Toolkit: New Legislative and Medicaid Models to Lower Drug Prices
/in Policy, Prescription Drug Pricing Featured News Home, Toolkits Prescription Drug Pricing /by NASHP StaffAddressing Health Care Costs: Tools for State Employee Health Plans
/in Health System Costs Featured News Home, Reports, Toolkits State Employee Health Plans State Employee Health Plans /by Adney RakotoniainaToolkit: New Legislative and Medicaid Models to Lower Drug Prices
/in Prescription Drug Pricing Featured News Home, Toolkits Legal Resources, Model Legislation, Prescription Drug Pricing /by Drew Gattine, Jennifer Reck and Sarah LanfordResources to Help States Improve Maternal and Infant Health
/in Maternal, Child, and Adolescent Health Featured News Home, Toolkits Maternal, Child, and Adolescent Health /by NASHP StaffThe Biden-Harris Administration continues to make investments in improving maternal and child health. The Department of Health and Human Services (HHS) recently announced a $350 million dollar investment to support safe pregnancies and babies. Funding, distributed through the Health Resources and Services Administration (HRSA), supports home visiting services for families, community doulas, data infrastructure, and infant health equity.
Explore the resources on this page to learn more about states’ efforts to improve maternal and infant health.
Home Visiting
- State Medicaid Financing of Home Visiting Services in Seven States
- Medicaid Financing of Home Visiting Services for Women, Children, and Their Families
- Public Insurance Financing of Home Visiting Services: Insights from a Federal/State Discussion
Doulas
State Health Policy Resources to Support Mental Health
/in Policy Featured News Home, Toolkits Behavioral/Mental Health and SUD /by NASHP StaffIn honor of the 72nd annual Mental Health Month this May, supported by Mental Health America, the National Academy for State Health Policy (NASHP) is showcasing recent state health policy resources to support mental health. An estimated 20.6 percent of adults and 16.5 percent of youth ages 6 to 17 experience a mental health condition each year. The COVID-19 pandemic has exacerbated these needs, negatively impacting the mental health of many children and adults. This resource page provides policy options and considerations for states interested in improving access to high-quality mental health care for youth and adults. These resources are organized into four categories: screening, treatment and delivery systems, reducing inequities, and school-based mental health systems.
Screening
- State Strategies to Measure and Incentivize Adolescent Depression Screening and Treatment in Medicaid
- State Medicaid Policies for Maternal Depression Screening During Well-Child Visits
- Resources on State Medicaid Maternal Depression Screening Tools and Policies
- NASHP Finds More States Are Screening for Maternal Depression during Well-Child Visits
Treatment and Delivery Systems
- State Strategies to Serve Children and Youth in Foster Care through Specialized Medicaid Managed Care Programs
- Three States’ Strategies to Improve Behavioral Health Services Delivery through Medicaid Accountable Care Programs
- Providing Behavioral Health Treatment for Children Through Medicaid Delivery Systems
- States Use Policy Levers and Emerging Research to Address Antipsychotic Use in Children in Foster Care
Reducing Inequities
- Behavioral Health Workforce Innovations: How Massachusetts and New York Engage Community Health Workers and Peers to Address Racial and Ethnic Disparities
- How Supported Employment Can Address Mental Health Inequities in Minority Populations: Five States’ Experiences
- NASHP Identifies State Strategies to Address Mental Health and Education Inequities
School-Based Mental Health Systems
- State Approaches to Improve Comprehensive School Mental Health Systems
- States Expand Medicaid Reimbursement of School-Based Telehealth Services
- Michigan’s Caring for Students Program Leverages Medicaid Funding to Expand School Behavioral Health Services
- Through Coordination and Investment, Arizona Substantially Increases Access to School-Based Behavioral Health Services
Resources to Help States Improve Access to High-Quality Care for Women
/in Policy Featured News Home, Toolkits Maternal Health and Mortality, Maternal, Child, and Adolescent Health /by NASHP StaffResources for States to Address Health Equity and Disparities
/in Policy Toolkits Accountable Health, Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health Health Equity /by NASHP WritersMany states are transforming their health care delivery systems to improve health and control costs. Reducing health disparities — and addressing their social and economic causes — is at the heart of many of these efforts.
State Policy Center for Opioid Use Disorder Treatment and Access
/in Policy Featured News Home, NASHP News, Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, COVID-19, Featured Policy Home, Health Equity, Physical and Behavioral Health Integration, Population Health /by Jodi Manz and Kitty PuringtonResources to Help States Maximize their Hospitals’ Community Benefit Investments
/in Policy Featured News Home, Toolkits Community Benefit, Consumer Affordability, Health Equity, Health System Costs, Hospital/Health System Oversight, Population Health, Social Determinants of Health Community Benefit /by Elinor HigginsTo make sure hospitals’ community benefit investments address community and state health goals, many states are working to ensure that hospitals are held accountable and their investments truly improve community health and advance equity. In return for their tax exemptions, every three years nonprofit hospitals perform community health needs assessments (CHNA) and make investments to address the identified needs.
These resources explain how these investments can be used to improve community engagement, increase accountability, and address social determinants of health. To learn more about NASHP’s workgroup of states working on community benefit issues, or to share your state’s efforts, contact Elinor Higgins.
Equity and Community Involvement Strategies
- Webinar: How States Can Leverage Hospital Community Benefit Policy to Advance Community Health and Equity, April 2021. This webinar explored the legislative and regulatory levers that states have at their disposal to ensure hospitals invest in their communities to improve population health through effective and accountable community benefit investments.
- State Requirements or Guidelines for Community Involvement in Community Health Needs Assessments, April 2019. Nonprofit hospitals are federally required to conduct CHNAs every three years and develop plans to meet those needs in exchange for their tax-exempt status. Many states have laws or guidelines that are more detailed than the federal requirements. This table documents 10 states’ guidelines for involving community members in the CHNA process, as well as their enforcement levers.
- How States Keep Community at the Center of Hospitals’ Community Health Needs Assessments, April 2019. States can work to make sure hospitals truly seek out and act on meaningful input from a wide range of community representatives. This blog and table identify state recommendations and requirements for community involvement, and identify which states have enforcement levers in place for ensuring that requirements are met.
- Lawrence, Massachusetts, Keeps the Community at the Center of Hospital Community Benefits, October 2018. This case study looks at Lawrence, Mass., a city that has struggled with poverty and poor health but that is now a Culture of Health Prize winner due in part to state policies that bolster the city’s efforts to advance health equity and address social needs. These supportive state policies include guidelines governing the local hospital’s community health needs assessments, its community benefits investments, and its determination of need spending.
- How 10 States Keep the ‘Community’ in Hospitals’ Community Health Needs Assessments, April 2019. This infographic depicts 10 states’ guidelines for involving community members in the community health needs assessment process, as well as their enforcement levers.
- States Explore Pivoting Hospital Community Benefit Requirements to Address Disparities Exposed by COVID-19, September 2020. This blog explores how states might use community benefit requirements to address disparities illuminated by the COVID-19 pandemic. One lever state officials have is to require nonprofit hospitals to address health inequities in the community investments they must make in exchange for their significant tax exemptions.
Opportunities for Oversight and Accountability
- How States Can Leverage Hospital Community Benefit Policy to Advance Health Equity, March 2021.
This slide deck explores what roles hospitals should play in their communities and the levers states are now using to hold hospitals accountable for improving community health. - How States Can Hold Hospitals Accountable for their Community Benefit Expenditures, March 2021.
This blog provides an overview of community benefit policy, the lack of federal requirements for community benefit spending and levers available to states to ensure meaningful community benefit investments in communities. - Identifying Gaps in Federal Oversight of Hospitals’ Community Benefit Investments – Opportunities for State Policy. December 2019. The Affordable Care Act created additional community benefit requirements for non-profit hospitals, however opportunities exist for states to strengthen reporting requirements for more meaningful community benefit investments. This blog outlines community benefit federal laws and regulations including community health needs assessments (CHNAs), implementation strategies, activities and enforcement levers.
- States Use a Sharper Lens to Scrutinize Nonprofit Hospitals’ Community Benefit Spending March 2020. This blog highlights a reporting template tool for states to use to better track community benefit hospital expenditures and program outcomes. Reporting requirements from Connecticut, Massachusetts and Oregon are also highlighted.
- State Reporting Templates for Tax-Exempt Hospitals: Community Benefit Expenditures and Program Outcomes, March 2020. Non-profit hospitals are required to submit information on community benefit spending through the Internal Revenue Service’s Form 990 Schedule H. Hospital systems can report data in aggregate and are not required to tie their spending back to community health needs. This tool serves as a guide for states to collect hospital community benefit expenditures and program outcomes for more granular and actionable data.
- States Work to Hold Hospitals Accountable for Community Benefits Spending May 2018. In 2011, non-profit hospitals benefited from at least $24.6 billion in tax exemptions. This blog introduces NASHP’s work on community benefit and outlines how current workgroup states are holding hospitals more accountable for their investments through a variety of policy levers.
Case Studies and State Examples
- Lawrence, Massachusetts, Keeps the Community at the Center of Hospital Community Benefits, October 2018. This case study looks at Lawrence, a city that has struggled with poverty and poor health but is now a Culture of Health Prize winner due in part to state policies that bolster the city’s efforts to advance health equity and address social needs. These supportive state policies include guidelines governing the local hospital’s community health needs assessments, its community benefits investments, and its determination of need spending.
- Oregon and Connecticut Hold Hospitals Accountable for Meaningful Community Benefit Investment, August 2019. This blog highlights how Oregon and Connecticut go beyond the federal community benefit requirements and connect hospital investment to identified community need.
- Hospital Community Benefits Comparison Table for Six New England States, May 2018. This table presents key elements of state hospital community benefits requirements and related state law requirements of interest to states seeking to leverage the community benefits process to improve community health.
- How 10 States Connect their Health Improvement Goals to Hospital Community Benefit Investments November 2020. This resource highlights the goals of 10 states’ health and equity improvement plans, certificate/determination of need processes, and COVID-19 recovery and resilience plans. States can use these goals to connect their hospital community benefit spending to identified community needs.
- States Connect their Health Improvement Priorities to Hospital Community Benefits. November 2020. Community benefit spending by hospitals is estimated at more than $60 billion per year with $2.5 billion allocated to address social determinants of health. This blog addresses existing health improvement plans states can use to direct their hospital community benefit spending to community needs.
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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. 























































































































































