A Tennessee nonprofit is warning that potential Medicaid cuts could threaten crucial support for the state's nearly 1 million family caregivers.

Medicaid supports 4.5 million individuals through home health-care services nationwide.

Megan Schwalm, president and CEO of the Tennessee Caregiver Coalition, said more than half of its funding comes from the now-dismantled Administration for Community Living - which has been folded into the Department of Health and Human Services.

Schwalm said federal funding cuts have affected the coalition, which provides respite services for people caring for loved ones with dementia or other serious conditions.

"Our state typically reimburses at $23.44 an hour for respite, and so us being able to provide at about $5 an hour is a huge cost savings," said Schwalm. "But with those cuts to Medicaid and the Administration for Community Living, we won't be able to provide those services any longer."

She said the funding cuts have already forced the loss of a staff position and nearly all outreach efforts for respite services across Tennessee.

Medicaid is jointly funded by states and the federal government, but Congress is proposing cutting Medicaid spending by $880 billion over 10 years.

According to AARP, Tennessee already ranks poorly among states for its lack of supports and services for caregivers and people with disabilities.

Schwalm acknowledged that Medicaid could benefit from reform, but she said dismantling it without a clear, comprehensive plan would be detrimental to the people of Tennessee.

"These cuts to Medicaid are coming, but there is no safety net in place," said Schwalm. "There is no alternative. And so it is very unclear what will happen to these folks in these programs."

She emphasized the importance of Tennesseans letting their elected officials know how they feel about safeguarding these safety net programs.




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California lawmakers are considering a bill to ease regulations on birth centers at a time when maternity wards are closing in many counties. Assembly Bill 55 would streamline the licensure process, which allows a birthing center to accept Medi-Cal, making midwifery care available to low-income families.

Sandra Poole, health policy advocate with the Western Center on Law and Poverty, said the bill would also no longer require a birthing center to be within 30 minutes of a hospital.

"Of course, if you're in an area where the labor and delivery has closed, that's going to be impossible," she explained. "I will say there are 12 counties in the State of California that have absolutely no labor and delivery works at all in the county."

Birthing centers are non-hospital, homelike facilities for low-risk pregnancies. At least 40% of California's birthing centers have closed since 2020, and just four of the 37 remaining centers are licensed, because the current licensing process is unnecessarily burdensome, according to a study published today by the Western Center on Law and Poverty, the California Black Women's Health Project and the Black Women for Wellness Action Project.

The study also surveyed patients on the merits of birthing centers. Holly Drayton is a mother and former doula from the Santa Barbara area.

"For people to have that option would really give them the opportunity to choose the birth that they want in an environment where they do feel comfortable to labor in the way that they're supported, to make it the best possible outcome," Drayton said.

Sarah Archer, a mother who supports birthing centers, said they are an important part of the state's health care system, and are proved to reduce pre-term births.

"People deserve choices in the way they want to give birth, not just in a sterile hospital," she explained. "It's a very safe, very quiet, beautiful, serene environment versus a medical setting."

The bill has passed the State Assembly and is now before the Senate Health Committee.

The Illinois Department of Public Health said the first positive test for West Nile virus in 2025 has been detected in Winnebago County near Rockford.

Health officials warned people in the infected area and elsewhere to take precautions to avoid the mosquito-borne disease, which is expected to spread across the state. Last year, Illinois reported 69 cases of West Nile, with 13 reported human deaths.

Sameer Vohra, director of the Illinois Department of Public Health, said evidence of the disease usually emerges this time of year.

"In Illinois, we typically see the first environmental positive test for West Nile in mid- to late May," Vohra explained. "Mosquitoes typically emerge in the spring and are active until the first hard frost of the year."

Vohra noted West Nile virus is an endemic disease in Illinois, meaning it is commonly found in the state. Public health officials are highlighting the importance of taking action to "Fight the Bite" during National Mosquito Control Awareness Week, which runs from June 18-24.

Vohra pointed out most people who are bitten by infected mosquitoes do not contract the disease but one in five will show symptoms ranging from mild discomfort to a serious and possibly fatal illness.

"Right now, there's no treatment for West Nile virus," Vohra emphasized. "But supportive care is really important, especially if you're developing symptoms or you're that one of 150 people that can develop severe illness."

Public health officials have advised Illinoisians to wear long sleeves and pants outdoors, use Environmental Protection Agency-approved insect repellent and stay indoors during peak mosquito hours at dawn and dusk. They also recommend trying to keep mosquitoes from breeding.

"One way to do that is to dump any standing water," Vohra advised. "Examples of that include flowerpots, children's toys, pet bowls, bird baths, buckets, used tires, abandoned swimming pools, any place where you can get standing water."


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As Memorial Day kicks off summer across Indiana, Hoosiers will flock to lakes, rivers and pools, and safety should be on everyone's mind.

William Ramos, associate professor in the School of Public Health at Indiana University in Bloomington, said water safety depends on layers of protection, including attentive supervision, knowing CPR, using life jackets -- not inflatables -- and securing barriers like fences or locked doors around home pools.

Ramos encouraged families to assign one person to watch the water.

"One that we like to mention is designating a 'water-watcher,'" Ramos recommended. "This is a person almost to the level of a lifeguard who has no other duty than to watch the water and has the skills and knowledge to act if necessary."

He pointed out the highest risk for unintentional drowning is among children between the ages of one and four and teen boys and adults. He added safety around home pools should be treated as seriously as public water parks by planning, staying alert and making sure everyone leaves the area together.

Ramos noted alcohol is another major safety concern especially on boats and at parties near water. He warned drinking can impair judgment and reaction time, increasing the risk of drowning.

"It's an interesting situation in the United States, somewhere in our history, we've tied alcohol use and boating together and it's actually farthest from the truth," Ramos cautioned. "They really don't go together at all, so make sure you have somebody who isn't engaging, especially, the person who might be driving or operating the vehicle."

He urged boaters to assign a sober driver and keep alcohol away from anyone expected to supervise swimmers or operate watercraft.