state laws

CSG Midwest
When a health consumer receives care outside of an insurer’s network of providers, he or she may receive a surprisingly high medical bill, and face the prospects of paying unexpectedly high out-of-pocket costs. 
These situations are not uncommon, and often not the fault of the health consumer — for example, he or she requires immediate emergency care, or an out-of-network provider is part of a larger team of physicians providing complex medical treatment.
As evidenced in recent polling data and new state laws, “surprise billing” has become a widespread concern among health care consumers and policymakers alike. In a poll conducted last year by the Kaiser Family Foundation, two-thirds of Americans said they were either “very worried” or “somewhat worried” about being able to afford their own or a family member’s unexpected medical bills.
The Commonwealth Fund, meanwhile, has been tracking the spread of laws to protect individuals from certain types of “surprise billing.” By the end of 2018, the number of states with such laws had reached 25: nine with comprehensive laws (including Illinois in the Midwest) and 16 with “partial protections” (including Indiana, Iowa and Minnesota).
CSG Midwest

Few if any U.S. states have been hit harder than Ohio by the crushing rise in drug use, abuse and overdose deaths. That state’s rate of overdose deaths was second in the nation in 2017: 46.5 per 100,000. Behind those numbers, too, are tragic stories that have personally touched many Ohio legislators — and helped lead their ongoing search for policy solutions.

“For multiple years, multiple general assemblies, it has been a legislative priority,” says Ohio Sen. Jay Hottinger, a member of the General Assembly since 1995. “If you wrote just a paragraph on each bill, it would be about 17 or 18 pages.”
He was a sponsor of one of Ohio’s most recently passed bills — last year’s SB 119, known as Daniel’s law in honor of a young Ohio man who died from an opioid overdose after years of fighting addiction. Daniel Weidle had found success in his fight through the use of naltrexone (one of the medications federally approved for treatment of opioid-use disorder), but after losing his provider, Daniel got turned down several times in trying to refill his prescription.
CSG Midwest
Illinois has joined the growing number of Midwestern states to raise the minimum wage for workers. Six years from now, when SB 1 gets fully phased in, the wage floor for Illinois workers age 18 and older will be $15 an hour. That will be the highest minimum wage in the Midwest; four other U.S. states have adopted $15-an-hour laws.
According to the U.S. Department of Labor, as of the start of this year, six states in the region — Illinois ($8.25 per hour), Michigan ($9.25), Minnesota ($9.86), Nebraska ($9), Ohio ($8.55) and South Dakota ($9.10) — had minimum wages higher than the federal government’s ($7.25). Under the laws in Minnesota, Ohio and South Dakota, wages are adjusted automatically every year to account for changes in the cost of living. In late 2018, with the passage of SB 1171, Michigan legislators eliminated their state’s inflationary adjustment while also increasing the minimum wage. The hourly rate rose to $9.45 in March and will increase to $12.05 by 2030.
CSG Midwest
For decades, the lack of a commercial hemp industry has made the United States an outlier among most of the world’s developed countries. That may soon change, and some states in the Midwest have already been pursuing policies to ensure their farmers can make the most of this new market opportunity.
“Hemp could be a valuable crop,” North Dakota Rep. Dennis Johnson says, “but we need processors and market diversity and reliable regulations. “The 2018 farm bill goes a long way toward doing this.”
Enacted at the end of last year, the new law legalizes industrial hemp (it must have a THC concentration level of below 0.3 percent), allowing for market-scale cultivation and the interstate sale of products. In another important change for producers, the new farm bill allows hemp to be included in federal crop insurance.
CSG Midwest
Two states in the Midwest have new laws in place that aim to improve the safety of nurses and other health care professionals. The Illinois General Assembly passed HB 4100 in response to two high-profile incidents. In one case, the Chicago Tribune reports, two nurses were taken hostage after an inmate being treated at their hospital got hold of a corrections officer’s gun. One of the nurses was sexually assaulted before police fatally shot the inmate. A month later, a nursing assistant and corrections officer were taken hostage at another hospital.

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