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Health Equity Resources for States

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State Health and Value Strategies (SHVS), in partnership with Manatt Health, Health Equity Solutions, Georgetown’s Center on Health Insurance Reforms (CHIR), the State Health Access Data Assistance Center (SHADAC), Bailit Health, and GMMB, developed this resource page to serve as an accessible “one-stop” source of health equity information for states. This resource is designed to support states seeking to make coverage and essential services available to all of their residents, regardless of where they live, how much money they make, or discrimination they face. SHVS will update this page frequently with new resources as they become available.

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Other Resources Health Equity

Addressing Racial Equity in Vaccine Distribution

With the possibility of a COVID-19 vaccine growing closer, increasing attention is focused on how it may be distributed, a responsibility that will largely fall to state, territorial, and local governments. Preventing racial disparities in uptake of a COVID-19 vaccine will be important for helping to mitigate the disproportionate impacts of the virus for people of color and preventing widening racial health disparities going forward. Moreover, reaching high vaccination rates across individuals and communities will be key for achieving broader population immunity through a vaccine. This brief provides an overview of barriers to vaccination that disproportionately affect people of color and discusses how current national recommendations and state vaccine allocation plans address racial equity.

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Date Created: Feb 17, 2021
Other Resources Health Equity

Advancing Equity in the Nation’s COVID-19 Public Health Response and Recovery Efforts: Options for a New Administration

The presidential transition and the incoming Biden-Harris administration’s commitment to addressing the equity issues associated withtheCOVID-19pandemicprovide an opportunity to identify programmatic and policy approaches that can ensure the kind of participation in containment and prevention strategies that will address the disproportionate disparities we see every day.

This paper identifies the services that are essential to an equity-centric approach totheCOVID-19pandemic, as well as the infrastructure and workforce needed to ensure these services are available and have an equity focus.It reviews a set of administrative and legislative steps that the new presidential administration can take to strengthen the immediate response to the pandemic and address the long-term health and social needs the pandemic has exacerbated. Finally, it offers a strategy for “building back better” in the long term.

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Date Created: Feb 17, 2021
Other Resources Health Equity

Closing Postpartum Coverage Gaps and Improving Continuity and Affordability of Care through a Postpartum Medicaid/CHIP Extension

The current public health insurance landscape for postpartum women leaves many new mothers uninsured during the first year after pregnancy, because eligibility for pregnancy-related Medicaid/Children’s Health Insurance Program (CHIP) coverage ends 60 days after pregnancy ends. In this report, we assess how many uninsured new mothers would likely benefit from a 12-month postpartum Medicaid/CHIP extension. Using 2016–18 American Community Survey data and 2020 Medicaid/CHIP eligibility rules, we find that approximately 28 percent of the nation’s estimated 440,000 women uninsured during the first year postpartum, or 123,000 new mothers annually, would likely be newly eligible for Medicaid/CHIP if pregnancy-related coverage were extended for 12 months postpartum. An additional 27 percent of uninsured new mothers are likely already eligible for Medicaid but not enrolled, and 15 percent would likely be eligible for subsidized Marketplace coverage. Postpartum extension could help ensure many new mothers’ access to needed health care during the critical postpartum period.

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Date Created: Feb 17, 2021
Other Resources Health Equity

The Public Health Insurance Landscape for Pregnant and Postpartum Women

Concerns about maternal morbidity and mortality in the US have focused attention on uninsurance during the first year after pregnancy and fueled efforts to improve access to postpartum coverage. In this report, we assess the current public health insurance landscape for pregnant and postpartum women, including Medicaid, the Children’s Health Insurance Program (CHIP), and subsidized Marketplace coverage; recently proposed state and federal legislation to extend postpartum coverage; and how much such legislation could expand the coverage landscape for new mothers. Under current subsidized coverage options, gaps remain for many women, and extending pregnancy-related Medicaid/CHIP coverage from 60 days to 12 months postpartum could considerably expand new mothers’ coverage options in most states and promote continuous care during the postpartum period.

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Date Created: Feb 17, 2021
Other Resources Health Equity

Closing Postpartum Coverage Gaps and Improving Continuity and Affordability of Care through a Postpartum Medicaid/CHIP Extension

The current public health insurance landscape for postpartum women leaves many new mothers uninsured during the first year after pregnancy, because eligibility for pregnancy-related Medicaid/Children’s Health Insurance Program (CHIP) coverage ends 60 days after pregnancy ends. In this report, we assess how many uninsured new mothers would likely benefit from a 12-month postpartum Medicaid/CHIP extension. Using 2016–18 American Community Survey data and 2020 Medicaid/CHIP eligibility rules, we find that approximately 28 percent of the nation’s estimated 440,000 women uninsured during the first year postpartum, or 123,000 new mothers annually, would likely be newly eligible for Medicaid/CHIP if pregnancy-related coverage were extended for 12 months postpartum. An additional 27 percent of uninsured new mothers are likely already eligible for Medicaid but not enrolled, and 15 percent would likely be eligible for subsidized Marketplace coverage. Postpartum extension could help ensure many new mothers’ access to needed health care during the critical postpartum period.

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Date Created: Feb 9, 2021
Other Resources Health Equity

The Public Health Insurance Landscape for Pregnant and Postpartum Women

The Public Health Insurance Landscape for Pregnant and Postpartum Women

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Date Created: Feb 9, 2021
Other Resources Health Equity

Advancing Equity in the Nation’s COVID-19 Public Health Response and Recovery Efforts: Options for a New Administration

This paper identifies the services that are essential to an equity-centric approach to the COVID-19 pandemic, as well as the infrastructure and workforce needed to ensure these services are available and have an equity focus. It reviews a set of administrative and legislative steps that the new presidential administration can take to strengthen the immediate response to the pandemic and address the long-term health and social needs the pandemic has exacerbated. Finally, it offers a strategy for “building back better” in the long term.

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Date Created: Jan 14, 2021
Other Resources Health Equity

Immigrant Access to COVID-19 Vaccines: Key Issues to Consider

This brief provides an overview of key issues to consider for reaching noncitizen immigrants as part of COVID-19 vaccination efforts.

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Date Created: Jan 14, 2021
Federal Resources Health Equity

Chairman Neal and Ways and Means Committee Democrats Release Report Examining Longstanding Inequities in American Health System

Today, House Ways and Means Chairman Richard E. Neal (D-MA) released a staff report, titled “Left Out: Barriers to Health Equity for Rural and Underserved Communities” that analyzes the barriers to health care in underserved communities and discusses the challenges associated with scalable and sustainable solutions. From massive geographic coverage deficiencies to structural environmental factors, the report examines the realities millions of Americans face that adversely affect their health.

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Date Created: Jan 12, 2021
Other Resources Health Equity

Building Racial Equity Into The Walls Of Health Policy

A new Health Affairs blog post authored by Dr. Nathan Chomilo, Medical Director for the State of Minnesota’s Medicaid program and a practicing pediatrician and an internal medicine hospitalist with Park Nicollet Health Services/HealthPartners, highlights how racial equity can be built into research and policy and why this is important step as states and policymakers seek to dismantle structure racism in the health care system. Dr. Chomilo notes several examples of how stakeholders can assess research and policy for racial equity at the start. These examples include requiring a racial equity assessment at the start of the development of research proposals aimed at answering policy questions to help ensure investigators have, at the very least, stopped to ask how their work may or may not contribute to structural racism or advance racial justice and improving and standardizing ways to collect race, ethnicity, and language demographic data for not only public payers such as Medicare and Medicaid but all health insurers, social safety-net programs, and education systems.

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Date Created: Dec 4, 2020
Other Resources Health Equity

Infographic: Systemic Racism & Health Care, COVID & Treatment

This infographic explores the history of racial bias and discrimination in health care and during the pandemic, and highlights strategies to address systemic racism and improve health outcomes.

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Date Created: Dec 3, 2020
Other Resources Health Equity

Introduction to “COVID-19:Politics, Inequalities, and Pandemic”

A collection of essays from various authors which is JHPPL’s first effort to make sense of the pandemic as a political, social, and comparative phenomenon that is likely to redefine public health, health policy,and health care politics for years to come.

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Date Created: Nov 23, 2020
Other Resources Health Equity

Energy, Water and Broadband: Three Services Crucial To Health Equity

Blog post that explores health inequities tied to lack of access to energy, water and broadband

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Date Created: Oct 8, 2020
Federal Resources Health Equity

CDC Data Show Disproportionate COVID-19 Impact in American Indian/Alaska Native Populations

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)

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Date Created: Aug 25, 2020
Other Resources Health Equity

Health Equity: What We Can Learn from the World

Three reports that profile solutions from abroad.

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Date Created: Oct 8, 2020
Other Resources Health Equity

Addressing Racial Health Disparities In The COVID-19 Pandemic: Immediate And Long-Term Policy Solutions

This post will present 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.

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Date Created: Jul 24, 2020
Other Resources Health Equity

Health Affairs: Asian Americans Facing High COVID-19 Case Fatality

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.

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Date Created: Jul 17, 2020
Other Resources Health Equity

NGA: Reducing The Disproportionate Impact Of COVID-19 Among Communities Of Color

This memo provides a summary of policy approaches to address the disproportionate impact of COVID-19 on communities of color.

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Date Created: Jul 13, 2020
Other Resources Health Equity

The COVID-19 Crisis: An Opportunity To Build A Fairer, Healthier Nation

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.

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Date Created: Jun 26, 2020
Other Resources Health Equity

COVID-19 Racial Health Disparities Highlight Why We Need to Address Structural Racism

This article examines why it is important to go further and examine the root cause of racial disparities in underlying health conditions and COVID-19 outcomes.

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Date Created: Jun 5, 2020
Other Resources Health Equity

Inequities Amplified By COVID-19: Opportunities For Medicaid To Address Health Disparities

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.

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Date Created: Jun 1, 2020
Other Resources Health Equity

Four Recommendations to Ensure Connecticut’s COVID-19 Response Does not Leave Anyone Behind

Recommendations developed by the Connecticut Health Foundation aimed at ensuring the state’s COVID-19 response reaches those who are most at risk.

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Date Created: Jun 1, 2020
Other Resources Health Equity

Health in All Policies for a Stronger Recovery

COVID-19 has urgently demonstrated that everyone needs to live in safe and healthy communities. The people most affected by COVID-19 are communities of color, people with low income, immigrants, and other underserved groups. These groups are most vulnerable in part because of existing laws and policies that affect the fundamental drivers of health inequities. Communities and local governments that take steps to ensure health, safety, housing, food, and economic stability for all of their residents will be helping to prevent the spread of COVID-19 and laying the groundwork for health equity and prosperity for future generations. To help communities and local governments strengthen their response to COVID-19 and advance health equity, ChangeLab Solutions is publishing a blog series about policies that governments can enact right away.

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Date Created: Jun 1, 2020
Other Resources Health Equity

On coronavirus, we know who will pay the price when states reopen before they should

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.

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Date Created: May 11, 2020
Other Resources Health Equity

Social Interventions Research and Evaluation Network (SIREN): COVID-19 Health Equity, Policy, and Social Risk Impact Data

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.

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Date Created: May 5, 2020
Other Resources Health Equity

The Fierce Urgency of Now: Federal and State Policy Recommendations to Address Health Inequities in the Era of COVID-19

Public conversations surrounding COVID-19 health outcomes in Black and Latino communities must address the role of structural racism, including how community trauma, neighborhood disinvestment, and environmental toxins can cause or further exacerbate those conditions, and how these, in turn, are driven by inequities in political power and economic opportunities. This webinar, co-hosted by Families USA and the National Urban League, highlights findings from “The Fierce Urgency of Now: Federal and State Policy Recommendations to Address Health Inequities in the Era of COVID-19”, and discusses how COVID-19 reveals legacies of disinvestment and inequities in communities of color, and how you can take action to organize for justice at the state and federal level.

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Date Created: May 1, 2020
SHVS Resources Health Equity

Public Charge Final Rule: Frequently Asked Questions

On August 14, 2019, the Department of Homeland Security (DHS) published a final rule, Inadmissibility on Public Charge Grounds. The rule makes significant changes to the standards DHS will use to determine whether an immigrant is likely to become a “public charge”—a person dependent on the government for support—which will have consequences for certain immigrants’ legal status. This document provides answers to frequently asked questions about whom the rule will impact, what benefits are implicated by the rule, and how the rule might be administered.

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Date Created: Feb 26, 2020
SHVS Resources Health Equity

The Department of Homeland Security Begins Implementing Its Public Charge Rule on February 24, 2020

In this Expert Perspective, our colleagues at Manatt Health review the Supreme Court’s decisions granting the Administration’s requests to stay preliminary injunctions that had blocked the Department of Homeland Security public charge final rule from taking effect in October 2019.

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Date Created: Feb 24, 2020
Other Resources Health Equity

Moving into Equity: The Public Health Journey

A report which gives some practical suggestions for public health departments wanting to become equity focused

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Date Created: Oct 20, 2019
SHVS Resources Health Equity

New Policy Regarding Uninsured Noncitizens

On October 4, the President issued a proclamation that requires immigrants to show that they have health insurance or can pay medical expenses out of pocket in order to receive a visa. The proclamation will impact individuals applying for a visa with the Department of State (DOS) through consular offices abroad. In this expert perspective, Manatt Health reviews this latest policy regarding uninsured noncitizens and provides their take on implications for states.

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Date Created: Oct 18, 2019
SHVS Resources Health Equity

Final Public Charge Rule: Analysis and Potential Implications

On August 12, 2019 the Department of Homeland Security (DHS) issued a final version of its public charge rule which was to go into effect on October 15. The public charge rule will change how DHS determines whether immigrants—when seeking admission to the U.S., an extension of their stay, or status change to become a legal permanent resident—are “likely at any time to become a public charge” (i.e., dependent on the government for financial support). The webinar reviewed the final rule, highlighted changes from the proposed rule, and explored the rule’s potential impacts on consumers, states and providers.

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Date Created: Sep 3, 2019
Health Equity

Examining the Public Charge Proposed Rule

On October 1, the Robert Wood Johnson Foundation’s State Health and Value Strategies program hosted a webinar, facilitated by experts at Manatt Health on the long-anticipated proposed rule released by the Department of Homeland Security (DHS) on September 22. The proposed rule seeks to change how DHS determines whether immigrants—when seeking admission to the United States, an extension of their stay, or status change to become a legal permanent resident—are “likely at any time to become a public charge” (i.e., dependent on the government for financial support). Consequentially, being determined a “public charge” may put immigration status at risk. The webinar reviewed the proposed rule and its potential impacts on consumers, states and providers. Specifically, we highlighted the key ways the proposed rule departs from current guidance, with a particular focus on the implications for Medicaid and other health-related public benefits, and how the proposed rule may impact consumers’ access to certain benefits.

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Date Created: Oct 1, 2018
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© 2019 State Health and Value Strategies is a program of the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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