Rural Health
Resources by State: Puerto Rico
When Will the U.S. Territories Exhaust Federal Medicaid Funding?
Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Strengthening Health Care in the U.S. Territories for Today and Into the Future
Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Mandated Report - Medicaid in Puerto Rico
Chapter 5 of the semi-annual Report to Congress from the Medicaid and CHIP Payment and Access Commission. Analyzes Puerto Rico's Medicaid program and factors affecting its future. Features statistics including selected health indicators for Puerto Rico compared with U.S. mainland states, projected Medicaid benefit spending for Fiscal Year (FY) 2020, and Medicaid spending in Puerto Rico by year and source of funds for FYs 2011-2019.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Chapter 5 of the semi-annual Report to Congress from the Medicaid and CHIP Payment and Access Commission. Analyzes Puerto Rico's Medicaid program and factors affecting its future. Features statistics including selected health indicators for Puerto Rico compared with U.S. mainland states, projected Medicaid benefit spending for Fiscal Year (FY) 2020, and Medicaid spending in Puerto Rico by year and source of funds for FYs 2011-2019.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Report to Congress on Medicaid and CHIP, June 2019
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Twenty Years of School-Based Health Care Growth and Expansion
Examines the status of school-based health centers (SBHCs) and changes from 1998-2017. Includes data on the number of rural SBHCs over time, telehealth-exclusive SBHCs, sponsorship of SBHCs by Federally Qualified Health Centers (FQHCs), the number in each state, funding sources, populations served, types of healthcare provided, and more.
Author(s): Hayley E. Love, John Schlitt, Samira Soleimanpour, Nirmita Panchal, Caroline Behr
Citation: Health Affairs, 38(5), 755-764
Date: 05/2019
Type: Document
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Examines the status of school-based health centers (SBHCs) and changes from 1998-2017. Includes data on the number of rural SBHCs over time, telehealth-exclusive SBHCs, sponsorship of SBHCs by Federally Qualified Health Centers (FQHCs), the number in each state, funding sources, populations served, types of healthcare provided, and more.
Author(s): Hayley E. Love, John Schlitt, Samira Soleimanpour, Nirmita Panchal, Caroline Behr
Citation: Health Affairs, 38(5), 755-764
Date: 05/2019
Type: Document
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Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI
Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Type: Document
Sponsoring organization: KFF
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Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Type: Document
Sponsoring organization: KFF
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Disaster Exposure and Mental Health Among Puerto Rican Youths After Hurricane Maria
Results of a survey administered to 96,108 public school students between February and June 2018. Features statistics including percentage by educational region of students reporting exposure to stressors that warrant mental health services.
Author(s): Rosaura Orengo-Aguayo, Regan W. Stewart, Michael A. de Arellano
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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Results of a survey administered to 96,108 public school students between February and June 2018. Features statistics including percentage by educational region of students reporting exposure to stressors that warrant mental health services.
Author(s): Rosaura Orengo-Aguayo, Regan W. Stewart, Michael A. de Arellano
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: KFF
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Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: KFF
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One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: KFF
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Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: KFF
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Vital Signs: Zika-Associated Birth Defects and Neurodevelopmental Abnormalities Possibly Associated with Congenital Zika Virus Infection — U.S. Territories and Freely Associated States, 2018
Focuses on children one year of age or younger born in the U.S. territories and freely associated states whose mothers had laboratory evidence of confirmed or possible Zika virus infection during pregnancy and who had follow-up care reported. Reports data on Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Author(s): Marion E. Rice, Romeo R. Galang, Nicole M. Roth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(31), 858-867
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Focuses on children one year of age or younger born in the U.S. territories and freely associated states whose mothers had laboratory evidence of confirmed or possible Zika virus infection during pregnancy and who had follow-up care reported. Reports data on Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Author(s): Marion E. Rice, Romeo R. Galang, Nicole M. Roth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(31), 858-867
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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