Through the Children’s Health Insurance Program (CHIP), states can develop Health Services Initiatives (HSIs) to improve the health of low-income children and youth. While HSIs can serve children of all incomes, they must be designed to directly improve the health of children under age 19 who are eligible for CHIP and/or Medicaid.

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  • Publications

    Resources to Help States Fund Health-Related Social and Economic Needs

    Federal funding can help states improve housing, employment, and other life conditions for their vulnerable residents. This table highlights new programs, including public-private investment opportunities from the US Treasury, integrated care models from the Center for Medicare & Medicaid Innovation, and recent federal initiatives to combat the opioid crisis. It also features key longstanding sources, […]

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    April 29, 2019 | Filed under: Charts, Front Page, Population & Public Health, Publications

  • How 10 States Keep the ‘Community’ in Hospitals’ Community Health Needs Assessments

    Non-profit hospitals are federally required to conduct community health needs assessments (CHNAs) every three years and develop a plan to meet those needs in exchange for their tax exempt status. Many states have laws or guidelines that are more detailed than the federal requirements. Scroll down to see 10 states’ guidelines for involving community members […]

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    April 12, 2019 | Filed under: Charts, Front Page, Population & Public Health

  • States Lead on Surprise Medical Billing Protections, Congress Poised to Follow

    States are at the forefront of protecting consumers from surprise medical balance billing, which occurs when consumers are billed for the balance of services they unexpectedly receive from an out-of-network provider or facility. Half of all states have enacted some level of protections and seven states have enacted comprehensive legislation to protect consumers. Congress is […]

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    April 8, 2019 | Filed under: Charts, Payment Reform

  • Individual Enrollment in Federal and State Health Insurance Marketplaces 2018-2019*

    Read a blog about state-based marketplace performance here and view slides comparing state-based and federally-facilitated marketplaces here. * State-based marketplaces (SBMs) design their enrollment websites, control outreach and marketing, and manage the health plans offered through the marketplace. This data came from publicly available sources or directly from the marketplace. States with federally-facilitated marketplaces (FFM) rely on […]

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    April 1, 2019 | Filed under: Charts, Eligibility and Enrollment, Insurance Exchanges

  • Governing Accountable Health Entities: Examples from 12 States

    More than a dozen states are developing accountable health models to improve population health and control costs by addressing community needs, such as transportation, recreation, and housing. These entities’ mission — to build healthy communities through cross-sector partnerships — is supported by innovative and evolving governance structures. This NASHP chart and a companion blog highlight […]

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  • State Health Policy Blog

    Highlights of States’ ‘Surprise’ Medical Balance Billing Laws

    Surprise balance bills occur when patients receive unanticipated charges for health care services because they were unaware that care was delivered by an out-of-network provider or facility. In some cases, surprise balance bills can amount to hundreds if not thousands of dollars in medical expenses. A growing number of states have passed or are proposing […]

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  • Comparison of Bills Creating State Prescription Drug Affordability Review Boards

    A growing number of states are considering legislation to create prescription drug affordability review boards during the 2019 session. These boards would enable states to set “allowable rates” for certain high-cost drugs identified by the board, similar to the approach states use to regulate utilities or insurance premiums. NASHP released drug affordability review board model […]

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  • How Governors Addressed Social and Economic Issues Affecting Health in their 2019 State of the State Addresses

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    February 25, 2019 | Filed under: Charts

  • How Governors Addressed Health Care in their 2019 State of the State Addresses

    For some states, information from both a governor’s inaugural address and a state of the state or budget address is included in this review. For other states, information from only one speech is incorporated, due to one of the following reasons: the inaugural address has occurred but the state of state speech has not; the […]

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    February 18, 2019 | Filed under: Charts