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The congressional delay in reauthorizing the State Children's Health Insurance Program (SCHIP) has, frustratingly, caused states to put plans for covering additional children on hold until future funding is assured. What are state Medicaid directors likely to see going forward, in terms of reauthorization of SCHIP?
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As one of only a few states that require hospitals to provide charity care, Washington state has had a charity care law on the books since 1989. In 2006, the state legislature took another look at the issue.
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Like many states, Vermont has been "disappointed" with the support of the current federal administration for its health care reform efforts, says Susan W. Besio, PhD, director of health care reform for the Vermont Agency of Administration. Dr. Besio also is newly appointed as the state's Medicaid director.
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Washington state currently is in "survival mode," struggling to preserve as much of its core state Medicaid program as possible, in the face of a staggering $5 billion shortfall.
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Many state Medicaid directors say the federal-state partnership has never been worse, due in part to proposed regulations from the Centers for Medicare & Medicaid Services (CMS) that would shift costs to states.
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Trauma patients have a wide variety of presentations and acuity, and range from healthy patients with minor injuries to patients with extensive medical histories and major trauma.
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When it comes to occupational health salaries, "there is certainly not exponential growth, but it is not static, either," says Robert R. Orford, MD, CM, MS, MPH, president of the American College of Occupational and Environmental Medicine.