 Issues in 2012: HealthBy Debra Miller | Wednesday, January 11, 2012 at 5:25 pmPolicymakers in the states and territories (“the states”) are facing two major health care dilemmas in 2012—Medicaid spending and implementation of the Affordable Care Act. Medicaid enrollment continues to grow, federal stimulus funds have disappeared and in many states providers are pressing for increased reimbursement. States also must grapple with complying with mandates in the federal health care reform law. The U.S. Supreme Court is expected to rule on the constitutionality of the law sometime in 2012. In the meantime, states must decide how far to go in their own implementation. |
Top 5 Issues for 2012 Expanded: HealthBy Debra Miller | Wednesday, January 11, 2012 at 2:34 pmTop-of-the-mind health care topics in states are Medicaid and implementation of the federal Affordable Care Act. Medicaid enrollment continues to grow, federal stimulus funds have disappeared, and in many states providers are pressuring for increased reimbursement. States also must grapple with complying with mandates in the federal Affordable Care Act. The U.S. Supreme Court is expected to rule on the constitutionality of the law sometime in 2012. In the meantime, states must decide how far to go in their own implementation. |
N.C. Saves Nearly $1 Billion in Medicaid with Medical HomesBy Debra Miller | Tuesday, January 3, 2012 at 2:49 pmGovernor Beverly Perdue announced late in December that North Carolina's Medicaid program saved nearly $1 billion between 2007 and 2010 by implementing medical homes. The state-commissioned Milliman study found that North Carolina avoided spending $984 million through enrolling 1.1 million Medicaid beneficiaries in medical homes. |
States Link Wellness Programs to Health Insurance PlansBy Bill Voit | Thursday, December 8, 2011 at 1:53 pmEmployee wellness programs are promoted as tools employees can use to live healthier and as mechanisms employers can use to stem rising health insurance costs. Employers traditionally offered wellness programs as benefits to employees. Sometimes they offered incentives to employees to participate. There were few penalties for not participating. For example, in 2008, Delaware state employees got a $100 pre-tax incentive paycheck bonus for getting biometric screening and completing a health risk assessment through the state’s DelaWELL wellness program. DelaWELL was funded by the State Employee Benefits Committee, which approved $500,000 for incentives over a two year period. Alabama, Colorado, Connecticut, Louisiana, Maryland, Nebraska, New Hampshire, New York, Oregon, and Utah are at the forefront of integrating wellness programs into health insurance plans for private sector employees and state employees through incentives such as premium discounts or rebates. State employees in Connecticut, Nebraska, and Oregon who don't participate in their state sanctioned wellness programs also face higher health insurance costs. Wellness plans generally require employees get formal health “assessments’ to establish their health baselines (e.g., body mass index). They must participate in some form of wellness activity and report that activity to their plan administrators. They will be subject to regular monitoring to gauge their progress toward plan goals, and must be open to advice from the plan administrator to changing their lifestyles to achieve such goals. People with chronic disease are subject to additional requirements. Initially, these plans' requirements seem benign and reasonably easy to accomplish. Participation and effort seem more important that results. That could change. Likewise, while imposing higher charges on people for not participating seems to motivate employees to sign up, it does grant third parties an unprecedented level of access to information about them and the potential to control plan members' lifestyles on and off the job. |






