Friday, July 19, 2013

Friday Variety: The Uninsured Gap, Veterans' Mobile Health, & (of course) Abortion

The Uninsured Gap

In the 27 states that have not committed to expanding Medicaid, many individuals and families could fall into a health insurance "black hole" where coverage would continue to be unaffordable.  In those states, individuals or families whose income amounts to 99% of the federal poverty level would not be eligible for Medicaid or premium subsidies on their state health insurance exchange. However individuals or families making 101% of the federal poverty level would be eligible for those premium subsidies that would make purchasing health coverage more affordable. 
According to a new analysis by the Kaiser Commission on Medicaid and the Uninsured, about 6.4 million people will be uninsured next year, unless those 27 states change their minds and agree to expand Medicaid coverage.  Nearly 2/3 of the uninsured live in 21 of the states that are not expected to expand as of January 1, and the six states that are on the fence.  The Kaiser Commission analysis reported that 55 percent of the uninsured live in Texas, Florida and Georgia alone.

Veterans' Mobile Health

The Department of Veterans Affairs has begun "testing the viability and potential of mobile health technologies after launching several pilot projects," according to Healthcare IT News. One such pilot is a Veteran Appointment Request App.  The App offers approximately 600 veterans the ability to request primary care and mental health appointments from their computer or mobile device.
Additionally, the Family Caregiver pilot is offering iPads to 1,000 caregivers of serious injured veterans of the Iraq and Afghanistan wars enrolled in the program.

Abortion Rights Groups to Challenge Texas Bill

On Thursday, Texas Governor Rick Perry signed the controversial abortion bill into law.  The law includes some of the nation's toughest restrictions on abortion, effectively forcing the closure of all but 5 of the state's 42 abortion clinics, unless those clinics can can upgrade their facilities within a year after the law takes effect this October.

Opponents of the bill may file a lawsuit against the state of Texas to stop the implementation of the law.  Executive Director of the Texas ACLU, of of several organization considering a legal challenge to the bill, stated, "There are no decisions about litigation, but I think that maybe the course we have to follow."

According to Planned Parenthood v. Casey, the Supreme Court case that followed Roe v. Wade, state laws cannot erect substantial obstacles to women seeking abortions.  If the Texas law causes the widespread closure that many have projected, this "serious obstacle" standard may have a fighting chance in court.

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