News & Insights

The COVID 19 Public Health Emergency (PHE) has been in effect since January 28, 2020. The original declaration lasted 90 days and has been extended repeatedly – but it won’t last forever. And the end of the PHE is going to cause serious upheaval in state Medicaid programs. The federal Centers for Medicare and Medicaid Services has been issuing guidance and toolkits to help states as they return to pre-pandemic enrollment and operations.

Poor oral health is linked to several chronic diseases, including diabetes, heart disease, and stroke. While states are required to provide dental benefits to children covered by Medicaid, they can choose whether to provide dental benefits to adults. A bill recently signed by Maryland’s Governor fills a gap in access to dental care for adults that has been missing in Maryland and is still missing in many other states across the country. The bill requires Maryland Medicaid to cover adult dental services, including diagnostic, preventive, restorative, and periodontal services.

Expensive prescription medications impose serious costs on patients and health systems alike. Yet, despite bipartisan support, Congress has been unable to pass prescription drug pricing reform. With federal legislation stalled, states remain a vibrant source of experimentation. Often, however, the most expensive medications are patented which raises complex legal questions for states.

More than 13.8 million U.S. households lack the necessary food and nutrition to live an active and healthy life. The Supplemental Nutrition Assistance Program (SNAP) provides financial benefits to qualified individuals that can be used to purchase food. These benefits are based on the USDA’s Thrifty Food Plan (TFP), which was last revised in 2006. A January 2021 Biden Administration Executive Order urging the USDA to promptly update the TFP to reflect the current cost of food resulted in a 21 percent increase in SNAP benefits.

In the debate about how to incorporate cultural differences (which are often deeply intertwined with racial identity) into dominant social structures to create just outcomes, cultural healing often receives little attention. Cultural healing reconnects people to the vibrancy and strengths of their culture and in doing so, enhances health and wellness. However, embedding cultural healing practices will require legal reforms that institutionalize culturally inclusive practices.

As we enter the third year of COVID-19, we are seeing the transition from a pandemic to an endemic. With this shift comes the staged termination of public health emergency measures used to respond to COVID-19 and its variants. Unknown is how our existing legal framework will bring about the end of the pandemic measures consistent with appropriate oversight by legislative and executive branches. New Mexico provides one example of what this transition might look like.

Cultural Broker programs provide culturally relevant, community-based, accessible, preventive health care that is crucial to reducing health disparities and decreasing costs. However, legal frameworks and reimbursement models often fail to capture the essence of community-oriented preventive models of care.

Barring a new COVID surge, all indications are that the Biden Administration will declare an end to the COVID public health emergency (PHE) sometime this year. Over the course of the pandemic, a PHE has been declared and extended at 90-day intervals. Unwinding of the PHE will be a critical event for Medicaid stakeholders.

Financial disparities exist in a multitude of areas including home ownership, credit scores, and access to banking services; and are linked to health disparities in maternal and child health, mental health, and substance use disorders. Community organizations can play a role in reducing these disparities by providing financial education and planning, increasing access to banking services, and providing help for those who find themselves in the grip of predatory lenders and payday loans.

Financial disparities exist in a multitude of areas including home ownership, credit scores, and access to banking services; and are linked to health disparities in maternal and child health, mental health, and substance use disorders. Community organizations can play a role in reducing these disparities by providing financial education and planning, increasing access to banking services, and providing help for those who find themselves in the grip of predatory lenders and payday loans.

The Network for Public Health Law (Network) today announced that its National Director, Donna E. Levin, is retiring July 1 after a remarkable career which spanned 44 years in public health law, eight of those at the Network. Donna will be integral to guiding the leadership transition process for the Network over the next four months.

A competent and diverse public health law workforce is essential to accomplishing health equity goals. Yet the public health law field—like the public health field generally—has struggled to create and maintain a robust and racially diverse workforce. Several barriers to entering the field, such as financial impediments, historic and persistent racial disparities that create a lack of mentorship for young attorneys of color, and a dearth of full-time, accessible job opportunities, may hint at possible approaches to expanding and strengthening the public health law workforce for the future.