Tribal Health Leaders Say Medicaid Cuts Would Decimate Health Programs
As Congress mulls significant cuts to Medicaid, Native American tribes are bracing for potentially devastating financial fallout. That’s because Medicaid is the largest third-party payer for Native American health programs, funding that has helped address chronic underfunding of the Indian Health Service.
Without Federal Action, States Wrestle With Kratom Regulation
A bill proposed by kratom industry advocates is prompting consideration — and some concern — in the Montana Legislature.
MRNA Vaccines, Once a Trump Boast, Now Face Attacks From Some in GOP
Republicans have proposed legislation in several states to ban the pioneering technology used in covid shots. Many doctors worry a huge medical advance could be rolled back.
Montana’s Medicaid Expansion Conundrum
State lawmakers appear ready to preserve the state’s Medicaid expansion program without knowing what federal changes might be in store.
GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk
Congressional Republicans are pushing plans that could make deep cuts to Medicaid to finance President Donald Trump’s tax cuts and other priorities. At stake is coverage for millions of low-income Americans, as well as a huge revenue source for hospitals — and every state.
As States Mull Medicaid Work Requirements, Two With Experience Scale Back
As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
Patients and providers say health insurers’ preapproval requirements lead to delays and denials of needed medical treatments. Insurers argue that prior authorization keeps costs down.
Officials Seek To Dismantle Appeals Board for Montanans Denied Public Assistance
The Montana health department says the Board of Public Assistance is redundant and a bureaucratic hurdle that helps few people. Current and former board representatives say the rare cases in which the panel helps people are important.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
