Health

"Last year Idaho lawmakers wisely decided that our state should roll up its sleeves and build its own health insurance exchange rather than defer to the federal exchange. The staterun marketplace has forced insurance companies to compete in a fair way and given 76,000 Idahoans access to affordable coverage. Many received tax credits to help pay for their premiums. Unfortunately, some Idahoans were left out. When they shop for coverage through the exchange, they learn that their incomes are "too low" for them to qualify for help. Meanwhile those with slightly higher incomes receive help with their premiums. Approximately 70,000 Idahoans fall into the "coverage gap." They earn too little to qualify for discounted coverage, but earn too much to qualify for traditional Medicaid."

"A federal waiver critical to the efforts in Massachusetts to pursue universal health-care coverage, rein in cost increases and deploy payment delivery reform is hung up in secret talks between outgoing Gov. Deval Patrick's administration and the Obama administration. In late 2011, when Patrick announced the current $26.7 billion, three-year waiver, he said more than 98 percent of Massachusetts residents were insured and predicted the waiver would help the state tame health-care cost growth. Now, as his time in office winds down and with the state's Medicaid rolls growing, negotiating details of a new waiver represents one of his biggest remaining responsibilities."

"For the past two years, Lynch and other Georgia doctors have received more money for treating Medicaid patients as part of a program created by the Affordable Care Act. Its goal: increase access to primary care services for the poor. The pay bump has enabled some doctors to see greater numbers of people on Medicaid, which doesn't pay enough to cover the actual cost of care. But the reimbursement hike --- fully paid for by the federal government for two years --- is set to end on Dec. 31 unless the state opts to extend the increase with its own money. Six states plan to do that, including Alabama and Mississippi. Like Georgia, both Southern states have refused to expand Medicaid as called for by the health care law. But Georgia leaders have not yet decided whether to continue the pay increase. Maintaining it would cost the state an estimated $70 million annually, state legislators say."

"Fewer benefits, a reduction in the number of plans offered through the state's existing Medicaid program and moving about 59,000 Medicaid recipients into private coverage should produce about $4.5 billion in savings over eight years, Branstetter said. Pennsylvania spends 27 percent of its budget on Medicaid, which costs state taxpayers and the federal government a combined $19 billion annually. Critics of Corbett's Healthy PA plan called attention to the cuts, saying they would harm the health of the most vulnerable people in the state."

"Pennsylvania will become the 27th state to expand Medicaid under the Affordable Care Act, the Obama administration announced Thursday, using federal funds to buy private health insurance for about 500,000 low-income residents starting next year. Gov. Tom Corbett, a Republican, had proposed the plan as an alternative to expanding traditional Medicaid under the health care law, which he opposes. Now that federal officials have signed off, Pennsylvania will join Arkansas and Iowa in using Medicaid funds to buy private coverage for the poor."

"The legal dispute centers on TennCare's decision to stop staffing state offices with personnel to help people fill out Medicaid applications that went directly to the stage agency. Instead, TennCare last year began requiring that all applications go through the federal health insurance marketplace, HealthCare.gov. A behind-schedule $35.7 million state computer system was supposed to accept and process application files transferred from the marketplace, but the system is still not operating. The Tennessee Justice Center, along with the Southern Poverty Law Center and National Health Law Program, is asking the court to force the state to set up a better system for processing Medicaid applications and deciding eligibility."

"Like many Republican governors, Haslam so far has declined to accept hundreds of millions of dollars in federal funds that became available on Jan. 1, 2014, absent a special waiver of federal rules that he says will save money and result in better health outcomes. Eighteen months ago he outlined a Tennessee Plan.' It would allow the state to use the federal money to buy private insurance through the federal law's health coverage. But Haslam has yet to submit a formal request. Instead, state officials and sometimes the governor himself quietly sounded out their federal counterparts on what might be acceptable."

"Fayette County Schools this school year have the opportunity to eat breakfast and lunch at school at no cost. The county is participating in a program called the Community Eligibility Provision (CEP). The Community Eligibility Provision (CEP), enacted as a result of the Healthy, Hunger-Free Kids Act, is an innovative universal free meal service option designed to make it easier for low-income children to receive meals in the National School Lunch and School Breakfast Programs. The CEP is an alternative to collecting, approving and verifying household eligibility applications for free and reduced price eligible students in high poverty local education agencies."

"The Affordable Care Act has paved the way for a vast expansion of mental health coverage in America, providing access for millions of people who were previously uninsured or whose policies did not include such coverage before. Under the law, mental health treatment is an essential' benefit that must be covered by Medicaid and every private plan sold through the new online insurance marketplaces."