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View NCSL comment letters on proposed Federal Rules governing multi-state plans, and standards related to the Essential Health Benefits and more. More

Health Reform:  State Actions Newsletter

This newsletter highlights federal health reform actions in the states. View the most recent newsletter and all 55 archive editions. More

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![Cost Brief] Health Cost Containment and Efficiencies: Issue Briefs and articlesArticles/Briefs/ Newsletters5/8/2013 12:00:00 AM/default.aspx?tabid=1920019200Containing Health Costs and Improving Efficiency: An Analysis of State Options -- 16 briefs from an NCSL Health Project.
Bridging the Health Divide SL MagazineArticles/Briefs/ Newsletters6/1/2013 12:00:00 AM/default.aspx?tabid=2623526235Read this article from State Legislatures Magazine to find out how community health workers are helping eliminate costly inequalities.
Small and Large Business Health Insurance: State RolesReports5/10/2013 12:00:00 AM/default.aspx?tabid=1448414484Small businesses now get incentives to offset that they often pay more for employee health benefits because they don't have the buying power of big employers. Large employers will have to offer coverage in most settings as of 2014. This report describes federal and state initiatives to address these groups of businesses and their workers.
State Actions Related to Transparency and Disclosure of Health and Hospital ChargesReports5/8/2013 12:00:00 AM/default.aspx?tabid=1451214512This report describes state and regional efforts to achieve transparency and disclosure of health costs and health quality measures.
State Laws & Actions Challenging Certain Health ReformBill Summaries/ Databases4/23/2013 12:00:00 AM/default.aspx?tabid=1890618906State actions and laws challenging elements of health reforms, updated for 2012-2013.
Health Finance Issues, 2013 editionReports4/20/2013 12:00:00 AM/default.aspx?tabid=1450114501This report provides background and multiple resources on the $2.8 trillion world of US health finance.
State Regulation of compounding pharmaciesBill Summaries/ Databases4/16/2013 12:00:00 AM/default.aspx?tabid=2542125421Learn about state regulation of compounding and specialty pharmacies, with laws, pending bills and the FDA role.
Massachusetts Health Initiatives: 20 Years of ChangeReports4/15/2013 12:00:00 AM/default.aspx?tabid=1454314543Read about the Massachusetts Health Initiatives: health reform and cost containment across 20 Years of Change
HSAs- Health Savings Accounts and the StatesBill Summaries/ Databases4/1/2013 12:00:00 AM/default.aspx?tabid=1446214462Health Savings Accounts (HSAs) and High-Deductible Health Plans (HDHPs) have spread in the past eight years, with new laws and evolving practices in virtually all 50 states.
Hospitals and State LegislaturesReports4/1/2013 12:00:00 AM/default.aspx?tabid=1436814368An overview of facts and resources about hospitals - which CMS projected that 30.8% of all national health expenditures in the U.S. go to hospitals
Fighting Medicaid Fraud SL MagazineArticles/Briefs/ Newsletters4/1/2013 12:00:00 AM/default.aspx?tabid=2595225952Read this story from State Legislatures Magazine to learn how states are sniffing out Medicaid swindlers and saving money
[Cost Brief] All-Payer Claims Database- Health Cost ContainmentReports3/31/2013 12:00:00 AM/default.aspx?tabid=1992919929All-Payer Claims Database (APCD) as tool to control healthcare costs through healthcare data collection.
Health Costs: Recent News and ReportsReports3/22/2013 12:00:00 AM/default.aspx?tabid=2126621266Health Costs: Recent News and Reports, with latest news updated March 2013
LegisBrief: Reducing Correctional Health Care SpendingArticles/Briefs/ Newsletters3/22/2013 12:00:00 AM/default.aspx?tabid=2598025980States are constitutionally required and court ordered to provide adequate medical care for inmates. To stem the tide of correctional health care spending, states are adopting various policy reforms to both reduce costs and ensure quality.
Congressional Research Service Reports on Health Care Reform Reports3/21/2013 12:00:00 AM/default.aspx?tabid=2103321033Provides a link to a number of CRS reports related to health care . Updated March 21, 2013.
[Cost Brief] Global Payments to Health Providers- Health Cost ContainmentReports3/1/2013 12:00:00 AM/default.aspx?tabid=1993119931Global Payments to Health Providers
CON-Certificate of Need State LawsReports3/1/2013 12:00:00 AM/default.aspx?tabid=1437314373Certificate of Need (C.O.N.) programs are aimed at restraining health care facility costs and allowing coordinated planning of new services and construction. Laws authorizing such programs are one mechanism by which state governments seek to reduce overall health and medical costs.
Health Provider and Industry State Taxes and FeesReports2/24/2013 12:00:00 AM/default.aspx?tabid=1435914359This report details state health provider fees, taxes and assessments; also similar fees on insurers, most of which impact Medicaid funding.
Medicaid Program Integrity: Fighting Fraud, Waste and AbuseArticles/Briefs/ Newsletters2/18/2013 12:00:00 AM/default.aspx?tabid=2585625856Fraud, waste and abuse in the Medicaid program divert taxpayer dollars that otherwise would be spent on legitimate health care. In order to ensure proper expenditure of public funds, states are at the forefront of preventing, detecting and deterring improper practices and payments.
[Cost Brief] Accountable Care Organizations- Health Cost ContainmentReports2/15/2013 12:00:00 AM/default.aspx?tabid=1992719927Accountable Care Organizations (ACOs)- Health Cost Containment brief and resource list, updated for 2013.
2013 Top Issues Webinar Series: The Health Reform Expansion, Taming Costs and MoreMultimedia2/5/2013 12:00:00 AM/default.aspx?tabid=2558425584The Patient Protection and Affordable Care Act expanded Medicaid to people at or below 133 percent of federal poverty guidelines. But the June 2012 Supreme Court ruling effectively made this expansion optional for states. Learn how states are dealing with issues related to the act, and hear about state innovations aimed at improving the value of Medicaid for both the taxpayer and beneficiaries.
Marketing and Advertising of PharmaceuticalsBill Summaries/ Databases2/1/2013 12:00:00 AM/default.aspx?tabid=1446114461This report describes state laws and actions to restrict or require disclosures of drug marketing over the past decade.
State Employee Health Benefits, NCSLReports1/31/2013 12:00:00 AM/default.aspx?tabid=1434514345A compendium of facts and resources on the states' employee health benefit plans.
Health Insurance PremiumsReports1/31/2013 12:00:00 AM/default.aspx?tabid=1451414514Examine actual health insurance premiums - national and states, 2004 to 2011 with links to best primary sources.
Rural Health in America: Challenges and Opportunities for State LegislatorsMultimedia1/11/2013 12:00:00 AM/default.aspx?tabid=2539725397In this video, you will hear directly from state legislators about the challenges and opportunities facing rural health care delivery today.
Bulk Purchasing of Prescription Drug - NCSL 2012Reports1/2/2013 12:00:00 AM/default.aspx?tabid=1446414464This report describes state-based prescription drug bulk purchasing laws and programs in 30+ states. Most operational programs focus on Medicaid purchases. Two states have opened programs to the general public. Other initiatives use inter-state cooperation for evidence-based evaluation of drug products.
Medicaid Payment ReformArticles/Briefs/ Newsletters12/10/2012 12:00:00 AM/default.aspx?tabid=2542025420Medicaid Payment Reform
[Cost Brief] Medical Homes - Health Cost Containment Reports11/21/2012 12:00:00 AM/default.aspx?tabid=1993619936Medical Homes - Health Cost Containment
Medication Adherence: Taking Pills as OrderedReports11/15/2012 12:00:00 AM/default.aspx?tabid=2028720287Medication Adherence: Taking Pills Safely as Ordered
[Cost Brief] Health Care Provider Patient Safety- Health Cost ContainmentArticles/Briefs/ Newsletters11/1/2012 12:00:00 AM/default.aspx?tabid=1994019940Health Care Provider Patient Safety- Health Cost Containment
[Cost Brief] Medical Malpractice Reform- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1994119941Medical Malpractice Reform- Health Cost Containment
[Cost Brief] Health Cost Containment: State Initiatives & Federal Health ReformReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993719937State Health Cost Containment and Health Reforms in PPACA.
[Cost Brief] Prescription Drugs Overview, Generics, Brands & Purchasing Agreements- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993419934Prescription Drugs Overview; Use of Generics and Brand Name Discounts; Prescription Drug Agreements and Volume Purchasing
[Cost Brief] Episode-of-Care Payments - Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993019930Episode-of-Care and "Bundled" Payments for Health Cost Containment
[Cost Brief] Administrative Simplification- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1992619926Administrative Simplification in the Health System - Health Cost Containment
The Medical Home Model of Care: Reducing Costs and Improving QualityArticles/Briefs/ Newsletters9/28/2012 12:00:00 AM/default.aspx?tabid=2530525305Because Medicaid is consuming a growing portion of state budgets, many states are turning to the medical home model to improve the quality of health care and contain costs.
Health Insurance Medical Loss Ratios (State Implementation Report)Bill Summaries/ Databases9/20/2012 12:00:00 AM/default.aspx?tabid=2178021780Information about Health Insurance Medical Loss Ratios (MLRs) including existing state laws and new ACA-related provisions
The Medical Home Model of CareReports9/13/2012 12:00:00 AM/default.aspx?tabid=1772317723The Medical Home Model of Care
Health Insurance Rate Approval / Disapproval (State Implementation Report)Bill Summaries/ Databases9/12/2012 12:00:00 AM/default.aspx?tabid=1978719787Health Insurance State Rate Approval and Disapproval, including 50-state laws, bills and new federal HHS-approved rate procedures, updated fall 2011.
Unhealthy DifferencesArticles/Briefs/ Newsletters9/1/2012 12:00:00 AM/default.aspx?tabid=2518925189The health care system needs to work smarter, not harder, to eliminate health disparities. Read this article to learn more about steps state lawmakers are taking to reduce disparities among various groups.
Health Costs: Improving the Bottom Line Articles/Briefs/ Newsletters8/22/2012 12:00:00 AM/default.aspx?tabid=1994319943Health Costs - resources for State Legislatures articles June-July-August 2012
[Cost Brief] Combating Health Care Fraud and Abuse - Health Cost ContainmentReports8/8/2012 12:00:00 AM/default.aspx?tabid=1993519935Combating Health Care Fraud and Abuse - Health Cost Containment
Great Ideas for Cutting Costs in HealthArticles/Briefs/ Newsletters7/16/2012 12:00:00 AM/default.aspx?tabid=2499124991Six more strategies to manage the rising costs of health care.
The Federal Health PulseArticles/Briefs/ Newsletters6/15/2012 12:00:00 AM/default.aspx?tabid=2472524725Information on Federal actions of concern or interest of states.
Health: Improving the Bottom Line - State Legislatures MagazineArticles/Briefs/ Newsletters6/1/2012 12:00:00 AM/default.aspx?tabid=2476224762Lawmakers, businesses and health care providers are trying an array of approaches to curb the long-term costs of health care.
Confronting CostsArticles/Briefs/ Newsletters6/1/2012 12:00:00 AM/default.aspx?tabid=2476424764Medicaid spending is at the top of many legislative agendas.
2011-2012 State Cigarette Excise TaxesReports6/1/2012 12:00:00 AM/default.aspx?tabid=2387623876State Cigarette Excise Taxes: 2011-2012: Tables and Maps
Medicaid Fraud and AbuseReports5/1/2012 12:00:00 AM/default.aspx?tabid=2382723827Overview of fraud and abuse in Medicaid.
A Medical NeighborhoodArticles/Briefs/ Newsletters5/1/2012 12:00:00 AM/default.aspx?tabid=2461524615Accountable care organizations could solve some of health care’s biggest problems, but they’re largely untested.
Chronic Cost of DiabetesArticles/Briefs/ Newsletters4/1/2012 12:00:00 AM/default.aspx?tabid=2452324523Effectively treating this epidemic could mean big savings for states and healthier patients.
[Webinar] Containing Medicaid Costs: Moving Toward Medicaid Managed CareMultimedia3/23/2012 12:00:00 AM/default.aspx?tabid=24508245082012 Webinar - Containing Medicaid Costs: Moving Toward Medicaid Managed Care
Medication Therapy Management: Health, Safety and SavingsReports3/10/2012 12:00:00 AM/default.aspx?tabid=1906419064Prescription drug policy: Medication Therapy Management - combining Health, Safety and Savings.
Saving Money and Improving Care by Integrating Health Care Articles/Briefs/ Newsletters2/7/2012 12:00:00 AM/default.aspx?tabid=2426824268Since many Medicaid patients with several physical problems also have a behavioral health issue, integrating the care of their physical problems with their behavioral health needs is vital. Doing so can save states money while improving patients’ health.
Federal Health Legislation 2011Bill Summaries/ Databases12/13/2011 12:00:00 AM/default.aspx?tabid=1473414734NCSL summary of pertinent federal legislation from the U.S. Congress.
Health Disparities LawsBill Summaries/ Databases12/9/2011 12:00:00 AM/default.aspx?tabid=2128721287State laws related to health disparities.
Health Care Discount Plans: State Roles and RegulationBill Summaries/ Databases12/1/2011 12:00:00 AM/default.aspx?tabid=1753917539A state by state examination of regulations aimed at health discount plans which generally are not actually insurance.
[Cost Brief] Public Health and Cost Savings - Health Cost ContainmentReports11/18/2011 12:00:00 AM/default.aspx?tabid=1993919939Public Health, Prevention Programs and Cost Savings - Cost Containment Series
[Cost Brief] Employer-Sponsored Health Promotion Programs- Health Cost ContainmentReports11/17/2011 12:00:00 AM/default.aspx?tabid=1993819938Employer-Sponsored Health Promotion Programs, including Worksite Wellness, Brief 13 in the Cost Containment series.
State Roles in Health Reform Provisions Related to InsuranceReports10/20/2011 12:00:00 AM/default.aspx?tabid=2331523315State Roles in Health Reform Provisions Related to Insurance
Evidence-Based CareMultimedia10/7/2011 12:00:00 AM/default.aspx?tabid=2366423664Evidence-Based Care
Value-Based Insurance DesignReports9/2/2011 12:00:00 AM/default.aspx?tabid=2176521765Overview of Value-Based Insurance Design
Diverting Costly Emergency Room Visits to Health CentersArticles/Briefs/ Newsletters8/31/2011 12:00:00 AM/default.aspx?tabid=2353923539Nonemergency visits to emergency rooms by uninsured patients can cost as much as seven times more than a visit to a health center.
[2011 Legislative Summit] States Opting Out: Health Reform Challenges, Waivers and AlternativesMultimedia8/10/2011 12:00:00 AM/default.aspx?tabid=2358123581States Opting Out: Health Reform Challenges, Waivers and Alternatives
[Summit 11] Evidence-Based Care: Better Bang for the Buck?Multimedia8/9/2011 12:00:00 AM/default.aspx?tabid=2340023400Evidence-Based Care: Better Bang for the Buck?
Mandated Health Insurance Benefits and State Laws: OverviewReports7/20/2011 12:00:00 AM/default.aspx?tabid=1446314463For more than two decades, Legislators regularly debate whether mandates ensure adequate protection for their constituents or further simply increase their health care costs. Here are some links that provide background, information and examples of legislation regarding mandated coverage
Cafeteria plans used by states to provide health insuranceReports5/13/2011 12:00:00 AM/default.aspx?tabid=1451514515In the past five years, several states are experimenting with a new use for an old idea, aimed at lowering costs for both employees and their employers. Section 125 cafeteria plans were designed as an optional feature for employers; cafeteria plans allow employees to pay for a variety of health care expenses without paying any federal tax on those charges. The result can be a savings of between 25% and 40% of every dollar the employee contributes to his or her plan.
State Diabetes Budgets - FY 2011Reports5/1/2011 12:00:00 AM/default.aspx?tabid=2193021930State Diabetes Budgets- FY 2011
Employer and Individual Tax Incentives to Offer Health InsuranceBill Summaries/ Databases4/15/2011 12:00:00 AM/default.aspx?tabid=1395613956Employer Tax Incentives and Credits to Offer Health Insurance
Improving Women's Health: State Policy OptionsArticles/Briefs/ Newsletters3/25/2011 12:00:00 AM/default.aspx?tabid=2211722117Improving Women's Health: State Policy Options
State Legislation and Actions Challenging Certain Health Reforms, 2009-2010Bill Summaries/ Databases3/1/2011 12:00:00 AM/default.aspx?tabid=2237522375State Legislation and Actions Challenging Certain Health Reforms, 2009-2010
[Cost Brief] Performance-Based Health Care Provider Payments- Health Cost ContainmentArticles/Briefs/ Newsletters1/31/2011 12:00:00 AM/default.aspx?tabid=1993319933Performance-Based Health Care Provider Payments- Health Cost Containment
In Brief: Alzheimer'sArticles/Briefs/ Newsletters1/20/2011 12:00:00 AM/default.aspx?tabid=2207622076The cost of caring for Alzheimer's patients is mounting.
Managed Care and the StatesReports1/6/2011 12:00:00 AM/default.aspx?tabid=1447014470Managed Care, both HMOs and PPOs remains the most widespread kind of health insurance in the U.S. State laws and concern about costs make this a major topic for policymakers.
[Fall Forum 2010] Health Costs: New Payment Reform ApproachesMultimedia12/8/2010 12:00:00 AM/default.aspx?tabid=2184821848Health Costs: New Payment Reform Approaches
[Cost Brief] Equalizing Health Provider Rates: All-Payer Rate Setting- Health Cost ContainmentReports11/9/2010 12:00:00 AM/default.aspx?tabid=1992819928Equalizing Health Provider Rates: All-Payer Rate Setting- Cost Containment
2010 State Implementation of Federal Health Reform (State Activity)Bill Summaries/ Databases11/8/2010 12:00:00 AM/default.aspx?tabid=2023120231This page tracks state implementation of the 2010 federal health reform law.
[LegisBrief] Health Disparities and the Affordable Care ActArticles/Briefs/ Newsletters10/12/2010 12:00:00 AM/default.aspx?tabid=2144021440The 2010 Affordable Care Act contains provisions that could help state policymakers reduce gaps in the quality of health and health care.
[LegisBrief] Health Costs: A New Look at Payment Health Reform OptionsArticles/Briefs/ Newsletters10/12/2010 12:00:00 AM/default.aspx?tabid=2144221442States and the federal government are working to contain the increasing costs of health services. Some health payment reforms may improve efficiency
ICD-10 Code ImplementationReports9/15/2010 12:00:00 AM/default.aspx?tabid=2128421284ICD-10 Code Implementation: Frequently Asked Questions
[Cost Brief] Pooling Public Employee Health Care- Health Cost ContainmentReports9/2/2010 12:00:00 AM/default.aspx?tabid=1993219932Efforts to combine or merge state with local, county, or education public employees.
[Summit 2010] Achieving Value and Cost Effective Care in Today's Health Care ClimateMultimedia7/28/2010 12:00:00 AM/default.aspx?tabid=2091120911Achieving Value and Cost Effective Care in Today's Health Care Climate Session. Dr. Brent James, internationally known for his work in clinical quality improvement and patient safety, discusses how improving health quality provides better patient care and saves costs.
[Summit 2010] The Future of Nursing and Primary Care: Implications for StatesMeetings7/27/2010 12:00:00 AM/default.aspx?tabid=2096320963The Future of Nursing and Primary Care: Implications for States - a Legislative Summit 2010 Session
Lessons from the Pioneers: Reporting Healthcare-Associated InfectionsReports7/27/2010 12:00:00 AM/default.aspx?tabid=2087520875Examines challenges, successes, and lessons learned from nine states that require health care facilities to publicly report healthcare-associated infections.
[Summit 2010] The Innovator's Prescription: A Disruptive Solution to the Health Care CrisisMeetings7/26/2010 12:00:00 AM/default.aspx?tabid=2090720907The Innovator's Prescription: A Disruptive Solution to the Health Care Crisis; a July 2010 Legislative Summit session
[Summit 2010] Achieving Value and Cost Effective Care in Today's Health Care ClimateMultimedia7/26/2010 12:00:00 AM/default.aspx?tabid=2094920949Dr. Brent James, internationally known for his work in clinical quality improvement and patient safety, discusses how improving health quality provides better patient care and saves costs.
[Summit 2010] Taming Health Costs: States Making a DifferenceMultimedia7/25/2010 12:00:00 AM/default.aspx?tabid=2079520795Taming Health Costs: States Making a Difference Session
[Bookstore] Health Cost Containment and Efficiencies: 10 NCSL Briefs for State LegislatorsBooks7/20/2010 12:00:00 AM/default.aspx?tabid=2086320863This 10-brief series discusses various aspects of health care payment and purchasing reforms. The briefs examine options for containing or reducing health costs and improving efficiency in health care.
2010 State Cigarette Excise TaxesReports7/1/2010 12:00:00 AM/default.aspx?tabid=1434914349State Cigarette Excise Taxes tables and map.
2009-10 Proposed State Tobacco Tax LegislationBill Summaries/ Databases5/19/2010 12:00:00 AM/default.aspx?tabid=13862138622009-2010 Proposed State Tobacco Tax Increase Legislation, including new 2010 laws in Hawaii, New Mexico, South Carolina and Utah.
[Fall Forum 09] Containing Health Costs and Improving Efficiency: Audio + SlidesMultimedia5/15/2010 12:00:00 AM/default.aspx?tabid=1933319333States are struggling to maintain an array of health programs and payment obligations that cost more than 30 percent of many state budgets. A new NCSL project is evaluating two dozen promising practices that may "bend the cost curve" toward affordability for the long term to see if any might produce immediate savings. Hear from the project's top researchers and preview the first several study papers.
[Webinar] Grant and Funding Opportunities: What Legislators Need to Know Multimedia5/14/2010 12:00:00 AM/default.aspx?tabid=2033020330What Legislators Need to Know about Funding and Grant Opportunities
[LegisBrief] Medication Therapy Management: Catching Errors, Saving Lives and MoneyArticles/Briefs/ Newsletters1/12/2010 12:00:00 AM/default.aspx?tabid=1952019520Because providers and prescribers may be unaware of all medications a patient takes, states can offer medication therapy management as a reimbursed professional service.
SL Mag: Improving the OddsArticles/Briefs/ Newsletters8/21/2009 12:00:00 AM/default.aspx?tabid=1835718357Dozens of states aim to help minorities and low-income residents receive better medical care and live healthier lives.
Healthcare-Associated Infections HomepageBill Summaries/ Databases6/1/2009 12:00:00 AM/default.aspx?tabid=1408414084This summary map and searchable database includes state laws pertaining to healthcare-associated infections. Currently, laws enacted from 2006 through 2008 are included.
[SL Magazine] Managing the Medicaid MessArticles/Briefs/ Newsletters4/2/2009 12:00:00 AM/default.aspx?tabid=1665916659States are facing growing numbers of people in need of medical care, and even billions from the economic recovery package will not solve all their problems.
[LegisBrief] Retail Store Health ClinicsArticles/Briefs/ Newsletters4/1/2009 12:00:00 AM/default.aspx?tabid=1830818308Although retail health care clinics located in supermarkets and drug stores are convenient and affordable, state regulation of them is limited.
State Initiatives to Reduce Medication Errors-NCSLBill Summaries/ Databases1/31/2009 12:00:00 AM/default.aspx?tabid=1443714437Several laws enacted and bills considered aim to reduce medication error. They anticipate problems and use state powers to provide some solutions, 2003-2008
Medicare Nonpayment for Hospital Acquired ConditionsReports8/15/2008 12:00:00 AM/default.aspx?tabid=1474714747Medicare Procedures for Nonpayment for Hospital Acquired Conditions.
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