From: NCSL TODAY
To: Scott Jenkins,
Subject: Nov. 19: New Medicaid rules could challenge state shifts away from nursing homes
Date: Wed Nov 19 15:49:48 MST 2014
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Strengthening States for 40 Years

TOP NEWS  Nov. 19, 2014

New Medicaid rules could challenge state shift away from nursing homes
Stateline
Starting this year, a new federal rule will require states to ensure that long-term care alternatives to nursing homes—such as assisted living facilities, continuing care retirement communities, group homes and adult day care—work with residents and their families to develop individual care plans specifying the services and setting each resident wants.


States seek immunity from Supreme Court health subsidies ruling
Governing
The U.S. Supreme Court took many by surprise when it announced earlier this month that it will review a case that has the potential to make health insurance significantly less affordable in the states that rely on the federal exchange.

Montana governor proposes budget with new form of Medicaid expansion
Billings Gazette
Gov. Steve Bullock on Monday released his proposed budget for the 2016-2017 fiscal year that includes a new way to expand Medicaid to cover low-income Montanans, a voluntary prekindergarten program and a call to spend $300 million on public works projects statewide.


Ohio lawmakers propose fertilizer limit to help Lake Erie
Cleveland.com
State lawmakers have proposed significant new rules designed to reduce the phosphorus runoff that promotes toxic Lake Erie algal blooms, including restrictions on when northwest Ohio farmers could use fertilizer and manure.

Wisconsin agency proposes fee for electric cars
Lacrosse Tribune
Wisconsin would join five other states that impose special fees on owners of electric vehicles, in an attempt to help make up for revenue drivers of those fuel-efficient cars aren't paying in gas taxes, under a road-funding proposal put forward by Gov. Scott Walker's administration.

State prisons projected to grow 3 percent by 2018
The Washington Post
Since the late 1970s, the state prison population essentially knew only one direction: up. But, in 2009, something changed. After all those years of growth, the prison population begin to shrink. And the trend held steady — well, until last year, when growth made a comeback
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