Tracking State Rural Health Transformation Plans
Ńī¹óåś“«Ć½Ņīl Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
Ńī¹óåś“«Ć½Ņīl Health News covers the health issues facing people who live in Americaās rural reaches.
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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.
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Californiaās Massive Medicaid Program Works for Some, but Fails Many Others
Medi-Cal serves more than one-third of the stateās population ā offering a dizzying range of care to a diverse population. In the new āFaces of Medi-Calā series, California Healthline will assess the programās strengths and weaknesses through the lives and experiences of its enrollees.
By Angela Hart and Bernard J. Wolfson -
After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates
States take drastically different approaches to recovering Medicaid money from deceased participantsā estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.
By Tony Leys -
Montana Seeks to Insulate Nursing Homes From Future Financial Crises
Lawmakers are considering creating standards to set Medicaid reimbursement rates. But industry observers wonder whether the move would be too little, too late to bolster a beleaguered industry.
By Keely Larson -
Looming Cuts to Emergency SNAP Benefits Threaten Food Security in Rural America
In a few weeks, pandemic-era emergency boosts to SNAP benefits, formerly known as food stamps, will be rolled back across 32 states, putting more pressure on food pantries to fill the gaps and exacerbating challenges for rural areas, where a greater share of people are enrolled in the program compared with metro areas.
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After Staying Away During Pandemic, Doctors Return to Lobby Congress
Hundreds of physicians came to Washington this week to lobby Congress about their ārecovery planā for physicians, which includes a Medicare pay boost and an end to some frustrating insurance company requirements.
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Amid Dire Suicide Rates in Montana, Governor Expands Student Mental Health Screening
Republican Gov. Greg Gianforte announced a $2.1 million grant using federal aid after state lawmakers rejected a bill that would have essentially addressed the same needs of young people at risk of suicide.
By Keely Larson -
It Takes a Village: Foster Program Is a New Model of Care for Indigenous Children
A foster care program on the Cheyenne River Reservation in South Dakota is attracting attention from officials elsewhere as they search for ways to reduce trauma inflicted on Indigenous families, whoāve faced generations of high rates of family separation.
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Montana Considers Allowing Physician Assistants to Practice Independently
The bill, modeled on laws in North Dakota and Wyoming, is opposed by doctors who say it would let physician assistants practice outside the scope of their training.
By Keely Larson -
āThe Country Is Watchingā: California Homeless Crisis Looms as Gov. Newsom Eyes Political Future
As Gov. Gavin Newsom enters his second term, his legacy as governor and path forward in the Democratic Party hinge on his making visible headway on Californiaās homeless crisis. We lay out the possibilities ā and challenges ā as he unleashes an $18 billion battle plan.
By Angela Hart -
As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.
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Itās ‘Telehealth vs. No Careā: Doctors Say Congress Risks Leaving Patients Vulnerable
Congressā $1.7 trillion omnibus spending package included a two-year extension of pandemic-era funding that helped telehealth services grow nationwide. But that cash bridge, embraced by those delivering services to patients in rural areas, doesnāt provide much certainty for the future of remote medicine.
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Montana Pharmacists May Get More Power to Prescribe
Supporters of a proposed law say it would fill a health provider gap in rural areas, while doctors worry it will give pharmacists power outside the scope of their education.
By Keely Larson -
Wave of Rural Nursing Home Closures Grows Amid Staffing Crunch
Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter. That means more patients are marooned in hospitals or placed far away from their families.
By Tony Leys -
As States Seek to Limit Abortions, Montana Wants to Redefine What Is Medically Necessary
Montana officials are looking to tighten rules around medically necessary abortions for those who use Medicaid as their health insurance. Reproductive health advocates and Democratic lawmakers have said the move is part of a broader agenda to whittle away access to the procedure.
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Transgender People in Rural America Struggle to Find Doctors Willing or Able to Provide Care
Many health professionals in rural areas donāt know how to provide gender-affirming care, leaving transgender patients with few options.
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Luring Out-of-State Professionals Is Just the First Step in Solving Montanaās Health Worker Shortage
Two proposals would make it easier for professionals with out-of-state licenses to work in Montana, but that tactic likely wonāt be enough to fill the demand for mental health providers.
By Keely Larson -
A $30 Million Gift to Build an Addiction Treatment Center. Then Staffers Had to Run It.
Howard Buffett, son of billionaire investor Warren Buffett and chairman of his own charitable foundation, gave $30 million to build an addiction treatment center in the central Illinois community where he farms. But the money was a one-time gift for infrastructure, so the clinic is on its own to keep it running.
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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System
KHN gives readers a chance to comment on a recent batch of stories.
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After a Brief Pandemic Reprieve, Rural Workers Return to Life Without Paid Leave
Coastal and politically progressive states have passed stronger paid sick and family leave policies, but many workers in rural America are left out, facing tough decisions when choosing between caring for themselves or sick family members or keeping their jobs.