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.

Riverside County, California has some of the lowest per capita rates of primary care physicians in the country. For every 100,000 people there are only 34 primary physicians[1]. The shortage of care providers has forced many rural residents to travel to receive medical treatment or forego treatment all together because of the inconvenience.

To address this issue and extend medical care services into these underserved regions, the University of California at...

BNSF Railway, one of the largest freight railroad networks in North America, is facing a claim that it violated the Americans with Disabilities Act when it refused to hire an obese applicant. BNSF’s motion for a summary judgment—a request for the court to rule that the other party has no case—was denied by Judge Sharon Johnson Coleman in...

Earlier this week, the head of the U.S. Centers for Medicare and Medicaid, Seema Verma, travelled to Arkansas and signed a waiver request to require Medicaid enrollees to work or prepare for a job. The work requirement will only impact the expansion population, specifically childless adults 19 to 49 years old. They will be required to work or participate in activities such as volunteering or vocational training for 20 hours per week. The requirement will be phased in between June and September 2018.

In Reed v. Town of Gilbert, Arizona (2015) the Supreme Court held that strict (usually fatal) scrutiny applies to content-based regulations of speech. One of the questions in NIFLA v. Becerra is whether the Court means for Reed to apply to (nearly) every law regulating content-based speech. The State and Local Legal Center (SLLC) filed an amicus brief arguing that Reed should not be read that broadly.     

California law requires that licensed pregnancy-related clinics disseminate a notice stating that publically-funded family planning services, including contraception and abortion are available. It also requires unlicensed pregnancy-related clinics to disseminate a notice they are unlicensed. The National Institute of Family and Life Advocates (NIFLA) operates 111 pregnancy centers in California. None offer abortions or abortion referrals; only 73 are licensed.

Both chambers in Wisconsin have passed a $200 million reinsurance plan that would provide funds to insurers for high-cost patients’ expenses to prevent ACA marketplace premium increases in 2019. The Governor has come out in support of the program and is expected to sign the bill, according to the Journal Sentinel.

CSG Midwest
The idea of requiring able-bodied adults to work or be actively seeking it as a condition for government assistance is certainly not new, but its application to Medicaid is as of January, when the Trump administration began approving some states’ applications to impose work rules as a condition of eligibility for this public health insurance program.

Open enrollment for health insurance policies sold under the Affordable Care Act marketplaces ran for 6 weeks the end of 2017. Enrollment was down from 2017 – by 3.7 percent – but nonetheless 11,760,533 Americans selected a health insurance plan for 2018.

Read about top health issues facing states in 2018. Medicaid expenditures are 30 percent of states general fund budgets and states are looking for ways to cut costs. The opioid epidemic shows no signs of letting up, increasing the need for treatment, harm reduction programs and prevention. Questions of how to provide health service to the growing aging population and rural populations are top-of-mind in many states. Finally, state policymakers are beginning to look at the social determinants of health, searching for strategies that are more preventive in nature.

CSG Midwest
Seeking to make greater use of their states’ prescription drug monitoring programs and to prevent opioid abuse, Illinois and Michigan lawmakers have established new requirements for prescribers. These measures were signed into law in December.
CSG Midwest
A trip to the doctor, and treatment, without a co-pay?

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