The Troubled Future for State Medicaid Expansion

The Affordable Care Act’s extension of public insurance to poor adults might finally make its way into every state. But those inroads could come with a cost.

Medicaid Makes Up Largest Share of Grants to States

Mix of total funding from federal grants varied by state

Aid-in-Dying Gains Momentum as Erstwhile Opponents Change Their Minds

New Jersey is one of at least 25 states considering aid-in-dying bills this year. 

States Want More Money and Less Punishment Over Opioids

“To fully address the crisis we have to treat it as a health care issue, as a child welfare issue and as a drain on our local economies,” said U.S. Sen. Patty Murray of Washington state.

The Health-Care Gap Between Red and Blue America

States have a surprising degree of autonomy to block President Trump’s changes to Obamacare—and liberal-leaning states are already making their move.

Jails Play Key Role in Advancing County Health and Safety Goals

But with short stays and high turnover, continuity of care after release is crucial.

Lessons From Kentucky’s Public Health Surveillance and Community Prevention

The National Governors Association selected seven state governments to participate in a learning lab and receive technical assistance.

Mayor Has His Office Trained to Respond to Drug Overdoses

STATE AND LOCAL ROUNDUP | Six months since Hurricane Harvey; a fatal stabbing in Mass. library; states legislatures with the most women; Penn State alcohol binge strains local ambulance response time; and S.F. ferries are stuffed to the gills.

Good News: Overdose Deaths Fall in 14 States

But the bad news: “But we’re still seeing rates of overdose that are leaps and bounds higher than what we were seeing a decade ago and far beyond any other country in the world.”

Food Stamps Fall Short of Meal Costs in Most Counties, Study Finds

The findings come at a time when the Trump administration has proposed lower spending on the program in the coming years.

The Rush to Replenish Blood Supplies After Mass-Casualty Events

An estimated 38 percent of the U.S. population is eligible to donate blood. Less than 10 percent of that population actually do.

Why Police Backing Is Key to Needle Exchanges

Nationwide, the list of syringe exchanges, both official and unofficial, has grown by about 15 percent a year for the past three years, with the fastest growth in Kentucky, North Carolina and Ohio.

The Opioid Epidemic Has Cost the U.S. More Than $1 Trillion

Most of the financial cost of the crisis came in the form of lost earning and productivity potential for those who had died.

Meet West Virginia’s New Drug Czar: Dr. Michael Brumage

“The main thing I want to bring with me to the table is an all-hands approach,” Brumage told Route Fifty. “This is not just about law enforcement and it’s not just about public health.”

Seema Verma: Medicaid Work Requirements Are ‘True Compassion’

Now that the Trump administration has approved work requirement waivers in two states—Kentucky and Indiana—as many as 11 more could follow.

Some Hospitals in Appalachia See Surges of Opioid Babies

STATE AND LOCAL ROUNDUP | Maine Gov. LePage plans major shift in oversight for county jails; Philly will soon say goodbye to a transit relic; New Mexico’s challenging job-skills gap; and a Silicon Valley mayor is criticized for his housing comments.

15 Kentuckians Sue Trump Administration Over New Medicaid Waiver

The plaintiffs contend that waivers that require work as a prerequisite for health coverage will cause “irreparable harm to the health and welfare of the poorest and most vulnerable in our country.”

N.Y.C. Mayor: Big Pharma Is ‘Hooking Millions of Americans in Exchange for Profit’

STATE & LOCAL ROUNDUP: U.S. Conference of Mayors winter meeting starting in D.C.; Minnesota county bars federal immigration detainees over high costs; and new concerns over contaminated water in a Michigan city.

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