California Pays Meth Users To Get Sober

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California’s Medicaid program is testing a novel approach for people addicted to methamphetamine, cocaine, and other stimulants. For every clean urine test, they can earn money — up to $599 a year.

Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans

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Although Native American and Alaska Native adults are enrolled in Medicaid at higher rates than their white counterparts, many tribal leaders feel they’ve been left in the dark as states roll through the tumultuous Medicaid unwinding that started last year.

The Lure of Specialty Medicine Pulls Nurse Practitioners From Primary Care

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Nurse practitioners have been viewed as a key to addressing the shortage of primary care physicians. But data suggests that, just like doctors, they are increasingly drawn to better-paying specialties.

Clean Needles Save Lives. In Some States, They Might Not Be Legal.

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As billions of dollars from settlements with opioid manufacturers and distributors go to state and local governments, efforts to reduce the epidemic’s harm can be hamstrung by drug paraphernalia laws. Health authorities say distributing clean syringes to users can save lives, but in states like Pennsylvania, it may be illegal.

California’s $12 Billion Medicaid Makeover Banks on Nonprofits’ Buy-In

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California’s Medicaid program is relying heavily on community groups to deliver new social services to vulnerable patients, such as security deposits for homeless people and air purifiers for asthma patients. But many of these nonprofits face staffing and billing challenges and haven’t been able to deliver services effectively.

Addiction Treatment Homes Say Montana’s Funding Fixes Don’t Go Far Enough

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Montana has created a voucher program to help cover room and board costs at low-intensity residential programs for people with addiction. Those running the homes say bridging that care is urgent but that the program’s funding falls far below the need.

Tribal Nations Invest Opioid Settlement Funds in Traditional Healing To Treat Addiction

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Hundreds of Native American tribes are getting money from settlements with companies that made or sold prescription painkillers. Some are investing it in sweat lodges, statistical models, and insurance-billing staffers.

California propone ampliar subsidios de seguros de salud a todos los inmigrantes adultos

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California es el primer estado en ampliar Medicaid a todos los adultos que reúnan los requisitos, independientemente de su estatus migratorio, una medida celebrada por los activistas de la salud y por líderes políticos de todo el estado.

California Floats Extending Health Insurance Subsidies to All Adult Immigrants

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The legislature is considering taking the first steps to make Covered California plans available to immigrants without permanent legal status. The state has already extended Medi-Cal coverage to low-income immigrants.

Exposed to Agent Orange at US Bases, Veterans Face Cancer Without VA Compensation

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The Department of Veterans Affairs has long given vets who served in Vietnam disability compensation for illness connected to Agent Orange harm. But those exposed at U.S. bases are still waiting for the same benefits.

En Colorado, reevalúan leyes formuladas para proteger a los menores

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Hay esfuerzos en Colorado y otros estados para revertir las leyes que obligan a informar sobre sospechas de abuso o negligencia, argumentando que el resultado ha sido demasiados informes infundados, que perjudican desproporcionadamente a las familias que son pobres, negras, indígenas o tienen miembros con discapacidades.

Tire Toxicity Faces Fresh Scrutiny After Salmon Die-Offs

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Tires emit huge volumes of particles and chemicals as they roll along the highway, and researchers are only beginning to understand the threat. One byproduct of tire use, 6PPD-q, is in regulators’ crosshairs after it was found to be killing fish.

Unsheltered People Are Losing Medicaid in Redetermination Mix-Ups

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Some of the nearly 130,000 Montanans who have lost Medicaid coverage as the state reevaluates eligibility are homeless. That’s in part because Montana kicked more than 80,000 people off the program for technical reasons rather than income ineligibility. For unhoused people who were disenrolled, getting back on Medicaid can be extraordinarily difficult.

Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don’t Meet Them.

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The staffing regulation was disparaged by the industry as unattainable. Patient advocates say it doesn’t go far enough. Labor unions welcomed the requirement.

Rural Jails Turn to Community Health Workers To Help the Newly Released Succeed

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To reduce recidivism, some rural counties are hiring community health workers or peer support specialists to connect people leaving custody to mental health resources, substance use treatment, medical services, and jobs.

Native Americans Have Shorter Life Spans. Better Health Care Isn’t the Only Answer.

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Social services, such as parenting classes and economic development programs, can help increase the life spans of Native Americans, some health experts say. But insurers don’t always cover these services.