Wisconsin has received federal approval of changes to its Medicaid program that include requiring work for some enrollees and charging higher premiums based on the results of a health risk assessment. The approved waiver centers on childless adults applying for and receiving coverage through the public health insurance program. According to The Washington Post, Wisconsin also had originally sought to become the first state in the nation to impose drug tests on some of its Medicaid population. This requirement did not receive federal approval.
Key developments include shifts in partisan control in one of the region's legislatures and four governor's offices, Michigan's legalization of recreational marijuana and the state's redistricting overhaul, and Nebraska's Medicaid expansion.
Two Midwestern states announced plans this fall to do more to prevent elder abuse. In Ohio, a new $1.3 million project will seek to raise public awareness, create an online referral system to report abuse, and establish new county-level collaborations. Much of the money for this new initiative is coming from a federal grant. This year, too, Ohio has expanded its mandatory-reporter law. Under HB 49, which took effect in September, many more individuals must report cases of elder abuse or face fines. The list of mandatory reporters now includes pharmacists, certified public accountants, financial planners, real estate agents and first-responders, among others.
In the 1930s, farmers throughout the Midwest were going out of business in record numbers, and corporations were buying the farmland at rock-bottom prices. In response, several Midwestern states passed bans on corporate farming and foreign land ownership. One of the first was North Dakota — via an initiated measure approved by voters in 1932.
That Depression-era law has faced a mix of legislative and legal challenges over the past three years, but it’s still standing.
Most recently, in September, U.S. District Court Judge Daniel Hovland issued a decision in a closely watched case that pitted the state against the North Dakota Farm Bureau.