The 2018 elections will be critical in determining whether health care options are available for families and adults for years to come. With Medicaid expansion ballot initiatives, governors' races, and elections with party control of state legislatures hanging in the balance, the future of health care has never been a more critical issue at the voting booth at the state level. What's more, the Congressional midterms will have a critical influence on the future of the Affordable Care Act and the structure of the Medicaid program as we know it.
Health Coverage Matters for Children: The Role of Medicaid in the Healthy Development of America's Children
Access to health care is crucial to children’s health and development. When children have health insurance, they are more likely to get the health care they need. For more than 40 percent of children in the U.S.—approximately 37 million children—Medicaid is the health insurance they rely on. Another 8.9 million children are enrolled in the Children’s Health Insurance Program (CHIP), Medicaid’s sister program. The success of Medicaid and CHIP is largely responsible for the fact that 95 percent of children under 18 have some form of health coverage.
How the Midterm Elections Could Impact People in America with Preexisting Conditions: National and Key State Fact Sheets, Infographics, and Tables
This midterm election season, some candidates want to take away health insurance protections for people with preexisting conditions. This would allow health insurers to return to abusive practices that were widespread before protections against preexisting condition discrimination were in place. These national and key state fact sheets, infographics, and tables explain how many people would be affected if insurers are once again permitted to flatly refuse coverage, increase premiums, or deny treatment to people with preexisting conditions.
As advocates engage with local and state candidates in the months leading up to the election in November, we urge them to ask candidates these key questions on their commitment to protecting consumers’ access to health care.
NOTE (November 19, 2018): Arkansas continues to disenroll individuals for failure to meet the work or work hours reporting requirement. As of November 7, 2018 over 12,000 Medicaid enrollees have been disenrolled. Nearly all were disenrolled for non-reporting.
Community Health Workers in Delivery and Payment Transformation: How New Delivery and Payment Models Can Incentivize and Support the Use of CHWs
The current attention on implementing delivery and payment reforms to improve the quality of care and health outcomes while reducing costs creates an important opportunity for greater integration of CHWs into the health care system and for providing more sustainable financing for CHWs. In this brief, we detail how health system transformation initiatives in Vermont and Oregon align with the value that CHWs provide and how these initiatives can incentivize CHW integration.
This brief highlights the value of integrating CHWs into maternal and child health care delivery to effectively address a range of health care concerns and conditions for children and families, offering examples of specific initiatives that are promising or have demonstrated impact in improving health care and health outcomes for children of color.
Washington, D.C.—On Tuesday, September 18, Families USA held a press telebriefing to discuss what’s at stake for Medicaid in the upcoming November elections. The call included leaders of Medicaid expansion ballot initiatives and a review of key state elections that may affect Medicaid expansions and waiver proposals.
Update: Judge O’Connor heard oral arguments in Texas v. United States on September 5, summarized in this Health Affairs article. It is not clear how quickly the judge will rule on a preliminary injunction. The Department of Justice, despite arguing to undo preexisting condition protections, has admitted that a negative decision, even if appealed, would bring chaos and uncertainty during open enrollment this fall.