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.
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.
Today, grand juries are viewed mostly as a tool for prosecutors, a means of gathering evidence and seeking indictments. But they have long had a second important function as well — to control the government and its power to prosecute.
Six states, including Kansas, Nebraska and North Dakota in the Midwest, have laws on the books that put a twist on this government-checking role: Allow local citizens themselves to form grand juries. The target of these state statutes is not overzealous prosecutors, but inactive ones.