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.

In a 5-4 decision in June Medical Services v. Russo the Supreme Court struck down Louisiana’s admitting privileges law. Five Justices agreed that Louisiana’s law created an unconstitutional “substantial obstacle” to women obtaining abortions.

A Louisiana law requiring abortion providers to hold admitting privileges at a nearby hospital was nearly identical to a Texas law the Supreme Court struck down 5-4 in...

CSG Midwest
Indiana has received federal approval of a first-of-its-kind program that helps individuals transition from Medicaid to employer-based health coverage or a plan in the individual marketplace. The new “workforce bridge” builds on the Healthy Indiana Plan (HIP), which is used by the state to expand Medicaid to cover low-income adults.
Each HIP participant has $2,500 placed in an account each year to use for health care expenses. But what happens when someone no longer qualifies for HIP, due to a new job or other factors that cause his or her income to rise above eligibility thresholds?
Previously, participants lost the ability to use any funds in their state-funded account. However, with implementation of the HIP Workforce Bridge, members leaving the Healthy Indiana Plan can continue to use up to $1,000 from their account for up to 12 months in order to pay premiums, deductibles, co-payments and co-insurance during their transition to other types of coverage.
CSG Midwest
With the number of COVID-19 cases increasing, and a rise in deaths from the disease, “social distancing” has become a familiar term and way of life across the country. But how is social distancing possible for people whose days are spent in a 6-by-8-foot cell with another person? How can state and local governments maintain public safety while protecting inmates? How can they prevent outbreaks from starting in correctional facilities, and then spreading to the wider community?
These are some of the questions that have vexed criminal justice administrators, inmates, staff and family members for months. 

There have been many innovative and diverse ways for coalitions to form in state legislatures. As the groups of people who participate in the political process change, one such innovative legislative tool to ensure all voices are heard would be a legislative caucus.

Like the constituents they serve, state legislatures across the country are made up of policymakers with diverse viewpoints, backgrounds and life experiences. The passage of the Americans with Disabilities Act (ADA) 30 years ago represented in a fundamental...

Amy Howe at SCOTUSblog aptly describes Maine Community Health Options v. United States as “relatively low-profile but super-high dollar!” In this case the Supreme Court held 8-1 that health insurance plans can sue the federal government to recover unpaid Risk Corridors payments under the Affordable Care Act (ACA).

The Risk Corridors program was designed to...

CSG Midwest

The scale and scope of the COVID-19 pandemic has turned a spotlight on the role of states in responding to a new public health emergency in a manner quite unlike a tornado, flood or even recent viral concerns such as H1N1 or Ebola. By April, all states and provinces in the CSG Midwest region had declared either states of emergency or public health emergencies. In many, governors or premiers had enacted “stay-at-home” or “shelter-in-place” orders for the first time in living memory.

For state legislatures, the early response centered on working with their governors (oversight, consultation, etc.) and providing emergency funding where it was needed most.

“It’s not our job to micro-manage the response, but to understand what the professionals already have in place, what they need, and what they say we’ll need next,” Minnesota Senate Deputy Majority Leader Michelle Benson says. “Our job is to listen to them and have some clear conversations about how we’re going to help.”

This year marks the 100th anniversary of federal-state vocational rehabilitation programs and services. The 1920 Smith-Fees Act, also known as the Civilian Rehabilitation Act, put forth the necessary funding for states to provide prosthetics, vocational guidance, training, occupational adjustment and placement services to individuals with disabilities.

Since the passing of this bill, state legislators have not only sought to fund research regarding vocational rehabilitation (VR)...

Pennsylvania Disability Summit Billboard

Pennsylvania Representative Dan Miller hosted his seventh annual Disability and Mental Health Summit in Pittsburgh at the beginning of March.  The event highlights a variety of critical issues faced by people with disabilities. Over 2,000 legislators, advocates, youth, and practitioners were in attendance.

The all-day event covered a variety of topics including sessions on Building a Youth Mental Health Advocacy Network, Navigating Medicaid for a Child with a Disability, and From Referral to Job Placement: Led by the...

CSG Midwest
Screening mammograms are used to check for breast cancer in women who have not yet shown any signs or symptoms of the disease. Diagnostic mammograms, on the other hand, are used when additional images are needed after the screening mammogram discovers possible indicators of breast cancer.
These indicators include lumps and dense breast tissue; the latter is an important indicator because women with extremely dense breasts are four to six times more likely to develop cancer than women with fatty breasts, according to Densebreast-info, Inc., an online educational resource. Additionally, it is often hard to detect cancer via routine screening mammograms in higher-density breasts, thus necessitating further tests.
Beyond more in-depth X-ray diagnostic mammograms, other detection tests include ultrasounds (sonograms) and magnetic resonance imaging (MRIs). Since 2010, under the Affordable Care Act, insurance providers must cover screening mammograms once a year for women ages 40 to 74 with average risk for breast cancer, and once every two years for all other women. However, insurance providers are not required to cover diagnostic tests under federal law.

Amid the opioid crisis and COVID19 pandemic, healthcare has been at the forefront of most state policy priorities. However, rural healthcare has been facing a crisis over the past decade.

Over 60 million Americans live in rural areas. Rural communities make up over 50% of the state in numerous states such as Mississippi, Vermont, Maine and West Virginia according to US Census data. For example, Vermont’s rural population is 61.1% of the state.

According to a recent...

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