In recent years, the federal Centers for Medicare and Medicaid Services (CMS), which administers the Medicaid program, has encouraged states to use Medicaid-managed care for coverage of non-health services that can impact the social determinants of health. Some states, like North Carolina, have used special waivers available under the program to pilot innovative new programs.
Broadband, which generally refers to high-speed internet access that is always on and faster than dial-up access, is being recognized as an important social determinant of health. Despite progress in expanding connectivity, approximately 24 million people in the United States still lack fixed broadband access. States are increasingly turning to legal and policy approaches to support the expansion of broadband in underserved areas. This fact sheet provides an overview of broadband access across eight states: ID, IA, MN, MT, ND, SD, WI, WY.