While efforts to reduce the spread of COVID-19 have been difficult in all environments, the conditions for those working in agricultural production raise additional challenges. Migrant and seasonal farmworkers, many of whom travel as crops ripen throughout the spring and summer, live and work under conditions that even before COVID-19 posed risks to their safety and wellbeing. This expert perspective examines approaches to addressing the particular risks of COVID-19 faced by farmworkers, provides a survey of state and local policies and outlines some key themes and recommendations for policymakers as they work to support agricultural workers and stem the spread of COVID-19.
Tools and Policy Considerations for State Medicaid Expansion Analyses
National Academy for State Health Policy – Kaitlin Sheedy and Katharine Witgert
This brief, prepared by the National Academy for State Health Policy, lays out the major factors states have considered in estimating the cost of a potential Medicaid expansion. The major factors addressed in this brief are: Who will enroll in Medicaid with or without a Medicaid expansion?; How do the alternatives afforded by Medicaid’s Alternative Benefit Plans and Medicaid waivers affect expansion considerations?; How are health care institutions, state agencies, and a state’s broader economy affected by a state’s decision regarding Medicaid expansion? By providing examples of state fiscal impact analyses, and highlighting tools created through the State Network, the brief can inform future state analyses regarding Medicaid expansion. The Medicaid Expansion: Framing and Planning a Financial Impact Analysis is among the State Network resources highlighted. It provides a worksheet and considerations table to guide states conducting their own Medicaid expansion analyses.