Morning Briefing
Summaries of health policy coverage from major news organizations
State Highlights: Advocates, Audit Fault Ability Of Georgia Agencies To Oversee Mental Health, Senior Care; Massachusetts Bill Aims To Improve 'Profoundly Broken' Mental Health System
Officials in charge of Georgia鈥檚 mental health safety net offered dire predictions after the governor ordered nearly all state agencies to slash spending. People suffering from mental illnesses would land in the emergency room, they said. And more people contemplating suicide would act on those impulses. Those same officials with the Department of Behavioral Health and Developmental Disabilities later softened that alarming language and so still plan to yank $10.6 million from a new program state lawmakers funded last year to provide mental health intervention services in communities across Georgia. (McCosh, 2/17)
A state audit identified damning new evidence that Georgia鈥檚 system to protect seniors and vulnerable adults from abuse, neglect and exploitation is failing and the breakdowns are causing additional harm. Among the significant gaps cited in Friday鈥檚 report by State Auditor Greg S. Griffin on Georgia鈥檚 Adult Protective Services system was that investigators are taking too long to respond to urgent cases, such as when the elderly were going hungry or were sexually abused. One year, some 500 vulnerable adults facing serious situations waited three days or more before an investigator arrived. APS employees also were rejecting reports that should have been investigated, the audit found. (Schrade, 2/14)
The Senate unanimously approved wide-reaching legislation Thursday designed to remove common barriers blocking access to mental health treatment, an action that supporters say is a key step toward fulfilling the promise of parity in health care already enshrined in law. Under the bill, referred to by authors as the "Mental Health ABC Act," state offices would have new enforcement powers, insurers would need to file regular compliance reports, and more in an attempt to guarantee that patients have the same access to mental health care as they do to physical health care. (Lisinski, 2/14)
The white van navigated streets lined by tents in downtown Los Angeles. From the back seat, Brett Feldman peered at the encampment鈥檚 residents scattered along the sidewalk. Feldman is a physician鈥檚 assistant here to treat someone who is sick. But before he can administer tests or medicines, he must perform a far more unusual task among medical providers: finding the patient. The four-person medical team Feldman leads offers care to some of the sickest people in L.A. by meeting them where they live, on the street. (Karlamangla, 2/16)
Last June, Austin Mayor Steve Adler and fellow Democrats on the City Council passed a law effectively allowing homeless people to sleep, camp and panhandle on sidewalks and in other public spaces, as long as they didn鈥檛 threaten safety. The rationale was that the police too often played a cat-and-mouse game with the homeless population, moving them from place to place. Decriminalization was the start to a 鈥渉ousing-first鈥 policy to expand access to shelter and apartments. (Hennessy-Fiske, 2/17)
House Bill 1158 would require insurance companies to cover the most effective treatment for infertility, called in vitro fertilization (IVF) 鈥 where the egg and sperm are fertilized in a lab then transferred into the uterus. The expanded coverage would also include the harvesting and freezing of eggs and sperm for people undergoing medical treatment that threatens fertility, such as chemotherapy. 鈥淚ncome should not be a barrier for becoming a parent,鈥 said Rep. Leslie Herod, a Denver Democrat who is helping lead the charge on the bill. (Clark, 2/14)
Nelson Gibson says his family isn鈥檛 allowed to stay for his multi-hour dialysis treatments. So he found another familiar face to sit beside him: President Trump. First, the 59-year-old Floridian brought an 8-by-10-inch picture. Then his son Photoshopped a small cardboard cutout of Gibson with his political hero grinning beside him, giving a thumbs-up. It stood on a ledge as Gibson reclined in his shirt embroidered with Trump鈥檚 name and his custom shoes bearing the president鈥檚 face. (Knowles, 2/15)
A top Republican lawmaker in Kansas on Friday disputed the claims of GOP colleagues that a bipartisan plan to expand the state's Medicaid program would lead to taxpayers funding elective abortions. Senate Majority Leader Jim Denning, a Kansas City-area Republican, sent an email to senators decrying what he called 鈥渋naccurate verbal and written statements鈥 used to justify opposition among anti-abortion lawmakers and groups to the expansion plan he drafted with Democratic Gov. Laura Kelly. (2/14)
As the Justice Department investigates deaths and violence in the Mississippi prison system, one inmate had to wait about a month to get a cast on his arm that was broken during a prison riot, people close to the injured man say. They said Wesley Clayton only got help after people persuaded a legislator to intervene on his behalf. The state Department of Corrections will not answer questions about Clayton's situation. (2/14)
The body-camera footage starts after police officers had already located their suspect, and she fit the description: hazel eyes, about four feet tall and really concerned about finding candy. In the footage, Nadia King, 6, emerges from Love Grove Elementary School on Feb. 4, holding the hand of a Jacksonville sheriff鈥檚 deputy. The officers were told Nadia was 鈥渁 threat to herself and others鈥 and was 鈥渙ut of control,鈥 a police incident report later recounted, and it would lead to her committal in a mental health facility. (Horton, 2/16)
In an effort to address Georgia鈥檚 nursing shortage, Kennesaw State University announced Friday it will double the size of its nursing program over five years with an infusion of money from Wellstar Health System. By 2026, the size of KSU鈥檚 nursing program will balloon from 500 students to 1,000, with enrollment increasing 20% each year beginning in 2021. Wellstar will give the university about $9 million to finance the expansion. About $2.5 million will fund scholarships for 50 students each year in perpetuity; the rest will be used to hire professors and staff. (Gilbert, 2/14)
In 1985, when the District was still warehousing juvenile offenders in a pair of decrepit, vermin-infested detention centers 鈥 each rife with violence and lacking any meaningful health care or rehabilitation programs 鈥 a group of lawyers filed a 42-page complaint in D.C. Superior Court, demanding reforms. 鈥淭he plaintiffs live under conditions that are inhumane and that inflict needless suffering,鈥 the attorneys wrote. (Duggan, 2/17)
A sudden and puzzling increase in violence and escapes at Nebraska鈥檚 two state-run homes for high-risk juvenile offenders has prompted officials to move some of the teenagers to other facilities and to consider spending millions of dollars on upgrades intended to enhance safety. The incidents at the Youth Rehabilitation and Treatment Centers in central Nebraska, including an outburst that sent two employees to the hospital after a group of boys beat them with pieces of a metal bed frame, has shocked state officials, legislators and parents. (Schulte, 2/16)
People who are deaf cannot join the U.S. military. But, that鈥檚 not stopping teachers at the Maryland School for the Deaf in Frederick, Maryland, from leading some of their pupils through the rigors of military life through an unofficial cadet corps demonstration program. Teacher Keith Nolan started the unofficial cadet corps demonstration program to teach deaf and hard-of-hearing students about leadership, using military training and discipline. He is also leading the effort to change the Department of Defense鈥檚 policies so that deaf individuals have the chance to join the military. (Weinstein and Ramos, 2/18)
If you鈥檝e ever had a wisdom tooth out or dental surgery, you may have used laughing gas to take the edge off the pain. Across North Carolina, women now have the option to use the same nitrous oxide to get through childbirth. The mix of nitrous and oxygen has been used for childbirth across the world for about a century, but it鈥檚 only recently started catching on again in American hospitals. University of North Carolina 鈥 Chapel Hill Women鈥檚 Hospital was the first in North Carolina to offer it in 2013. This month, Atrium Health鈥檚 main Charlotte hospital, Carolinas Medical Center, joins the trend. (Duong, 2/17)
The Free Press found a wide disparity in how Michigan colleges handle mental health issues, and athletic administrators at several schools admitted they fear they aren鈥檛 doing enough. These administrators should be commended for their honesty because it is time to talk openly about this issue 鈥 to talk about what is working, as well as what is not. This isn鈥檛 about casting blame or pointing fingers, it鈥檚 about trying to isolate problems and highlight solutions. The stigma has to be broken. And it starts with education and unvarnished openness. (Seidel, 2/16)
Following testimony from a retired firefighter about his son, a Huntington firefighter who died by suicide, the House Judiciary Committee passed a bill Monday that would allow first responders to take workers鈥 compensation for post-traumatic stress disorder, or PTSD. House Bill 2321 would provide workers鈥 compensation benefits to firefighters, law enforcement officers, EMTs and paramedics diagnosed with PTSD. It is the third year Delegate Chad Lovejoy, D-Cabell, lead sponsor of the bill, has introduced the legislation. (Stuck, 2/17)
Legislators on Friday approved two measures that would make birth control more accessible to women in West Virginia. At least one of the bills legislators passed Friday was crafted as part of an effort to prevent unwanted pregnancies for women suffering from substance abuse.Senators approved Senate Bill 288 in a 31-0 vote, with three senators absent. (Pierson, 2/15)
Minor drug-possession charges have a pattern: Get caught, see a district judge, wait nearly a year for a county judge鈥檚 conviction so treatment can begin. Most of those defendants never see the inside of a jail cell, but have a criminal charge hanging over them. Some, in the throes of addiction, don鈥檛 live to see a final court date.In July 2018, Bucks County decided to try to break that pattern. Officials created the District Court Diversionary Program, which catches first-time offenders shortly after their arraignments and puts them into treatment immediately. If they complete the program, the charges are dropped. (Vella, 2/17)
Grass and other vegetation have begun to cover the ash left behind when the largest blaze of the 2019 wildfire season burned the edge of this Northern California town about four months ago. Windsor still stands because most of its residents, acting on the lessons of deadly blazes in 2017 and 2018, grabbed pre-packed emergency go-bags and evacuated immediately when ordered. Unlike in other dangerous California blazes, including 2018鈥檚 Camp Fire that destroyed the town of Paradise, first responders were able to focus entirely on the firefight rather than last-minute rescues. (Ailworth, 2/18)
Employers struggling to find workers in a historically tight labor market are leaning heavily on their employees, including teens, more of whom have been working in recent years. But their hours and duties are tightly restricted under state law. During the school year in Massachusetts, 16- and 17-year-olds can only work until 10 p.m. on school nights and midnight on weekends, and can鈥檛 put in more than nine hours a day or 48 hours a week at any time. But some employers blatantly disregard these limits, scheduling teens over the time allowed. (Johnston, 2/17)
It was a hard-fought victory for Black and Latino lawmakers 鈥 a provision in the state鈥檚 marijuana legalization law that said some of the pot tax proceeds would benefit communities targeted most by the war on drugs. Leaders in minority neighborhoods envisioned the money helping people find housing and jobs, including in the new cannabis industry. Police chiefs, too, celebrated that the law reserved some taxes for officer training, hoping the funds would aid in catching stoned drivers. But a year and a half into the state鈥檚 recreational cannabis rollout, none of the $67 million in excise taxes and fees left over after paying for the cost of regulators has benefited either of those causes, a Globe data analysis has found. (Martin, 2/14)