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KHN’s ‘What the Health?’: Congress Shelves Covid Funding for Now

The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

Missouri Takes Months to Process Medicaid Applications — Longer Than Law Allows

Missouri has more people waiting to have their Medicaid applications processed than it has approved since the expansion of the federal-state health insurance program. Although most states process Medicaid applications within a week, Missouri is taking, on average, more than two months. Patient advocates fear that means people will stay uninsured longer, leading them to postpone care or get stuck with high medical bills.

Missouri’s War on Public Health Shows Extent of National Rift

A public health official who said he was anti-abortion and anti-mandate for masks and covid vaccines did not pass the purity test of a Missouri senator who opposes covid public health restrictions. The senator killed the official’s nomination to be state health director, highlighting how hands may be tied in the nationwide fight against infectious diseases.

Bounties and Bonuses Leave Small Hospitals Behind in Staffing Wars

A hospital in Wisconsin sued to keep seven employees from taking jobs with a competitor. A health system in South Dakota is offering nurses $40,000 signing bonuses. Facilities with fewer resources are finding it difficult or impossible to compete for health care workers.

Faxes and Snail Mail: Will Pandemic-Era Flaws Unleash Improved Health Technology?

The covid-19 pandemic exposed how state and local governments’ severely outdated technology can hinder unemployment benefits, food stamps, Medicaid, vaccine registrations, and the flow of other critical information. Now, with hefty federal pandemic relief and unexpected tax windfalls, states may finally have the chance to revamp their information technology for health care and social services. But can they?

With a Vaccine Mandate Looming, Nursing Homes Face More Staffing Problems

Missouri has the worst covid-19 vaccination rate for nursing home health care workers in the nation. There, the federal mandate for workers to get vaccinated — upheld by the U.S. Supreme Court — reveals the problems that operators have hiring staff, keeping them, and providing decent care.

The Doctor Didn’t Show Up, but the Hospital ER Still Charged $1,012

A St. Louis-area toddler burned his hand on the stove, and his mom took him to the ER on the advice of her pediatrician. He wasn’t seen by a doctor, and the dressing on the wound wasn’t changed. The bill was more than a thousand dollars.

As Covid Hits Nursing Homes’ Finances, Town Residents Fight to Save Alzheimer’s Facility

Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.