State Health Policy Blog

2018 Elections and State Health Policy: Expect More Innovation

Significant state health policy changes are on the horizon as a result of Tuesday’s elections, which ushered in new governors and political changes in state legislatures across the country. Seven governorships (IL, ME, MI, NV, NM, KS, and WI) will switch parties and be steered by Democrats who all campaigned on health policy proposals. The […]

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  • New Federal Health Reimbursement Proposal Adds New Variables to State Health Insurance Markets
    State Health Policy Blog

    In response to President Trump’s Executive Order promoting health care choice and competition, the departments of the Treasury, Labor, and Health and Human Services have proposed a new regulation that provides more flexibility over employer-funded health reimbursement accounts (HRAs). A health reimbursement account (HRA) is an IRS-approved, employer-funded personal health benefit that reimburses employees for […]

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    November 6, 2018 | Filed under: Front Page, State Health Policy Blog
  • #NASHPCONF18: As the HIV Population Ages, States Redesign their Long-Term Services Programs
    State Health Policy Blog

    People living with HIV (PLWH) are living longer due to advances in antiretroviral therapies and disease management. In 2016, 47 percent of PLWH in the United States were over age 50. This population often needs long-term services and supports at an earlier age due to increased risk of dementia, chronic illness, and the social isolation […]

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    November 6, 2018 | Filed under: Front Page, New York, South Carolina, State Health Policy Blog
  • State Health Policy Blog

    Substance use disorder (SUD), including opioid use disorder (OUD), is prevalent among pregnant and parenting women, and these women have unique and often un-met treatment needs. Despite significant efforts, states report that access to treatment continues to lag for this population. In 2014, half of pregnant women with OUD who were enrolled in publicly-funded treatment […]

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  • Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them
    State Health Policy Blog

    Children and youth with special health care needs (CYSHCN) can require significant care coordination across a continuum of health and social services. Improved care coordination for CYSHCN can lead to better outcomes for CYSHCN, as well as cost savings for states. To achieve those goals, state Medicaid agencies and Title V CYSHCN programs are increasingly […]

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  • Administration Proposes Significant Policy Changes for State Insurance Markets through New 1332 Waiver Guidance
    State Health Policy Blog

    On Oct. 22, 2018, the U.S. Departments of Health and Human Services and Treasury issued new guidance governing Section 1332 State Innovation Waivers, now called State Relief and Empowerment Waivers. Through increased state flexibility, the guidance supports the diffusion of association health plans and short-term, limited-duration plans, continue to stymie state efforts to use a 1332 […]

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    October 23, 2018 | Filed under: All, Front Page, State Health Policy Blog
  • SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder
    State Health Policy Blog

    Last week, Congress sent the SUPPORT for Patients and Communities Act, a wide-ranging bill that seeks to address the country’s opioid crisis across a number of policy areas, to the President for his signature. The act contains numerous provisions that affect how state Medicaid agencies structure and administer services and supports for individuals with opioid […]

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    October 23, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog
  • Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment
    State Health Policy Blog

    In 2016, only 3.8 million of the 21 million Americans with substance use disorder (SUD) received treatment. As the opioid crisis persists, states have been working to identify new SUD treatment approaches, but the Medicaid Institutions for Mental Diseases (IMD) exclusion has historically put certain residential health care facilities out of reach for many Medicaid […]

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    October 23, 2018 | Filed under: Front Page, Massachusetts, Medicaid, State Health Policy Blog
  • States Take Administrative Actions to Curb Medicaid Drug Costs
    State Health Policy Blog

    During the 2018 legislative session, 28 states passed 45 laws to curb the rising cost of prescription drugs. In addition to legislative solutions, states are taking administrative action to better manage state spending on Medicaid pharmacy benefits. Ohio, West Virginia, and Vermont offer examples of states taking innovative administrative approaches to rein in drug costs. […]

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  • A Snapshot of the Key Health Policy Issues at Play in 2018 Governors’ Races
    State Health Policy Blog

    With elections just three weeks away, governors’ races in 36 states – with 17 open seats – are down to the wire and important health policy issues, such as Medicaid expansion, stabilizing insurance markets, public options, and prescription drug price controls, are at play in most of them. The National Academy for State Health Policy […]

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    October 16, 2018 | Filed under: Front Page, State Health Policy Blog