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Why States Need to Follow the Federal Money to Hospitals
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health System Costs, Hospital/Health System Oversight, Making the Case for Action /by Trish RileyStates must be sound stewards of taxpayer dollars and the need to do so now is particularly acute as states confront financial landscapes devastated by the pandemic. Federal investments are providing relief to unemployed workers, small businesses, schools and universities, hospitals, and other health care providers. Additional funding is directed to governors to parse out […]
States’ Recent 1115 Waiver Applications Include Provisions to Support Children during the Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Kate HonsbergerMore than a dozen states have recently submitted 1115 waiver applications that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic. If approved, these 1115 waivers would be retroactively to March 1, 2020, and expire “no later than 60 days after the end of the public health […]
States Launch Rapid Response Teams to Curb COVID-19 Outbreaks in Nursing Homes
/in COVID-19 State Action Center Maryland, Massachusetts Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Housing and Health, Long-Term Care, Population Health, Workforce Capacity /by Chris KukkaIn several states, nursing home staff and residents make up nearly half of residents who have died from COVID-19, including 55 percent of deaths caused by the coronavirus in Massachusetts. While hospitals’ personal protective equipment (PPE) shortages have been highlighted, less attention has been paid to the critical need for PPE and infection control expertise […]
States Work to Protect Individuals Experiencing Homelessness from COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Housing and Health, Population Health, Social Determinants of Health /by Ariella LevisohnWith few places to self-isolate, limited access to disinfectant supplies, and overcrowded shelters that reduce residents’ ability to physically distance themselves, individuals experiencing homelessness are at unique risk for COVID-19. Recent estimates suggest that up to 40 percent of homeless individuals, many of whom have underlying health conditions, may become infected. As COVID-19 cases increase, […]
State Rx Purchasing Pool Buy-In Model Gives the Unemployed Access to Discounted Drugs
/in COVID-19 State Action Center Blogs, Featured News Home Administrative Actions, Consumer Affordability, COVID-19, Health System Costs, Model Legislation, Prescription Drug Pricing, State Employee Health Plans, State Rx Legislative Action /by Jennifer ReckStates are experiencing a huge rise in the number of people without health insurance in the wake of mass layoffs resulting from the COVID-19 pandemic and are seeking strategies to protect them from high prescription drug prices. The uninsured are sometimes the only consumers left paying the full list price for a drug, while the […]
States Implement Strategies to Safeguard Pregnant Women during the COVID-19 Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Coverage and Access, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Workforce Capacity /by Taylor PlattAcross the nation, states are taking steps during the COVID-19 pandemic to protect pregnant women and their infants during delivery. States, whose Medicaid programs cover nearly half of all births in the United States, recognize the importance of ensuring all pregnant women have safe and healthy deliveries. The Centers for Disease Control and Prevention (CDC) […]
CARES Act Funds Help Consumers, but Create Health Coverage Eligibility Challenges for States
/in COVID-19 State Action Center Blogs, Featured News Home CHIP, COVID-19, Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Anita Cardwell and Christina CousartThe Coronavirus Aid, Relief, and Economic Security Act (CARES Act) includes a Pandemic Unemployment Compensation benefit of $600 a week, which supplements traditional unemployment insurance (UI) benefits and provides an important source of additional financial support for individuals who qualify for these payments. However, as highlighted in NASHP’s April 6, 2020 blog, Federal Guidance Needed to […]
States Race to Secure Home- and Community-Based Services during COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, COVID-19, Health Coverage and Access, Long-Term Care, Population Health, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-Grage, Salom Teshale and Paige SpradlinUpdated May 7, 2020 In the past two months, 35 states* have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis. Under new federal rules, the states applied for Medicaid 1915(c) Appendix K waivers to make temporary or […]
New State Insurance Requirements in Response to COVID-19
/in COVID-19 State Action Center Blogs, Charts, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, State Insurance Marketplaces /by Christina CousartCOVID-19 has upended health care systems and states are revising health insurance rules to make sure consumers can maintain their health insurance coverage and access needed health care services during the pandemic. The chart below details recent state actions that: Limit consumer out-of-pocket costs for testing, treatment and out-of-network care; Facilitate access to and delivery […]
Governor Takes First Step to Ensure Accountability in How Hospitals Use Federal Relief Funds
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health System Costs, Hospital/Health System Oversight, Relief and Recovery COVID-19 /by Deborah Fournier and Trish RileyBillions of federal dollars have begun to flow to the nation’s hospitals to help them treat COVID-19 patients and withstand revenue losses due to delayed elective surgeries and other procedures. The Coronavirus Aid, Relief, and Economic Security Act (CARES Act): Increases Medicare payments to hospitals for COVID-19 admissions by 20 percent; Permits the Centers for […]

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































States’ COVID-19 Public Health Emergency Declarations and Mask Requirements
/in COVID-19 State Action Center Charts, Featured News Home, Maps COVID-19, Featured Policy Home, Health Equity, Population Health, Social Determinants of Health /by NASHP Staff and Ella Roth