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  • Medicaid Financing and the U.S. Territories: Implications of The Build Back Better Act

    Policy Watch

    The U.S territories have faced an array of longstanding fiscal and health challenges that were exacerbated by recent natural disasters and the COVID-19 pandemic. This policy watch examines how Medicaid funding for the territories works, the current allotments, and how the Build Back Better Act (BBA) would change Medicaid funding for the territories going forward. While a version of BBBA has passed the house, its fate in the Senate remains uncertain.

  • Medicaid: What to Watch in 2020

    Issue Brief

    Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing homes, continues to be a key part of health policy debates at the federal and state level. Key Medicaid issues to watch in 2020 include: Medicaid expansion developments; Section 1115 waiver activity; enrollment and spending trends; benefits, payment and delivery system reforms, and the implications of the 2020 elections.

  • Public Health in Puerto Rico after Hurricane Maria

    Issue Brief

    This issue brief provides a snapshot of key public health challenges in Puerto Rico after Hurricane Maria. It discusses topics such as mortality, food, water, sanitation, health care infrastructure, and mental health on the island in the wake of the storm.

  • Navigating Recovery: Health Care Financing and Delivery Systems in Puerto Rico and US Virgin Islands

    Issue Brief

    This brief identifies key issues and short and long-term options for recovery around the health care financing and delivery systems in Puerto Rico and the U.S. Virgin Islands following Hurricanes Irma and Maria, which caused significant physical damage to the territories. It draws on insights from a Nov. 30 roundtable discussion with leaders and experts representing a variety of perspectives on Medicaid policy, health insurance and care delivery systems, and disaster recovery.

  • Health Care in Puerto Rico and the U.S. Virgin Islands: A Six-Month Check-Up After the Storms (Report)

    Issue Brief

    Puerto Rico and the U.S. Virgin Islands suffered significant damage to their infrastructure and health care systems from Hurricanes Irma and Maria in September 2017. Drawing on interviews with residents and key stakeholders as well as public reports, this brief provides an overview of the status of the recovery efforts six months after the storms, with a focus on the health care systems.

  • Puerto Rico after Hurricane Maria: The Public’s Knowledge and Views of Its Impact and the Response

    Poll Finding

    The survey gauges the public’s knowledge and views about Puerto Rico’s recovery efforts following the devastating category 4 hurricane that struck Sept. 20. Most Americans say that Puerto Ricans affected by Hurricane Maria are not yet getting the help they need, and about half say that the federal government has been too slow to respond and is not doing enough to restore electricity and access to food and water. Republicans are much more likely than Democrats or independents to view the federal response as appropriate.

  • Americans’ Views of Puerto Rico’s Recovery

    Poll Finding

    The November Kaiser Health Tracking poll finds that 70 percent of the public say people in Puerto Rico affected by Hurricane Maria are not yet getting needed help, up from 62 percent in October. Similarly, most of the public (59 percent) says the federal government is not doing enough to restore electricity and access to food and water in Puerto Rico. As with Puerto Rico’s recovery effort, most of the public also reports closely following news about the recovery in the Houston area after Hurricane Harvey.