State Health Policy Blog

States Add Coverage Mandates to Cover Infertility Treatment following Cancer Treatments

Under the Affordable Care Act (ACA), individual and small group plans must cover essential health benefits, such as pre-existing conditions. However, states can go beyond the ACA’s requirements and mandate coverage for other conditions, such as infertility or autism, though they must cover those additional costs. A new wave of state mandates have expanded what […]

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  • State Health Policy Blog
    New NASHP Tool Identifies Key Quality Measures for Children with Special Health Care Needs

    New NASHP Tool Identifies Key Quality Measures for Children with Special Health Care Needs

    Quality measurement is a critical component of state health programs, including Medicaid and State Title V CYSHCN programs that serve children and youth with special health care needs (CYSHCN). While quality measurement for children continues to lag behind that of adults, quality measurement efforts for children overall, and CYSHCN in particular, are gaining greater traction […]

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    November 13, 2018 | Filed under: Front Page, State Health Policy Blog

  • State Health Policy Blog
    2018 Elections and State Health Policy: Expect More Innovation

    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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    November 8, 2018 | Filed under: Front Page, State Health Policy Blog

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

    New Federal Health Reimbursement Proposal Adds New Variables to State Health Insurance Markets

    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

  • State Health Policy Blog
    #NASHPCONF18: As the HIV Population Ages, States Redesign their Long-Term Services Programs

    #NASHPCONF18: As the HIV Population Ages, States Redesign their Long-Term Services Programs

    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

    How States Promote Recovery for Pregnant and Parenting Women with Substance Use Disorder

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

    Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them

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

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

    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

  • State Health Policy Blog
    SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder

    SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder

    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

  • State Health Policy Blog
    Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

    Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

    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