Pitani ku nkhani yaikulu

Thandizani CHAD
Zofunika Kwambiri pa Ndondomeko

menyu

CHAD imayang'anitsitsa ndondomeko ndi zosintha zamalamulo, zosintha ndi zovuta m'maboma ndi maboma ndikugwira ntchito ndi akuluakulu a congressional ndi boma kuti awonetsetse kuti zipatala ndi odwala awo akuimiridwa panthawi yonse yokonza malamulo ndi ndondomeko.

Pachimake cha mfundo zofunika kwambiri za FQHC ndikuteteza mwayi wopeza chithandizo chamankhwala chabwino kwa anthu onse aku Dakota, makamaka akumidzi, osatetezedwa komanso osatetezedwa. Chinthu chinanso chofunikira kwambiri ndikuwonetsetsa kuti anthu onse azitha kulimbikitsa madera athanzi ndikupititsa patsogolo ntchito ndi kukula kwa zipatala kudera la Dakotas.

Federal Advocacy

Kukhazikitsa malamulo ku federal level kumakhudza kwambiri zipatala za federally qualified health centers (FQHCs), makamaka pankhani zandalama ndi chitukuko cha mapulogalamu. Ndicho chifukwa chake gulu la ndondomeko la CHAD limagwira ntchito limodzi ndi mamembala ake a zaumoyo ndi ogwira nawo ntchito zachipatala kudera la Dakotas kuti akhazikitse mfundo zofunika kwambiri ndikupereka zofunikirazo kwa atsogoleri a Congress ndi ogwira ntchito awo. CHAD imalumikizana nthawi zonse ndi mamembala a congressional ndi maofesi awo kuti awadziwitse za nkhani zomwe zimakhudza FQHCs ndi odwala awo komanso kuwalimbikitsa kuchitapo kanthu pa malamulo ndi ndondomeko zazikulu zachipatala.

Federal Policy zofunika

Zipatala za ku Dakotas ndi South Dakota Urban Indian Health zidapereka chithandizo choyambirira, chithandizo chaumoyo, komanso chisamaliro cha mano kwa anthu aku Dakota opitilira 136,000 mu 2021. Iwo adawonetsa kuti madera atha kupititsa patsogolo thanzi, kuchepetsa kusagwirizana kwaumoyo, kupulumutsa okhometsa msonkho, ndikuthana bwino ndi mavuto ambiri azaumoyo wa anthu okwera mtengo komanso ofunikira, kuphatikiza miliri ya chimfine ndi coronavirus, HIV/AIDS, kugwiritsa ntchito mankhwala osokoneza bongo, kufa kwa amayi oyembekezera, kupeza chithandizo kwa omenyera nkhondo, ndi masoka achilengedwe. 

Kuti apitilize ntchito yawo yofunika ndi cholinga, zipatala zimafunikira kuwonjezereka kwa malo ogulitsa mankhwala kwa odwala omwe sali otetezedwa, thandizo la telefoni m'zipatala, kuyika ndalama pantchito, komanso ndalama zolimba komanso zokhazikika. Malo azaumoyo akufuna kupitiriza kugwira ntchito mogwirizana ndi Congress kuti athetse mavuto otsatirawa. 

Kuchulukitsa Kupezeka kwa Pharmacy kwa Odwala Osakwanira

Kupereka mwayi wopezeka kumitundu yonse yotsika mtengo, yokwanira, kuphatikiza ma pharmacy, ndi gawo lofunikira lachitsanzo chachipatala cha anthu. Ndalama zomwe zasungidwa mu pulogalamu ya 340B ziyenera kubwezeretsedwanso kuzinthu zachipatala ndipo ndizofunikira kwambiri kuti zipatala zitheke kuti ntchito zitheke. Ndipotu, zipatala zambiri zimanena kuti chifukwa cha malire awo ang'onoang'ono ogwiritsira ntchito, popanda kusungidwa kwa pulogalamu ya 340B, iwo akanakhala ochepa kwambiri kuti athe kuthandizira ntchito zawo zambiri zazikulu ndi ntchito kwa odwala awo. 

  • Zionetseni momveka bwino kuti Mabungwe omwe ali ndi 340B ali ndi ufulu wogula mankhwala onse opanga mankhwala omwe aperekedwa kwa odwala kunja pamitengo ya 340B kwa odwala oyenerera kudzera m'mafakitale aliwonse omwe ali ndi mgwirizano wamakampani. 
  • Cosponsor the PROTECT 340B Act (HR 4390), kuchokera ku Reps. David McKinley (R-WV) ndi Abigail Spanberger (D-VA) kuti aletse oyang'anira mapindu a mankhwala (PBMs) ndi ma inshuwaransi kuti asachite nawo machitidwe okhudzana ndi mgwirizano kapena "pick-pocketing" 340B ndalama kuchokera kuzipatala. 

Wonjezerani Mwayi Wazaumoyo wa CHC

Malo onse azaumoyo ku Dakotas akugwiritsa ntchito telefoni kuti akwaniritse zosowa za odwala awo. Ntchito za telehealth zimathandizira kuthana ndi miliri, malo, zachuma, mayendedwe, komanso zopinga zamanenedwe pakupeza chithandizo chamankhwala. Chifukwa chakuti ma CHC akuyenera kupereka chithandizo chokwanira m'madera osowa kwambiri, kuphatikizapo madera akumidzi omwe ali ndi anthu ochepa, zipatala zikuchita upainiya pogwiritsa ntchito telehealth kuti awonjezere mwayi wopeza chithandizo chamankhwala.  

  • Thandizani zoyeserera zamalamulo ndi zowongolera kuti zithandizire kusinthika kwapanthawi yaumoyo wapagulu (PHE) kudzera pakusintha kwa mfundo zokhazikika kapena zaka ziwiri kuti zitsimikizire zipatala. 

  • Thandizo la CONNECT for Health Act (HR 2903/S. 1512) ndi Kuteteza Kufikira ku Post-COVID-19 Telehealth Act (HR 366). Mabiluwa amasintha ndondomeko ya Medicare pozindikira zipatala ngati "malo akutali" ndikuchotsa zoletsa "malo oyambira", kulola kufalitsa telehealth kulikonse komwe wodwala kapena wothandizira ali. Ndalamazi zimalolanso kuti ntchito za telefoni zibwezedwe mofanana ndi ulendo wa munthu payekha. 

Ntchito

Zipatala za anthu ammudzi zimadalira gulu la asing'anga opitilira 255,000, opereka chithandizo, ndi ogwira ntchito kuti akwaniritse lonjezo la chithandizo chamankhwala chotsika mtengo komanso chopezeka. Kuyika ndalama kwanthawi yayitali pantchito yosamalira mtunduwu kumafunika kuti akwaniritse ndalama zomwe dziko likufuna komanso kuonetsetsa kuti zipatala zikuyenda bwino ndikukula ndikusintha zosowa zaumoyo m'madera awo. Kuperewera kwakukulu kwa ogwira ntchito komanso kuchepa kwa malipiro omwe akukulirakulira kumapangitsa kuti zipatala zisamavutike kupeza ndikusunga ogwira ntchito ophatikizika, amitundu yambiri kuti apereke chisamaliro chapamwamba. Bungwe la National Health Service Corps (NHSC) ndi mapulogalamu ena ogwira ntchito m'boma ndi ofunika kwambiri kuti tithe kulembera anthu ogwira ntchito kumadera omwe akuwafuna. Tikuyamikira ndalama zomwe zaperekedwa mu American Rescue Plan Act kuti tithane ndi kuchepa kwa ogwira ntchito chifukwa cha mliriwu. Kupititsa patsogolo ndalama zaboma ndikofunikira pakukulitsa njira zogwirira ntchito zipatala zimadalira kupereka chithandizo kwa odwala.  

  • Support $2 biliyoni ya NHSC ndi $500 miliyoni ya Namwino Corps Kubweza Ngongole Program. 
  • Support Thandizo lokhazikika la FY22 ndi FY23 lothandizira mapulogalamu onse ogwira ntchito yosamalira odwala, kuphatikizapo Title VII Health Professions ndi Title VIII Nursing Workforce Development program. 

Thandizani Community Health Centers

Tikuthokoza ndalama za American Rescue Plan Act zoperekedwa kuzipatala kuti zithandizire ku COVID-19 ndi ndalama zowonjezera zothandizira ogwira ntchito yosamalira odwala komanso kugawa katemera. Mliri wa COVID-19 waunikira kusalingana kwa kayendetsedwe ka zaumoyo kumidzi yathu, ochepa, akale, akuluakulu, komanso anthu opanda pokhala. Tsopano kuposa kale lonse, zipatala zakhala zikukhudzidwa kwambiri pazaumoyo wa anthu - kupereka chithandizo chofunikira kwambiri chaumoyo panthawi ya mliri wapadziko lonse lapansi. Mu 2022, tikuyang'ana ku Congress kuti isunge ndalama zoyambira ma CHC ndikuyika ndalama pakukula kwamtsogolo kwa pulogalamuyi. 

  • Thandizani osachepera $ 2 biliyoni mu Health Center Capital Funding pakusinthana, kukonzanso, kukonzanso, kukulitsa, kumanga, ndi ndalama zina zowongolera ndalama kuti zipatala zipitilize kukwaniritsa zosowa za odwala omwe akukula komanso madera omwe akutumikira.

Kuteteza Kuthekera kwa Odzipereka Ogwira Ntchito Zaumoyo Kumathandiza M'ma Community Health Center

Ogwira ntchito zachipatala odzipereka (VHPs) amapereka chithandizo chamtengo wapatali kwa ogwira ntchito ku zipatala ndi odwala awo. Bungwe la Federal Tort Claims Act (FTCA) pakali pano limapereka chithandizo chamankhwala kwa anthu odziperekawa. Komabe, chitetezochi chidzatha pa Okutobala 1, 2022. Kuperewera kwakukulu kwa anthu ogwira ntchito yosamalira odwala matenda ashuga kusanachitike komanso nthawi ya mliri wa COVID-19 kukuwonetsa kufunikira kofunikira kuti odzipereka osalipidwa alandire chitetezo chopitilira FTCA.  

  • Kukulitsa kotheratu kufalikira kwa Federal Torts Claim Act (FTCA) kwa VHPs zachipatala. The Kukula kwaphatikizidwa pakadali pano pazokambirana ziwiri za Senate ZOTHANDIZA Kukonzekera ndi Kuyankha ku Ma virus Amene Alipo, Emerging New Threats (PREVENT) Pandemics Act.  

Resources

North Dakota Advocacy

Kuthandizira ntchito ndi cholinga cha zipatala za anthu ammudzi ndikuteteza mwayi wopeza chithandizo chamankhwala kwa anthu onse aku North Dakota ndi mfundo zomwe zili pakatikati pa zoyeserera za CHAD. Gulu lathu limagwira ntchito limodzi ndi mamembala azipatala komanso othandizana nawo azaumoyo ku North Dakota kuti aziwunika malamulo, kukhazikitsa mfundo zofunika kwambiri, ndikuphatikiza opanga malamulo ndi akuluakulu ena aboma ndi am'deralo. CHAD yadzipereka kuwonetsetsa kuti ma CHC ndi odwala awo akuimiridwa panthawi yonse yokonza ndondomeko.

North Dakota Policy Zofunika Kwambiri

Nyumba yamalamulo yaku North Dakota imakumana zaka ziwiri zilizonse ku Bismarck. Pamsonkhano wamalamulo a 2023, CHAD ikuyesetsa kulimbikitsa mfundo zofunika kuzipatala ndi odwala awo. Zofunikira izi zidaphatikizapo kuthandizira kusintha kwa malipiro a Medicaid, kusungitsa ndalama za boma ku CHCs, ndi kukulitsa zopindulitsa zamano, ogwira ntchito zachipatala mdera, komanso ndalama zosamalira ana.

Kusintha kwa Malipiro a Medicaid

North Dakota Medicaid ndi malo azaumoyo ammudzi (CHCs) ali ndi cholinga chogawana zopititsa patsogolo thanzi laopindula ndi Medicaid. Timafunikira chitsanzo cholipira chomwe chimathandizira njira yosamalira chisamaliro chotsimikizirika kuti ikhale yabwino komanso yotsika mtengo. Ma CHC akulimbikitsa opanga malamulo kuti apange njira yolipirira ya Medicaid yomwe:

  • Imathandizira mitundu ya mautumiki apamwamba omwe awonetsedwa kuti apititse patsogolo zotsatira, kuphatikizapo kugwirizanitsa chisamaliro, kupititsa patsogolo thanzi, kuthandizira kusintha kwa chisamaliro, ndi kuunika kwa zinthu zomwe zingayambitse chiopsezo cha anthu kuti apange maulendo apamwamba kuzinthu zofunikira zamagulu;
  • Imaphatikiza miyeso yozikidwa paumboni ndipo imapereka zolimbikitsira zachuma kwa opereka chithandizo zikakwaniritsidwa;
  • Imagwirizana ndi njira zosinthira zolipirira zomwe zilipo monga nyumba yachipatala yokhazikika (PCMH) ndi Blue Cross Blue Shield ya pulogalamu ya BlueAlliance ya North Dakota; ndi,
  • Imathetsa mbali yotsutsana ndi ndondomeko yoyendetsera milandu yoyambirira yomwe imatsogolera ku Medicaid kukana zofunikira (komanso zamtengo wapatali) chithandizo chamankhwala choyambirira. Kukana kwa Medicaid panopa kulipira chithandizo chamankhwala choyamba pamene wodwalayo akuwona wothandizira amene Medicaid sanamusankhe kuti akhale wothandizira wamkulu (PCP) amatsogolera ku maulendo osowa osowa mwadzidzidzi ndi kutayika kwakukulu kwa ndalama kwa CHCs ndi ena omwe akuyesera kuthandiza odwala m'deralo.

mano

Malo azaumoyo ammudzi amapereka chisamaliro chokwanira kwa odwala ku North Dakota, kuphatikiza chisamaliro cha mano. Umboni umagwirizanitsa pakamwa pabwino ndi thupi lathanzi. Mwachitsanzo, kafukufuku wa 2017 wa anthu omwe ali ndi matenda a shuga akuwonetsa kuti ndalama zachipatala ndi $ 1,799 zochepa kwa odwala omwe adalandira chithandizo choyenera chamankhwala chapakamwa kusiyana ndi omwe sanalandire. Kusatetezedwa kwa mano kumatha kupangitsa kuti azipita kuchipinda chodzidzimutsa, zomwe zingasokoneze kuthamanga kwa magazi, kusamalira matenda a shuga, komanso kupuma bwino.

  • Wonjezerani maubwino a mano kwa ONSE omwe alandila Medicaid ku North Dakota, kuphatikiza anthu omwe akhudzidwa ndikukula kwa Medicaid.

State Investment in Community Health Centers

Malo azaumoyo amdera (CHCs) ku North Dakota amagwira ntchito yofunika kwambiri m'boma lathu lothandizira odwala opitilira 36,000 pachaka. Maboma makumi awiri mphambu asanu ndi anai omwe ali ndi chuma cha boma omwe ali oyenera ku CHCs kuti athandizire ntchito yawo yopereka chisamaliro kwa anthu omwe ali pachiwopsezo. Ma CHC aku North Dakota akufuna kuwonjezeredwa pamndandandawu.

Tikukupemphani kuti muganizire zopereka ndalama zokwana madola 2 miliyoni ku mabungwe a CHC kuti apititse patsogolo ndikukulitsa luso lawo lothandizira anthu omwe ali pachiwopsezo komanso osatetezedwa m'boma. Adzagwiritsa ntchito zothandizira kukwaniritsa zolinga izi:

  • Kuchepetsa kuyendera zipinda zadzidzidzi ndi zipatala kwa opindula ndi Medicaid ndi omwe alibe inshuwaransi;
  • Thandizani anthu omwe ali pachiwopsezo chofuna thandizo;
  • Yankhani zovuta za ogwira ntchito ndi kuchepa;
  • Pangani ndalama za IT zaumoyo zomwe zimathandizira kukonza bwino; ndi,
  • Gonjetsani zopinga za thanzi m'madera omwe alibe chitetezo kuti athe kupeza chakudya chathanzi komanso nyumba zotsika mtengo, kupititsa patsogolo kufalitsa, kumasulira, mayendedwe, ndi ntchito zina zosalipidwa.

Ogwira Ntchito Zaumoyo m'madera

Ogwira ntchito zachipatala m'madera (CHWs) ndi ogwira ntchito zachipatala ophunzitsidwa patsogolo omwe ali ndi chiyanjano ndi anthu ammudzi omwe akutumikira, omwe amagwira ntchito monga zowonjezera zothandizira zaumoyo. Ma CHW atha kukulitsa mwayi wopeza chithandizo chamankhwala ku North Dakota, kuchepetsa ndalama zothandizira zaumoyo, komanso kupititsa patsogolo thanzi la North Dakotas. Akaphatikizidwa ndi chithandizo chamankhwala choyambirira, ma CHWs amatha kupititsa patsogolo chisamaliro chogwirizana ndi gulu, chokhazikika kwa odwala pothandizira ntchito za akatswiri azaumoyo. CHWs amathandiza opereka chithandizo chamankhwala kuti amvetsetse mavuto enieni omwe kasitomala amakumana nawo tsiku ndi tsiku. Angathandize kulimbikitsa chidaliro pakati pa odwala ndi magulu awo azaumoyo kuti athetse mavuto ndikupeza momwe angagwiritsire ntchito mapulani awo azachipatala.

Pamene machitidwe a zaumoyo akugwira ntchito pa njira zowonjezera zotsatira za thanzi, kuchepetsa ndalama zothandizira zaumoyo, ndi kuchepetsa kusagwirizana kwaumoyo, North Dakota ingaganizire kukhazikitsa malamulo kuti akhazikitse mapulogalamu okhazikika a CHW.

  • Pangani maziko othandizira mapologalamu a CHW, kuthana ndi akatswiri, maphunziro ndi maphunziro, malamulo, ndi kubweza thandizo lachipatala.

Invest In Childcare Kuti Mupereke Chisamaliro Chopezeka, Chapamwamba, komanso Chotsika mtengo

Kusamalira ana, ndithudi, ndi gawo lofunika kwambiri la chuma chomwe chikuyenda bwino. Kupeza chisamaliro cha ana chotsika mtengo ndikofunikira kuti makolo azigwirabe ntchito komanso chinthu chofunikira cholembera anthu madera athu. Pa avareji, mabanja ogwira ntchito ku North Dakota amawononga 13% ya bajeti yawo yosamalira ana. Nthawi yomweyo, mabizinesi osamalira ana amavutika kuti azikhala otseguka, ndipo ogwira ntchito yosamalira ana amapeza $24,150 ngati akugwira ntchito nthawi zonse, osayenda pamwamba pa umphawi wa banja la atatu.

  • Kuthandizira kuwonjezereka kwa malipiro a ogwira ntchito yosamalira ana, kusintha ndondomeko zopezera ndalama kuti mabanja ambiri athandizidwe ndi ana, kuwonjezera ndalama zothandizira ana okhazikika, ndi kukulitsa mapulogalamu a Head Start ndi Early Head Start.

Resources

South Dakota Advocacy

Kuthandizira ntchito ndi cholinga cha zipatala zachipatala komanso kuteteza mwayi wopeza chithandizo chamankhwala kwa anthu onse aku South Dakota ndi mfundo zomwe zili pakatikati pa zoyeserera za CHAD. Gulu lathu limagwira ntchito limodzi ndi mabungwe azachipatala omwe ali mamembala ndi othandizana nawo azaumoyo ku South Dakota kuwunika malamulo, kukhazikitsa mfundo zofunika kwambiri, ndikuphatikiza opanga malamulo ndi akuluakulu ena aboma ndi am'deralo. CHAD ikudzipereka kuonetsetsa kuti zipatala ndi odwala awo akuimiridwa panthawi yonse yokonza ndondomeko.

South Dakota Policy Zofunika Kwambiri

Nyumba yamalamulo yaku South Dakota imakumana chaka chilichonse ku Pierre. The 2023 gawo lamalamulo anayamba pa January 10, 2023. Pamsonkhanowu, CHAD idzayang'anira  chisamaliro chamoyo-malamulo okhudzana ndi nthawi thandizoIng ndi kulimbikitsaIng zinayi Mfundo zofunika kwambiri:

Ogwira ntchito - Kupititsa patsogolo ndi Kulemba Ntchito Ogwira Ntchito Zaumoyo

Njira zothetsera ogwira ntchito zachipatala m'madera akumidzi akupitirizabe kufuna ndalama zowonjezera. Pulogalamu imodzi yolonjeza ndi State Loan Repayment Program. Pulogalamuyi imalola mayiko kuti akhazikitse zofunikira zakomweko pakubweza ngongole kwa akatswiri azaumoyo omwe amagwira ntchito m'malo osowa azaumoyo. Tikuyamikira kuti Dipatimenti ya Zaumoyo ku South Dakota posachedwapa inagwiritsa ntchito ndalamazi kuti zithandize kulemba anthu ogwira ntchito zachipatala.

Tikudziwa kuti kufunikira kwa pulogalamu yamtunduwu ndikwambiri, ndipo tingalimbikitse thandizo lowonjezera la mapulogalamuwa kuti akwaniritse zomwe akufuna. Njira zina zothanirana ndi vutoli ndi kulimbikitsa ntchito zapaipi za anthu ogwira ntchito yazaumoyo, kuyika ndalama popanga mapulogalamu atsopano, komanso kukulitsa ndalama zamapulogalamu ophunzitsira.

Ogwira Ntchito - Malamulo Oyenera Kwambiri Pagulu

Malo azaumoyo ammudzi ndi South Dakota Urban Indian Health amadalira ukatswiri ndi ukadaulo wa othandizira adotolo (PAs) ndi othandizira ena apamwamba kuti akwaniritse zosowa za madera akumidzi ndi akumidzi omwe amawatumikira. Chikhalidwe chosinthika chachipatala chimafuna kusinthasintha pakupanga magulu kuti akwaniritse zosowa zosiyanasiyana za odwala. Momwe ma PA ndi madotolo amachitira limodzi siziyenera kutsimikiziridwa pamalamulo kapena pakuwongolera. M'malo mwake, kutsimikiza kumeneko kuyenera kupangidwa ndi mchitidwewo mothandiza kwambiri odwala ndi madera omwe akutumikira. Zomwe zikuchitika pano zimachepetsa kusinthasintha kwa gulu ndikuchepetsa mwayi wopeza chithandizo popanda kuwongolera chitetezo cha odwala.

340b Tetezani Kupeza Mankhwala Otsika mtengo kudzera mu 340b Program

Malo azaumoyo ammudzi ndi South Dakota Urban Indian Health akugwira ntchito yopereka chithandizo chamankhwala chotsika mtengo, kuphatikiza malo ogulitsa mankhwala. Chida chimodzi chomwe timagwiritsa ntchito pothandizira ntchitoyi ndi pulogalamu yamitengo ya 340B. Pulogalamuyi idakhazikitsidwa mu 1992 kuti ipereke mitengo yotsika mtengo kwa odwala omwe amathandizidwa ndi opereka chitetezo kumidzi ndi chitetezo.

Malo azaumoyo akuwonetsa mtundu wa pulogalamu yachitetezo yomwe pulogalamu ya 340B idapangidwa kuti ithandizire. Mwalamulo, zipatala zonse:

  • Thandizani malo omwe akusowa akatswiri;
  • Onetsetsani kuti odwala onse atha kupeza chithandizo chokwanira chomwe amapereka, mosasamala kanthu za inshuwaransi, ndalama, kapena kuthekera kolipira; ndi,
  • Akuyenera kubwezanso ndalama zonse za 340B kuzinthu zovomerezedwa ndi boma kuti apititse patsogolo ntchito yawo yachifundo yowonetsetsa kuti anthu omwe sanasungidwe amapeza mwayi.

Tikupempha boma kuti liteteze pulogalamu yofunikayi yomwe imapatsa odwala onse akuchipatala mwayi wopeza mankhwala otsika mtengo. Opanga osiyanasiyana awopseza kutayika kwa kuchotsera kwa mankhwala omwe amatumizidwa ku ma pharmacies omwe amapereka mankhwala a 340B m'malo mwa ena omwe amathandizira kwambiri m'boma lathu. Izi zakhudza malo ogulitsa mankhwala osokoneza bongo zikuvutitsa kwambiri madera akumidzi, komwe malo ogulitsa mankhwala akuvutikira kale kuti asagwiritse ntchito.

Medicaid Expansion Implementation

Ku South Dakota, Medicaid idzakulitsa pulogalamuyo mu July 2023. Mayiko ena omwe awonjezera pulogalamu yawo ya Medicaid awona kupeza bwino kwa chithandizo, kupititsa patsogolo thanzi labwino, ndi kuchepetsa chisamaliro chosalipidwa, zomwe zimapangitsa kuti chithandizo chamankhwala chikhale chotheka kwa aliyense.

Kuti muwonetsetse kuti kukulitsa kwa South Dakota Medicaid kuli kothandiza, tikukupemphani kuti muyike patsogolo malingaliro awa ndi Dipatimenti Yothandizira Anthu:

  • Kupanga Komiti Yolangizira Yowonjezereka ya Medicaid, kapena komiti yaing'ono ya Medicaid Advisory Committee, kuti atsogolere ndi kupititsa patsogolo kulankhulana ndi opereka chithandizo, machitidwe a zaumoyo, ndi odwala omwe izi zidzakhudza;
  • Thandizani pempho la bajeti la Bwanamkubwa Noem kuti awonjezere antchito ndi teknoloji mu pulogalamu ya Medicaid; ndi,
  • Perekani ndalama kumabungwe omwe ali mawu odalirika pazaumoyo wa anthu ammudzi komanso inshuwaransi yaumoyo kuti athandize odwala atsopano a Medicaid.

Resources