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Summaries of health policy coverage from major news organizations

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Tuesday, Jul 12 2016

Full Issue

Patient Who Helped Force Washington Medicaid To Cover Hep C Drugs Savors Victory

Adam Rabb of Olympia, one of the plaintiffs in a lawsuit that forced Washington state to cover the expensive drugs for Medicaid enrollees, has begun receiving the medication. But he worries about other patients who haven’t heard about the court injunction and may not know they can get medicine. Also in Medicaid news are concerns about toddlers falling out of the program and an audit finds some oversight problems in New Jersey.

Adam Rabb holds the bottle of Harvoni pills in his hands, and it feels like a fistful of gold. Except gold might have been easier for him to get. Rabb, diagnosed with hepatitis C in 2010, needed a court order to get these pills. With one move from a federal judge, the 47-year-old Lakewood, Pierce County, resident is one of the first of potentially thousands of Washingtonians on Medicaid whose lives could improve with access to the so-called blockbuster drug. (O'Sullivan, 7/10)

Related KHN coverage: (Graham, 7/5)

Many babies born to mothers who are covered by Medicaid are automatically eligible for that coverage during the first year of their lives. In a handful of states, the same is true for babies born to women covered by the Children's Health Insurance Program. Yet, this smart approach is routinely undermined by another federal policy that requires babies’ eligibility be reevaluated on their first birthday. Although they’re likely still eligible for coverage, many of these toddlers fall through the cracks. (Andrews, 7/12)

New Jersey has done a poor job of overseeing the private company that handles non-emergency medical transportation for Medicaid patients, according to a federal audit. That lapse in oversight may have affected nearly $65 million in services, according to the Office of the Inspector General of the U.S. Department of Health and Human Services. (Livio and O'Brien, 7/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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