LAWRENCEVILLE, Ga. — When Nikia Jackson needed to be screened for a sexually transmitted disease, she wanted a clinic that was reputable, quick and inexpensive. After searching online, Jackson, 23, ended up at the Obria Medical Clinics’ sparkling new facility in an office park in suburban Atlanta. She was unaware that the clinic does not offer condoms or other kinds of birth control beyond so-called natural family planning methods. Religious conservatives say these types of clinics are the future of women’s sexual health care in the United States.
Last weekend, U.S. Sen. Martin Heinrich and his wife Julie pulled up to an Albuquerque trailhead and were greeted by a group of eager supporters with hiking poles and hydration packs at the ready. Almost immediately, Heinrich became an impromptu trail guide, educating his constituents on the different native plants along the trail and which animals use them as food sources. At least twice, unsuspecting hikers recognized the affable sportsman who has worked in Washington, D.C. since 2009. One family hiking towards the top of the trail passed the Heinrich entourage on its way back to the trail head. As the two groups converged, one woman looked at Heinrich and asked, “Is it really you?
You won’t find James Ironmoccasin’s house on Google Maps. To get to his place on the northeastern edge of the Navajo Nation, head east from the 7-2-11 gas station on Highway 64 in Shiprock, take the sixth turn into “Indian Village,” a neighborhood of small, unnumbered houses on a winding, ungraded and nameless dirt lane, and follow for about a quarter mile, then turn at the dilapidated corral of horses. If he’s expecting you, Ironmoccasin, his jet-black hair parted to one side and a string of bright, traditional turquoise beads hanging around his neck, will be waiting to flag you down. “If you are kind of familiar with the area, and you’re good with directions, it’s OK,” he says with a chuckle. “I try to give the easier route.”
Though his family has lived on this square plot of land for the past 60 years, he says he can’t remember a time when any one of them — not his parents, not his sisters, not his brother, and certainly not himself — was counted in the decennial, or 10-year, U.S. census.
The Trump administration announced Thursday it would allow states to impose work requirements on “able-bodied” adults who receive Medicaid. In New Mexico, it’s not clear if the Martinez administration will pursue such requirements, but if so, it would likely take months to go through the process. “Medicaid needs to be more flexible so that states can best address the needs of this population,” Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma said in a statement. That center is part of the U.S. Department of Health and Human Services. “Our fundamental goal is to make a positive and lasting difference in the health and wellness of our beneficiaries, and today’s announcement is a step in that direction.”
States would need to do so through a specific waiver with CMS.
New Mexico has been stopped from imposing such requirements in other programs. In 2016, a federal judge stopped the state from requiring people to work who receive Supplemental Nutrition Assistance Program (SNAP) benefits because of a long-running federal lawsuit over the state’s inability to process aid.
Last week, Colorado became the first state to notify families that children who receive health insurance through the Children’s Health Insurance Program are in danger of losing their coverage. Nearly 9 million children are insured through CHIP, which covers mostly working-class families. The program has bipartisan support in both the House and Senate, but Congress let federal funding for CHIP expire in September. The National Governors Association weighed in Wednesday, urging Congress to reauthorize the program this year because states are starting to run out of money. In Virginia, Linda Nablo, an official with the Department of Medical Assistance Services, is drafting a letter for parents of the 66,000 Virginia children enrolled in CHIP.
As the Trump administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Nov. 7, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018. Virginia may also have another go at expansion after the Legislature thwarted Gov. Terry McAuliffe’s attempt to expand Medicaid.
The Trump administration signaled Tuesday that it would allow states to impose work requirements on some adult Medicaid enrollees, a long-sought goal for conservatives that is strongly opposed by Democrats and advocates for the poor. Such a decision would be a major departure from federal policy. President Barack Obama’s administration ruled repeatedly that work requirements were inconsistent with Medicaid’s mission of providing medical assistance to low-income people. The announcement came from Seema Verma, the head of the Centers for Medicare & Medicaid Services (CMS), who was scheduled to address the nation’s state Medicaid directors Tuesday. A press release issued in advance of the speech said allowing states to have work requirements is part of her plan to help give states more flexibility.
The state of New Mexico and Presbyterian Healthcare Services agreed on a settlement to recoup millions in previously-unpaid Medicaid premium taxes. Attorney General Hector Balderas announced Monday his office came to the agreement with the healthcare company to repay $18.5 million to the state. “I appreciate Presbyterian’s willingness to do the right thing and pay what they owe through this speedy resolution,” Balderas said. “Given the corporation’s ambitious future plans, I am optimistic Presbyterian won’t repeat its past missteps. However, I will continue to monitor Presbyterian’s compliance with the findings contained in the Examination Resources audit.”
His office said the $18.5 million settlement came as part of an agreement to pay back the $14.6 million in unpaid premium taxes.
Republican efforts in Congress to “repeal and replace” the federal Affordable Care Act are back from the dead. Again. While the chances for this last-ditch measure appear iffy, many GOP senators are rallying around a proposal by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.), along with Sens. Dean Heller (R-Nev.) and Ron Johnson (R-Wis.)
They are racing the clock to round up the needed 50 votes — and there are 52 Senate Republicans.
Maternity care is disappearing from America’s rural counties, and for the 28 million women of reproductive age living in those areas, pregnancy and childbirth are becoming more complicated — and more dangerous. That’s the upshot of a new report from the Rural Health Research Center at the University of Minnesota that examined obstetric services in the nation’s 1,984 rural counties over a 10-year period. In 2004, 45 percent of rural counties had no hospitals with obstetric services; by 2014, that figure had jumped to 54 percent. The decline was greatest in heavily black counties and in states with the strictest eligibility rules for Medicaid. The decrease in services has enormous implications for women and families, says Katy B. Kozhimannil, an associate professor in health policy who directs the Minnesota center’s research efforts.