States have an increasing interest in extending Medicaid coverage from 60 days to 12 months postpartum, driven by states’ priorities for ensuring continuity of coverage and addressing the maternal mortality crisis. To extend this coverage, states can request approval from the Centers for Medicare and Medicaid Services (CMS) under Medicaid Section 1115 demonstrations. Through a […]
In late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces. The rule includes some significant changes aimed at achieving priorities outlined in President Biden’s Executive Order to strengthen provisions within Medicaid and the Affordable Care Act (ACA). Major changes proposed by the rule are summarized below. Comments on the rule may be submitted here by July […]
Data analysis is an essential tool for advancing health and racial equity. Geographic analysis of disease burden has illuminated the impact of racism and identified areas to target interventions. Spurred by the disproportionate impact of COVID-19 on communities of color, states are exploring new strategies to use COVID-19 and other public health data to advance health and racial equity. Convergence analysis, using publicly […]
The COVID-19 pandemic has exacerbated adverse childhood experiences (ACEs), and children could be facing a surge of poor physical and mental health outcomes without adequate investment and focus to reduce the effects of ACEs. This is especially important because Black, Latinx, and Native American children, who already disproportionately experience higher levels of ACEs, have also […]
The American Rescue Plan of 2021 (ARP) – signed into law on March 11, 2021 – provides states with a one-year, 10 percentage-point increase to the federal medical assistance percentage (FMAP) for Medicaid expenditures on home and community-based services (HCBS) for children and adults. This increase provides states with a critical opportunity to address both emerging and long-standing challenges in state long term care systems – systems that have […]
Across the nation, COVID-19 has exacerbated the dual challenges of housing affordability and homelessness. As states address these issues, there are new federal resources available through the American Rescue Plan Act (ARPA) and proposed American Jobs Plan that states can deploy efficiently and equitably.
Older adults, people with disabilities, and their family caregivers have been hard hit by COVID 19. As states reel from the pandemic’s human and fiscal toll, policymakers are increasingly looking to home- and community-based services (HCBS) to address the pressing need for alternatives to nursing home care and supporting family caregivers who can help loved […]
The COVID-19 pandemic has negatively impacted the mental health of many children and adolescents and reduced students’ access to comprehensive school mental health systems (CSMHS) as schools shifted to remote learning. In recent years, states have implemented policies that have successfully expanded access to CSMHS. Lessons learned from these initiatives can help address students’ growing […]
More than a year into the pandemic, COVID-19 is proving to be a complicated syndemic with political, economic, and social factors influencing who is most at risk of infection and death. With communities impacted by structural racism facing higher COVID-19 infection and mortality rates, state responses and recovery plans are focusing on equity.
In addition to providing critical funding for state COVID-19 response efforts, the American Rescue Plan requires drug manufacturers to pay more in Medicaid rebates for drugs with large price increases. This change, effective in 2024, has the potential to generate significant federal and state savings.