A new report found in the last decade, there have been nearly 2,600 methane gas pipeline incidents in the U.S. serious enough to require reporting to the federal government; one leak every roughly 40 hours.

Of those incidents, 850 resulted in fires, and more than 325 in an explosion, killing more than 100 people and injuring more than 600.

Deirdre Cummings, consumer program director for the Massachusetts Public Interest Research Group Education Fund, said Massachusetts knows the dangers of gas leaks all too well. She pointed to the 2018 Merrimack Valley gas explosions at Columbia Gas in Lawrence, Andover and North Andover. There was one death, 22 hospitalizations and 50,000 residents were evacuated.

"Unfortunately, what we found in this report is that house explosions and leaking pipelines aren't isolated incidences," Cummings reported. "They're the result of an energy system that pipes dangerous, explosive gas across the country, and actually through our neighborhoods. "

She argued it is time to move away from gas in this country and toward safer and cleaner renewable and geothermal energy. According to the report, emissions from the 2,600 leaks over the last decade are equivalent to 2.4 million passenger cars driven for a year.

Randi Soltysiak, spokesperson for Mothers Out Front, noted in Somerville, residents fought for two years to get energy company Eversource to fix a string of leaks blamed for killing all the trees along a half-mile stretch of a major corridor for pedestrians, bikes, cars, trucks, buses and trains.

"In addition to causing explosions, gas leaks are associated with asthma," Soltysiak pointed out. "And can cause other problems for human health and well-being by killing trees, resulting in hotter cities with worse air quality."

She added regulatory reforms are needed as well to transition away from methane gas. Research shows methane emissions from gas infrastructure and use in U.S. cities are underestimated by the Environmental Protection Agency, and in Boston, methane emissions are six times higher than reports from the Massachusetts Department of Environmental Protection.

A Supreme Court decision in U.S. v. Skrmetti, challenging Tennessee's ban on gender-affirming care for minors, is expected by mid-2025.

Since 2021, 24 states have enacted categorical bans on gender-affirming medical care.

Lucas Cameron-Vaughn, staff attorney for the ACLU of Tennessee, said the initial lawsuit is on behalf of Samantha and Brian Williams of Nashville and their 16-year-old transgender daughter, as well as two other plaintiff families filing anonymously, and a Memphis-based physician. They are anticipating the decision, which is expected next year.

"This is the first case to look at whether the equal-protection clause of the U.S. Constitution protects transgender people, in this case, transgender youths," Cameron-Vaughn explained. "And whether or not it is constitutional that the state of Tennessee passed a ban on health care for transgender youths."

The ACLU reported more than 100,000 transgender minors live in states with bans on their health care. Tennessee Attorney General Jonathan Skrmetti stated they were defending Tennessee's law safeguarding children from irreversible and unverified gender transition procedures. Tennessee argued its ban does not discriminate based on sex.

Cameron-Vaughn pointed out the broader implications of the case will depend on the justices' ruling but it could influence whether states such as Tennessee can pass sex-based laws, such as those banning IVF or birth control, and whether such laws will be seriously reviewed by courts. He argued some recently passed laws negatively target transgender youths.

"It's important for Tennesseans to understand that the Legislature, over the past few years, has passed lots of laws directed at transgender young people," Cameron-Vaughn emphasized. "It is really affecting them and their mental health."

With the new administration, Cameron-Vaughn noted politicians made many claims about gender-affirming care during the campaign. Whether the claims will materialize is uncertain. He added the ACLU is prepared to continue to advocate for Tennessee's gender-affirming care and will fight to protect rights and block further such legislation.

Open enrollment for health insurance is underway, and in Wyoming, the number of enrollees so far this year is just below last year's rate. Experts advise there's an important deadline this weekend. According to the Centers for Medicare and Medicaid Services, nearly 988,000 new U.S. consumers enrolled in health plans through the Marketplace between November 1st and December 4th. In Wyoming, nearly 14,000 new and returning consumers enrolled during that time.

Caleb Smith, marketing director with Enroll Wyoming, said those who want coverage starting January 1st must enroll by this Sunday, December 15th.

"This deadline is something that we ask people to be mindful of so they can hopefully avoid a gap in health coverage. I'd hate for people to delay action or just forgo trying to get medical help just because they weren't covered," he said.

Open enrollment runs until January 15th. But those who wait until the last month to sign up won't be covered under their new plans until February 1st.

Smith added some Wyoming families are surprised at the discounts they qualify for following pandemic-era increases to advanced premium tax credits. Enroll Wyoming can help anyone navigate the Marketplace, whether they're enrolling for the first time or if they've done it before.

"I certainly know a number of people, they've done this a couple times," he said. They just appreciate somebody kind of looking over their homework to go like, 'Yeah, you got it.'"

Wyomingites can quickly be connected to a navigator by dialing 2-1-1.

Nationwide, Black women face a maternal mortality rate three times higher than white women.

To address the disparity, the Maternity Care Coalition is providing doulas to women in underserved rural areas in Pennsylvania.

Jamiylah Miller, doula program manager for the coalition, said its doula and lactation program supports families from pregnancy to three months postpartum, helping during labor and delivery, pain management and adjusting to a newborn.

However, some families who are not connected with a doula through community organizations like theirs, struggle with the cost of doula services. Recent legislation extended Medicaid coverage to help offset the cost.

"The cost varies depending on the doulas private rates, and some of those can be in the thousands," Miller explained. "We're learning that a lot of the families who need support from a doula, or who would benefit the most, are those who can't afford those prices. "

Miller noted their doula services are free to expecting families in the community. She advocated for more organizations to provide doula services to families facing financial barriers.

Miller pointed out their network of 116 doulas, including 29 certified in Pennsylvania, are independent contractors who bring specialized expertise to their services. The organization also offers doula and lactation community health worker training for those interested.

In anticipation of the growing trend of insurance reimbursement for doula services, which began earlier than expected in February 2024, they have been proactively expanding the program.

"We offered both our current doulas that are in our network, as well as our training doulas to become state certified," Miller emphasized. "We've been able to support them in getting all the components of the application that they need, including CPR training, HIPAA training. We've been able to help with the application fees."

Miller added the coalition offers vital resources to new parents including diapers, wipes, formula, breast pumps when available, and home visiting services. Additionally, they use community resources like Cribs for Kids and the Children's Hospital of Philadelphia car seat program to support families. They are working to expand language services by recruiting more bilingual doulas to better support diverse families.


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