Most Native Americans enrolled in Medicaid in Arizona won't be forced to work to keep their health insurance under new rules the Trump administration approved for the state, a move that likely defuses a yearlong controversy over tribal sovereignty that had split HHS leadership and alarmed some members of Congress. The administration's top Medicaid official described the decision to exempt members of federally recognized tribes as a compromise over an issue that nearly derailed Arizona's request to add Medicaid work requirements — a top priority for President Donald Trump's health department. However, some Native American populations who are not enrolled citizens of their tribes are still subject to new employment rules and could lose their coverage for not working.Story Continued Below The administration's approval Friday could also pave the way for other states to require some American Indian enrollees of the low-income health insurance program to work. Arizona, like some other … [Read more...] about Trump exempts most tribes from Medicaid work rules
Most rural states
Daily Yonder, ContributorKeep It Rural A proposed $1.5 billion sale of a nonprofit hospital system that serves 18 mostly rural counties draws worries from residents. 12/31/2018 02:24 pm ET By Taylor Sisk As North Carolina’s attorney general deliberates over whether to approve the sale of the nonprofit Mission Health System to for-profit Nashville, Tennessee-based HCA, a citizens group is asking that, if approved, the deal will ensure they have a voice in the future of health care services in their rural communities. Members of the citizens group, Sustaining Essential and Rural Community Healthcare, or SEARCH, are worried that the sale will lead to poorer services for patients of Mission Health, which serves 18 mostly rural counties in western North Carolina, in the southern range of the Blue Ridge Mountains. The deal with HCA includes the creation of a foundation, Dogwood Health Trust, that will use the proceeds from the proposed $1.5 billion purchase … [Read more...] about Will Healthcare Services Decline In Rural North Carolina?
Rep. Marsha Blackburn, R-Tenn., greets supporters after she was declared the winner over former Gov. Phil Bredesen in their race for the U.S. Senate Tuesday, Nov. 6, 2018, in Franklin, Tenn. (AP Photo/Mark Humphrey) Rep. Marsha Blackburn, R-Tenn., greets supporters after she... Photo by Mark Humphrey When Phil Bredesen ran his last statewide office race before this year in the 2006 gubernatorial election, the Democratic former Nashville mayor swept all 95 counties in Tennessee, winning re-election in most of the rural counties around Chattanooga with more than two thirds of the vote. But in his Senate bid this month against Republican U.S. Rep. Marsha Blackburn, R-Tennessee, Bredesen lost every county in Southeast Tennessee and was defeated in most rural counties around Chattanooga by better than a 2-to-1 margin. Bredesen won only three counties — the same as Democratic gubernatorial candidate Karl Dean, another former Nashville mayor who was easily defeated by GOP … [Read more...] about Rural Southerners see red: Former Democrat strongholds move to GOP and give Republicans big wins
With Republican Pete Stauber’s win in northeast Minnesota’s Eighth Congressional District, and Republican Jim Hagedorn’s victory in southern Minnesota’s First, you could say the congressional takeover of once-blue Greater Minnesota by Republicans has almost come to fruition. There’s just one piece missing. Along the state’s western border in CD7, voters re-elected DFLer Collin Peterson. It was the 15th time voters chose Peterson to represent the district. The 7th is Minnesota’s largest district, covering more than a third of the state’s total area, and knits together a column of mostly rural, largely farming communities across the state’s western side, from its chimney almost all the way to Iowa. It covers regional centers like Moorhead, Fergus Falls, Alexandria and Morris. It’s also one of the state’s most conservative places. Of any Democrat in Congress, Peterson represents the district that went for President Donald … [Read more...] about How Democrat Collin Peterson hangs on in one of Minnesota’s most conservative districts
It's not just Congress that's up for grabs in next week's midterm elections. Healthcare issues are sprinkled throughout a host of ballot votes in the states. In Idaho, Utah, Nebraska and Montana, Medicaid expansion is on the chopping block. Maine is mulling over a proposal to hike taxes to pay for home care for the state's disabled and elderly. Massachusetts nurses are fighting to get safe staffing ratios approved while, on the other side of the country, California votes on refunding excess dialysis revenue and bonds to fund pediatric hospitals. Finally, medical equipment managers in Nevada are crossing their fingers to see if a sales tax exemption will be approved, hiking their bottom lines. Here's a snapshot of key votes, the chances and what they could mean for the industry. Medicaid expansion: Idaho, Utah, Nebraska and Montana If voters in Idaho, Utah, and Nebraska — all red states — vote in favor of expansion it would mean health coverage for an additional … [Read more...] about Midterms 2018: Key health ballot votes in the states