Health

The Health Policy Group provides policy analysis and innovative programming for state health policy leaders in the legislative and executive branches. This group also develops many publications and health forums for state leaders.

State leaders need access to critical and timely health policy information. CSG staff works to provide officials with best practices and policy analysis, helping lawmakers identify the best health solutions for their states.

The Urban Institute released an analysis of the state-by-state impact of the AHCA, 2019 to 2028. The Urban Institute looked at the impact of the proposal on state funding (see Table 5). If states made up for the loss of federal funds with state funds, it would require a 16.1 percent increase in all states' Medicaid spending over the ten year period. 

Yesterday the Congressional Budget Office – or CBO – released its cost estimate for the House Republican plan to repeal and replace the Affordable Care Act. All told, the report says, the federal deficit would be reduced by $337 billion over the 2017-2026 decade. Reducing the federal deficit is welcome news to most federal policymakers.

On Monday, March 6, the House Republicans released the American Health Care Act, the measure intended to fulfill their campaign pledges to repeal and replace the Obama administration Affordable Care Act. Here is the summary provided by the House Republicans. 

Of primary interest to state policymakers, the House plan implements a per capita cap in Medicaid funding, beginning in 2020, based on FFY 2016 spending levels. The House Republican plan has not been scored by the Congressional Budget Office so there are no publicly available data on how much this change will cost states and save the federal government.

CSG Midwest
Some schools and day care facilities in Illinois must have their water tested for lead under a bill passed and signed into law in January. The new requirements apply to buildings constructed before 2000 where pre-kindergarten through fifth-grade classes are held. 
CSG Midwest
The first bill signed into law in Minnesota this year will provide relief to the state’s 125,000 residents who purchase their health insurance in the individual market and are not eligible for subsidies under the Affordable Care Act. The cost of premiums for Minnesotans in this population is rising by 55 percent in 2017. 
CSG Midwest
Mammograms are perhaps the best-known tool to detect breast cancer, but their effectiveness can be diminished if the breast tissue itself is dense enough to hide the tumors.

Among the many concerns currently facing America’s health care system, few are more significant, both medically and fiscally, than long-term care, or LTC. With the continuing rise in the population of U.S. citizens 65 and older—statistically, the demographic most in need of LTC—states need to begin preparing for the growing pressures that will be placed on their budgets as a result of the nation’s aging population.

Yesterday, in response to concerns about insurers pulling out of the ACA marketplaces and raising premiums, the federal government published proposed rules to stabilize the individual and small group health insurance markets.

In a press release, Dr. Patrick Conway, Acting Administrator of the Centers for Medicare & Medicaid Services acknowledged the changes are short term relief “while future reforms are being debated.” 

The Council of State Governments has released its annual listing of the top five issues legislators will face this session in nine key policy areas, including education, workforce development, energy and the environment, federal affairs, fiscal and economic development, health, interstate compacts, transportation, and international affairs.

All but three state legislatures will meet in 2017 to adopt budgets. Medicaid, the federal-state health insurance program that currently covers about 73 million Americans, is the single-largest component of state budgets. It is all but certain that big changes are ahead for Medicaid under the Trump administration, but the shape, fiscal impact and speed of those changes are likely to remain unclear before sine die adjournment in many states.

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