PHOENIX, Ariz. - The ball is now in the Legislature's court, following Gov. Jan Brewer's proposal to expand Arizona's Medicaid program under the Affordable Care Act. Expansion supporters hope state lawmakers will endorse the idea.

Len Kirschner is a former director of Arizona's Medicaid program, known as AHCCCS (Access). He gives Brewer kudos for recognizing the benefits Medicaid expansion will bring.

"We will move from being somewhere about 47th or 48th in the percentage of our population uninsured to somewhere in the middle of the pack. It would add several hundred thousand people who are currently uninsured - but who still get ill, injured and pregnant - to the rolls of those who have coverage."

Under Brewer's proposal, hospitals would pay $154 million in "bed taxes" over the next three years to cover the state's share of Medicaid expansion, generating nearly $8 billion in new federal funding.

Steve Jennings lobbies the state legislature for AARP Arizona. He thinks the prospects for approval by lawmakers are "pretty good," because it does not involve money from the state's general fund.

"You can add 300,000 people - get them insurance coverage - without impacting the state budget in a negative way, so I'd say it's got a good chance, but people of course want to take a close look at it."

Kirschner says he has been fighting the legislature's reluctance to embrace Medicaid for some 30 years, ever since Arizona became the last state in the union to adopt a Medicaid program - although under a different name.

"The legislature did not want to call it Medicaid, so they came up with this rather interesting name, the Arizona Health Care Cost Containment System. Many people who voted for the bill in 1981 still, years later, didn't know we had Medicaid in the state."

Kirschner says it will not be quick or easy getting state lawmakers to go along with the governor's planned Medicaid expansion, especially in light of a court decision mandating more education spending.

"Those who were thinking this was going to be a short legislative session are now starting to say this may be a long one. Part of it is going to clearly be the budget, and the biggest chunks are going to be education and health care."

A court ruling issued on Tuesday says the state must fully account for inflation in public school funding.



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Toughing it out during spring allergy season is not in your best interest if you want to avoid asthma later in life.

New Mexico has plenty of grass and weed pollens carried by the wind which contribute to itchy, watery eyes, a stuffy nose and sneezing fits this time of year.

Dr. Osman Dokmeci, associate professor of internal medicine at the University of New Mexico, suggested for those who suffer acutely, seek an allergy test and possibly medication to prevent asthma from taking hold.

"One out of 10 has asthma in America," Dokmeci pointed out. "Having seasonal allergies increases your chance of developing asthma at least fivefold."

He recommended treating allergies early and as aggressively as possible. May is "Asthma Awareness Month," which aims to bring attention to the health issue and highlight improvements in care and quality of life. Nationwide, asthma affects more than 25 million Americans, including 4 million children, and disproportionately affects certain racial and ethnic groups.

Allergies do not "cause" asthma but people who have allergies, or have family members who have allergies, are more likely to get asthma than those who do not. Research shows allergy season is starting earlier and lasting longer. A 2022 study from the University of Michigan found pollen count could increase by 200% by the end of the century due to climate change, which is why Dokmeci stressed it is important not to ignore the problem.

"There's no treatment that actually makes your asthma not happen," Dokmeci explained. "But once you develop asthma, there are good treatment options."

The estimated economic impact of asthma is more than $80 billion per year from direct and indirect costs, such as missed school and workdays.

Recent research shows approximately half of people who die by suicide had contact with a health care professional within the month prior to their death.

However, a recent study shows only 8% of hospitals are currently implementing all four recommended suicide prevention practices: safety planning, warm handoffs to outpatient care, patient follow-up and lethal means counseling.

Melissa Tolstyka, director of Behavioral Health Services for Trinity Health Ann Arbor, said a seamless transition from inpatient to outpatient care is critical. At Ann Arbor, she saw a 46% increase in compliance with comprehensive suicide risk assessments and patients discharged on the suicide care pathway now receive a safety plan, which she sees as progress.

"We continue to see a need for really robust programming," Tolstyka explained. "Not just within the behavioral health world, but in the medical world as well. Our organization really wanted to focus on bringing the behavioral health and the medical services together to enhance our safer suicide care practices for our patients."

The initiative is being piloted across various units at Trinity Hospitals in Ann Arbor and Grand Rapids including the emergency department, psychiatric medical and inpatient nursing units. If you or anyone you know is struggling or in crisis, help is available 24 hours a day, seven days a week, by calling or texting 988, the Suicide and Crisis Lifeline.

Casie Sultana, clinical nurse leader for Trinity Health Grand Rapids, prioritizes patient well-being, emphasizing support and improvement over solely managing risks within the facility.

"We want to be someplace that people feel welcome to come to who are dealing with suicide," Sultana emphasized. "You feel so alone. It's a very lonely journey and we want people to come seek help and feel welcomed when they do that."

Susan Burchardt, clinical services manager at Trinity Grand Rapids, advised other hospitals considering a similar program to learn from organizations already using it.

Support for this reporting was provided by The Pew Charitable Trusts.


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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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