Why So Slow? Legislators Take on Insurers’ Delays in Approving Prescribed Treatments

Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.

States Have Yet to Spend Hundreds of Millions of Federal Dollars to Tackle Covid Health Disparities

A year ago, the Centers for Disease Control and Prevention awarded states and local health departments $2.25 billion to help people of color and other populations at higher risk from covid. But a KHN review shows public health agencies across the country have been slow to spend it.

KHN’s ‘What the Health?’: The Invisible Pandemic

Covid cases are again climbing, but you wouldn’t know it from the behavior of public health and elected officials, much less the general public, all of whom seem to want to put the pandemic in the rearview mirror. Meanwhile, the fallout over the leaked Supreme Court draft opinion on abortion continues even as the Senate fails — again — to muster the votes to write abortion rights into law. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists suggest their favorite health policy stories of the week they think you should read, too.

As Overdoses Soar, More States Decriminalize Fentanyl Testing Strips

Georgia may soon join a growing list of states decriminalizing the use of fentanyl testing strips. Bans of the strips — on the books in about half of states, experts say — stem from laws criminalizing drug paraphernalia adopted decades ago. But the testing devices are now recommended to help prevent overdose deaths.

Downsized City Sees Its Health Care Downsized as Hospital Awaits Demolition

A 124-year-old hospital in a midsize Rust Belt city in Indiana will soon be torn down, despite protests from residents and city officials decrying the loss of local health services. The Catholic hospital system said it is downsizing the 226-bed hospital because of a lack of demand for inpatient care, as the organization has been building new hospitals in wealthier suburbs.

Anti-Vaccine Ideology Gains Ground as Lawmakers Seek to Erode Rules for Kids’ Shots

Legislators in Kansas are pushing bills to expand exemptions for school vaccines, allowing religious exemptions for all vaccine requirements in the state’s schools without families having to provide any proof of their beliefs. Similar bills are being introduced around the nation as the anti-vaccine movement gains traction among politicians.

Who Doesn’t Text in 2022? Most State Medicaid Programs

As states prepare for the end of the covid public health emergency, they are making plans to reevaluate each Medicaid enrollee’s eligibility. They will rely primarily on mail and email because not many states can text enrollees.

KHN’s ‘What the Health?’: Finally, a Fix for the ‘Family Glitch’

President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

Doctors Trying to Prescribe Abortion Pills Across State Lines Stymied by Legislation

Some doctors are getting licensed in multiple states so they can use telemedicine and mail-order pharmacies to provide medication abortions to more women. At the same time, states are cracking down on telemedicine abortions, blunting the efforts of out-of-state doctors.

Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come

The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.

Pandemic Funding Is Running Out for Community Health Workers

Illinois used federal pandemic money to hire community health workers who connect people with food banks and rental assistance programs, just like public health officials have long hoped to do. What will happen to the community trust that has been built up when the federal money runs out and the workers disappear?

Delays for Autism Diagnosis and Treatment Grew Even Longer During the Pandemic

Despite increased public awareness, research advances, and wider insurance coverage for autism therapies, children often wait months — in some cases more than a year — to get an autism diagnosis and begin intervention services. The waits can be longer for Black and Latino children, and families in rural areas are also disadvantaged, without access to providers.