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.

CSG Midwest
Illinois residents dealing with chronic pain have been given an alternative to opioids — medical marijuana. SB 336 was signed into law in August. It provides certain individuals 21 and older with temporary access to the state’s existing medical cannabis program. This access is contingent on a licensed physician certifying that the individual has a condition for which opioids might be prescribed.
Participants must then register at a state-licensed dispensary. Dispensations are limited to 2.5 ounces every 14 days and cannot exceed 90 days per physician certification. The goal of the new law is to curb opioid addiction; according to the Illinois Department of Public Health, opioid deaths in the state increased 13 percent from 2016 to 2017.
CSG Midwest
Residents living in more than half of the nation’s counties have only one insurer to choose from on their state’s Affordable Care Act health insurance exchange. This lack of options is most prevalent in rural areas: 41 percent of enrollees in non-metro counties vs. the overall rate of 21 percent, according to the Kaiser Family Foundation.
Could the creation of agricultural cooperative health plans help fill insurance gaps, offer more choices for consumers and lower costs?
CSG Midwest
Earlier this year, Gov. Eric Holcomb signed SB 360, making Indiana the third Midwestern state to enshrine in state law a perinatal “levels of care” rating system for hospitals and birthing centers.

Yesterday, the U.S. Census Bureau released a report with 2017 data on health insurance status in each state. In 2017, 28.5 million people (or 8.8 percent) did not have health insurance at any point during the year. The uninsured rate and number were not statistically different from 2016. In some states the uninsured rate change between 2016 and 2017 was statistically significant. In three states – California, Louisiana, and New York—the percentage of people without insurance decreased, but in 14 states the percentage increased. The states where the uninsured rates increased are Connecticut, Florida, Georgia, Illinois, Iowa, Massachusetts, Minnesota, Ohio, Oregon, South Carolina, Tennessee, Texas, Vermont and West Virginia.

Chapter 9 of The Book of the States 2018 contains the following tables:

For three days in September 2018, state legislative leaders in the health arena will meet at the CSG Medicaid Leadership Academy to hear from federal government representatives and officials from health policy organizations and state Medicaid programs about innovative programs in states that are improving health outcomes and reducing health care costs.

Presentation topics will include dementia-competent care in Virginia, a telehealth diabetes monitoring program in Mississippi, a proposal in Oklahoma to move to value-based...

The Supreme Court has long resolved whether and when state law claims against drug manufacturers are preempted by federal law. The Third Circuit ruling in Merck Sharp & Dohme Corp. v. Albrecht is very favorable to state-law claims and likely will be modified, if not reversed, by the Supreme Court.

The Food and Drug Administration’s (FDA) approval of a drug warning label does not necessarily insulate drug manufacturers from state-law failure-to-warn claims. In Wyeth v. Levine (2009), the Supreme Court held that state failure-to-warn claims are preempted when there is “clear evidence” the FDA would not have approved the warning a plaintiff claims was necessary. In Merck Sharp & Dohme Corp. v. Albrecht, Merck claims there was such “undisputed” evidence in this case but the Third Circuit improperly allowed the case go to a jury for “conjecture as to why the FDA rejected the proposed warning.”

The cost of nursing home/assisted living care has continued to rise. The average daily cost of nursing home care in the United States is $235, with a high of $800 per day in Alaska, and a low of $147 in Oklahoma. The increasing cost of care for loved ones has placed burden on the federal and state governments, as well as the American people searching for cheaper alternatives.

The opioid crisis has devastated families and communities across the nation. As a result, the federal government has begun drafting potential policy solutions that could help mitigate the effects of widespread opioid use. While Congress debates their options, they would do well to look to the states for guidance on the matter.

Several states have adopted innovative strategies that have allowed them to expand access to medication-assisted treatment, or MAT. MAT combines Food and Drug Administration-approved medication—...

CSG Midwest
As part of what state officials say is the strictest set of lead and copper standards in the nation, Michigan will require all of the state’s public water systems to replace their lead service lines. Starting in 2021, the Detroit Free Press reports, each public water system must replace, on average, 5 percent of its lead service pipes per year over a 20-year period, with water customers paying for most of the estimated $2.5 billion price tag.

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