Health insurance brokers play an important role in getting Americans covered, but they often aren’t representative of the communities they serve. Some state health insurance marketplaces are working to address these racial disparities, say Georgetown University’s Jalisa Clark and Christine H. Monahan on To the Point. Connecticut, for example, has created a “broker academy” to recruit from historically underserved communities and train people to become life and health insurance brokers. The program “aspires to establish a more diverse and trusted broker industry, provide individuals with at least a high-school-level education access to a stable and profitable career, and help increase insurance coverage rates in underserved communities,” the authors write. Washington State is also planning to launch its own broker academy, while other states are engaging existing brokers to improve outreach into communities of color. Pennie has begun an initiative to recruit diverse brokers through similar initiatives. Read More.

The Centers for Medicare and Medicaid Services (CMS) released a State Medicaid Director Letter on August 30, 2023, instructing states to determine whether they are following federal Medicaid regulations that require all renewals be conducted at the individual level. This is a result of the growing concerns surrounding “family-level” automatic renewals/disenrollments that are causing children to lose insurance coverage at alarming rates. CMS instructed state Medicaid agencies to determine if their systems have a “family-level” renewal error and to take steps to mitigate its impact.

The Center for Medicare and Medicaid Services Office of Minority Health has released an animated video to help patients and consumers under their healthcare coverage. The Roadmap to Better Care is a guide that includes confirming coverage with the health plan, knowing the difference between primary and emergency care, filling prescriptions, and scheduling follow-up visits. The resources are available in 9 languages: Arabic, Chinese, English, Haitian Creole, Korean, Russian, Spanish, Ukrainian, and Vietnamese.

For 2024 coverage, open enrollment for Medicare begins October 15 and ends December 7. During the annual enrollment period, all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs. Consumers can get plan information or compare plans on Medicare.gov or by calling their local PA MEDI office at 1-800-783-7067. Our community health centers also assist consumers with enrolling consumers in the Low-Income Subsidy program, also known as Extra Help under the Medicare Part D prescription drug program, and the Medicare Savings program through funding from the Pennsylvania Department of Aging.

Governor Josh Shapiro announced that Pennsylvania has implemented automatic voter registration (AVR) for eligible Commonwealth residents obtaining driver’s licenses and ID cards at Pennsylvania Department of Transportation (PennDOT) driver and photo license centers. By implementing AVR, Pennsylvania joins a group of 23 states that have taken this step to promote election security and save taxpayers time and money. Commonwealth residents who are obtaining new or renewed driver’s licenses and ID cards and are eligible to vote will be automatically taken through the voter registration application process unless they opt out of doing so. Previously, eligible voters were required to take additional steps to opt into the voter registration process. Today’s changes also increase access to voter registration by adding instructions in five more languages, for a total of 31 languages.

Democrats will retain their narrow majority in the state House after Democrat Lindsay Powell won a special election for the seat representing the 21st Legislative District in Allegheny County. The chamber has been evenly divided with 101 Democrats and 101 Republicans since Rep. Sara Innamorato, D-Allegheny, resigned in July to focus on her campaign for county executive. Powell is the Director of Workforce Strategies for InnovatePGH, an economic development nonprofit, and a former aide to U.S. Senate Majority Leader Chuck Schumer and former Pittsburgh Mayor William Peduto. Powell will complete the remainder of Innamorato’s two-year term and be up for reelection next year.

 Researchers examined local government spending on water infrastructure between 1980 and 2015 in non-metropolitan areas to determine the impact on rural economies, and how investment varies across different populations.

Last week’s announcements included a blurb on the Physician-Focused Payment Model Technical Advisory Committee (PTAC) Meeting that occurred on September 18-19.  PTAC is now soliciting public comment on a series of questions developed to encourage rural participation in the population-based total cost of care models. PTAC requests that input be submitted by Friday, October 20. Responses should be sent to PTAC staff at PTAC@HHS.gov. Input on these questions will be made publicly available. More information is available on the PTAC website. Comments are due by October 20, 2023.