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.
Oregon
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An Ice Rink To Fight Opioid Crisis: Drug-Free Fun vs. Misuse of Settlement Cash
A decision about how to spend settlement funds in Carter County, Kentucky, which was hit hard by the opioid epidemic, offers a window into the choices that surround this windfall.
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Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong
A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.
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House Cats With Bird Flu Could Pose a Risk to Public Health
The current strain of bird flu is spreading from wildlife and livestock to house cats. To keep pets healthy, many virologists and veterinarians say, house cats shouldn’t eat raw food and should be kept indoors. Despite no known cases of H5N1 transmission between cats and people, some public health agencies and virologists are warning cat owners to be mindful of the theoretical risks to the health of humans in their households if a pet gets sick.
By Sarah Boden -
As States Diverge on Immigration, Hospitals Say They Won’t Turn Patients Away
California and Massachusetts are teaching immigrants their rights while Florida and Texas are collecting patients’ immigration status. As states offer differing guidelines for interacting with immigrant patients, hospitals around the U.S. say they won’t turn people away for care because of their immigration status.
By Vanessa G. Sánchez and Daniel Chang -
For Many Rural Women, Finding Maternity Care Outweighs Concerns About Abortion Access
A legislative effort to expand access to prenatal care in rural Oregon with mobile clinics was scuttled because those clinics would have provided abortions in rural areas. Opposition to the proposal shows that, even in states that ensure access to abortions, that care isn’t universally available or accepted.
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Trump Threat to Immigrant Health Care Tempered by Economic Hopes
Donald Trump’s second term is reigniting mistrust in health services among California immigrants, making it harder for community health workers to get people enrolled in Medi-Cal. Yet the president-elect is also seen as someone who could improve their lives with a better economy, even if that means forgoing health care.
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How Are States Spending Opioid Settlement Cash? We Built a Database of Answers
From addiction treatment to toy robot ambulances, we uncovered how billions in opioid settlement funds were used by state and local governments in 2022 and 2023. Find out where the money went.
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Perspective
Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery
Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.
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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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With Trump on the Way, Advocates Look to States To Pick Up Medical Debt Fight
Patient and consumer advocates fear a new Trump administration will scale back federal efforts to expand financial protections for patients and shield them from debt.
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California Sets 15% Target for Primary Care Spending Over Next Decade
The state Office of Health Care Affordability has set a goal for insurers to direct 15% of their spending to primary care by 2034, part of a push to expand preventive care services. Health plans say it’s unclear how the policy will mesh with the state’s overarching goal to slow spending growth.
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12 States Promised To Open the Books on Their Opioid Settlement Funds. We Checked Up on Them.
Victims of the opioid crisis, health advocates, and public policy experts have repeatedly called on state and local governments to transparently report how they’re using the funds they are receiving from settlements with opioid makers and distributors.
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Trump Wants Harris To Pay a Political Price for Generous Immigrant Health Policies
Several Democratic-led states have expanded public insurance programs to cover immigrants in the U.S. regardless of legal status. Donald Trump is trying to blame Kamala Harris for the policies.
By Joanne Kenen -
‘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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How a Proposed Federal Heat Rule Might Have Saved These Workers’ Lives
Laborers have suffered in extreme heat triggered by climate change. Deaths aren’t inevitable, researchers say: Employers can save lives by providing ample water and breaks.
By Amy Maxmen -
Trump Leads, and His Party Follows, on Vaccine Skepticism
Former President Donald Trump has presided over a landslide shift in Republican views on vaccines, reflected in false claims by candidates in election primaries, puzzling conspiracies from prominent conservatives, and a surge in anti-vaccine policies in statehouses.
By Darius Tahir -
Democratic Hopefuls Fault GOP Incumbents for Anti-Abortion Records in Congress
Democratic congressional hopefuls in California are highlighting the anti-abortion records of vulnerable Republican incumbents, many of whom have moderated their stances ahead of the election. With control of the U.S. House at stake, Democrats hope to convince voters that their candidates will do more to protect women’s health.
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Cyberattacks Plague the Health Industry. Critics Call Feds’ Response Feeble and Fractured.
Health care weathered more ransomware attacks last year than any other sector, and that was before a debilitating February hack of payments manager Change Healthcare. Executives, lawyers, and policymakers are worried the federal government’s response is underpowered, underfunded, and too focused on hospital security.
By Darius Tahir -
At Catholic Hospitals, a Mission of Charity Runs Up Against High Care Costs for Patients
Many Catholic health systems, which are tax-exempt, pay their executives millions and can charge some of the highest prices around — while critics say they scrimp on commitments to their communities.