Drawn-Out Overhaul of Troubled Montana Hospital Leaves Lawmakers in Limbo
Unsure how to help the troubled psychiatric facility, legislators look to shore up other parts of the state’s mental health system.
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Montana Eyes $30M Revamp of Mental Health, Developmental Disability Facilities
The moves under consideration include relocating a residential facility for people with developmental disabilities, renovating the state’s psychiatric hospital, and opening a new unit of the hospital in Helena.
By Sue O'Connell and Mike Dennison -
A Program To Close Insurance Gaps for Native Americans Has Gone Largely Unused
Health leaders say a tool to boost medical coverage for Native Americans, a population that has long faced worse health outcomes than the rest of the nation, has been underused by many states and tribes since it was written into the Affordable Care Act more than a decade ago.
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The Growing Inequality in Life Expectancy Among Americans
To deliver on pledges from the new Trump administration to make America healthy again, policymakers will need to close gaps in longevity among racial and ethnic groups.
By Amy Maxmen -
For Homeless Seniors, Getting Into Stable Housing Takes a Village — And a Lot of Luck
The number of unhoused seniors in the U.S. is expected to triple by 2030. About half of this population is becoming homeless for the first time. Homeless services struggle to help. Finding affordable housing that’s also accessible for older Americans with medical conditions is an extra challenge.
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Voters Backed Abortion Rights but State Judges Have Final Say
Though abortion rights supporters prevailed on ballot measures in seven of the 10 states where abortion was up for a vote on Nov. 5, the state supreme courts voters have elected indicate legal fights to come aren’t clear-cut.
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Can Medical Schools Funnel More Doctors Into the Primary Care Pipeline?
More medical schools say they will no longer charge tuition, in hopes that more students, graduating free of debt, will choose lower-paying primary care careers. But evidence suggests it will take a lot more than a free ride to replenish the primary care pipeline.
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Indiana State Senator Moves To Scrap Hospital Monopoly Law He Helped Create
After rival hospitals in Terre Haute scuttled plans to merge, a state senator has introduced a bill to forbid similar mergers by repealing a state law he helped write.
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Medicaid Expansion Debate Will Affect Other Health Policy Issues Before Montana Legislature
Legislative leaders say the decision whether to renew Montana’s Medicaid expansion program this year will loom over behavioral health spending and hospital regulation, among other topics.
By Mike Dennison and Sue O'Connell -
Obamacare Sign-Ups Lag After Trump Election, Legal Challenges
The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.
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Native American Patients Are Sent to Collections for Debts the Government Owes
Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.
By Katheryn Houghton and Arielle Zionts -
Former Montana Health Staffer Rebukes Oversight Rules as a Hospital ‘Wish List’
The push-pull in Montana reflects a national tension as states try to decide what counts as fair checks on tax-exempt hospitals and industry players weigh in. The debate centers on whether nonprofit hospitals do enough good to earn their charitable status.
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Federal Judge Halts Dreamers’ Brand-New Access to ACA Enrollment in 19 States
A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
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9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding
About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.
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7 of 10 States Backed Abortion Rights. But Little To Change Yet.
Voters in 10 states weighed in on abortion rights this election. Despite the results supporting abortion rights in seven of those states, much of the abortion landscape on abortion won’t change much immediately, as medical providers navigate the legal hurdles that remain.
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In Montana, Conservative Groups See Chance To Kill Medicaid Expansion
Conservative groups are working to undermine support for Montana’s Medicaid expansion ahead of a political fight over whether to keep the program.
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‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way
Nineteen states are seeking to stall a Biden administration rule that would allow recipients of the Deferred Action for Childhood Arrivals program to enroll in ACA coverage and qualify for subsidies. DACA provides work authorization and temporary deportation protection to people brought to the U.S. as children without immigration paperwork.
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PBM Math: Big Chains Are Paid $23.55 To Fill a Blood Pressure Rx. Small Drugstores? $1.51.
Criticism of prescription drug middlemen has intensified recently in the wake of a federal agency’s actions and legislative reform attempts. Georgia Republican Gov. Brian Kemp, though, vetoed a related bill that would have helped independent pharmacies, citing the unfunded cost of the move.
By Andy Miller -
Montana Looks To Fast-Track Medicaid Access for Older Applicants
As Montana’s population ages, providers serving low-income seniors say more people aren’t getting the care they need as they wait to get on Medicaid. Montana lawmakers are considering creating a shortcut to that care.