The federal government has warned nine states about an alarming number of children losing Medicaid health coverage, and West Virginia officials say they're also closely watching the numbers.
According to the West Virginia Center on Budget and Policy, children make up around 40% of the state's Medicaid beneficiaries. The program ensures low-income parents can take children to the doctor or dentist without facing costly bills.
Cindy Beane, commissioner of the West Virginia Bureau for Medical Services, said the Mountain State was one of the first to break down the data as families were requalified for Medicaid after the pandemic, and the drop is troubling.
"We have determined around 39,000 children, under the age of 19, have been determined ineligible or have failed to respond to the renewal," Beane reported. "This is approximately about 12% of our total number."
The Georgetown University Center for Children and Families estimates in 2023, more than 3 million children nationwide lost their Medicaid health coverage. According to the American Academy of Pediatrics, nationwide, around 20% of children covered by Medicaid have special health care needs.
According to the health care policy nonprofit KFF, the federal government covers most Medicaid costs in West Virginia, at 74%.
With the loss of additional pandemic-era funding and a budget deficit, Beane pointed out there could be fewer resources this year to cover low-income families, people with disabilities, pregnant women and others who rely on Medicaid. For now, she expects services and reimbursements to providers to remain the same.
"However, we are asking for a supplemental appropriation this year for the Medicaid program," Beane noted. "That's the first time we've asked in probably over 10 years."
For assistance with Medicaid renewals or questions about eligibility, residents should call 877-716-1212, visit the online PATH portal, or go in-person to their local Department of Health and Human Resources field office.
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The Texas Department of Criminal Justice is facing a class action lawsuit calling for the agency to add central air conditioning to all its prisons.
Only 30% of the prisons in Texas have central air, and advocates say the sweltering summer heat is inhumane and impacts the physical and emotional health of people who are incarcerated. Four organizations, including the Lioness Justice Impacted Women's Alliance, are plaintiffs in the lawsuit.
Marci Marie Simmons, community outreach coordinator with the Alliance, said during her 10 years at the Dr. Lane Murray Unitin Gatesville, she was concerned about her health and the health of other women.
"I remember worrying about the insides of my body, like, 'What is this heat doing to my organs?' I watched older women have a really hard time in the summer. I watched women fall out with heat-induced seizures, " she explained.
The Texas House of Representatives has passed a bill that would require all Texas prisons have air conditioning by 2029, but the prison system only has to comply if the state provides the funding.
Over the last 10 years, 13 heat-related deaths have been documented in men's prisons in Texas. According to TDCJ policy, when the heat index is above 90 degrees, additional water, ice and cups are provided to people in prison, who also can wear shorts and t-shirts. In certain cases, they can receive permission to go into one of the designated air-conditioned spaces.
Simmons said about 90,000 people behind bars across the state don't have access to cool air.
"The lawsuit is asking for the same regulations that are on jails, which is to keep the temperatures between 65 degrees and 85 degrees. Currently about 30% of beds have climate control," she continued.
The Lone Star State is one of at least 13 in the country where all facilities are not air conditioned. Texas experienced the 2nd hottest summer on record last year and climate experts predict this year will be just as bad or worse.
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The message of the importance of heart health has arrived at construction sites. On Thursday, the American Heart Association is hosting its annual event, Hard Hats with Heart, in Seattle.
Americans are at high risk for cardiovascular diseases, and construction workers have high rates of some of the contributing factors, such as nearly half not getting enough exercise.
Mark Howell, senior vice president of Skanska U.S.A. Building and chairman of Puget Sound Hard Hats with Heart, said the American Heart Association hosts "Toolbox Talks" at job sites to raise awareness about heart health.
"We've had several workers find out they're diabetic and they didn't even know it, and the only way they found out was by going into the blood pressure challenge and ended up deciding to make a doctor's appointment and discovered they had diabetes," he said. "So, just bring that awareness into the industry so people can take care of underlying issues to improve their heart health."
Hard Hats with Heart takes place at The Shop in Seattle's Georgetown neighborhood on Thursday.
Howell added the event highlights cardiovascular risks specific to the industry and ensures people on job sites understand how to be prepared in case of an emergency, such as having hands-only CPR training.
"It's an evening where we celebrate the progress we've made, the number of lives that we've impacted with the message about proper heart health, and it's also an opportunity to hear from some construction workers who have personally been impacted by cardiovascular disease and have been able to maybe make some corrections in their lives as a result of that awareness," he explained.
More than 340,000 construction workers have been diagnosed with cardiovascular disease, according to the American Heart Association.
Disclosure: American Heart Association Western States Region contributes to our fund for reporting on Health Issues. If you would like to help support news in the public interest,
click here.
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Experts are traveling across the Commonwealth to help community professionals better understand and advocate for policies that help Kentuckians needing assistance with health care, housing, food, transportation, child care, suicide prevention and other resources. Thrive Roadshow workshops are free and available to the public.
Emily Beauregard, executive director of Kentucky Voices for Health, said attendees will receive updates on policy changes and funding for programs that impact folks in their communities.
"Our focus with the roadshow is to make sure community professionals who are interacting with folks on a daily basis really have the resources and skills that they need to advocate for the policies and programs that are right for their communities," she explained.
More information on Thrive Roadshow events happening in Frankfort, Pikeville, Williamsburg, Murray and elsewhere is online at ThrivingCommunities2024.
Tiffany Taul-Scruggs, patient service outreach manager with Mount Sterling Healthcare, said her team of Community Health Workers relied on the Thrive program to better understand the Medicaid Renewal process, so they could improve serving their patient population.
"One of the things that I really found useful is that they are a group that I can depend on, or if I need to call them to talk about things, they really do a lot of prep work behind the scenes, " she explained.
According to the healthcare advocacy group KFF, more than 1.6 million million people in Kentucky are covered by Medicaid. More than half of the Commonwealth's Medicaid spending is for people who are elderly or those with disabilities.
Disclosure: Kentucky Voices for Health contributes to our fund for reporting on Budget Policy & Priorities, Children's Issues, Consumer Issues, Health Issues. If you would like to help support news in the public interest,
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