Focus Area

State Health Policy Leadership

Content Type:

  • Publication

    Legislator Briefing on Funding Cuts to State and Local Public Health: Virtual Convening of the Milbank State Leadership Network

    April 2025 Sofia Espinosa Morgan McDonald

    The Milbank State Leadership Network hosted a virtual session for state legislators and legislative staff to hear directly from state and local public health officials on the impact of funding and federal program staffing cuts to core services. More

  • Praying for the Dam to Hold 

    Blog Post

    Praying for the Dam to Hold 

    April 2025 Morgan McDonald

    As health departments brace for potential additional funding losses, Morgan McDonald calls on state and local staff and policymakers on all sides of the aisle to communicate the impact of the cuts, particularly with their federal delegations. More

  • Running the Ground Game: Local Public Health in a Time of Outbreaks and Vaccine Hesitancy 

    Blog Post

    Running the Ground Game: Local Public Health in a Time of Outbreaks and Vaccine Hesitancy 

    April 2025 Jennifer Avegno

    With federal funding cuts affecting local health departments, running a strong ground game is more challenging now than ever.   More

  • Aging at Risk: The Impact of Medicaid Cuts on Older Adults 

    Blog Post

    Aging at Risk: The Impact of Medicaid Cuts on Older Adults 

    March 2025 Sarita A. Mohanty Narda Ipakchi

    For decades, the program has connected lower-income older adults and people with disabilities to the kind of care that helps them live with independence and purpose. More

  • U.S. Health and Human Services Department Secretary’s Postpartum Maternal Health Collaborative Convening, Part 2

    Publication

    U.S. Health and Human Services Department Secretary’s Postpartum Maternal Health Collaborative Convening, Part 2

    March 2025 Sofia Espinosa Mary Louise Gilburg Morgan McDonald

    In collaboration with the U.S. Department of Health and Human Services (HHS), the Milbank Memorial Fund convened the second of two virtual meetings in support of the multi-state Secretary’s Postpartum Maternal Health Collaborative. More

  • Vaccine, vaccine, vaccine, vacceeeeeene… 

    Blog Post

    Vaccine, vaccine, vaccine, vacceeeeeene… 

    February 2025 Morgan McDonald

    In the spring of 2021, my favorite T-shirt to wear on the soccer sidelines sported an image of Dolly Parton singing “Vaccine, vaccine, vaccine, vacceeeeeene” to the tune of “Jolene.” Parton herself sang the rewritten lyrics repeatedly urging Tennesseans to accept the COVID-19 vaccine. It prompted countless conversations about how the vaccine was made, where people could get it, and how safe it was. As a state public health official, my colleagues and I were rejoicing at how quickly the Trump administration had indeed delivered on a several vaccine options less than a year into the pandemic. More

  • Principles for CHW Reimbursement Rates 

    Publication

    Principles for CHW Reimbursement Rates 

    November 2024

    Developing Sufficient Rates. As of January 2024, there was significant variation in Medicaid payment rates for CHW/P/CHR services covered by… More

  • CHW State Plan Amendment Model Text

    Publication

    CHW State Plan Amendment Model Text

    November 2024

    1. (Definition) A community health worker, promotore, and community health representative (CHW/P/CHR) is a frontline public health worker who is… More

  • Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance

    Publication

    Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance

    November 2024 Annie Cloke Margarita Hart Janée Tyus Dawn Alley Shreya Kangovi

    Community health workers, promotores, and community health representatives have historically relied on a patchwork of grants for funding, but more than half of state Medicaid programs have now implemented some form of CHW/P/CHR coverage and payment policy. This toolkit provides model language for state Medicaid leaders and CHW/P/CHR advocates to use as they develop State Plan Amendments and accompanying guidance documents to establish coverage and payment for CHW/P/CHR services. More

  • Blog Post

    Fear, Trust, and Hope 

    November 2024 Christopher F. Koller

    Fear is a powerful force. Fear for her daughter’s safety drove my sister to take a bullet to protect my niece from a carjacker. Fear of raising… More