State Health and Value Strategies (SHVS), in partnership with Manatt Health, Georgetown’s Center on Health Insurance Reforms (CHIR), State Health Access Data Assistance Center (SHADAC), Bailit Health, and GMMB developed this resource page to serve as an accessible “one-stop” source of COVID-19 information for states. This resource is designed to support states seeking to make coverage and essential services available to all of their residents, especially high risk and vulnerable people, during the COVID-19 pandemic. SHVS will update this page frequently with new resources as they become available.
|If you have materials you are willing to share with other states through this page, or if there are topics of particular concern that you would like addressed, please contact SHVS.|
CDC released a new study examining the disproportionate impacts of COVID-19 on American Indians and Alaska Natives (AI/AN) in 23 states between January 31 and July 3. The report found: • The cumulative incidence of laboratory-confirmed COVID-19 cases among AI/AN was 3.5 times that of non-Hispanic whites• Compared to whites, a higher percentage of cases among AI/AN individuals were in people under 18 years of age (12.9 percent AI/AN; 4.3 percent white) • A smaller percentage of cases were among AI/AN individuals who are 65 years or older (12.6 percent AI/AN; 28.6 percent white)
This expert perspective provides an update on states’ reporting of health equity data and a summary of CARES Act reporting requirements.
This paper from Families USA and Futures Without Violence urges policymakers to recognize the long term health, social, and economic benefits of upstream investments for children, including those who have experienced trauma, violence or severe adversity, and to fully include children in health care payment and delivery system reform.
This analysis includes several key considerations intended to help state policymakers identify and overcome common barriers associated with integrating and operationalizing CHWs in Medicaid and other state health programs
Considering both the public health crisis and future patient needs, Families USA has assembled state policy recommendations around three themes: 1) improving telehealth financing and implementation models to increase reach; 2) removing provider barriers to increase access to telehealth; and, 3) bridging the digital divide to improve patient access to telehealth services.
This post presents a framework for understanding health disparities during the COVID-19 pandemic, as well as provide short-term and long-term solutions to reduce these disparities.
This expert perspective highlights examples employed by DC Health Link, the Oregon Health Authority, and beWellnm and the community-centered outreach they are using to actively enroll and connect consumers to care. The expert perspective also includes best practices surfaced for marketplaces and agencies to adapt their COVID-19 communications and outreach—and beyond—to ensure those with inequitable access to health coverage are prioritized and supported.
The Committee on Ways and Means Majority at the US House of Representatives authored a report on the stark barriers that communities of color and rural communities face to accessing equitable health care.
HHS’ Office for Civil Rights (OCR) issued guidance to recipients of federal financial assistance on applicable federal civil rights laws and regulations that prohibit discrimination on the basis of race, color, and national origin in HHS-funded programs during COVID-19. In its guidance, OCR identified a range of activities and policies that recipients of federal financial assistance, including state and local agencies, hospitals, and other health care providers, should implement to ensure compliance with Title VI during the public health emergency.
Policy makers can help ameliorate disparities by mandating standardized case and fatality reporting requirements and directing public health agencies to investigate why particular populations, including Asian Americans, face a seemingly heightened risk of death from COVID-19.
Health system leaders and policy makers should take the lead in addressing alarming disparities in COVID-19 deaths.
This memo provides a summary of policy approaches to address the disproportionate impact of COVID-19 on communities of color.
HHS’s Office of Minority Health (OMH) announced the selection of the Morehouse School of Medicine as the awardee for a new $40 million initiative to mitigate COVID-19 in racial and ethnic minority, rural and socially vulnerable communities. The Morehouse School of Medicine will lead the National Infrastructure for Mitigating the Impact of COVID-19 (NIMIC) within Racial and Ethnic Minority Communities initiative– a three-year project designed to engage with national, state, territorial, tribal, and community-based organizations to deliver education and information on resources including COVID-19 testing as well as healthcare and social services. The NIMIC initiative is expected to begin in July and the first award is for $14.6 million.
The Health Opportunity and Equity (HOPE) Initiative, funded by the Robert Wood Johnson Foundation, provides an interactive data tool to help the nation and states to move beyond measuring disparities to spur action toward health equity.
Louisiana Gov. John Bel Edwards announced two co-chairs and appointed members to the Louisiana COVID-19 Health Equity Task Force and several subcommittees.
The state’s Task Force on Business and Jobs Recovery issued an open letter urging business and civic leaders in California to explicitly address racial disparities and focus their recovery policies on equitable and sustainable solutions.
Targeted testing and contact tracing represent a more ethical approach to lifting pandemic restrictions and opening up the economy given limited test supplies.
The New Jersey COVID-19 Information Hub addresses privacy concerns around contact tracing, including around public charge, in their FAQ page.
New COVID-19 data have revealed that Black families face a much higher risk of contracting and dying from the virus. Residents of majority-Black counties have three times the rate of infection and almost six times the rate of deaths as residents of majority-white counties.This paper examines policy pptions for eliminating structural racism in key aspects of Black families’ lives.
Early evidence suggests there are health disparities based on race, gender, and geography in both the contraction of COVID-19 and deaths related to the virus. People of color and those who live in urban centers are faring worse from this pandemic. These higher rates of illness and death are rooted in longstanding, structural inequities in our country. While these inequities cannot be fixed overnight, states can begin to foster a more equitable and just COVID-19 response, relief, and recovery effort by employing a few key guidelines. This expert perspective poses a series of questions states can use to inform immediate actions to strengthen their initial responses and lay the foundation for broader reforms to advance health equity.
On Thursday, May 7, State Health and Value Strategies hosted a webinar that reported on how states are tracking the disproportionate impact of COVID-19 on vulnerable populations and provided a framework for states to examine their COVID-19 response efforts to yield better outcomes for such populations. As the COVID-19 crisis evolves, it has become increasingly clear that vulnerable populations are disproportionately impacted. Unsurprisingly, these disparately affected groups are the same ones that have long experienced stark health disparities, such as communities of color, low income populations, and those that reside in congregate living facilities (nursing homes, jails, shelters, etc.). During the webinar, technical experts from Health Equity Solutions and SHADAC shared findings from recent SHVS publications.
In an effort to address health disparities, the Governor of North Carolina signed an executive order directing resources to historically underutilized businesses, ensuring equitable distribution of pandemic relief funds, and supporting mass testing of migrant farm workers and food processing plant workers.
The Governor of New Jersey signed legislation requiring hospitals to report demographic data to the Department of Health, including age, ethnicity, gender, and race of individuals who have tested positive for COVID-19, who have died from COVID-19, and who have tried to get testing but have been turned away.
In his vision to restart the state economy, Governor Murphy outlined six key principles to guide the process for restoring New Jersey’s economic health by ensuring public health, which included creating the Governor’s Restart and Recovery Commission to advise on the process and recommend responsible and equitable decisions.
Based on recommendations of the Health Disparity Task Force, Governor Tom Wolf announced the state is now collecting sexual orientation and gender identity data as part of the state’s COVID-19 data collection effort.
The Ohio Department of Health created a new position that will build on existing efforts to respond to health inequity by working directly with local communities on their specific long-term health needs and Ohio’s response to COVID-19.
The Wisconsin Department of Health Services (DHS) announced $10 million in funding for health care providers serving the state’s most underserved populations, including rural health clinics, tribal health clinics, community health centers, and free and low cost clinics.
The city of New York hired over 1,700 contact tracers to join their Test & Trace Corp, with 700 of the new hires being from the neighborhoods that have been the hardest hit by COVID-19.
In a letter to the state’s Patient Protection Commission, the Governor of Nevada requested that the Commission develop long-term policy recommendations that address COVID-19 and broader health equity concerns.
In addition to helping New Yorkers safely separate, the city will also support those who are separating at home by designating Resource Navigators, who work with community-based organizations across the city, to help New Yorkers overcome logistical issues such as accessing medicine or clean laundry.
The state of Rhode Island submitted a waiver to CMS to use Medicaid funds to provide food, housing, and mobile phone minutes for people who are housing insecure.
West Virginia is increasing COVID-19 testing access for marginalized populations and those in medically underserved counties, making testing free and available to all residents in the targeted localities.
The state of Virginia is partnering with the City of Richmond to expand access to personal protective equipment in underserved communities.
The Virginia Department of Health and the Health Equity Task Force partnered with a local media outlet to provide information about the next phases of the recovery process and its implications for health equity.
Ohio’s Minority Health Strike Force recommended the hiring of public health workers who reflect the makeup of their own community to expand exposure notification capacity.
The state of New York is expanding access to testing for communities of color and low-income neighborhoods by establishing an initial 24 testing sites at churches in predominantly minority communities in downstate New York.
Recommendations developed by the Connecticut Health Foundation aimed at ensuring the state’s COVID-19 response reaches those who are most at risk.
This report outlines three guiding principles for state policymakers in their equity efforts.
Medicaid agencies can leverage existing and new authorities, enabled through recent COVID-19 federal regulatory flexibilities, to develop a broad plan for addressing disparities in the near-and long-term.
The task force will act in an advisory capacity to the Governor and study the causes of racial disparities in the impact of COVID-19 and recommend actions to immediately address such disparities and the historical and systemic inequities that underlie them.
This brief describes health equity principles for states as they design and implement their responses.
Webinar on racial inequities of COVID-19 and impact on communities of color
The state of Virginia has formed a Health Equity Work Group that is intentionally embedded into the state’s Uniform Command center addressing COVID-19. Both the Work Group and the Taskforce meet on a regular basis and work to apply a health equity lens to each phase of the state’s response, ranging from preparedness to mitigation to recovery.
In April, the state of Ohio formed the Minority Health Strike Force, which is tasked with responding to the disproportionate impact of the Coronavirus on African Americans. The state is now focused on implementing recommendations from the Strike Force.
This comprehensive report begins by describing the link between social injustice and COVID-19 outcomes at the local level, including original analysis of economic and disease data for 11 counties with high Black and Latino populations that are among the hardest-hit counties in the United States. The second section of this report provides an action guide for health equity advocates, identifying short-term policy options that respond to the current pandemic and longer-term policy.
Opinion piece written by Dr. Richard Besser, President and CEO of the Robert Wood Johnson Foundation and former acting director of the Centers for Disease Control and Prevention.
The Social Interventions Research and Evaluation Network (SIREN) at the University of California San Francisco, is a research organization focused on the intersection of medical and social services. In response to the COVID-19 crisis, SIREN has developed a resource center of sites aggregating data about health equity, policy, and social risk related to the coronavirus and related financial crisis.