Browse Heartland
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Texas Considers Expanding Direct Primary Care
Publication -Research and Commentaries -Direct Primary Care (DPC) is a way of connecting health care providers and patients in a retainer-based service agreement. Under DPC, providers and patients agree on a fee to be paid to cover routine health care services. It does not replace health insurance and it must not be defined as insurance. The main barrier to […] -
Texas Senate Bill 745 Would Expand Medicaid Fraud Recovery and Prosecution
Publication -Research and Commentaries -Skyrocketing Medicaid costs were already threatening to overpower every other priority in state budgets before the pandemic. As COVID-19 spread, national Medicaid enrollment ballooned from 23 million people to 95 million as eligibility requirements were relaxed. States were given enhanced funding from the federal government to load more people onto Medicaid while simultaneously being unable […] -
South Carolina Bill Expands Interstate Counselors Compact
Publication -Research and Commentaries -Telemedicine has benefited from a steep COVID-19 learning curve. After restrictions on telemedicine were eased or eliminated to allow virtual treatment as a temporary replacement for in-person office visits during the pandemic, most patients are returning to in-person consults. However, as the formal pandemic emergency ends, public health officials are allowing many COVID-19 emergency rules […] -
South Carolina Bill Proposes Sweeping Repeal of Antiquated Certificate of Need Laws
Publication -Research and Commentaries -Certificate of Need (CON) laws were intended to reduce costs and improve access to health care by controlling the availability of medical facilities through state-based regulation. In the 1960s, policy makers began to worry that the free market would concentrate an oversupply of lucrative medical services in some areas, while creating an undersupply of services […] -
Ohio Bill Considers Prior Authorization Reform
Publication -Two people who are suffering from the same curable condition may need the same drug. One will get it, while the other may be prescribed something less effective. The insurance you have determines which drug you are prescribed because your insurer may require prior authorization (PA) for certain treatments. PA reform is taking shape in […] -
Patients Deserve More Access to Potential Treatments
Publication -In 2018, President Trump signed Right to Try legislation, which allows terminally ill and untreatable patients with the right to try medicines that are deemed safe, but have not yet gained final approval from the FDA. This year, states are taking the next step to allow more patients access to more potential treatments. While Right […] -
Ohio Considers Health Care Price Transparency
Publication -In 2021, a federal rule came into effect that requires hospitals to post prices so that patients can know what they are being charged for their medical services. In 2019, President Trump issued executive order 13877 to “increase the transparency of health care price and quality information on negotiated rates and for common or shoppable […] -
Ohio Considers Creating Interstate Physician Assistants Licensure Compact
Publication -Research and Commentaries -Connecting doctors and their patients across state lines has become commonplace, thanks to the Interstate Medical Licensure Compact, which now includes 37 states, the District of Colombia, and Guam. By allowing physicians to practice in multiple states, the compact has significantly increased access to doctors, particularly in rural areas. However, access to care gaps continue […] -
“Right to Treat” Iowa Bill Expands Right to Try Legislation
Publication -Research and Commentaries -Suffering patients deserve more access to investigational treatments. In Iowa, HF225 would expand access to drugs and therapies that have not yet been completely approved by the FDA, but could help patients who have no other options. Iowans are currently restricted to limited expanded use of investigational drugs to only those patients who are near […] -
Iowa Bill Puts Focus on Medicaid Fraud
Publication -Research and Commentaries -Before the COVID-19 pandemic upended the delivery of health care in America and throughout the world, states were realizing that skyrocketing Medicaid costs threatened to devour all discretionary spending. During the pandemic, Medicaid enrollment ballooned by 23 million people to 95 million as eligibility requirements were relaxed and states were given enhanced payments to load […] -
New York Senator is Taking Legislative Action to Stop the “Transition” until a Fossil Fuel Replacement is Identified
Opinion -Today, the only supply chain for the parts and components for wind turbines and solar panels are made with fossil fuels! -
Government Price Fixing Is Just as Stupid in Europe
Opinion -Rather than let the market players determine the value of SEPs, Government in its infinite ineptitude is going to fix the rates -
The Abuse Abyss
Opinion -Due to apathy, incompetence, and crippling union diktats, the number of sexual abuse cases in public schools is shocking. -
Surging New England Energy Prices: No Surprise
Opinion -New Englanders now pay more than twice the price for natural gas than most other US residents pay, and that gap is growing. -
Culture War Offensive
Opinion -The government, big business, schools, the media, etc., aka “the establishment,” are now the radicals demanding change. -
North Carolina Governor Declares ‘State of Emergency’ Over School Choice Bill
Opinion -For far too long, public school teachers and education professionals have become complacent and comfortable under the status quo system. -
Biden’s Environmental Injustice
Opinion -A global energy transformation would likely be catastrophic for affordable energy. -
All For the Sake of Global Warming and President Biden’s Climate Agenda
Opinion -But the clampdown doesn't stop with gas stoves. -
The West’s War on Economic Activity: EU Edition
Opinion -I have spent these past decades cataloging the United States’ many decades of ever-increasing idiocy. -
Feds Playing Shell Game with Wind Impact on Whales
Opinion -NOAA is taking public comments on a massive proposal to harass large numbers of whales and other marine mammals by building a huge offshore wind complex. -
Regime Climate Censorship Enforcer NewsGuard: The Tragic case of Zack Fishman
Opinion -NewsGuard assigned their new hire Zack Fishman, who was fresh out of “climate journalism finishing school” to perform an evaluation and rating. -
C. Boyden Gray, R.I.P.
Opinion -C. Boyden Gray was a first-rate lawyer and a stalwart defender of freedom. -
Doubling Down on Book Ban Bushwa
Opinion -No one is banning any books. The government is not destroying any reading material and imprisoning writers. -
Section 230 Precedent Is Trojan Horse Tech-Tort Reform, Not Congress’ Intent
Opinion -America and Americans have been badly deceived and cheated for a quarter century.