Literature Review

Tracing value from social determinant solutionsHealth Affairs Scholar; by Len M Nichols, Timothy A Waidman, Lisa Clemans-Cope, Bowen Garrett, Kima Taylor; 1/25We develop and illustrate a framework to trace value from social determinants of health (SDOH) interventions across 4 dimensions: health, cost and quality, engagement, and equity... Prior research frequently overlooks non-healthcare savings, concluding that interventions “don’t pay for themselves.” In contrast, our findings show that when all beneficiaries are considered, many SDOH interventions yield a net positive value. Recognizing the public good nature of SDOH interventions is essential for reaching accurate policy conclusions.

Lamont proposes legislation to rein in private equity in health care CT Mirror; by Katy Golvala; 1/23/25 Connecticut officials gathered at the state Capitol Thursday to announce a proposal backed by Gov. Ned Lamont enhancing state oversight of major mergers, acquisitions and asset transfers in the health care sector. The proposal aims to “modernize” state regulation of health care deals. It would broaden the scope of transactions that require Attorney General review, establish a review process for both the Office of Health Strategy and the Attorney General’s Office and allow the Attorney General to impose conditions to prevent harm to the state’s health care system.

Health policy at a crossroads: What to watch in 2025Health Affairs; by Katie Keith; 1/21/25This article is the first in a new Health Affairs Forefront featured topic, “Health Policy at a Crossroads.” Articles in this topic will offer timely analysis of prominent regulatory, legislative, and judicial developments in health policy... 2025 could mark a major inflection point in health policy. Over the past four years, among many other changes, the nation rebounded from a once-in-a-generation pandemic; the uninsured rate reached a record low—with record enrollment across Medicare, Medicaid, and the Affordable Care Act marketplaces; Medicare beneficiaries began to see savings on prescription drugs; overdose deaths dropped; and women lost the right to reproductive choice under the US Constitution, leading to abortion bans in more than 20 states less than three years since the Supreme Court overturned Roe v. Wade.

Lobbying groups unite to form US Cannabis Roundtable MJBiz; by MJBizDaily Staff; 1/16/25 The National Cannabis Roundtable and the U.S. Cannabis Council – two large lobbying groups that advocate on behalf of the state-regulated marijuana industry in Washington, D.C. – are merging to form the US Cannabis Roundtable. The unified group represents marijuana multistate operators such as Cresco Labs, Curaleaf Holdings, Green Thumb Industries, Trulieve Cannabis Corp. and Verano Holdings as well as single-state operators, according to a [recent] news release. 

4 new healthcare laws in 2025 Becker's Hospital Review; by Kristin Kuchno; 1/3/25 Through recently passed ballot initiatives and legislation, states across the U.S. are implementing healthcare and workforce-related changes in 2025.

Bill would require prisons to notify families of inmate deaths Henry Herald, Washington, DC; by Staff; 12/18/24 U.S. Sen. Jon Ossoff, D-Georgia, recently announced the introduction of a bipartisan bill aimed at helping ensure family members are notified in a timely and compassionate manner in the event of the death or serious illness or injury of a loved one in custody. Ossoff and U.S. Sen. John Kennedy, R-La., recently introduced the bipartisan Family Notification of Death, Injury, or Illness in Custody Act. U.S. Rep. Sydney Kamlager-Dove, D-Calif., is leading the companion bill in the U.S. House of Representatives.

How the downfall of the ‘Chevron Doctrine’ could affect hospices in the courts Hospice News; by Holly Vossel; 12/16/24 Recent court rulings have the potential to make significant differences in the landscape of hospice regulatory oversight in coming years, particularly when it comes to audits and the forthcoming Special Focus Program (SFP). In June the U.S. Supreme Court overturned a ruling that in 1984 established the “Chevron Doctrine,” which instructed lower courts to defer to executive branch agencies to resolve ambiguities in laws passed by Congress. The decision marked the end of the practice known as “Chevron deference,” which required that courts must defer to regulatory agencies’ interpretations of “ambiguous” statutes within federal legislation as long as the enforcement activity is deemed “reasonable.” Hospices could potentially see a vastly different outlook in regulatory enforcement activity during a time of tremendous changes already taking place in the industry, [Bryan Nowicki, partner at the law firm Husch Blackwell] said.

Washington Paid Family and Medical Leave & Job Protection - Final Legislative Report University of Washington, Daniel J. Evans School of Public Policy & Governance; Lead investigator Heather D. Hill, MPP, PhD, with Tom Lindman, MPP, Diane Rucavado, MPA, and Elizabeth Ford, JD; 12/1/24 This research was funded by ESSB 5187. Additional support for data access and analyses for this research came from the UW Data Collaborative funded by the UW Population Health Initiative, UW’s Student Technology Fee program, the UW’s Provost’s office, and Eunice Kennedy Shriver National Institute of Child Health and Human Development research infrastructure grant, P2C HD042828 to the Center for Studies in Demography and Ecology at the University of Washington. The content is solely the responsibility of the authors.

Senior living organizations press senators for passage of Elizabeth Dole Act McKnights Senior Living; by Kathleen Steele Gaivin; 12/2/24 Senior living advocacy groups are pressing Senate Veterans Affairs Committee leaders to seek a unanimous consent agreement on the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to expedite its passage. ... The advocates noted that the House of Representatives had passed the act Nov. 18 under suspension of the rules. The House overwhelmingly supported the bill, passing the legislation by a vote of 389–9. ... As McKnight’s Senior Living previously has reported, the pilot program would enable 60 veterans to receive assisted living services via a three-year test that also would measure their satisfaction with the effort. The legislation would require that participating facilities be located in geographically diverse regions, with at least one test site serving veterans in a rural or highly rural area and at least one being a state home.

ACA's future in Trump's 2nd term: 17 things to know Becker's Hospital Review; by Laura Dyrda; 11/8/24 The Affordable Care Act has been through many iterations since being signed into law in 2010. Donald Trump's second presidential term could bring about more changes. The New York Times gathered perspective from experts across the political spectrum to outline what could happen next based on limited information from the campaign trail and Mr. Trump's historical view of the ACA. Here are 17 key points. 

Pennsylvania signs home care, hospice efficiency bills into law McKnights Home Care; by Adam Healy; 11/5/24 Pennsylvania Gov. Josh Shapiro (D) signed into law two bills that will reduce operational challenges and improve recruitment efforts for home care and hospice agencies. House Bill 155 allows healthcare providers, including home care and hospice agencies, to use remote video technology for interviews with direct care workers. Meanwhile, Senate Bill 1080 allows licensed practical nurses (LPNs) to pronounce death in home-based hospice settings. These two new laws will make direct care worker recruiting processes more accessible and efficient, while improving end-of-life care for both patients and providers, according to the Pennsylvania Homecare Association. “The signing into law of HB 155 and SB 1080 helps create efficiencies in how we deliver home-based care,” Mia Haney, chief executive officer of PHA, said Friday in a statement. “With a growing demand for these services, efforts such as these allow providers to use their time effectively and focus on what’s most important — quality of care.”

Reps. Van Duyne, Panetta introduce bill to reform hospice Special Focus Program Hospice News; by Jim Parker; 11/6/24 Reps. Beth Van Duyne (R-Texas) and Jimmy Panetta (D-California) have introduced a bill that would reform aspects of the hospice Special Focus Program (SFP). If enacted, the Enhancing Hospice Oversight and Transparency Act also would increase the penalty for hospices that do not report quality measure data to 10% by 2027, up from 4% currently. The SFP has the authority to impose enforcement remedies against hospices with poor performance based on its algorithm. Hospices flagged by the SFP also will be surveyed every six months rather than the current three-year cycle and could face monetary penalties or expulsion from the Medicare program. 

Terminally ill patients from other states can’t come to N.J. to end their lives, court rules NJ.com; by Chris Sheldon; 10/29/24 A federal judge ruled Wednesday that the residency requirement in New Jersey’s medical aid in dying law does not violate the U.S. Constitution, meaning the state can continue to keep its right to die law exclusively for residents. The ruling was in response to a lawsuit filed in August 2023 by Compassion & Choices on behalf of terminally-ill cancer patients in Delaware and Pennsylvania and two New Jersey doctors, according to a statement from the non-profit, which works to expand choice for the end of life.