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Alternative Medicaid Financing Proposals Could Jeopardize Cancer Care; Increase States’ Medicaid Costs

... curative care under alternative Medicaid financing models being considered by Congress. The American Cancer Society Cancer Action Network (ACS CAN) today sent a letter detailing the organization’s concerns to select governors invited to attend a Medicaid meeting led by the Senate Finance ... current system, fixed federal payments would not adjust automatically to account for increased enrollment, unexpected health emergencies or the cost of new breakthrough treatments. Instead, such financing would shift the cost to states, which would then likely implement restrictions to make up ...

Cancer Advocates Excited for Possibilities to Improve Breast Cancer Screening Access, Celebrate Senate’s Passing of HB 1283

... a “do not pass” in committee, House Bill 1283 passed the full Senate on Monday behind strong Senate voices who took a stand on behalf of North Dakotans who might need additional breast cancer screenings beyond mammograms. HB 1283, sponsored by Rep. Karen Karls of Bismarck, would ... abnormal finding on a screening mammogram or supplemental imaging because of certain risk factors. The steps needed for a clean bill of health can cost thousands out of pocket. These patients are often put in position of choosing between a full medical workup or paying for a month’s worth of ...

Prior Authorization Reform Passes Both Chambers, Cancer Advocates Eagerly Await Governor’s Signature

... Senate Bill 2280 into law.  For the more than 4,500 North Dakotans who will be diagnosed with cancer in 2025, medical prior authorization can delay treatment, increase stress and have a negative impact on their care. Prior authorization is a practice in which physicians must obtain approval from insurers before prescribing medication or moving forward with treatment for their patients.  Physicians report the process can lead to significant delays in care, contributing to negative outcomes in patients, including abandoned treatment. The process was once used ... a system requiring providers get approval to prescribe even the most routine medications and procedures.  According to a National Conference of State Legislatures database, 23 states enacted more than 43 bills related to prior authorization in the past few years, including 18 in 2024 ...

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