Arizona legislation to better regulate rehab programs targeted by Medicaid scams is moving forward
A Navajo state senator in Arizona says she's hoping for final approval of her bill to tighten regulations for rehab facilities amid widespread fraud that has bilked hundreds of millions in Medicaid dollars.
Families say autism therapy helped their kids. Indiana's Medicaid cuts could put it out of reach
Starting with the new year, Indiana will implement a universal reimbursement rate for a therapy commonly used by children with autism, at a rate significantly less than what healthcare providers received on average in the past.
Appeals court takes up transgender health coverage case likely headed to Supreme Court
A federal appeals court is considering cases out of North Carolina and West Virginia that could have significant implications on whether individual states are required to cover health care for transgender people with government-sponsored insurance.
Fake Arizona rehab centers scam Native Americans far from home, officials warn during investigations
Hundreds of Native Americans have been recruited to addiction treatment centers in Phoenix from states as far away as Montana in a widespread billing scheme that mostly targeted Medicaid’s American Indian Health Program.
Navajo Nation declares widespread Medicaid scam in Arizona a public health state of emergency
A widespread Arizona Medicaid scam that has left an unknown number of Native Americans homeless on the streets of metro Phoenix is being declared a public health state of emergency by the Navajo Nation as fraudulent sober living homes lose their funding and turn former residents onto the streets.
New work requirements for federal aid? GOP pushes proposals in debt talks
Work requirements for federal aid programs have emerged as a sticking point in ongoing negotiations over raising the nation’s debt ceiling, and President Joe Biden has signaled openness to a possible compromise even as many in his party have balked.
COVID-19 law sparks dialogue on nursing home alternatives
Now, the COVID-19 relief bill is offering states a generous funding boost for home- and community-based care as an alternative to institutionalizing disabled people. (AP Photo/Charles Krupa)WASHINGTON – With the memory of the pandemic's toll in nursing homes still raw, the COVID-19 relief law is offering states a generous funding boost for home- and community-based care as an alternative to institutionalizing disabled people. As it has grown to cover about 1 in 5 Americans, it's also become the nation's default long-term care program, although qualifying is often an arduous process. While the federal government requires state Medicaid programs to cover nursing home care for low-income people, that's not the case for home- and community-based support services. For now, states and advocates for the disabled are awaiting guidance from the federal Centers for Medicare and Medicaid Services on how the money in the COVID-19 law can be spent.
Medicaid incentive so far not enough to sway holdout states
Henry McMaster remains firmly opposed to the Medicaid expansion. The bump in federal funding would last two years for the states that join the Medicaid expansion. Laura Kelley this year called for legalizing medical use of marijuana and using the tax revenue to pay for expanding Medicaid. "It’s a nonstarter, and we will continue to oppose the liberal wish list item of Medicaid expansion,” he said. Kay Ivey left open the possibility of expanding Medicaid at some point in the future, but there are no plans to do so.
Justices call off arguments over Medicaid work requirements
WASHINGTON – The Supreme Court said Thursday it has called off upcoming arguments over a Trump administration plan to remake Medicaid by requiring recipients to work, agreeing to a request from the Biden administration. But the Biden administration already has decided preliminarily that work requirements do not fit with Medicaid's goal of providing health care to lower-income people. AdOther cases involved Trump administration immigration policies and a fight over unreleased portions of grand jury documents from special counsel Robert Mueller’s investigation of Russian interference in the 2016 elections. The high court had in December agreed to review lower-court decisions involving Arkansas and New Hampshire that found that the Trump administration’s support for work requirements went beyond what’s allowed by law. Arkansas had opposed the Biden administration’s request that the cases be dropped.
COVID-19 bill gives states pathway to reduce maternal deaths
Labor and delivery are thought of as the riskiest times for new mothers, but many women die in the months after giving birth. The legislation gives states the option of extending Medicaid coverage to women with low to modest incomes for a full year after childbirth. Maternal health advisory groups in 19 states, from Texas to Massachusetts, and Washington to Tennessee, have recommended such an extension. AdSome Republicans who disdain the $1.9 trillion coronavirus relief package say they would like to see the maternal health provisions made permanent. “We must strive to improve maternal health outcomes and reduce maternal mortality,” said Rep. Michael Burgess, R-Texas, who cosponsored legislation with Kelly, the Chicago Democrat, in the last Congress.
Biden asks high court to drop 2 Trump-era Medicaid cases
WASHINGTON – The Biden administration is asking the Supreme Court not to hear arguments in two cases on its March calendar about the Trump administration's plan to remake Medicaid by requiring recipients to work. The Biden administration has been moving to roll back those Trump-era plans and cited “greatly changed circumstances” in asking Monday that the cases be dropped from the court's argument calendar. The high court had in December agreed to review lower-court decisions involving Arkansas and New Hampshire that found that the Trump administration’s support for work requirements went beyond what’s allowed by law. Medicaid is a $600 billion federal-state program that covers about 70 million people, from pregnant women and newborns to disabled people and nursing home residents. Under the Obama-era Affordable Care Act, states gained the option of expanding the program to many low-income adults previously ineligible.
Biden administration to undo Medicaid work requirements
(AP Photo/Evan Vucci)WASHINGTON – The Biden administration is moving to roll back Medicaid work requirements in its latest effort to undo a controversial Trump-era policy. Federal health officials planned Friday to inform 10 states that they would revoke permissions granted by the Trump administration to impose such requirements, according to a Biden official who spoke on condition of anonymity to discuss internal plans. Officials were also set to withdraw the past administration’s invitation for states to apply for approval for work requirements. AdThe Trump administration allowed states to require “able-bodied” adults drawing Medicaid benefits to work, volunteer or study. Before the pandemic, nearly 20 states had tried to implement requirements after the administration invited them in 2018 to submit such proposals.
Kansas governor: Medical pot should fund Medicaid expansion
Kelly championed Medicaid expansion in her first race in 2018 and promised to sign legislation legalizing medical marijuana, though she has not pushed that issue aggressively so far. But University of Kansas political scientist Patrick Miller said he wonders why any Kansas politician still opposes medical marijuana. The Legislature has taken only relatively small steps toward legalizing medical marijuana even as most other states have done it. She said legalizing medical marijuana could raise up to $50 million a year and her proposal “eliminates the argument” that Kansas can't afford Medicaid expansion. AdBut Republican lawmakers remained skeptical that medical marijuana could raise much money or cover Medicaid expansion costs.
Biden opens 'Obamacare' window for uninsured as COVID rages
AdThe Biden administration has ample resources for marketing, said Karen Pollitz, a health insurance expert with the nonpartisan Kaiser Family Foundation. “The reason it wasn’t spent is the Trump administration spent its time in office cutting services that support consumer enrollment,” Pollitz said. He cited a Trump policy that allows employers to provide tax-free money for workers to buy individual plans. AdThe idea of reopening Obamacare's health insurance markets in the pandemic has had broad support from consumer, medical, and business organizations. As the number of uninsured Americans grew because of job losses in the pandemic, the Trump administration resisted calls to reopen HealthCare.gov.
Biden to reopen 'Obamacare' markets for COVID-19 relief
President Joe Biden holds his face mask as he delivers remarks on COVID-19, in the State Dining Room of the White House, Tuesday, Jan. 26, 2021, in Washington. (AP Photo/Evan Vucci)WASHINGTON – Fulfilling a campaign promise, President Joe Biden plans to reopen the HealthCare.gov insurance markets for a special sign-up opportunity geared to people needing coverage in the coronavirus pandemic. Biden is expected to sign an executive order Thursday, said two people familiar with the plan, whose details were still being finalized. Coverage is available to people who don't have job-based health insurance, with the Medicaid expansion geared to those with low incomes. “President Biden does not believe, as a principle, it should be difficult ... for people to gain access to health care,” she said.
Virus shutdown took a toll on routine health care for kids
Federal officials say a sharp decline in routine medical care for low-income children during the coronavirus shutdown will cause long-term harm if not reversed. (AP Photo/Alex Brandon, File)WASHINGTON – A sharp decline in routine medical care for low-income children during the coronavirus shutdown could cause long-term harm if not reversed, federal officials warned Wednesday. Among the findings:— Early childhood vaccinations declined by 22%, or 1.7 million fewer immunizations for kids up to age 2. — Even after accounting for increased use of telehealth, there were 6.9 million fewer mental health visits. The changes mirror what happened with everyday health care services for adults.
While income in the US rose in 2019, so did the uninsured
Median household income in 2019 was $68,703, an increase of 6.8% from the previous year. That figure surpassed past boom-before-the bust years in 2007, when it was $62,090 in 2019 dollars and in 1999, when it was $62,641 in 2019 dollars, according to the Census Bureau. It was the fifth consecutive annual decline in the national poverty rate, according to the Census Bureau. Hispanics saw the greatest jump in the uninsured of any racial or ethnic group, going from 17.9% in 2018 to 18.7% in 2019. But even taking into consideration that bias, median household income in 2019 would have been 4.1% higher than it was in 2018, showing that the median household income last year was the highest on record, the Census Bureau concluded.
Obama's Medicaid expansion keeps gaining ground under Trump
President Donald Trump is still trying to overturn Obamacare, but his predecessor's health care law keeps gaining ground in places where it was once unwelcome. Missouri voters this week approved Medicaid expansion by a 53% to 47% margin, making the conservative state the seventh to do so under Trump. The six states where voters have approved Medicaid expansion in the Trump years are Idaho, Maine, Missouri, Nebraska, Oklahoma and Utah. In Virginia, the legislature passed a Medicaid expansion after Democrats made political gains. In Missouri, support for Medicaid expansion in cities and suburbs overcame opposition in rural communities.
Stimulus money could pose dilemmas in nursing homes
The situation underscores the vulnerability of many elderly residents and potential confusion about what homes can and cant do with residents money. One worry is that nursing homes could pressure residents to use the checks to pay outstanding balances. Its not yet known whether there are widespread problems with nursing homes taking residents' checks, said Lois Greisman of the Federal Trade Commission. Cole, the southwest Ohio nursing home resident, said he still has some stimulus money left after buying a 55-inch television and gaming device. Hell said he'll likely wait until his nursing homes lockdown ends to spend the rest.
Oklahoma voters to decide whether to expand Medicaid
OKLAHOMA CITY Oklahoma voters will decide Tuesday whether to expand Medicaid to tens of thousands of low-income residents and become the first state to amend their Constitution to do so. While an increasing number of Oklahoma voters took advantage of mail-in voting for Tuesday's primary, polls will be open from 7 a.m. to 7 p.m. statewide. Amending the Oklahoma Constitution will prevent the Republican-controlled Legislature, which has resisted Medicaid expansion for a decade, from tinkering with the program or rolling back coverage. Oklahoma is one of 14 states, along with neighboring Texas and Kansas, that have not expanded Medicaid under the 2010 federal Affordable Care Act. The Oklahoma Health Care Authority has projected that about 215,000 residents would qualify for a Medicaid expansion, for a total annual cost of about $1.3 billion.
Medicaid, GOP congressional primary top Oklahoma ballot
Oklahoma voters will vote in Tuesday's primary election on State Question 802, which would amend the Oklahoma Constitution to expand Medicaid health insurance. (AP Photo/Sue Ogrocki, Pool, File)OKLAHOMA CITY A question on whether to expand Medicaid in Oklahoma and a crowded Republican field vying to challenge the state's lone congressional Democrat are drawing the most attention ahead of Tuesday's primary election. According to the nonpartisan Kaiser Family Foundation, states that have expanded Medicaid through a ballot measure include Idaho, Maine, Nebraska and Utah. This is going to cost our state $200 million," Stitt said during an event this week with Americans for Prosperity. Republicans clearly see OK-5 as one of their best chances to flip' a House seat, and theyre correct to see it that way," said Matthew Motta, a political science professor at Oklahoma State University.
Outcry as some nursing homes try to grab stimulus checks
(Leah Millis/Pool via AP)WASHINGTON Compounding the hardships of the coronavirus, some nursing homes have demanded that low-income residents turn over their $1,200 economic stimulus checks, a cash grab lawmakers want to halt. Low-income Medicaid recipients must not be coerced into wrongly handing over their checks for fear of being kicked out of their homes, wrote Neal and Pallone. We are not aware of widespread issues with resident stimulus funds," the American Health Care Association said in a statement. Generally, a Medicaid recipients taxable income is taken into account in determining their eligibility for the program. CMS chief Seema Verma tweeted on Tuesday that nursing homes engaging in this behavior will be subject to enforcement action.
1st deadlines for laid-off workers to get health insurance
WASHINGTON Many laid-off workers who lost health insurance in the coronavirus shutdown soon face the first deadlines to qualify for fallback coverage under the Affordable Care Act. We are in the middle of a pandemic, and God forbid if I get sick and I don't have it," she said of her health insurance. They can go to the federal HealthCare.gov or their state's health insurance website. The federal-state Children's Health Insurance Program and Medicaid cover kids in families with incomes well above the poverty level. Government statistics on people losing and finding health insurance coverage in the coronavirus contraction won't be available for months.
Doctors warn of fallout from new immigration rule
Doctors and public health experts warn ofCHICAGO - Diabetics skipping regular checkups. Some advocates say theyre already seeing the fallout even before the complex 837-page rule takes effect in October. Theyre not going to go get health care, or not until they have to go to an emergency room, said Lisa David, president and CEO of Public Health Solutions, New Yorks largest public health organization. Its deeply embedded in our history, and particularly our history related to legal immigration.Two California counties and attorneys general in 13 states sued, saying the changes will increase public health risks. New Yorks largest public health organization, Public Health Solutions, which serves a large immigrant population, reported a 20% drop in food stamps enrollment since the rule was first proposed in the fall.
New rules to deny green cards to many legal immigrants
Its deeply embedded in our history, and particularly our history related to legal immigration.Migrants make up a small percentage of those who get public benefits. Immigrant rights groups strongly criticized the changes, warning the rules would scare immigrants away from asking for needed help. And they voiced concern the rules give officials too much authority to decide whether someone is likely to need public assistance in the future. And the definition has been broadened to include Medicaid, housing assistance and food assistance under the Supplemental Nutrition Assistance Program, or SNAP. The new public assistance threshold, taken together with higher requirements for education, work skills and health, will make it more difficult for immigrants to qualify for green cards, advocates say.
New rules to deny green cards to many legal immigrants
Its deeply embedded in our history, and particularly our history related to legal immigration.Migrants make up a small percentage of those who get public benefits. Immigrant rights groups strongly criticized the changes, warning the rules would scare immigrants away from asking for needed help. And they voiced concern the rules give officials too much authority to decide whether someone is likely to need public assistance in the future. And the definition has been broadened to include Medicaid, housing assistance and food assistance under the Supplemental Nutrition Assistance Program, or SNAP. The new public assistance threshold, taken together with higher requirements for education, work skills and health, will make it more difficult for immigrants to qualify for green cards, advocates say.