Healthcare

Joe Thompson is CEO of the Arkansas Center For Health Improvement
Sarah Whites-Koditschek / Arkansas Public Media

For lawmakers, caregivers and patients  a solution to the state legislature’s multi-year process of bringing a new type of coordination to a traditional Medicaid population is set to be finalized this summer.

PASSE, or Provider-led Arkansas Shared Savings Entity, will be a new oversight entity made up of nonprofit and for-profit health providers to manage the care of the state’s medically needy Medicaid population. It includes the elderly, developmentally disabled and mentally ill. The deadline for these companies to apply to be in PASSE is June 15, according to the Department of Human Services and the Arkansas Insurance Department.

Sarah Whites-Koditschek / Arkansas Public Media

Echo Soza lives at Our House, a homeless shelter for the working poor in Little Rock. The 47-year-old housekeeper was uninsured a few years ago when she had a stroke.    

“I actually was hospitalized and then lost my housing and then came here,” she says.  

Sarah Whites-Koditschek / Arkansas Public Media

A bill to cap the number of enrollees in the state’s Medicaid expansion pool at its current rate, roughly 332,000, is progressing through the Arkansas legislature despite violating federal law.

HB1465, sponsored by Rep. Josh Miller, (R-Herber Springs), passed the full House earlier this month and is scheduled to go before the Senate Public Health, Welfare, and Labor committee Wednesday.

Approved by the legislature and then-Gov. Mike Beebe in 2013 as the Private Option, the state's response to the Affordable Care Act of 2009 provides health coverage for low-income Arkansans. It was rebranded by Gov. Asa Hutchinson as Arkansas Works in 2015.

The federal government currently pays for 95 percent of the Medicaid expansion costs, and that is slated to drop to 90 percent in 2020.

“It’s not a boon to the people of Arkansas,” said Miller.

Sarah Whites-Koditschek / Arkansas Public Media

  

Renee Green stays home with her 7-year-old disabled son, Adam, who has seizures throughout the day and cannot communicate or eat. She recently quit her job in human resources to care for Adam full time using coverage obtained through the Affordable Care Act.

Sarah Whites-Koditschek/Arkansas Public Media

In Washington the Republican-controlled Congress is speeding toward a repeal of the Affordable Care Act. While GOP leadership at the Arkansas state Capitol has said lawmakers should wait and see what happens, some conservative members of the legislature want action now.

Center for Economic and Policy Research 2008

Note: An earlier version of this story said there was no cost estimate available for paid maternity leave for state workers. In fact, a 2015 financial impact statement put the costs to the state of six-weeks paid maternity leave at $354,000, according to a story published by the Arkansas Democrat-Gazette on Dec. 15. Neither source referred to in this story, when asked, made mention of this earlier cost estimate. 

Little Rock Democratic Rep. Clarke Tucker is re-introducing paid maternity leave, a state worker benefit he tried and failed to get through the last legislative session.

Filed Monday, House Bill 1046 would give state employees six-weeks paid maternity leave or $500 a week, whichever is more. Employees who’ve worked less than a year are explicitly excluded, as are those at public colleges and universities, many of whom have already signed contracts with ample paid leave, maternity or otherwise.

It does include qualifying part-time employees.

Michael Hibblen / KUAR

Arkansas Gov. Asa Hutchinson says he’s secured federal approval to keep the state’s public/private healthcare partnership, renamed “Arkansas Works," but a debate on repealing the Affordable Care Act continues at the federal level, and Arkansas’s budget remains deeply dependent on federal money from “Obamacare.”

In 2014 Hutchinson was elected on a promise to dismantle the state’s Obamacare model. This week he traveled to Washington for federal approval to keep and tweak it.

Bobby Ampezzan/ARKANSAS PUBLIC MEDIA

Arkansans with certain ailments may look forward this morning to a prescription marijuana option in the near future. Voters approved ballot issue 6, the so called Medical Marijuana referendum, 53 percent to 47 percent last night.

Lawyer David Couch was the ballot issue’s biggest advocate. He said there are perhaps tens of thousands of Arkansans who already use marijuana for medicinal reasons, and the vote will simply move them into a “legitimate marketplace.”

Johnelle Shaw is a 27-year-old first-time mother with a two-month old son, Logan. She is visiting a lactation consultant at The Pulaski County Health Unit in Southwest Little Rock. Logan has a cold and is back for a breastfeeding check-in.  The consultant weighs him in at 7.6 ounces, a full pound bigger than he was at his last visit a month before.

Arkansas’s Legislature took a step toward its pledge to trim $835 million from the state’s Medicaid budget over five years today when it voted to limit group therapy for about 10,000 low-income Arkansans from 90 minutes to 60 minutes, 25 times a year.

The third leading cause of death in the U.S. after heart disease and cancer is medical errors, a set of Johns Hopkins University researchers concluded in a paper published this spring in The BMJ. So how much should we be able to sue for our pain and suffering when doctors make mistakes, and should the state legislature get to decide?

With virtually no notice from the Arkansas Health Department and no word from the media, legislators reversed direction last month and renewed the state’s contract with Denver-based National Jewish Health and its 1-800-QUIT-NOW hotline for smokers.

A contract worth more than $1.8 million was reviewed by a Legislative Council subcommittee on Aug. 16 and accepted by the entire council three days later. The new expiration is June 30, but state Sen. Bart Hester (R-Cave Springs) says the end is nearer than that.

Public health officials in Arkansas and nationally are monitoring the spread of the Zika virus following the births of thousands of babies with microcephaly.

Universities Work to Cure Arkansas' Physician Shortage

Aug 19, 2016

120 students in white doctor coats stood proudly on the Riceland Hall stage in the Fowler Center, reciting the “student pledge of commitment” with the goal of accomplishing a dream.  A dream to practice medicine.

The students are the culmination of a dream for a medical school to be in Northeast Arkansas at Arkansas State University in Jonesboro.  They are the inaugural class of the New York Institute of Technology College of Osteopathic Medicine at A-State—the first Osteopathic Medical school in the state.

  

  Housed deep inside Education Building Two on the University of Arkansas for Medical Sciences campus is the state’s only dedicated repository for medical history, devices and photographs, and physician’s personal papers.