Health equity is becoming a top priority in North Carolina as Medicaid undergoes changes. People across the state are experiencing updates, that means some people will transition to managed care while others may lose their coverage. Many people will also become eligible for Medicaid for the first time. These updates are things health advocates say can worsen existing disparities.

Madison Allen, senior program officer with the Kate B. Reynolds Charitable Trust, said they are collaborating with local organizations to amplify feedback and address the problems.

"Some of the issues we've heard about from grantees include challenges associated with enrolling or disenrolling from plans, challenges with inadequate provider network, problems accessing transportation, confusing appeal processes," Allen explained.

She added grantees have found cases where people with disabilities have not been accommodated. Allen emphasized that the groups and researchers they support are actively working as intermediaries between the community and the programs to ensure that people receive the benefits they deserve.

About 47% of non U.S. citizens lack health insurance.

Hamutal Bernstein, senior fellow with the Urban Institute, explained that these challenges can be even more difficult for immigrant families. A recent report called "Supporting North Carolina's Immigrant Families" reveals a growing number of Spanish, Swahili and Hmong residents in the state.

Bernstein explains many of these families face language barriers, immigration concerns and discrimination, and added that in some cases, they encounter lengthy enrollment processes and struggle to receive help with documentation, preventing eligible family members from accessing essential safety-net programs.

"So, there are families where there are U.S. citizens, there are U.S. born citizens, there are naturalized citizens, there are sometimes undocumented members and there may be eligible family members for a program and other family members are absolutely not eligible, and so families have to sort all that out," Bernstein continued.

The report says some agencies are unsure about the language needs within their respective counties. To address this, a data tool has been developed to provide insights on immigration demographics. The report also recommends solutions such as hiring staff who represent immigrant communities, improving language accessibility beyond Spanish, and utilizing targeted modes of communication for different age groups.


get more stories like this via email

With the 2025 legislative session around the corner, the nonprofit advocacy group Alabama Arise said it plans to take aim at poverty and systemic challenges that hit families the hardest.

Big issues like health care access, public transportation and unfair court fines often weigh on lower-income families.

Robyn Hyden, executive director of Alabama Arise, said it is time for state leaders to step up and tackle the concerns.

"Our state, because we underfund state government and we underfund our court systems, we heavily rely on fines and fees that really disproportionately hurt low-income families and working families," Hyden contended.

Hyden believes cutting court fines and fees could be life-changing for some, freeing up money for essentials like food and health care. She highlighted the need for Medicaid expansion, removing the grocery tax and protecting voting rights as top priorities for 2025. State legislators have so far refused to expand Medicaid.

One of the most pressing issues Alabama Arise wants to see addressed is health care during and after pregnancy since the state has among the highest rates of maternal and infant mortality. A new report from Pregnancy Justice shows Alabama led the nation with 104 prosecutions of pregnant people in the year following the Dobbs decision.

Hyden stressed she wants to see an end to the state criminalizing pregnancy-related issues and instead, improving access to prenatal care.

"We don't think that women should be prosecuted because they have a miscarriage," Hyden emphasized. "We believe that health care providers should be able to provide lifesaving care to women in those situations. And we believe that when women are given drugs during labor, which does happen, they should not then be incarcerated or have their children removed."

The legislative session begins in February. Hyden added Alabama Arise is planning an advocacy day in March to unite voices in support of low-income and working families.

Blood banks nationwide and in Arkansas are encouraging people to make a blood donation this time of year and possibly save a life.

Blood donations are used in cancer treatments, for people who have been involved in vehicle crashes and people undergoing surgery.

Erin Goff, donor recruitment director for Our Blood Institute, said they typically see a decrease in donations during the holidays.

"People are busy, people have lives and travel and different things for the holidays to see family," Goff observed. "That means that accidents typically are higher during this time of year and donations are down because people aren't in their local areas."

Seasonal illnesses, school breaks and severe weather also contribute to decreases in donations. O-Negative is the universal blood type and can be used for anyone but she added during the holidays everyone who can donate should, to help keep hospital shelves stocked.

Our Blood Institute provides blood to hospitals in the Little Rock and Fort Smith area. Any Arkansan 16 years old or older can donate. Goff noted donor restrictions have changed throughout the years.

"Sometimes there were people that were in the military overseas that were told they couldn't donate," Goff recounted. "That's not true anymore. People that had tattoos think they can't donate. As long as you had it in a licensed shop you can donate. If you're ever in question, reach out to your local blood center and see if you're eligible to donate."

Goff emphasized only about 6% of people who are eligible to donate do so. According to the American Red Cross, someone in America needs a blood transfusion every two seconds and one donation can save up to three lives.


get more stories like this via email

In this year's devastating hurricane season, Florida community health centers are proving indispensable in disaster response and recovery, providing far more than medical care.

The back-to-back blows of Hurricane Helene and Hurricane Milton left the region reeling, testing the resilience and adaptability of health care providers.

Kim Schuknecht, chief operating officer of Evara Health in Pinellas County, said they had plans to deploy mobile units to beach communities after Hurricane Helene but Milton's swift arrival and widespread flooding thwarted the efforts.

"By the time we were able to get that all worked out with the mayors of the different areas, here comes Milton," Schuknecht recounted. "We weren't even able after the first hurricane to get out there. That really was an inhibitor for us to be able to go out and do some mobile services because so many areas, we couldn't drive in them."

She pointed out they extended their operating hours to navigate those challenges. While providing services at emergency shelters, they discovered people were asking for help with needs beyond behavioral health and medical care. They ended up gathering supplies so evacuees could take showers in one of the mobile units.

Schuknecht noted one lesson learned is the demands were greater than anticipated, even beyond basic medical care.

"Baby wipes, things that we -- hadn't been through this type of situation before -- things that you just take for granted and don't really think about," Schuknecht explained. "We've learned to have more supplies on hand, different supplies than what we're used to."

As Florida looks ahead to the next hurricane season, Schuknecht noted her operation is refining its emergency preparedness strategies. Plans include more tabletop exercises and strengthening new collaborations, such as a partnership with the Red Cross, which she emphasized will be crucial for future responses.

Schuknecht added this season's experiences have shaped her company's approach to future planning, ensuring they remain a cornerstone of support in the face of Florida's unpredictable storms.

"I think we all learned a lot," Schuknecht acknowledged. "All of the agencies here in the county, including Evara Health, we were very fortunate to be able to have the resources to assist. And we're glad we were called upon to be able to provide the care that we did."


get more stories like this via email