As Transgender ‘Refugees’ Flock to New Mexico, Waitlists Grow

As many states have moved to restrict or ban gender-affirming care for trans people, a few states, including New Mexico, have codified protections. But those laws don’t always mean accessing care is simple or quick, as a surge in new patients in the state collides with limited doctors and clinics.

States Reconsider Religious Exemptions for Vaccinations in Child Care

Providers and health care advocates warn a proposed rule change in Montana would jeopardize immunity levels in child care centers and communities. Efforts to change vaccination exemption rules are underway in other states, too.

Start Shopping: Enrollment Begins Nov. 1 for Most Obamacare Insurance Plans

More than 16 million Americans who buy their own health insurance through state and federal marketplaces have until Jan. 15 to compare prices, change their coverage, or enroll for the first time.

Storing Guns Away From Home Could Reduce Suicides, but Legal Hurdles Loom

Safe storage maps show gun owners where to put their firearms for safekeeping if they experience a mental health crisis. The idea has support among some gun enthusiasts, but legal obstacles threaten wider adoption.

Tiny, Rural Hospitals Feel the Pinch as Medicare Advantage Plans Grow

More than half of seniors are enrolled in private Medicare Advantage plans instead of traditional Medicare. Rural enrollment has increased fourfold and many small-town hospitals say that threatens their viability.

Using Opioid Settlement Cash for Police Gear Like Squad Cars and Scanners Sparks Debate

State and local governments will receive a windfall of more than $50 billion over 18 years from settlements with companies that made, sold, or distributed opioid painkillers. Using the funds for law enforcement has triggered important questions about what the money was meant for.

Feds Try to Head Off Growing Problem of Overdoses Among Expectant Mothers

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.

Doctors Abandon a Diagnosis Used to Justify Police Custody Deaths. It Might Live On, Anyway.

The American College of Emergency Physicians agreed to withdraw its 2009 white paper on excited delirium, removing the only official medical pillar of support left for the theory that has played a key role in absolving police of culpability for in-custody deaths.

Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats

A new rule sets specific treatment metrics for suspected sepsis cases in an effort to reduce deaths, but some experts say the measures could add to antibiotic overuse and need to be more flexible.

More Schools Stock Overdose Reversal Meds, but Others Worry About Stigma

Colorado is among several states that ensure schools have access to the opioid overdose reversal medication naloxone for free or at reduced cost. But most districts hadn’t signed up by the start of the school year for a state distribution program amid stigma around the lifesaving treatment.

Más escuelas tienen el medicamento para revertir sobredosis, pero otras se preocupan por el estigma

La Administración de Salud Mental y Abuso de Sustancias federal recomienda que las escuelas, incluidas las primarias, tengan naloxona disponible, ante el aumento de las sobredosis mortales de opioides, especialmente de la potente droga fentanilo.

Police Blame Some Deaths on ‘Excited Delirium.’ ER Docs Consider Pulling the Plug on the Term.

The American College of Emergency Physicians will vote in early October on whether to disavow its 2009 research paper on excited delirium, which has been cited as a cause of death and used as a legal defense by police officers in several high-profile cases.

A Decades-Long Drop in Teen Births Is Slowing, and Advocates Worry a Reversal Is Coming

After three decades of declines in teen pregnancies, data shows the rates are starting to plateau. The reversal of “Roe v. Wade,” coupled with efforts to suspend sex education in schools and higher rates of youth mental health issues post-pandemic, could culminate in a perfect storm.

Massive Kaiser Permanente Strike Looms as Talks Head to the Wire

Both sides, still at loggerheads over pay and staffing, agreed to keep bargaining after unions announced a possible strike Oct. 4-7. If no deal is reached, a walkout by about 75,000 KP workers in five states could disrupt care.

Officials Agree: Use Settlement Funds to Curb Youth Addiction. But the ‘How’ Gets Hairy.

Parents, educators, and elected officials agree that investing in school-based prevention efforts could help curb the rising rate of youth drug overdoses. The well-known D.A.R.E. program is one likely choice, but its effectiveness is in question.