Category: states

Surprise-Billing Law Loophole: When ‘Out of Network’ Doesn’t Quite Mean Out of Network

Billing experts and lawmakers are playing catch-up as providers find ways to get around new surprise-billing laws, leaving patients like Danielle Laskey of Washington state with big bills for emergency care.

NYC Makes Clear Its Intent to Lead on Abortion Access

Mayor Eric Adams’ announcement this year to provide abortion pills free of charge at four of New York’s sexual health clinics is the city’s latest move on abortion access. Other jurisdictions are also taking steps.

California Explores Private Insurance for Immigrants Lacking Legal Status. But Is It Affordable?

Nearly half a million Californians without legal residency make too much to qualify for Medicaid yet they can’t afford to buy coverage. A state lawmaker is proposing to open up the state’s health insurance exchange as a first step to providing them affordable insurance.

After Capping the Price of Insulin, Colorado Sets Its Sights on EpiPens

Colorado’s proposed legislation to cap the copay for the EpiPen is part of a nationwide trend as more states try to shield patients from skyrocketing drug prices.

Dementia Care Programs Help, If Caregivers Can Find Them

Programs assisting people with dementia — and their caregivers — improve quality of life and care. But millions of unpaid family and friend caregivers may not know where or how to find help.

One Texas Judge Will Decide Fate of Abortion Pill Used by Millions of American Women

“What happens in Texas doesn’t stay in Texas,” warns an abortion rights advocate bracing for a district judge’s ruling on whether the abortion pill mifepristone was properly authorized by the FDA. His decision could force the medication off the U.S. market.

Montana Seeks to Insulate Nursing Homes From Future Financial Crises

Lawmakers are considering creating standards to set Medicaid reimbursement rates. But industry observers wonder whether the move would be too little, too late to bolster a beleaguered industry.

California Dangles Bonuses for Nursing Homes That Add Staff

Rather than simply reward top-performing facilities, the state’s Medicaid program will hand bonuses to nursing homes — even low-rated ones — for hiring more workers and reducing staff turnover.

States Seek Crackdown on Toxic Ingredients in Cosmetics to Close Gaps in Federal Oversight

Washington state regulators found formaldehyde, lead, and arsenic in lipstick, powder foundations, skin lotions, and hair products marketed to and popular with women of color. Now legislators there are seeking to ban the products and, like at least a dozen other states, make up for lax federal rules.

Looming Cuts to Emergency SNAP Benefits Threaten Food Security in Rural America

In a few weeks, pandemic-era emergency boosts to SNAP benefits, formerly known as food stamps, will be rolled back across 32 states, putting more pressure on food pantries to fill the gaps and exacerbating challenges for rural areas, where a greater share of people are enrolled in the program compared with metro areas.