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NV conservation group supports FERC's transmission planning rule; Memorial Day weekend includes Tornadoes and record-high temperatures; A focus on the Farm Bill for Latino Advocacy Week in D.C; and Southeast Alaska is heating homes with its rainfall.

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U.S. Supreme Court allows South Carolina gerrymander that dilutes Black voters, Sen. Ted Cruz refuses to say if he'll accept 2024 election results, and Trump calls Mar-a-Lago search an attempt to have him assassinated.

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Smokey Bear thought only "you" could prevent forest fires, but decomposing mushrooms may also help, a Native American community in Oregon is achieving healthcare sovereignty, and Colorado farmers hope fast-maturing, drought-tolerant seeds will better handle climate change.

VA Senator calls for updates to ACA health coverage

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Wednesday, April 10, 2024   

Sen. Tim Kaine, D-Va., wants to update the 14-year-old Affordable Care Act.

He and Sen. Tammy Baldwin, D-Wis., are asking for updates to the Act's list of Essential Health Benefits. Affordable Care Act plans must cover 10 categories, including mental health services and prescription drug coverage.

Sarah Bedard Holland, CEO of Virginia Health Catalyst, said inaction will only further the medical debt crisis.

"Four in 10 adults nationally have medical debt because they understand the importance of some of these services that aren't covered," Bedard Holland pointed out. "They are either choosing to access care or in very emergent situations, and need to be paying out of pocket to access care that is fundamental to their overall health."

Around 580,000 Virginians have medical debt, close to the national average. Dental benefits are optional for adults but mandatory for children.

This month, the Department of Health and Human Services finalized a policy allowing all states to update their Essential Health Benefits benchmark to include adult dental services, starting with the 2025 application process.

The senators argued getting more benefits has long been needed, especially post-pandemic.

Colin Reusch, policy director for the group Community Catalyst, said coverage gaps stem from Affordable Care Act plans modeled after employer plans, especially with separate benefits. Now, he noted the prevailing wisdom is to make health care inclusive.

"Those standards just aren't up to par, in terms of what people's actual health care needs are," Reusch contended. "Luckily, the law is clear in saying these things can change and that the administration can recognize the need to improve and strengthen those standards."

But the divisiveness in Congress could make it difficult to reach agreement on updating benefits. Past legislation sought to eliminate Essential Health Benefits for Medicaid expansion beneficiaries but was later amended to include individual and small-market plans.

Disclosure: Community Catalyst contributes to our fund for reporting on Health Issues, and Reproductive Health. If you would like to help support news in the public interest, click here.


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