Category: states

California’s Massive Medicaid Program Works for Some, but Fails Many Others

Medi-Cal serves more than one-third of the state’s population — offering a dizzying range of care to a diverse population. In the new “Faces of Medi-Cal” series, California Healthline will assess the program’s strengths and weaknesses through the lives and experiences of its enrollees.

Information Blackout Shrouds New Reports of Deaths, Injuries, and Abuse at Montana State Hospital

Patient injuries, abuse, and neglect have continued at the Montana State Hospital since the state-run psychiatric facility lost its federal certification due to preventable patient deaths. But state officials won’t release details, citing laws making those reports confidential.

After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates

States take drastically different approaches to recovering Medicaid money from deceased participants’ estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.

Judge to Fine California Each Day It Fails to Complete Prisoner Suicide Prevention Measures

More than 200 inmates killed themselves during eight years in which state prison officials failed to complete court-ordered suicide prevention safeguards. Inmates, the judge writes, have “waited far too long” for adequate mental health care.

Idaho Dropped Thousands From Medicaid in the Pandemic’s First Years

The removals, detailed in emails between state and federal health officials, hinged on disagreements over how states could disenroll people during the public health emergency. Consumer advocates fear the alleged violation signals the mess to come on April 1, when the pandemic-era Medicaid coverage mandate ends.

Community Workers Fan Out to Persuade Immigrant Seniors to Get Covered

California has enrolled into Medi-Cal more than 300,000 older immigrant adults lacking legal residency since May, but the state doesn’t know how many more might be eligible. Community workers are now searching for them.

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.