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.

CSG Midwest
Starting July 1, Iowa will have “the strictest abortion law in the country,” the Des Moines Register reports. SB 359 requires doctors to test for a fetal heartbeat; if one is detected, an abortion cannot be performed, except when required to preserve the life of the pregnant woman or protect her from “serious risk of substantial or irreversible impairment of a major bodily function.”
CSG Midwest
A quiet health care revolution is under way as Midwestern states revamp their delivery of mental health services with an increasing focus on behavioral health, which integrates mental health and substance abuse treatments, and an expansion of mental health services to children.
CSG South

This SLC Regional Resource raises policy considerations and highlights the connections between the ongoing opioid crisis and the national shortage of organs for transplantation. In addition, this report looks at the history and process of organ donation and transplants; actions taken at the state and federal level to facilitate organ donation; and how the national opioid crisis is affecting transplant rates.

In April, the federal government released $485 million in grants to states to combat the opioid crisis. The amounts of the grants, the same in both 2017 and this year, vary from $2million to states with less population to $44.7 million dollars to California.

CSG Midwest
By next year, school districts across Iowa must begin to provide at least an hour of annual training on suicide prevention and “postvention” — the coordinated school response following a student’s suicide — for all licensed personnel who have regular contact with students.
CSG Midwest
Late in 2017, Michigan lawmakers ended their legislative year seeking a fix to another problem with drinking water in the state. It wasn’t lead contamination this time, but rather the discovery of 28 sites in the state with known levels of PFAS, or per- and polyfluoroalkyl substances. The Legislature allocated $23.2 million for various response and mitigation measures.
In early 2018, the Minnesota attorney general finalized an $850 million settlement with 3M over groundwater contamination in the east metropolitan area of the Twin Cities. The cause: The company’s disposal, over decades, of PFAS chemicals used for products such as Scotchgard, stain removers and fire retardants.Though these chemicals were used for decades, and many of them have been phased out of production, they are considered an “emerging contaminant” — because environmental and health officials have only recently begun to test for the presence of PFAS chemicals in drinking water, detect them, and understand their potential impact on human health.
The new funding in Michigan will be used to purchase new lab equipment, expand testing of drinking water, and purchase filtration systems for affected residents. A longer-term fix is likely to be more problematic and costly, whether it’s pumping out all the groundwater and removing the chemicals or hooking up the owners of private wells (this has been the group most affected in Michigan) to a municipal system.

Ten emergency departments in Colorado volunteered to participate in a Colorado Hospital Association project to reduce the use of opioids over a six-month period in 2017. Data collected upon completion of the project showed a 36 percent reduction in opioid use, far exceeding the project goal of a 15 percent reduction. All ten hospital emergency departments posted opioid prescription rates beat the 15 percent reduction goal.

While state policy makers frequently express concern about the increasing percentage of state funds required to fund their Medicaid programs, the programs bring in large amounts of federal dollars to states. Across all states, two thirds of all federal grant funds received by states in 2017 are for Medicaid health services for low-income, disabled and elderly individuals. 

Human Rights Watch, a nonprofit, nongovernmental human rights organization, released a report earlier this year that claims some nursing homes are overprescribing antipsychotic drugs to manage the behavior of dementia patients even though antipsychotic drugs are...

Jason Helgerson, leaving his job this week as New York Medicaid director after 7 years,  blogged in Health Affairs about the lessons he learned.  He says in the post that when his New York experience is combined with the previous 4 years as Wisconsin Medicaid director, he is the nation’s longest-serving Medicaid director. The average tenure of a Medicaid director, according to Helgerson, is 19 months.

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