Elder Abuse Is the ‘Silent Epidemic of Our Time’

The opioid abuse crisis may be contributing to a ‘staggering’ spike in adult protective services caseloads. And local officials fear the problem will only get worse.

Good News: Overdose Deaths Fall in 14 States

But the bad news: “But we’re still seeing rates of overdose that are leaps and bounds higher than what we were seeing a decade ago and far beyond any other country in the world.”

Food Stamps Fall Short of Meal Costs in Most Counties, Study Finds

The findings come at a time when the Trump administration has proposed lower spending on the program in the coming years.

Trump’s Historic Medicaid Shift Goes Beyond Work Requirements

All the states requesting Medicaid work requirements are led by Republican governors who tout the “it’s a trampoline, not a hammock” approach to the social services safety net.

Why Police Backing Is Key to Needle Exchanges

Nationwide, the list of syringe exchanges, both official and unofficial, has grown by about 15 percent a year for the past three years, with the fastest growth in Kentucky, North Carolina and Ohio.

The Opioid Epidemic Has Cost the U.S. More Than $1 Trillion

Most of the financial cost of the crisis came in the form of lost earning and productivity potential for those who had died.

Meet West Virginia’s New Drug Czar: Dr. Michael Brumage

“The main thing I want to bring with me to the table is an all-hands approach,” Brumage told Route Fifty. “This is not just about law enforcement and it’s not just about public health.”

Federal Watchdog: State Reporting Gaps Limit Assisted Living Oversight

"This report finds that thousands of seniors face serious health and safety risks in their assisted living facilities,” Sen. Elizabeth Warren said of the Government Accountability Office findings.

Seema Verma: Medicaid Work Requirements Are ‘True Compassion’

Now that the Trump administration has approved work requirement waivers in two states—Kentucky and Indiana—as many as 11 more could follow.

Some Hospitals in Appalachia See Surges of Opioid Babies

STATE AND LOCAL ROUNDUP | Maine Gov. LePage plans major shift in oversight for county jails; Philly will soon say goodbye to a transit relic; New Mexico’s challenging job-skills gap; and a Silicon Valley mayor is criticized for his housing comments.

Chicago Focuses Its Quality of Life Index on Youth

Chronic, concentrated joblessness has caused young, black men to struggle in the nation's third-largest city, and an index will assist officials in refining services to help them be successful.

How Voters With Disabilities Are Blocked From the Ballot Box

In light of security concerns, states moved to paper ballots. Now voters with disabilities are losing access.

As Trump Attacks the Federal Health Law, Some States Try to Shore it Up

Charlottesville’s premium spike may be an anomaly. But insurance experts say it could be an indication of what might happen in other parts of the country next fall, when insurers post their final rates for 2019.

15 Kentuckians Sue Trump Administration Over New Medicaid Waiver

The plaintiffs contend that waivers that require work as a prerequisite for health coverage will cause “irreparable harm to the health and welfare of the poorest and most vulnerable in our country.”

N.Y.C. Mayor: Big Pharma Is ‘Hooking Millions of Americans in Exchange for Profit’

STATE & LOCAL ROUNDUP: U.S. Conference of Mayors winter meeting starting in D.C.; Minnesota county bars federal immigration detainees over high costs; and new concerns over contaminated water in a Michigan city.

The CHIP Reauthorization Saga Is Over But the Damage Has Already Been Done

State officials aren’t likely to forget this episode of Congressional paralysis—and the precedent it set—any time soon.

The Big Challenge Public Health Officials Face as ‘Flint Registry’ Launches

A new federally-funded initiative seeks to connect residents impacted by the drinking-water crisis to wellness and recovery programs and resources.