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 […]

Read More
  • 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 […]

    Read More
  • 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 […]

    Read More
    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 […]

    Read More
    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 […]

    Read More
    October 23, 2018 | Filed under: Front Page, Massachusetts, Medicaid, State Health Policy Blog

  • State Health Policy Blog
    States Take Administrative Actions to Curb Medicaid Drug Costs

    States Take Administrative Actions to Curb Medicaid Drug Costs

    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. […]

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

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

    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 […]

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

  • State Health Policy Blog

    Center for Health Policy Development Board Announces New Members

    The Center for Health Policy Development (CHPD) is the official non-profit corporation that assures the independence of the National Academy for State Health Policy (NASHP) and supports its work. CHPD recently held elections and instituted term limits for its board members. Members retiring due to term limits include immediate past chair Maggie Alegria, PhD, chief […]

    Read More
    October 9, 2018 | Filed under: State Health Policy Blog

  • State Health Policy Blog
    Federal Housing Policy Developments Could Affect State Health and Housing Programs

    Federal Housing Policy Developments Could Affect State Health and Housing Programs

    Peggy Bailey is director of the Health Integration Project at the Center on Budget and Policy Priorities and Amy Clary is a senior policy associate at NASHP. States use a range of policy levers to address the roughly 80 percent of factors affecting health that are outside the realm of clinical care, such as access […]

    Read More
  • State Health Policy Blog
    Q&A: To Shape an Effective Response to the Opioid Crisis in Texas, You Need to Ask ‘Will It Work in Odessa?’

    Q&A: To Shape an Effective Response to the Opioid Crisis in Texas, You Need to Ask ‘Will It Work in Odessa?’

    Karen Palombo is the substance use disorder (SUD) team lead in the Texas Health and Human Services Commission’s mental health and substance use division who helps shape state intervention and treatment policies. Before joining state government, she worked in hospital, mental health, and SUD treatment settings for nine years as a licensed chemical dependency counselor. […]

    Read More
    October 9, 2018 | Filed under: Front Page, State Health Policy Blog, Texas