Medicaid and Work Requirements – Kentucky’s “Experiment”

Law & Policy InsightsMedicaid

January 17, 2018
by Sarah Somers

For the first time, the federal government has given a state permission to impose work requirements as a condition for Medicaid coverage. As troubling as these policy developments are, there is a more disturbing assumption underlying them. In its efforts to justify work requirements as a legitimate feature of a Medicaid program, the administration relies on a distorted concept of the social determinants of health.

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Public Health Emergency Declaration Falls Short of Expanding Access to Opioid Use Disorder Treatment in Rural Communities

Law & Policy InsightsPublic Health Emergency: Legal Preparedness & Response

January 8, 2018
by Corey Davis

The number of Americans affected by the opioid epidemic has reached staggering rates. In 2016, more Americans died from drug overdoses than died through the entirety of the Vietnam War. Fortunately, there is an effective, evidence-based way of treating opioid use disorder (OUD) – treatment with the medications methadone and buprenorphine, which is termed medication-assisted treatment (MAT).

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The Negative Impacts of Eliminating ACA Cost-Sharing Reduction Payments

Law & Policy InsightsHealth Reform

December 15, 2017
by Corey Davis

Nearly 4.7 million Americans, including 1.3 million new enrollees, signed up for health care through the Affordable Care Act’s marketplaces, and polling indicates the public has a favorable opinion of the law. Nevertheless, after failing in their full-scale attempt to repeal and replace the Affordable Care Act (ACA), Congressional Republicans and the Trump Administration continue to put individual pieces of the legislation at risk of elimination.

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Tax Incentives as a Tool to Promote Public Health

Law & Policy InsightsMechanisms for Advancing Public Health

December 14, 2017
by Mathew R. Swinburne

Tax incentives can be an effective legal intervention for advancing the public’s health. In this Q&A, Mathew Swinburne, Associate Director at the Network's Eastern Region Office, discusses ways in which tax deductions are being used to address a key barrier to improving the health status of ex-offenders: the inability to secure employment because of conviction status.

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New HIPAA Guidance Promotes Information-Sharing to Support Recovery from Opioid Addiction

Law & Policy InsightsHealth Information and Data SharingSubstance Use Prevention and Harm ReductionOpioid Misuse and Overdose Prevention

December 6, 2017

New guidelines released by the Department of Health and Human Services (HHS) in October clarify when and how healthcare providers can share a patient’s health information with family members, friends and legal representatives of those who are struggling with opioid addiction. The HIPAA Privacy Rule is often cited as a reason to refuse access to a patient’s health information, sometimes appropriately, but often not. Understanding when and how healthcare providers can share patient information with family members, friends, and legal representatives without violating the HIPAA Privacy Rule is therefore a critical component to addressing the opioid crisis and providing care to those affected.

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Pharmacist Prescribing Authority: A Method to Increase Access to Care

Law & Policy Insights

November 8, 2017

Limited numbers of providers, cost of care, limited time, and limited mobility all reduce a person’s ability to access basic care. One way states have begun to address this issue is through scope of practice adjustments for pharmacists, granting those pharmacists with proper training the ability to become a provider themselves and prescribe certain drugs to certain patients that may otherwise be unable to obtain care.

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When Kids’ Lunches Get Schooled: Scaling Back the Healthy, Hunger-Free Kids Act

Law & Policy InsightsHealth in SchoolNational School Lunch ProgramFood Safety and SecurityMaternal and Child Health

November 6, 2017

On May 1, 2017, U.S. Secretary of Agriculture Sonny Perdue made an announcement difficult to stomach: certain school nutrition standards implemented under the Healthy, Hunger-Free Kids Act (HHFKA) of 2010 would be scaled back. As American kids consume as much as half their daily calories at school, reforming school-provided meals can meaningfully impact childhood obesity, which affects over 12.7 million kids and adolescents in the United States.

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At the Intersection of Teen Driving and Tire Safety

Law & Policy InsightsInjury Prevention and SafetyDriving Safety

October 11, 2017
by Kerri McGowan Lowrey

Motor vehicle crashes remain the leading cause of death for teenagers in the U.S. One often-overlooked issue in crash prevention is tire maintenance. A 2012 study by the National Highway Traffic Safety Administration found that 12 percent of crashes among inexperienced drivers were tire-related, while only 5 percent of crashes among experienced drivers were tire-related, suggesting that inexperienced drivers may lack knowledge about safe vehicle maintenance. Efforts to standardize and promote driver education across the country may be one way to address this issue.

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Climate Change: Recommended Reading for the Public Health Sector

Law & Policy InsightsEnvironment, Climate and HealthClimate and Health

September 26, 2017
by Jill Krueger

Numerous public health practitioners and researchers have been assessing and monitoring the health effects of the changing climate. Two recently published books have the potential to help the public health sector continue to move from assessing climate interventions to implementing them as effective policy. Both books come at a critical time in the evolution of the public health response to climate change.

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Improving Health Care Access in Rural Communities through Community Paramedicine

Law & Policy Insights

September 12, 2017

Community paramedicine is an emerging and rapidly evolving field that can help improve health care access in rural communities. Community paramedicine involves Emergency Medical Service (EMS) providers operating in expanded roles in an effort to reach underserved populations, and can be particularly impactful in rural communities as a way to reach geographically-isolated areas.

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Public Health Law News Round-Up – August

Law & Policy Insights

September 12, 2017

Some of the public health law and policy stories that made headlines in August include disaster response and public health hazards in the aftermath of Hurricane Harvey, New York City’s strategy to reduce tobacco use, new powers for air quality officials in California, and improved access to health care through telemedicine in New Jersey and expanding the scope of practice for dental hygienists in Wisconsin.

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