Several medical professions have been working with CSG’s National Center on Interstate Compacts to explore the use of compacts to promote license portability to ensure access to high quality health care. These efforts have the potential to help facilitate telemedicine and widen access to a variety of medical services. Licensing compacts also provide a mechanism to ensure state regulatory agencies maintain their licensing and disciplinary authority. This session featured a discussion about the proposed compacts and their potential to enhance access to medical care across the states.

The bad news is a lot of people across the country can’t get access to appropriate and timely dental care. The good news is state policymakers can help improve the situation.
That was the...

Maine became the third state this year where dental therapists, a mid-level provider similar to physician assistants or nurse practitioners on the medical team, can help dentists expand care. Alaska and Minnesota already have a similar dental care provider. Dental hygiene therapists, as they are called in Maine, will be able to practice in the state and receive reimbursements from Medicaid and all other insurance carriers after Oct.1, 2015.

CSG Director of Health Policy Debra Miller outlines the top five issues for 2014, including Medicaid expansion and cost containment, health insurance exchange implementation, building adequate mental health systems, health workforce adequacy and the aging of the baby boomers and the pressure it puts on health care systems.

The cost of health care in the United States has grown an average of 2.4 percent faster than the gross domestic product since 1970; it now represents 18 percent of the total GDP, according to the Kaiser Family Foundation. One challenge contributing significantly to these costs is access to health care in hard-to-serve locations. Problems accessing care is especially common in rural areas. According to the American Academy of Family Physicians, 21 percent of the U.S. population lives in rural areas, but only 11 percent of medical specialists practice in those areas. This results in a significant segment of the population that is frequently underserved. One possible solution is a series of medical licensing compacts intended to reduce existing barriers to the process of gaining licensure in multiple states.

CSG Director of Health Policy Debra Miller outlines the top five issues for 2013, including Medicaid funding and expanded eligibility, health insurance exchange implementation, mental health and violence prevention, promoting healthy behavior through incentives, and health workforce adequacy.

BE IT NOW THEREFORE RESOLVED, that the Council of State Governments urges states to conduct fingerprint based criminal background checks on all nurse licensure applicants by  enacting a relevant provision in the jurisdiction’s Nurse Practice Act or relevant regulations.

The Centers for Disease Control and Prevention recommends six strategies to reduce the spread of HIV and STD's. Only one of 32 rural states has all six policies in place and less than one-third have four or more of the six recommended policies in place. 

Rural households have worse health outcomes than urban households. Access to care is limited due to less insurance coverage, financial hardship and geographical access to care. Highlighted state policies address increasing the health care workforce in rural areas.

An Indiana proposal would require medical professionals to pass a criminal background check in order to practice in the state.

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