This advocacy agenda offers options for improving health and health care at the state level during the 2019 session. It includes state policy options to consider in 2019 regarding private insurance coverage, Medicaid, oral health coverage, health equity, prescription drugs, surprise medical bills, and health care value.
This week, as part of the Childhood Asthma Leadership Coalition (CALC), Families USA and other coalition members submitted comments to the Environmental Protection Agency (EPA) expressing concern with the proposed rule, “Strengthening Transparency in Regulatory Science,” which would limit the use of critical research in EPA decision-making. We believe this rule would have the effect of erecting barriers to science-based decisions in the regulatory process, and could remove consideration of public health studies that might otherwise improve health outcomes of children with asthma.
For generations, community leaders have seen how valuable community health workers (CHWs), promotores, community health representatives, and the many other variations of community-based peer support workers can be. Nevertheless, decision makers often ask CHW advocates to make the business case for paying for CHW services and integrating them into care teams. To support these efforts, we worked with Katharine London and her team at the Center for Health Law and Economics of the University of Massachusetts Medical School to develop unique, interactive CHW Impact Estimator Tools.
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.
In January 2019, Families USA submitted these comments to the administration on its Medicaid Managed Care Proposed Rule. Our comments focus on proposed changes to sections related to information requirements, network adequacy, Medicaid managed care quality rating system/quality review, and appeals and grievance processes.
On September 7, the Trump administration took another step toward eliminating basic protections for immigrant children and their families who enter the U.S. without documentation—including those legally seeking asylum, by issuing a notice of proposed rulemaking (proposed regulation) that would dismantle constitutional protections for children established by the Flores Settlement Agreement governing the detention and treatment of children in U.S. immigration custody.
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.
Helping Our Children Grow and Thrive: Leveraging the Health Care System to Prevent and Mitigate Adverse Childhood Experiences and Advance Equity in Childhood
As a nation, it is critical to our collective future that we ensure that all children have the opportunity to achieve their full potential. Yet early adversity, toxic stress, and trauma are erecting lifelong barriers for many children, jeopardizing their healthy development, their ability to self-actualize, and their long-term well-being. The evidence is clear that adverse childhood experiences (ACEs) are widespread, and have dramatic, detrimental, and lasting effects on the health and wellbeing of children that can persist into adulthood.
This paper lays out a suite of the most important policies and strategies to leverage the health care system to address ACEs resulting from the combined effects of racial and other inequities and experiences of early adversity on health. It is intended to guide the work of national and state policymakers, state Medicaid agencies, health system leaders, and individual providers.
Leveraging the Health Care System to Prevent and Mitigate ACEs and Advance Health Equity in Childhood
All children deserve the opportunity to achieve their full potential, but children of color and other marginalized groups are impacted by deeply entrenched structural and systemic economic, racial, and ethnic inequities that increase exposure to adverse experiences and disproportionately affect their health. This webinar will discuss policies and strategies to leverage the health care system to address ACEs resulting from the combined effects of racial and other inequities and experiences of early adversity on health, so that all children, and their families, may thrive.