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Motor Corps and Canteen volunteers from the Detroit chapter of the American Red Cross, taking a break from delivering supplies to influenza victims.
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Today on Stateside, Libertarian gubernatorial candidate Bill Gelineau says he would cut Medicaid costs by rewarding young women for not getting pregnant before age 23. Plus, 100 years ago, the world’s deadliest flu pandemic hit Michigan and killed roughly 19,000 people.

Listen to the full show above or find individual segments below. 

Shelter leader responds to complaints from homeless Kalamazoo residents in ongoing protests

Steve Carmody / Michigan Radio

A new University of Michigan study finds expanded Medicaid coverage is increasing access to family planning and birth control for poor women in Michigan.

Michigan expanded its Medicaid program in 2014 as part of the Affordable Care Act.   In all, 32 states and the District of Columbia have expanded Medicaid programs under the Patient Protection and Affordable Care Act.

More than 600,000 Michiganders receive health care coverage through the Healthy Michigan program.  

governor snyder at podium
Gov. Snyder signs Medicaid bill last month / Facebook

Last week, a federal judge blocked the State of Kentucky from the requiring low-income people to work in order to qualify for Medicaid.

In Michigan last month, Governor Snyder signed a similar bill. It requires all able-bodied Medicaid recipients work, or possibly lose their Medicaid benefits.

So how will the Kentucky decision impact the fate of Michigan's law?

michigan.gov

Michigan Gov. Rick Snyder says he and a key lawmaker have conceptually agreed on a plan to impose work or training requirements for Medicaid recipients, but some details are still being worked out.

The Republican governor told The Associated Press Thursday there's been a "meeting of the minds" and "we're in a pretty good place."

He confirms previous comments from Sen. Mike Shirkey - the bill sponsor - that a proposed 29-hour work requirement would instead be 20 hours.

huntlh / pixabay

Four patient-care organizations have come out in opposition to a bill that would create work requirements for Medicaid recipients.

In a written statement, the Cancer Action Network, American Heart Association, American Lung Association, and Leukemia & Lymphoma Society said three-quarters of Medicaid recipients already work.

“For a variety of reasons a chronically ill person may not be able to meet that work requirement and then they may lose coverage of what, in many cases, is life saving coverage," said Sarah Poole with the American Heart Association. 

http://www.senatormikeshirkey.com/

After scathing criticism of a proposed Medicaid work requirement many saw as racist, the lawmaker behind the plan is backing off.

Under the plan, people who live in Michigan counties with more than 8.5 percent unemployment would've been exempt from the work rule.  Those are rural, mostly white counties. 

RAWPIXEL / PIXABAY

Two and a half million people in Michigan get their health care coverage through Medicaid or the Healthy Michigan Medicaid expansion.

But the work requirement bill recently passed by the state Senate, and now being considered by the House, could mean tens of thousands of people lose their health insurance.

rawpixel / pixabay

The state House opened hearings today on a bill that would require many able-bodied adults on Medicaid to find work, or be in school. If the bill is adopted, Michigan would have one of the toughest Medicaid work requirements in the nation.

Michigan State Capitol
David Marvin / http://j.mp/1SPGCl0

Pretty soon, Medicaid recipients in Michigan who are able-bodied may have to choose between finding a job or losing health insurance. That's under a bill the state Senate passed Thursday. Democrats opposed to the bill say it punishes the poor, while supporters say most people on Medicaid already work -- this would give incentive for others to do so.

This Week in Review, Weekend Edition host Rebecca Kruth and senior news analyst Jack Lessenberry discuss the bill, which heads to the House next, and whether Gov. Rick Snyder will sign if it ends up on his desk.


Doctor's stethoscope
Pixabay.com

Michigan could soon require certain people to work for their Medicaid benefits. 

Michigan State Capitol Building
Lester Graham / Michigan Radio

This week in Michigan politics, some Republican legislators led by Senator Mike Shirkey pushed to impose work requirements for Medicaid recipients. Republicans also campaigned hard against a ballot initiative that would fight political gerrymandering and seeks to establish an independent commission to draw district lines.

Gratiot construction site
Tony Brown / Michigan Radio

It looks like Wayne County may finally have a solution for its long-stalled jail project. The county has reached a tentative agreement with Dan Gilbert's Rock Ventures. Gilbert's company will construct a brand new $533 million "criminal justice center," pending approval from the county commission and building authority.

This Week in Review, Weekend Edition host Rebecca Kruth and senior news analyst Jack Lessenberry talk about the plan and what it could mean for Wayne County.


money
Mathieu Turle / unsplash

Some lawmakers in Lansing want people to work to get Medicaid. The Senate introduced a bill Thursday. It would add work requirements to the Medical Assistance Program, or Medicaid.

Medicaid is a federal program that gives low-income people – along with children, pregnant women, the elderly and people with disabilities - health insurance.

If passed, able-bodied adults would be required to work or continue school for 30 hours per week as a condition of receiving medical assistance.

Wikipedia Commons

Michigan is extending a deadline to try to ensure that no one with Medicaid insurance loses access to their doctor. 

About 1.7 million people in Michigan rely on Medicaid insurance.  Doctors with Medicaid patients had until Thursday, March 1 to submit documentation to a new payment system, called CHAMPS, for short.

But Erica Quealy of the Michigan Department of Health and Human Services says there's a big backlog right now.

"It can take 3-4 weeks for us to completely process their enrollment," she says of the backlog.

Paulette Parker / Michigan Radio

Congresswoman Debbie Dingell, D-Michigan, joined local officials today in Ypsilanti to talk about President Trump's suggested cuts to Medicaid. Trump's proposed budget would eliminate nearly $700 billion from the federal program. Dingell spoke in front of community members and constituents at Community Alliance, an organization that serves developmentally disabled adults in Ypsilanti.

Michigan Senate passes dental therapist bill

Oct 12, 2017
person having their teeth cleaned
Matt Lemmon / Flickr Creative Commons HTTP://MICHRAD.IO/1LXRDJM

State lawmakers are considering a new way to help underserved populations get dental care.

bill that passed the Senate 21-15 on Wednesday would authorize and license a new kind of mid-level dental professional called a "dental therapist."  

The legislation sets out educational and training requirements that would have to be met before dental therapists could perform basic dental care, like fillings and simple teeth extractions, that are currently handled by dentists.  

Steve Carmody / Michigan Radio

A national crackdown on health care fraud has landed dozens of people in Michigan in trouble with the law.

The Medicare Fraud Strike Force, jointly run by the U.S. Justice and the Health and Human Services departments, has charged more than 400 defendants nationwide of fraud amounting to more than a billion dollars.

In Michigan, 32 people face charges, including fraud, kickbacks, money laundering and drug diversion schemes involving approximately $218 million in false claims for services that were medically unnecessary or never rendered.

Money
Andy / Flickr

President Trump’s proposed budget could mean trouble for southeast Michigan.

That’s the opinion of Congressman Sander Levin and more than 20 organizations in the area.

The congressman met with representatives from different organizations at risk of losing federal funding if the president’s budget is approved.

Levin says the proposed budget has very few positives, if any, for Michigan residents.

“I don’t want people to go hungry because of these cuts, I don’t want them to be in the cold without assistance for heat,” Levin said.

Images Money on Flickr / Creative Commons

New data from a nonpartisan think tank says Michigan would hit a financial stumbling block if the Republican replacement for the Affordable Care Act passes.

The Center on Budget and Policy Priorities says the new health care bill would cost Michigan more than $582 million to maintain expansion in the next four years, and more than $1 billion by 2023. 

Inside the doctor's office.
Jennifer Morrow / Flickr

State officials and health care providers called on Washington lawmakers to keep the state’s Medicaid expansion Monday.

From doctors to the state budget director, the message is clear. Let the state keep its Healthy Michigan Medicaid expansion. In order to do that, the federal government needs to keep paying for it.

But right now lawmakers in Washington are churning out plans that don’t seem to coincide with this goal.

piggy bank, stethescope, and bundle of money
flickr user 401(K) 2012 / http://j.mp/1SPGCl0

Top officials in Gov. Rick Snyder's administration say it could cost Michigan up to $800 million a year to keep the state's Medicaid expansion program at current enrollment levels if cuts approved by the U.S. House are enacted.

State Department of Health and Human Services Director Nick Lyon gave the estimate Monday during an event in which Snyder aides and advocates defended the expanded Medicaid program.

michigan state capitol
Lester Graham / Michigan Radio

This is a big week for the future of mental health care in Michigan.

All the complexities aside, which have been covered at length on Stateside over the last year, essentially it comes down to one question: Should the mental health services remain in the control of public entities like Community Mental Health centers, or should private insurance companies take the lead?

cell block in a prison
Steve Carmody / Michigan Radio

Expanding Medicaid was a key part of the Affordable Care Act. In our state, it's known as Healthy Michigan, and it has meant health care coverage for more than 600,000 people.

But if you wind up in the criminal justice system, even if its just pre-trial detention, Medicaid benefits turn off immediately.

Researchers at the University of Michigan say excluding inmates from Medicaid is driving up costs and hurting the health of inmates.

steve carmody / Michigan Radio

We may soon see a draft proposal for how Michigan will handle more than two billion dollars in Medicaid funding earmarked for mental health.

The Snyder administration caused an uproar earlier this year when it backed a plan to further privatize the public nonprofit mental health system by turning over $2.4 billion in state funding to Medicaid HMOs.

Mental Health groups said this would put control of the money into the hands of out-of-state, for-profit insurance companies.

Jack Lessenberry
Michigan Radio

Update:  A federal judge's order that would have prevented Michigan from enforcing a state law to keep voters from taking photos of their ballot in the Nov. 8 election has been overturned. So for now, no ballot selfies on election day.

This Week in Review, Jack Lessenberry and I talk about the state's push to try and re-instate a ban on voters taking “selfies” with their ballots. We also discuss Gov. Rick Snyder's veto of legislation to overhaul Medicaid and the legacy of Tom Hayden in today's tumultuous political climate.


Looking up into the rotunda of the Michigan Capitol.
user cedarbenddrive/Flickr / http://j.mp/1SPGCl0

Governor Rick Snyder faces a decision soon on whether to sign or veto a bill he doesn’t like. It deals with how the state raises money for the Medicaid program. A plan adopted by the Legislature scraps a tax on health insurance claims. The bill would replace it with a complicated new funding system.

      

Snyder administration officials say the federal government would probably reject it, and deny the state many millions of Medicaid dollars. But legislative leaders want to push the issue.

      

Flint river
Steve Carmody / Michigan Radio

Some Flint residents may be eligible for more healthcare benefits than they thought.

According to the "Care for Flint" campaign, the expansion of Medicaid has changed the income requirements for some services. 

"Care for Flint" is a collaboration of non-profits, churches, and grassroots organizations trying to find solutions to the ongoing water crisis.

Jamie Gaskin is the CEO of United Way of Genesee County and he says helping people understand their healthcare options is the goal of the campaign.

Steve Carmody / Michigan Radio

Expanded Medicaid coverage starts in Flint today.

The expanded Medicaid coverage was approved in response to the Flint water crisis.

Medicaid will cover Flint residents up to 21 years old and pregnant women. 

Dr. Eden Wells, Michigan’s Chief Medical Executive, says they’ve been “waiting for this day for a long time.”

“This city’s residents have been exposed to lead in their water,” says Wells, “This requires long-term access to good, comprehensive primary and specialty healthcare.”

Lindsey Smith / Michigan Radio

Flint residents are getting some relief when it comes to their water bills. But what about their medical bills? It’s a question some Flint families are asking.

Medical bills are adding up for Keri Webber. I met her over the weekend, volunteering at an open house for Flint residents.

Steve Carmody / Michigan Radio

The federal government has approved Michigan’s request to expand Medicaid eligibility in Flint. 

The U.S. Department of Health and Human Services says pregnant women and people under 21 in Flint are now eligible for the expanded coverage.

The Snyder administration asked the federal government for the expanded Medicaid coverage, as part of its response to the Flint water crisis. There are concerns about the health effects of exposure to Flint’s lead-tainted drinking water. 

The expansion will affect an estimated 15,000 Flint residents.

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