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State Health Notes
July 2003 Issues

Volume 24, Number 401: July 28, 2003

COVER STORY    
Protecting patient privacy and improving the administrative efficiency of the health care system  are two key goals of the 1996 law known as HIPAA. But the task of complying continues to bedevil both states and private sector providers.

PRIMARY CARE NEWS  
On July 1, California issued first-of-their-kind RN-to-patient ratios. The state nurses association says the new rules will improve patient safety but hospitals say they could result in closed beds or longer waits for care.

HIGHLIGHTS             
Medicaid waiver reviews…KY limits on nursing home care… NY disability waiver... IL SCHIP expansion… NC Blues conversion effort … Access to care reports… Malpractice caps...SD provider recruitment effort… AZ anti-smoking campaign …Health center funds… DE consumer fraud law…AK cash assistance program for seniors

TRACKING TRENDS       
Nursing homes are facing stiff increases in liability insurance rates. Lawmakers are looking at a variety of reforms to assure availability.

FYI                                  
As part of the 1996 welfare reform act, those convicted of drug-related crimes face a lifetime ban on benefits. A look at how the policy affects women when they get out of prison. 

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Volume 24, Number 400: July 14, 2003

COVER STORY           
Tight state budgets may be endangering recent gains in the expansion of home and community long-term care services. While Medicaid is absorbing most of the hit, state-financed program are also targets. A close-up look at activities in Oregon and Missouri.

FOCUS ON         
Legislators are often reluctant to raise taxes but in cash-strapped times, they’re making an exception for “sin taxes.” A list of tobacco, alcohol tax hikes in 2002& 2003.

HIGHLIGHTS           
Quality of care study… TX prompt payment law… Malpractice reform update in FL, MO, PA… ME Rx law implementation… IL Rx “discount” club… FL Rx threat protection law… Public smoking bans in ME, FL, AL … Oral health partnership… Child car seat law in LA… Teen drinking

TRACKING TRENDS           
In tight budget times, everything’s under the gun, including Rx drugs for mental health conditions. Some states are building in protections.

FYI                                               
Louisiana’s Assistive Technology Access Network has begun a new loan program to help residents with disabilities buy adaptive equipment.

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