KHN

Even though they perform the same intimate tasks as nursing home and hospital workers, in-home health aides initially were left out of California’s vaccine mandate. They must be fully vaccinated by Nov. 30.

Patients are caught in the middle as insurers clamp down on paying for treatments or force prior authorizations for care.

Dr. Paula Braveman, director of UCSF’s Center on Social Disparities in Health, shares her insights on a provocative new study that identifies racism as a decisive factor in the gap in preterm birth rates between Black and white women.

The covid pandemic has caused millions of people, particularly LGBTQ adults, to lose their jobs and enroll in Medicaid or insurance through the Affordable Care Act. Yet these plans often don’t fully cover the basics needed by many transgender Americans, such as injectable estrogen, a hormone therapy commonly used by trans women.

An estimated 300,000 people were held in solitary confinement in U.S. jails and prisons at the height of the pandemic. An international movement is pushing to limit the form of incarceration due to its damaging physical and psychological effects.

Opponents of free needle programs in California are using environmental regulations to shut them down. On Monday, Gov. Gavin Newsom signed a bill that will end that strategy.

As the pandemic has raged so has the country’s drug epidemic. California is looking to a controversial solution for certain drug users, but despite its effectiveness, critics have scoffed at the idea calling it unethical or a bribe.

The Biden administration is requiring workers at health care facilities that accept Medicare and Medicaid payments to be vaccinated. For the minority of nursing students who have refused a shot, the new policy could mean they can’t get the training they need in a hospital or other health care venue.

Officials are enthusiastic about the Allcove initiative, modeled on an Australian program. But it will need to show effectiveness and find funding.

San Juan County, Colorado, is one of the most vaccinated counties in the U.S. Leaders across the country continue to expound on the vaccine as the path forward in the pandemic. But San Juan’s experience the past few weeks with its first covid hospitalizations shows that, even with an extremely vaccinated population, masks are still necessary.

Mimi Hall and Dr. Gail Newel, health director and health officer for Santa Cruz County, California, will receive PEN America’s 2021 PEN/Benenson Courage Award for soldiering forward in their work amid death threats and personal attacks.

Despite big 2020 campaign promises to deliver lower costs on prescription drugs, Democrats have failed to unite around a legislative plan.

Negotiations continue on Capitol Hill over President Joe Biden’s health agenda — along with a long list of other items. With Republicans on the sidelines, liberal Democrats delayed a House vote on a Senate-passed infrastructure bill to extract moderates’ support for a social-spending bill that includes expansions of benefits for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the Biden administration’s new rules to prevent “surprise” medical bills pleases some health stakeholders and angers others. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Kimberly Leonard of Insider join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Anna Flagg of the Marshall Project about how a century-old report on medical education contributed to racial inequities that persist today.

The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.

Patients sickened in heat waves, flooding and wildfire have raised awareness of climate change’s impact on health. Now, some hospitals are building solar panels and cutting waste to reduce their own carbon footprints, with support from a new office at the U.S. Department of Health and Human Services. But the industry is moving slowly.

KHN gives readers a chance to comment on a recent batch of stories.

More than 2 million low-income adults are uninsured because their states have not accepted Medicaid expansion under the Affordable Care Act. Congressional Democrats want to offer them coverage in the massive spending bill being debated, but competition to get into that package is fierce.

A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.

Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.

Among the people still reluctant to get vaccinated — and pushing against mandates — are firefighters, many of whom also respond to medical calls as paramedics and EMTs and have witnessed the ravages of the pandemic firsthand.