Many state legislatures are passing the midpoint for 2018 sessions, and trends are emerging in their efforts to tackle health care affordability and coverage. States are also reacting to federal activity around Medicaid and private market coverage including the repeal of the individual mandate. Below are some of the noteworthy state health legislative measures already moving this year.
With a new president and Congress, the health care gains made throughout the last six years face their greatest threat yet. Congress has voted more than 60 times to roll back the historic progress that has been made to expand health coverage to millions of people in this country and to improve coverage for those who already had it. These proposed changes will put the health—and lives—of countless New Mexicans at risk. Here’s what New Mexico stands to lose if the new president and Congress move forward to upend our health care system:
How States Can Fund Community Health Workers through Medicaid to Improve People’s Health, Decrease Costs, and Reduce Disparities
This brief discusses the value of community health workers (CHWs) in improving care while reducing disparities for vulnerable populations. It also walks advocates through how they can get sustainable funding for CHWs in their state.
States that expand Medicaid are making high-quality health coverage available to many hard-working people who would not otherwise have insurance. These individuals don’t qualify for regular Medicaid but cannot afford private health insurance. We looked at data from 11 states that have expanded Medicaid under the Affordable Care Act and found that the majority of residents who can benefit from expanded Medicaid are employed.
In 2014, New Mexico accepted federal funds to provide health insurance to more low-income residents through Centennial Care. Centennial Care gives New Mexico residents with incomes up to 138 percent of the federal poverty level ($27,720 for a family of three in 2015) the chance to enroll in affordable health insurance. Our analysis find that 56 percent of those who stand to gain health coverage because of Centennial Care are working.
What are uncompensated care pools (also known as a “low-income pool” in Florida)? And why are they getting attention now? This short analysis explains what these pools are and how they relate to the CMS process of approving Medicaid Section 1115 waivers.
In recent months, there’s been an increased interest in improving access to health care for people who are recently released from incarceration or otherwise involved in the criminal justice system. While incarcerated, people generally cannot get access to health care through Medicaid or the marketplace. But when they are released, many are eligible. Assisters in a number of states are working to help what is known as “the justice-involved” population enroll in health coverage, both through the marketplace and in Medicaid.
After expanding Medicaid, eight states (Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington, and West Virginia) are expected to achieve budgetary savings and revenue gains exceeding $1.8 billion by the end of 2015, according to a report published yesterday. And that’s even though these states are fairly early into their Medicaid expansion.
When health plans design their provider networks, they need to ensure that these networks are adequate and provide meaningful access to care. The Affordable Care Act established the first-ever federal rights guaranteeing private insurance consumers access to adequate networks.
Of the 23 states that have not expanded Medicaid, 15 have gubernatorial races in November—setting the stage for potential Medicaid expansion in 2015.Our infographic shows the five states where the outcome of the governor’s race could be pivotal.