7 million Americans lose Medicaid coverage

Thirty states have wrongly disenrolled people during the “unwinding” of the health insurance program from pandemic-era policies. But nearly half a million individuals—many of them kids—have since been reinstated. Plus, more news to use from around the country in this week's State and Local Roundup.

California enters the ring of drug manufacturing. Could others follow?

As insulin prices have skyrocketed, states have intervened to lower them with price caps. Now, California’s decision to manufacture its own is leading other states to consider similar steps in an effort to ensure essential medicines are affordable to the public.

How will rural Americans fare during Medicaid unwinding? Experts fear they’re on their own

Rural residents face additional barriers to renewing their Medicaid coverage, including longer distances to eligibility offices, less access to the internet or a lack of health insurance counselors in their communities.

You might need an ambulance, but your state might not see it as ‘essential’

Ambulance services can receive state money once declared essential services.

Strained juvenile justice systems get relief from mobile behavioral health programs

Community-based crisis intervention services are diverting adolescents with mental and behavioral health issues from the criminal justice system, which is unequipped to meet their needs.

How one state is heading off the costs of an aging population

Washington recently launched a long-term care insurance program that looks to support aging in place for a burgeoning senior population.

‘Conscience’ bills let medical providers opt out of providing a wide range of care

One state will block patients' ability to take legal action against health care providers who refuse to participate in procedures such as abortion or medically assisted death, a move critics say will restrict individuals' rights to essential care.

The nation’s biggest public union wants to help fix the workforce shortage

The group has launched a listening tour and has already received feedback from state and local workers on what governments can do to attract and retain employees.

CDC to reduce funding for states’ child vaccination programs

Citing the recent debt ceiling deal, the CDC is trimming its funding to child vaccination programs that focus on communities vulnerable to disease outbreaks. The cuts come despite data showing the percentage of children getting vaccinated has dropped in recent years.

We’re older than we used to be, especially in these states

As states age, the need for senior-friendly health care and housing grows.

What happened to the Idaho Health Data Exchange, and can other states learn from it?

The exchange ran into financial troubles after its leadership made funding deals that fell through, leading to a bitter feud over a contract.

Mortality rate for young women grew significantly during the pandemic, report says

As the nation marks the one-year anniversary of the Dobbs decision, a new report finds an uptick in deaths among young women. Researchers worry the trend will worsen as more states limit access to reproductive health care.

More blue states declare themselves sanctuaries for transgender health care

The moves come after at least 20 states have restricted or banned gender-affirming care for minors.

State coffers to take a hit with the end of extra federal Medicaid funding

During the pandemic, states received more than $117 billion in additional federal Medicaid funding in return for pausing disenrollments. That extra money is set to end this year.

Medical exiles: Families flee states amid crackdown on transgender care

As more states restrict gender-affirming care for transgender people, some are relocating to more welcoming destinations, where they don't have to worry about being locked out of medical care.

More States OK Postpartum Medicaid Coverage Beyond Two Months

At least eight states are moving to provide health coverage for up to a year after pregnancy under the program.The decisions to join 33 other states and Washington, D.C., come as policymakers recognize that the U.S. is in a maternal health crisis.

State Lawmakers Eye Forced Treatment to Address Overlap in Homelessness and Mental Illness

Democratic politicians in California and Oregon are reconsidering the restrictions of involuntary commitment laws. They argue that not helping people who are seriously ill and living in squalor on the streets is inhumane.

One County’s Choice to Use Opioid Funds to Pay Off Debt

Greene County, Tennessee, so far has received more than $2.7 million from regional and national settlements with opioid manufacturers and distributors. But most of the money is not going to help people and families harmed by addiction.

Mental Health Statistics Reveal a Crisis in America

County officials are asking Congress for more funding and to change a pair of Medicaid rules that will allow governments to provide more mental health services.

The Fight to Reverse Increasing Maternal Mortality Rates

The U.S. has some of the highest mortality rates in the world. A study in North Carolina found approaches that are making a difference.

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