DETROIT – Es la Semana Nacional del Centro de Salud ("National Health Center Week") y los centros comunitarios de salud celebran su mayor cobertura de pacientes en toda su historia. Este año, los centros de salud atienden a 29 millones de personas en áreas que carecen de proveedores -un millón más que en 2018. A grandes rasgos, cuatro de cada cinco pacientes que vienen a estos sitios vecinales de salud están sub-asegurados o asegurados a través de un programa público, como Medicaid. Una gran parte del fondeo de los centros de salud expira al final de septiembre, y los centros siguen a la espera de que el Congreso extienda el plazo. Cuentan con el apoyo bipartidista. Lisa Rutledge, administradora de proyectos especiales en los Centros de Salud Familiar Western Wayne ("Western Wayne Family Health Centers"), en las afueras de Detroit, dice que eso podría dar a los legisladores una oportunidad muy singular de sumar fuerzas este año.

"Conseguir que aprueben esta legislacion es un buen ejemplo de como los partidos pueden trabajar juntos y como el Congreso y el Senado pueden trabajar juntos y hacer que sea un triunfo para los muchos millones de personas de los Estados Unidos que usan los centros comunitarios de salud."

La Senadora por Michigan Debbie Stabenow encabeza la carga para obtener la re-autorización de fondos, junto con el Senador por Missouri Roy Blunt. En 2017 los centros de salud dieron servicio a casi 700 mil michiguenses, incluso más de 215 mil infantes. Hay 45 centros con más de 300 sitios satélite en el estado.

Cerca de la mitad de los centros están en áreas rurales, lejos de los proveedores. Los sitios también pueden brindar una atención integral, como ayudar en casos de abuso de substancias y acceso al cuidado dental, del que Rutledge dice que conservarlo sano es vital. Agrega que la expansión de Medicaid en Michigan hizo bajar significativamente la cantidad de pacientes que acuden a las instalaciones sin seguro y ahora la gente acude más para hacerse revisiones regulares.

"Estar en primera fila donde la gente necesita recibir atencion -sea por la distancia o por el precio- es una oportunidad real para que logre la deteccion oportuna, el tratamiento, visitas en salud y ayuda para manejar su padecimiento cronico."

Para celebrar la Semana del Centro Nacional de Salud (National Health Center Week), los Centros de Salud Familiar Western Wayne serán sede de una feria de la salud el Sábado en su locación de Inkster, y ayudarán a los pequeños a prepararse para el regreso a clases. La feria también presentará un modelo inflable gigante de un gran colon para promover los exámenes de detección de cáncer colo-rectal.

Cifras sobre los centros de salud de Michigan: www.nachc.org/wp-content/uploads/2019/03/MI_19.pdf; informacion sobre la feria de la salud: healthcenterweek.org/event/health-fair-10.


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Access to reduced-price medication is a necessity for many rural Missourians with low income.

Rep. Cindy O'Laughlin, R-Shelbina, the Senate Floor Leader, said Big Pharma is trying to confuse legislators with unrelated hot-button topics such as abortion access and illegal immigration in a last-ditch effort to stop the state from joining a program to force drugmakers to sell medicines at a discount.

"Appealing to nuclear topics, which really do not apply in this situation, is a disingenuous way to try to defeat a bill that is actually good for Missouri," O'Laughlin asserted.

O'Laughlin pointed out the program is transparent, and uses the tax money saved to help low-income families deal with chronic conditions such as diabetes.

The drugmakers object to the government forcing them to give significant discounts, arguing hospitals' and for-profit pharmacies' bottom lines, particularly those owned by pharmacy benefits managers, are being exploited. Nationally, 46% of contract pharmacy agreements involve pharmacies linked to the three largest benefits managers.

Rep. Tara Peters, R-Rolla, introduced the 340B contract pharmacy access billand said the lobbying is absurd.

"Federally, 340B program does not allow for abortion drugs," Peters stressed. "Why would any legislation that we're trying to pass in the state allow for that? I mean, the thought of that even being in existence is absolutely ludicrous."

The Missouri Senate passed the bill 27-3 on Monday and it now goes to the House.


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Alabama is running out of time to tackle Medicaid expansion this legislative session.

More than 230 people gathered earlier this month with the group Alabama Arise, urging state lawmakers to prioritize the issue. Their message: Access to health care isn't just a matter of policy, it can be a matter of life and death.

Debbie Smith, Cover Alabama campaign director for Alabama Arise, said as the session winds down, the group will continue to echo the call for increased access to health coverage. She thinks it would not only save lives but revitalize communities across the state.

"Over 80% of our rural hospitals are operating in the red," Smith pointed out. "Not a great stat. About 19 rural hospitals are at immediate risk of closure, and those are the lifeblood of those communities. They're on life support."

Smith emphasized hospitals at financial risk also put their workforce at risk. Those who are against Medicaid expansion believe it is ultimately unaffordable for the state. However, Smith argued it could save the state nearly $400 million over the next six years. According to the Public Affairs Research Council of Alabama, those savings would be enough to cover the cost.

The council's study also showed Medicaid expansion would generate nearly $2 billion of economic growth. Beyond economic benefits, Smith pointed to the stark disparities in maternal and infant mortality rates in Alabama.

She stressed Medicaid expansion would do more than provide health care coverage during pregnancy or postpartum, it is about ensuring comprehensive coverage.

"We've been lucky enough to expand Medicaid coverage up to 12 months postpartum but we still need to figure out how to cover people before they even get pregnant," Smith asserted. "It's really important for people to have health coverage so they can address any kind of issues they might have, like if they have diabetes or high blood pressure that might affect their pregnancy in the future."

With limited time left in the legislative session, she noted one option could be Gov. Kay Ivey's executive authority to enact Medicaid expansion. Smith added using the power could be the simplest path forward, backed by the promise of additional funding from the American Rescue Plan.

A Connecticut bill would expand the state's paid sick leave law.

The initial 2011 law requires 40 hours of paid sick leave for workers at employers with 50 businesses or more. The new bill covers all workers regardless of their employer's size.

Janée Woods Weber, executive director of the nonprofit She Leads Justice, said the legislation can benefit workers without access to paid sick leave.

"These are people for whom taking a few hours off when their child has a cold or perhaps they need to take themselves to a doctor's appointment are the kinds of challenges that many of us don't worry about, those of us who do have access to paid sick days," Woods Weber explained.

Small businesses were concerned about how the change could affect them. To address worries, the bill has a three-year implementation cycle giving them time to adapt. It also creates a task force studying the feasibility of providing tax credits to businesses with the smallest workforces. The bill passed the House and awaits a vote in the Senate.

An estimated 11% of workers are eligible for paid sick leave under the current criteria. Though expanding the law has taken over a decade, Woods Weber argued it has always been necessary.

"Nobody should be forced to make what is often times a very difficult and sometimes impossible choice between their livelihood," Woods Weber emphasized. "Getting a paycheck and getting to take paid time off to take care of themselves or a loved one if they get sick."

She added once the bill is passed, the state can build on it by allowing people to earn additional time off, at least up to 40 hours. It stems from the pandemic, when people had to isolate for up to five days if they contracted COVID-19, which could burn through their allotted sick time.


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