Colorado hospitals got failing grades for compliance with the Colorado Hospital Discounted Care law, according to a new report.

The law passed in 2021, and requires hospitals to tell patients about their rights and access to discounts.

Sophia Hennessy is policy and research coordinator with the Colorado Consumer Health Initiative.

She said people across the state still report the cost of health care is too high, and without access to discounted care, many are skipping doctor's appointments.

"Fear of that hospital bill, and if care is so expensive that it will put you in medical debt," said Hennessy. "Or make it harder to have housing, or food. And that's never a decision that we want anyone in Colorado to have to make."

Researchers audited all of the state's 89 hospitals.

While 58% of hospitals technically met the law's basic requirements, the report shows many just went through the motions - hiding information about discounts in remote parts of their website, or not posting it at all.

Just 20% of patients were able to solve their problem by phone, but that number dropped to under 5% for Spanish-speaking callers.

You can find a fact sheet about your rights at cohealth.co/hospitaldiscounts.

Hospitals must post a conspicuous link to discounted care information on their main website, along with a uniform application for assistance. They also need to list patient rights in both English and Spanish.

Hennessy said the new law also limits how hospitals take action against patients.

"Hospitals can't send your account into collections until 180 days after your date of service," said Hennessy. "So there's way more time for you to figure out how you want to pay those bills, or if you can't pay those bills. And they also have to notify you that they are sending you to collection."

The report finds access to discounted care is twice as hard to get at large health system-owned hospitals than at independent facilities.

Proponents of hospital consolidation have argued mergers will improve the quality of care and access, but Hennessy said she isn't buying it.

"This report showed that that's not true," said Hennessy, "that it was actually harder to get a financial assistance representative on the phone at health system-owned hospitals, and harder to get the information that you needed from them."

State governments are fighting back against scammers who make use of cryptocurrency kiosks to steal money from people unaware they are being targeted.

North Dakota is among the states with new regulations in place. North Dakota's law, adopted this spring, requires ATMs designed for cryptocurrency transactions to be licensed. There are also daily transaction limits.

AARP said nearly a dozen states have taken such action in recent months.

Françoise Cleveland, Government Affairs director for AARP, views the daily caps on moving around funds for each user as a vital tool in getting a handle on the problem.

"Because once the money is gone, it's gone," Cleveland pointed out. "The daily transaction limits help to lessen those losses."

AARP said Americans lost more than $246 million to crypto ATM fraud last year. Cleveland argued the limits under the laws still maintain accessibility for users not swept up in a scam. The nonprofit said it found cooperation among law enforcement, policymakers and virtual currency industry groups in passing the laws. However, industry lobbyists pushed back against certain changes, namely the daily limits.

There are talks in Congress about enacting federal regulations but Cleveland pointed out it could take years, even with a bipartisan approach. In the meantime, she predicted more states will follow suit, creating a larger shield to protect consumers.

"State-level efforts also build momentum and demonstrate clear policy models that can inform and accelerate a broader national response," Cleveland added.

North Dakota bill sponsors said such scams can involve someone posing as a law enforcement officer, warning a person about suspicious activity with the funds in their bank account. They are then directed to deposit money into the crypto ATM, moving it to the fraudster's account.

As Congress considers defunding the Low-Income Home Energy Assistance Program known as LIHEAP in the budget reconciliation bill, Pennsylvania advocates warned the cuts would hit families and seniors hardest.

LIHEAP provides up to a $1,000 cash grant and crisis assistance to help Pennsylvanians pay their heating bills.

Bill Johnston-Walsh, state director for AARP Pennsylvania, said LIHEAP also helps families with emergency furnace repairs and replacements. Without it, many could be stuck in freezing temperatures with no way to fix a broken heating system.

"There are 1.2 million people that are eligible right now in Pennsylvania," Johnston-Walsh reported. "Last year, it was 346,000 Pennsylvanians that took this assistance and helped them get through the winter months."

Johnson-Walsh pointed out the reconciliation bill would completely eliminate funding for LIHEAP. He noted the program helped 6.2 million low-income households nationwide in 2024 at a cost of about $4 billion.

Johnston-Walsh argued without LIHEAP, Pennsylvanians may have to rely on smaller utility programs, but they do not offer nearly the same help as LIHEAP. He stressed there's still time for Congress to restore the funding before the budget bill reaches President Donald Trump.

"AARP has been really focused at the national level, writing letters to both the House and Senate to make sure that this and some other key programs are going to continue as we move forward, that are going to really be impactful in a negative way if they are not funded," Johnston-Walsh added.

Republicans in Congress are aiming to pass the reconciliation bill by July 4 but ongoing debate could push that timeline back.

June is National Homeownership Month. However, both buyers and sellers in Indiana are wary of the housing market, amid unwavering interest rates and an imbalance of supply and demand.

Interest rates on the average 30-year fixed mortgage continue to hover around 7%. Indiana, like many other states, has a housing shortage.

Chris Pryor, chief advocacy officer of the Metropolitan Indianapolis Board of Realtors, which serves around 10,000 central Indiana realtors, described the factors influencing the stagnant housing market.

"Household formations look very different today than they did years ago. Yet the majority of what we build is the same type of housing," said Pryor. "We produce a lot of large lot single-family housing with four bedrooms. Many households today are much smaller. In fact, one of the largest groups of buyers today is single females."

Pryor noted that people want homes of different types, prices and sizes, and said the lack of unique home design is failing to meet changing consumer preferences.

He added a recent trend is that many house hunters are looking for homes with smaller yards, and within walkable communities.

In June 2024, the state's average 30-year mortgage rates were at just over 7%, rising above the national average, according to housing research site Innago.

Pryor explained millennials are still watching the homebuying landscape -- but low inventory, high prices, and an unpredictable job market is leaving them with few options.

Pryor said current homeowners, many of whom are older Americans or retirees, are also staying in their homes longer.

"This is happening because they're either locked into their current home because they have such a low interest rate on their current mortgage, or there just simply aren't enough opportunities to downsize," said Pryor, "because we either lack the housing products in those categories, or they're priced too high. So, people are just sitting in their current home."

A 2024 report from the Indiana Association of Realtors indicates Muncie, Kokomo and Columbus had positive home sales growth, while Bloomington had the highest sale prices in the state.




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