State lawmakers are resurrecting and expanding efforts to prohibit transgender people from using public restrooms and other spaces that match their gender. Some have sought to ban trans people from “sex-designated spaces,” including domestic violence shelters and crisis centers, which experts say could violate anti-discrimination laws and jeopardize federal funding.
Deep gaps in rural America’s child care system threaten communities’ stability by shrinking the workforce and inhibiting economic potential. Now that pandemic-era federal aid for child care programs and low-income families has ended, it’s up to state and local leaders to find solutions.
Homicides, suicides, and drug overdoses have driven rising rates of pregnancy-related death in the U.S. This fall, six states received federal funding for substance use treatment interventions to prevent at least some of those deaths.
En las zonas rurales, la falta de acceso a navegadores, las personas que ayudan a los beneficiarios de Medicaid a mantener su cobertura o encontrar otro seguro si ya no reúnen los requisitos, podría agravar estas dificultades.
As states review their Medicaid rolls after the expiration of a pandemic-era prohibition against kicking recipients off the government insurance program, experts say the lack of help available to rural Americans in navigating insurance options puts them at greater risk of losing health coverage than people in metropolitan areas.
Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don’t always reimburse them equally, usually excluding those who work on tribal lands.
Más de una cuarta parte de los adultos trans encuestados por KFF y The Washington Post a fines del año pasado dijeron que se mudaron a otro vecindario, ciudad o estado en busca de un ambiente más tolerante.
As more states restrict gender-affirming care for transgender people, some are relocating to more welcoming destinations, such as California, Illinois, Maryland, and Nevada, where they don’t have to worry about being locked out of medical care.
A nationwide decline in foster home spots has led to dire situations in some rural areas, including northeastern Nevada, where a state social worker has been pleading with community leaders to help address a shortage that left officials housing children in casino hotels.
After local leaders in rural Nevada reached an impasse over a proposed Planned Parenthood clinic, an anti-abortion activist pitching local abortion bans across the U.S. arrived at their remote City Hall.
La búsqueda por promulgar prohibiciones locales se ha vuelto particularmente crítica en pueblos pequeños, situados en las fronteras entre estados que han restringido el aborto y estados donde las leyes preservan el acceso.
Expertos dicen que los factores sistémicos son barreras comunes para establecer y mantener programas de capacitación para médicos en las zonas rurales de Estados Unidos.
Patients in rural northeastern Nevada soon will have fewer providers and resources, after a local hospital decided to close its medical residency program. Nationally, the number of rural residency slots has grown during the past few years but still makes up just 2% of programs and residents nationwide.
Mobile clinics that provided covid-19 testing and vaccines at the peak of the pandemic are now being used to provide a range of health services in hard-to-reach communities. A law passed late last year allows qualified health care centers to use federal grants to expand the fleets.
Un mayor porcentaje de personas depende de SNAP en áreas rurales en comparación con las áreas metropolitanas. Y esas zonas ya tienen tasas más altas de inseguridad alimentaria y de pobreza.
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.
Coastal and politically progressive states have passed stronger paid sick and family leave policies, but many workers in rural America are left out, facing tough decisions when choosing between caring for themselves or sick family members or keeping their jobs.
As the covid-19 pandemic grinds on, Elko County, Nevada, still lacks a public health department. Yet its elected leaders rejected federal funds that could have helped it create one. Decisions like the one in Elko, and ones made by officials with other state and local governments, leave health experts concerned about whether the country’s public health infrastructure will be prepared to handle future health challenges.
In Nevada, local health officials are assessing the threat of monkeypox, but their response may be hampered by historically limited public health infrastructure worn thin by the covid-19 pandemic.
Los miembros de la tribu local y otros residentes de la zona se encuentran entre los millones de personas del país que este año experimentarán una mala calidad del aire debido a los incendios forestale