States Try to Obscure Execution Details as Drugmakers Hinder Lethal Injection

Pharmaceutical companies have put the brakes on many states’ ability to execute prisoners using lethal injections. Lacking alternatives, states are trying to keep the public from learning details about how they carry out executions.

Health Providers Scramble to Keep Remaining Staff Amid Medicaid Rate Debate

The ranks of community-based behavioral health providers in Montana have diminished amid rising costs, greater need, and stagnant Medicaid reimbursement rates. Now, as state lawmakers debate solutions, providers are hoping just to cover their costs.

Fresh Produce Is an Increasingly Popular Prescription for Chronically Ill Patients

Fresh produce prescription programs are getting a boost in Montana as a way of helping people with chronic conditions such as diabetes and high blood pressure. The approach may be a model for other rural states to promote healthy eating in food deserts.

Mobile Clinics Really Got Rolling in the Pandemic. A New Law Will Help Them Cast a Wider Safety Net.

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.

Struggling to Survive, the First Rural Hospitals Line Up for New Federal Lifeline

Hospitals in New Mexico, Texas, and Oklahoma are among the first to apply for a new rural hospital payment model that shifts the focus of services away from overnight stays to outpatient and emergency care. Still, experts say the law needs to be amended to provide the right mix of care for rural communities.

Schools Struggle With Lead in Water While Awaiting Federal Relief

President Joe Biden said in his State of the Union address that federal funds will pay to replace lead pipes in hundreds of thousands of schools and child care centers. In the meantime, schools are dealing with high lead levels now.

Information Blackout Shrouds New Reports of Deaths, Injuries, and Abuse at Montana State Hospital

Patient injuries, abuse, and neglect have continued at the Montana State Hospital since the state-run psychiatric facility lost its federal certification due to preventable patient deaths. But state officials won’t release details, citing laws making those reports confidential.

Idaho Dropped Thousands From Medicaid in the Pandemic’s First Years

The removals, detailed in emails between state and federal health officials, hinged on disagreements over how states could disenroll people during the public health emergency. Consumer advocates fear the alleged violation signals the mess to come on April 1, when the pandemic-era Medicaid coverage mandate ends.