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Morning Briefing

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Tuesday, Jan 17 2023

Full Issue

Medicaid Expansion Gains Momentum In Wyoming

It's the only state in the Mountain West that has not yet expanded the nation's public health insurance program for people who have low income. Also: Doulas in Michigan criticize the state's new Medicaid policy; Medicare advisers warn of higher drug prices; and more.

Medicaid expansion has become a perennial issue in Wyoming. But advocates are hoping that this year is the last legislative session they鈥檒l have to push for a bill that expands Medicaid. (Victor, 1/16)

A bill that extends medicaid coverage to qualifying pregnant women for 12 months postpartum narrowly made it out of committee. The House Labor, Health and Social Services committee members heard hours of testimony in favor of the extension. During the pandemic, the American Rescue Plan Act (ARPA) allowed states to extend postpartum care, and Wyoming participated as well so qualifying women had complete medical coverage for a year after they gave birth. This bill would extend that care until 2027. (Kudelska, 1/13)

More on Medicaid coverage in Mississippi, Georgia, and Michigan 鈥

Here鈥檚 a look at some of the general bills: HOSPITALS 鈥 Multiple bills seek to help financially struggling hospitals by creating grant programs or tax credits. MEDICAID 鈥 Multiple bills seek expansion of Medicaid to people who work low-wage jobs that don鈥檛 provide private health insurance. A 2010 federal health care law allowed expansion, and Mississippi is among 11 states that have not taken the option. Other bills -- including House Bill 426, which has bipartisan support -- would allow extension of Medicaid coverage from 60 days to one year after a woman has given birth. (Pettus, 1/16)

State Democratic lawmakers are making full Medicaid expansion a top priority this legislative session. Expanding Medicaid is a move the governor has long resisted, and it鈥檚 not included in his proposed $32 billion聽budget.聽Gov. Brian Kemp鈥檚 proposal calls for $52 million to fund the implementation of his聽Georgia Pathways聽plan, a limited expansion of Medicaid that would cover around 50,000 people if they meet work or volunteer requirements. (Mador, 1/13)

Women and infants鈥 health advocates around Michigan are celebrating a new policy that will allow pregnant people covered by Medicaid to pay for the services of a doula. The policy, enacted Jan. 1, puts Michigan on the list of just a handful of states that cover doula services, which have been shown to improve birth outcomes and decrease health and racial disparities. (Brookland, 1/16)

On Medicare costs 鈥

Steve Lubin spent a lot last year on insulin to control his Type 2 diabetes. A retired nurse in Philadelphia, Mr. Lubin relies on Medicare for health coverage, including a Part D plan to cover drug expenses. Yet his out-of-pocket costs kept mounting, including a deductible of $480, monthly supplies of two forms of insulin, and higher prices once he entered the 鈥渃overage gap.鈥 His total insulin tab in 2022: $1,582. (Span, 1/14)

Despite the pharmaceutical industry鈥檚 loud complaints to the contrary, the new law directing Medicare to negotiate drug prices may increase prices for some new drugs, congressional Medicare advisers said Friday. (Wilkerson, 1/13)

House Republicans don't have much of a path to get major health care changes passed with a Democratic Senate and president, with one possible exception: the debt ceiling fight. (Sullivan, 1/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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