Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.
The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
In California, Black women are at least three times as likely as white women to die from pregnancy-related causes. Santa Clara County initiatives aimed at reducing racial disparities work but depend on federal dollars — money that might not flow amid budget cuts and a push to end diversity, equity, and inclusion programs.
California has unilaterally halted a court-ordered medical parole program. Instead, it’s sending its most incapacitated prisoners back to state lockups or releasing them early. The change is drawing protests from attorneys representing prisoners and the author of the medical parole law, who argue prisoners’ health may be compromised.
Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.
Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.
Colorado was long considered a haven for gender-affirming care. But under this Trump administration, hospitals in the state have limited the treatments available for people under 19. Some services have been restored, but trans youth and their families say the state isn’t the rock they thought it was.
Amid a youth mental health crisis and a shortage of inpatient psychiatric beds, residents of a St. Louis suburb opposed a plan to build a 77-bed pediatric mental health hospital. Resistance to such facilities has occurred in other communities as misconceptions about mental health spur fear.
Preventing and detecting bird flu infections among farmworkers is a key defense against a potential pandemic. Immigration raids and threats have undermined these efforts, researchers say.
