Sanford identified for commitment to place of work mental health

Psychological Wellness The us has awarded Sanford Wellbeing the 2022-23 Gold Bell Seal for Office Psychological Wellbeing. The Bell Seal is a initial-of-its-type workplace mental wellbeing certification that recognizes companies who attempt to develop mentally healthful workplaces for their employees.

Sanford Health and fitness underwent a rigorous analysis of its insurance policies and tactics in 4 areas: workplace tradition, benefits, compliance and wellness systems. The position as a Bell Seal-qualified group demonstrates Sanford Health’s ongoing dedication to personnel psychological well being and effectively-getting. Sanford Well being is the to start with and only Bell Seal recipient headquartered in South Dakota for 2023. There are no other recipients principally primarily based in North Dakota for 2023.

“Sanford Health and fitness is honored to be recognized by Psychological Wellness The usa for the value we area in supporting our staff,” stated Ashley Wenger-Slaba, vice president of personnel practical experience at Sanford Overall health. “The perfectly-remaining of our employees and caregivers impacts the full overall health method, potential customers to far better affected person care, superior high-quality outcomes, greater individual fulfillment and better retention and recruitment.”

MHA — established in 1909 — is the nation’s foremost community-centered nonprofit dedicated to addressing the general mental overall health of all. MHA has expended a long time looking into mental wellness in the office, and in 2019, MHA introduced the Bell Seal for Office Psychological Well being to recognize firms and corporations that comprehend the value of addressing mental health and fitness at get the job done and put into action insurance policies and techniques that assist employee well-becoming.

Sanford Health has led efforts to fight operate-related strain and burnout as a result of resiliency groups, schooling, a clinician assistance system, counseling, a medical doctor wellness council and complete mental wellbeing resources to aid employees acquire care of themselves bodily and emotionally although caring for people and people.

This spring, Sanford Health and fitness launched a system in which sufferers can now self-plan a digital behavioral health appointment by means of My Sanford Chart. The useful resource is part of Sanford Health’s virtual treatment initiative to satisfy the requires of sufferers, regardless of their ZIP code.

Sanford Wellbeing was not too long ago identified by Becker’s as one particular of the 150 best places to operate in wellness care. Sanford Overall health was also named the inaugural winner of the Organizational Workforce Lifestyle Award at

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HHS Secretary Xavier Becerra Assertion on EMTALA Enforcement

Secretary Becerra sends letter to medical center and service provider associations across the state reinforcing EMTALA obligations underneath federal legislation

Secretary Becerra to hospitals: “You are obligated to supply required stabilizing treatment to your patients, and we will not be reluctant to implement your obligations below the law”

Currently, the Centers for Medicare & Medicaid Companies (CMS) declared two investigations of hospitals that did not give needed stabilizing treatment to an specific experiencing an unexpected emergency health-related problem, in violation of the Unexpected emergency Health-related Treatment method and Labor Act (EMTALA). U.S. Department of Health and fitness and Human Providers (HHS) Secretary Xavier Becerra unveiled the following assertion:

“As we have built explicitly crystal clear: we will use the comprehensive extent of our authorized authority, consistent with orders from the courts, to enforce protections for folks who search for crisis treatment – like when that care is an abortion. HHS has declared investigations into two hospitals that did not offer you necessary stabilizing care to an particular person experiencing an emergency clinical affliction. Throughout her visits to two unique hospitals, the patient was not provided the care that her medical doctors determined was needed to stabilize individuals crisis health-related problems — not due to the fact of the medical judgment of her providers, but due to the fact the hospital insurance policies would not allow for an abortion to be carried out.  

“Fortunately, this individual survived. But she under no circumstances should have gone by means of the terrifying ordeal she knowledgeable in the initial put. We want her, and just about every affected person out there like her, to know that we will do every thing we can to shield their life and wellness, and to investigate and implement the law to the fullest extent of our lawful authority, in accordance with orders from the courts. The Biden-Harris Administration is dedicated to affected individual safety and shielding people’s accessibility to the health care they need to have. Now, we send out a reminder to hospitals taking part in Medicare: you are obligated under EMTALA to present stabilizing treatment to patients who need unexpected emergency treatment, and we will not hesitate to enforce your obligations less than the law.”

Secretary Becerra also sent a letter to clinic and service provider associations across the state these days reminding them that it is a well being treatment provider’s skilled and lawful duty

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What Does 1870s Comstock Act Have to Do With Abortion Products?

Dormant for a half-century, the Comstock Act has been revived by anti-abortion groups and conservative states looking for to block the mailing of mifepristone, the pill applied in much more than fifty percent of U.S. abortions.

On Friday, a federal choose in Texas sided with Christian conservatives in ruling that the Comstock Act prohibits sending the long-applied drug by the mail.

This is a glimpse at the case and the legislation:

Political Cartoons

In a sweeping ruling, U.S. District Decide Matthew J. Kacsmaryk reported that the Food stuff and Drug Administration’s acceptance of mifepristone far more than two a long time ago violated federal policies. In spite of overpowering evidence to the contrary, the Donald Trump appointee said the Fda disregarded “legitimate safety concerns” with the pill, which has been obtainable since 2000.

The Biden administration and mifepristone’s primary drugmaker filed appeals notices inside hours of the conclusion.

The Texas ruling arrived practically concurrently with an get from a decide in Washington state, who stated the Food and drug administration have to preserve accessibility to the drug in Democratic-led states that filed their personal lawsuit. The dueling viewpoints are predicted to ship the matter promptly to the Supreme Court docket.

A former lawyer for the conservative Very first Liberty Institute, Kacsmaryk employed the terminology of anti-abortion advocates in the course of his opinion, referring to medical practitioners who prescribe mifepristone as “abortionists,” fetuses as “unborn humans” and medicine abortions as “chemical” abortions.

If upheld, Kacsmaryk’s 67-webpage final decision would also dismantle modern Fda modifications developed to relieve entry to mifepristone, notably a 2021 swap that authorized the drug to be sent by way of the mail.


Originally passed in 1873 and named for an anti-vice crusader, the Comstock Act was intended to prohibit the mailing of contraceptives, “lewd” writings and any “instrument, substance, drug, medication, or issue” that could be utilized in an abortion.

The law’s scope has been continuously narrowed by federal courts and Congress, which eradicated the reference to contraceptives in the 1970s. And the federal govt has not enforced the legislation due to the fact the 1930s, according to legal industry experts.

Kacsmaryk, though, agreed with plaintiffs that the legislation — as practically interpreted — prohibits mailing mifepristone.

The FDA’s decision allowing for the “dispensing of chemical abortion drugs by means of mail violates unambiguous federal criminal regulation,” he concluded.


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Hospital systems get millions in property tax breaks

By Michelle Crouch

Co-published with the Charlotte Ledger

Every year, Terry Taylor-Allen and her husband, William, pay property taxes on their bungalow in Charlotte’s Dilworth neighborhood. Although the bill has skyrocketed since they moved in 30 years ago, they know the money supports schools, police and other important services. 

The owner of the houses next door, meanwhile, don’t pay a cent on those homes. 

That’s because the houses on either side of them are owned by The Charlotte-Mecklenburg Hospital Authority, a governmental entity otherwise known as Atrium Health. 

Because it’s a hospital authority, Atrium — which had $8.9 billion in revenue in 2021 — does not have to pay taxes on property it owns in Charlotte and across the region. 

That’s true even if the land isn’t used for medical purposes. 

In fact, one tax-exempt Atrium property in Cornelius is home to a PDQ Tenders chicken restaurant. You’ll pay taxes when you buy the chicken tenders, but Atrium doesn’t pay taxes on the land the restaurant sits on.  

Charlotte’s other health care giant, Novant Health, also gets significant tax exemptions. Because it’s a nonprofit hospital and not a public one, it gets a tax break only on property it can show it is using for its charitable purpose.

“If you think about the cumulative total of everything (the hospitals) have taken off the tax rolls over the years, that’s a Godzilla number,” said Taylor-Allen, who lives on Fountain View next to the site where Atrium’s Carolinas Medical Center is expanding. “Think about all the school needs and how much that money could help low-income people who don’t have health care, housing or food.” 

As Mecklenburg County officials discuss a possible tax increase this year, a Charlotte Ledger/N.C. Health News analysis reveals that the two hospitals now own properties assessed at more than $2.4 billion — but which is tax-exempt — in Mecklenburg County alone. That’s based on 2022 assessed values; it’s likely worth more based on the 2023 values recently mailed out. 

If Atrium and Novant were fully taxed in 2022, they would have been Mecklenburg County’s fourth- and fifth-largest property taxpayers, respectively, after only Duke Energy, Wells Fargo and Bank of America. And they would have contributed an additional $23 million to the city and county tax base, according to calculations using 2022 assessed values and tax rates. 

That’s enough to pay the salaries of 527 entry-level teachers in

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10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision

Note: This brief was updated April 5, 2023, to include more recent and additional data.

  1. Medicaid enrollment has increased since the start of the pandemic, primarily due to the continuous enrollment provision.
  2. KFF estimates that between 5 million and 14 million people will lose Medicaid coverage during the unwinding of the continuous enrollment provision.
  3. The Medicaid continuous enrollment provision has stopped “churn” among Medicaid enrollees.
  4. States have developed plans for how they will approach the unwinding of the continuous enrollment provision.
  5. Maximizing streamlined renewal processes can promote continuity of coverage as states begin to unwind the continuous enrollment provision.
  6. States can obtain temporary waivers to pursue strategies to support their unwinding plans.
  7. Certain groups may be at greater risk for losing Medicaid coverage during the unwinding period.
  8. States can partner with MCOs, community health centers, and other partners to conduct outreach.
  9. Timely data on disenrollments and other metrics will be useful for monitoring how the unwinding is proceeding.
  10. The number of people without health insurance could increase if people who lose Medicaid coverage are unable to transition to other coverage.

At the start of the pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA), which included a provision that Medicaid programs keep people continuously enrolled through the end of the COVID-19 public health emergency (PHE), in exchange for enhanced federal funding. As part of the Consolidated Appropriations Act, 2023, signed into law on December 29, 2022, Congress delinked the continuous enrollment provision from the PHE, ending continuous enrollment on March 31, 2023. The CAA also phases down the enhanced federal Medicaid matching funds through December 2023. Primarily due to the continuous enrollment provision, Medicaid enrollment has grown substantially compared to before the pandemic and the uninsured rate has dropped. But, as states resume disenrollments following the end of the continuous enrollment provision, millions of people could lose coverage and that could reverse recent gains in coverage. States can resume disenrollments beginning in April but must meet certain requirements to be eligible for enhanced federal funding during the unwinding.

This brief describes 10 key points about the unwinding of the Medicaid continuous enrollment provision, highlighting data and analyses that can inform the unwinding process as well as legislation and guidance issued by the Centers for Medicare and Medicaid Services (CMS) that lay out the rules states must follow during

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Exhaustion Is Prevalent Amongst More mature Grownups, and It Has A lot of Attainable Triggers

Almost nothing organized Linda C. Johnson of Indianapolis for the exhaustion that descended on her following a diagnosis of stage 4 lung most cancers in early 2020.

Initially, Johnson, now 77, imagined she was depressed. She could scarcely summon the strength to get dressed in the morning. Some times, she could not get out of bed.

But as she started to get her affairs in purchase, Johnson recognized one thing else was likely on. Nevertheless long she slept the night before, she woke up exhausted. She felt depleted, even if she didn’t do much throughout the working day.

“People would tell me, ‘You know, you are finding aged.’ And that was not beneficial at all. Because then you feel there is very little you can do mentally or physically to deal with this,” she informed me.

Fatigue is a common companion of a lot of sicknesses that beset older grown ups: heart ailment, most cancers, rheumatoid arthritis, lung ailment, kidney condition, and neurological disorders like numerous sclerosis, among the some others. It is a single of the most widespread signs or symptoms involved with persistent sickness, impacting 40% to 74% of older persons living with these disorders, according to a 2021 overview by researchers at the University of Massachusetts.

This is more than exhaustion right after an extremely busy working day or a night of weak sleep. It is a persistent entire-human body experience of possessing no electricity, even with minimal or no exertion. “I sense like I have a drained battery fairly significantly all of the time,” wrote a person named Renee in a Facebook group for people today with polycythemia vera, a rare blood most cancers. “It’s type of like staying a wrung-out dish rag.”

Fatigue does not represent “a working day when you’re fatigued it’s a few of weeks or a pair of months when you’re worn out,” mentioned Dr. Kurt Kroenke, a study scientist at the Regenstrief Institute in Indianapolis, which specializes in professional medical analysis, and a professor at Indiana University’s University of Medicine.

When he and colleagues queried nearly 3,500 more mature clients at a large primary care clinic in Indianapolis about bothersome signs, 55% listed exhaustion — 2nd only to musculoskeletal ache (65%) and much more than back again suffering (45%) and shortness of breath (41%).

Independently, a 2010 analyze in the Journal of the American Geriatrics Modern society estimated that 31% of

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