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California’s merger proposal could turn small business retirements into legal paydays
Their retirement shouldn’t become another payday for billboard lawyers.
2 independent lawmakers are heading to Utah’s Capitol. Where will they fit?
Have independent candidates ever won seats in Utah's Legislature? It's difficult to say. But two political newcomers just pulled off election upsets, and they'll soon be making history at the Capitol.
Anchoring Maternal Mental Health in Obstetric Care: Key Takeaways from New York’s Historic Hearing - Policy Center for Maternal Mental Health
Advocates in New York, facilitated by the Postpartum Resource Center and others, worked with the legislature to host the state’s first Maternal Mental Health Hearing on Monday, November 9. The hearing featured over 40 speakers, including our CEO, Joy Burkhard. Joy’s testimony centered around opportunities to improve screening and diagnosis.
Fueled by Democratic gains, women will hold a record of state legislative seats
The number of women serving in state legislatures will set a new record following strong Democratic performance in last week’s midterm elections.
Anthony Chergosky on the politics of Democratic majorities
Anthony Chergosky on Democrats taking control of the Wisconsin Legislature and Congress.
SEIU Wisconsin calls for bill to restore UW Health union rights
After a seven-year campaign to reinstate union rights at UW Health hospitals in Madison, organizers are looking to the incoming Democratic governor and majority in the Legislature to help finish the job. Service Employees International Union’s Wisconsin branch mobilized support across the state for winning candidates — from Gov.-elect David Crowley on down to incoming […]
Democrat Cindy Holscher is the next Kansas governor. How will the blue wave change politics?
With a Democrat retaining the governor's office in Kansas, and the legislature's veto-proof Republican supermajority broken by last week's election, it’ll be tough for both sides to pass their legislative goals.
Will the state legislature take up independent redistricting?
With power shakeups coming in January at the General Assembly, incoming Democrats could consider an independent redistricting commission.
Patrick’s Politics: We should abolish the Electoral College
When the blue tsunami hit America this November, there was a side effect you might have missed. Democrats gained control of several state legislatures that had previously been Republican. This is i…
New Democratic State Majorities Bet Big on Pocketbook Politics
Democrats’ big wins last week stretched from Washington to downballot races in state legislatures, setting the stage for a push to lower costs as incoming leaders translate voters’ affordability concerns into a governing strategy.
New governor begins the ‘Becerra era’ by making nice with Capitol Democrats
Xavier Becerra promises few details but a collaborative start with the California Legislature, a break from Newsom’s last-minute style
Iowa Economy recap: Leaders watch appointments, budget
After the mid-term elections on Nov. 3, including Rob Sand’s election as governor and changes to the Legislature, Iowa business leaders will be monitoring the governor-elect’s transition team, appointments to state agencies and the priorities outlined in his first legislative agenda. On the latest episode of the Iowa Economy Podcast, hosted by BPC President Chris…
Texas casinos, sports betting could get new chance as lawmaker revives legalization push amid shifting state politics
State Rep. Charlie Geren filed House Joint Resolution 52 to place a constitutional amendment before Texas voters allowing the Legislature to authorize casino gambling and sports betting.
Texas casinos, sports betting could get new chance as lawmaker revives legalization push amid shifting state politics
State Rep. Charlie Geren filed House Joint Resolution 52 to place a constitutional amendment before Texas voters allowing the Legislature to authorize casino gambling and sports betting.
Texas Democrats set sights on 2027 legislative session as bill filing begins
Lawmakers began filing legislation for the 90th Texas Legislature on Monday. Proposals so far include bills to legalize recreational marijuana, repeal school vouchers, change immigration enforcement policies and place new restrictions on data centers.
Bill filing begins today for a divided Texas Legislature’s 2027 session
Bill filing begins today for a divided Texas Legislature’s 2027 session
‘The cavalry is here’: With Democratic sweep, California plots life after resistance spotlight
Democratic victories across the map expanded the front lines of resistance politics far beyond California.
After Silicon Valley spending spree, more moderate Democrats are heading to the Capitol
Big Tech spent big on California Legislature candidates as regulations on data centers and AI loom
Lula races to pass agenda before rightward shift in Congress
Government narrows priorities as a more conservative legislature prepares to take office next year
Potential impacts Democratic health care proposals on employer-sponsored health care
Summary: Democratic state and federal wins in the midterm elections could lead to Medicaid expansion in some states, and focuses attention on the House Democrats’ memo on health care priorities in the new Congress. Few of these proposals are likely to become law before 2029, but they could form the foundation for Democratic health care reform efforts after the 2028 Presidential election. Portion of total newly eligible for Medicaid if non-expansion states expanded Source: Cervantes, S et al How Many Uninsured Are in the Coverage Gap and How Many Could be Eligible if All States Adopted the Medicaid Expansion? KFF, July 27, 2026 It’s been almost a week since the midterm elections, and the Democrats will have large majorities in both the House of Representatives and the Senate, although not large enough to overcome Senate filibusters or Presidential vetoes. I reviewed some of what I thought these midterm results could mean in a post last week. In retrospect, I might have understated the elections’ impact on health care due to changes in governorship and majorities in many state legislatures. A Democratic trifecta (governorship and both houses) could mean expansion of Medicaid in Wisconsin, and a Democratic governor and House in Texas and Georgia could increase pressure in both states to expand Medicaid. That’s especially important, because Texas currently represents almost half of those who would be newly eligible for insurance from Medicaid expansions. Medicaid expansions matter to employers because they have been shown to decrease the risk of closure of rural hospitals and support workers’ ability to stay employed and productive. The House Democrats’ Cost of Living Healthcare Working Group published an 84-page memo in September with recommendations for the first hundred hours, the first hundred days, and the first year. The midterm results make this document more important. Here’s a review of what some of these recommendations could mean for employer-sponsored health insurance. Elements that could lower employer health care spending Restore the expanded advance premium tax credit for ACA plans. This could bring healthier enrollees back to the marketplace plans, which would improve the risk status of these plans and decrease the rate of uninsurance. Fewer people with insurance puts higher pressures on provider rates of employer plans. More stable ACA plans could encourage employers to consider transitioning from employer-sponsored plans to ICHRA/Choice, providing a fund for employers to purchase their own insurance on an exchange. Repeal Medicaid work requirements and other administrative rules of the One Big Beautiful Bill Act which as written will lead to a large increase in the uninsured rate. Fewer people with insurance leads to more pressures from hospitals for commercial rate increases. Extend Inflation Reduction Act negotiated drug prices to commercial health plans. These are now only applicable to Medicare Parts D (outpatient drugs) and B (drugs administered by providers. The Medicare negotiated prices are lower than net prices negotiated by PBMs. Hospital price limits. Some of the Democratic House proposals would institute site neutral payment and limit outlier hospital prices to 200% of Medicare. The average commercial health plan pays about 247% Medicare rates for inpatient hospital care, and many commercial health plans currently pay over 300% of Medicare for hospital services. PBM regulations. The proposals would mandate more transparency and prevent PBMs from paying subsidiaries more than market rates. Antitrust enforcement. The plan would break up vertically integrated health care monopolies which could lower prices through competition. Ban on non-compete contractual clauses could increase competition by increasing flexibility and supply of clinicians, although it could also increase physician leverage and lead to higher wages which could raise prices. Lower the Medicare eligibility age, which could take older, more expensive, workers off employer sponsored plans. Create a Medi-Kids plan to insure all children and potentially young adults up to age 26. These plan members have low non-preventive utilization and cost less per person than older plan members, but removing children from employer plans would decrease volatility because a few children have very high medical costs. Elements that could increase employer spending (in many instances for high value services) Mandate three primary care and three mental health visits without cost sharing Eliminate cost sharing for mental health care and substance use care during pregnancy and in the year after delivery Require coverage of infertility services Cap cost sharing for insulin, epipen and respiratory inhalers Count copay coupons and assistance toward member deductibles and cost sharing Cap total health care costs (premium and out-of-pocket costs) at 8% of household income Leave a comment Elements that could improve the market Increased price transparency Tightening enforcement of short-term plans, fixed indemnity plans, and cost-sharing ministries. These skimpy health plans skim off healthier people, leaving sicker people on marketplace exchanges and employer-sponsored health plans. Here’s a past post on the perils of cheap insurance. Most of these proposals are likely not to become law in the next two years, but could form the foundation of a Democratic proposal for health care reform in 2029 and beyond. The document does not provide cost estimates for these proposals. Share Thanks for reading! If you found this useful, please share, subscribe, like, and restack. You can find previous posts at this link. Views expressed in Employer Coverage are purely my own. Thanks for reading Employer Coverage ! Subscribe for free to receive new posts and support my work. Subscribe
Senate President-elect Jim Boyd names his leadership team
On Nov. 17, the Legislature will hold its organizational session, which includes swearing in new members.
Historically red state legislatures have flipped. Here's what's on their agenda
Democrats made sweeping gains in state legislatures across the country. We look at North Carolina and Arizona to see what that could mean.
Senfronia Thompson says she has votes to be Texas House speaker
The 87-year-old Houston Democrat, known as Ms. T, has served in the Legislature since 1973. On Tuesday, her party won control of the Texas House for the first time since 2003.
A Blue Wave Swept Congress. It Also Upended State Politics
The big headlines from Election Day 2026 had to do with the Democratic takeovers of the U.S. House and Senate. Those wins were noteworthy – but a development at least as striking was the Democratic gains in the state legislatures. Democrats flipped both chambers in New Hampshire and Wisconsin, and ...
As Democrats gain power in Pa., some business leaders wonder about moderation
A GOP Senate forced moderation in Pennsylvania's legislature, according to some — so what will Democrats do now?
As Democrats gain power in Pa., some business leaders wonder about moderation
A GOP Senate forced moderation in Pennsylvania's legislature, according to some — so what will Democrats do now?
Oregon was once a Republican stronghold. This politician started shifting the balance in 1954
For much of the first half of the 20th century, Oregon was effectively a one-party Republican state. Democrats had not won a U.S. Senate seat in 40 years, had not won a U.S. House seat in 18 years, and had controlled the state legislature for only four of 74 years since 1880. Into this landscape emerged Richard Neuberger, a Portland-born journalist of Jewish heritage whose prolific writing career, progressive convictions and remarkable personal drive would reshape Oregon politics.
Arizona Democrats celebrate, Republicans mourn power shift in state politics
Democrats point toward affordability, education and water as key priorities if the Arizona Legislature goes blue. Some key statehouse race results are still pending.
Democrats sweep Pulaski County House, Senate races
With one exception, Democrats won legislative seats across Pulaski County adding two House seats and one Senate position to their column in the Arkansas legislature. Democrats held onto four of...
Democrats sweep Pulaski County House, Senate races
With one exception, Democrats won legislative seats across Pulaski County adding two House seats and one Senate position to their column in the Arkansas legislature. Democrats held onto four of...
Democrats take full control of Legislature, Michigan government. What to expect
Gov.-elect Jocelyn Benson can expect smooth sailing for her agenda, as Democrats win the state House, grow their Senate majority and maintain control of the Supreme Court, attorney general and secretary of state.
A ‘bloodbath.’ Georgia Democrats sweep statewide offices in historic political upheaval
A Democratic wave ended decades of GOP dominance in Georgia and threatened the GOP's grip on the state Legislature.
Voters decide key ballot measures on abortion rights, congressional redistricting and voter ID laws
2026 ELECTION COVERAGE: Watch Live | Poll Closing Times | All Live Results | Live Updates | Live Fact Check WASHINGTON (AP) — A battle over abortion rights is playing out in several states Tuesday as voters decide 145 proposed laws and constitutional amendments, including some that could affect voting for future elections. The ballot measures provide a political undercard for a high-profile midterm election that will determine which party controls Congress, state legislatures and
Can a National Political Wave Reach the County Legislature?
In a heavily Republican New York county, Democrats are mounting an unusually large challenge in races that rarely attract much attention, testing how far national political engagement extends into local elections.
Farm, business interests revive claims against Oregon's climate program
Program was created by executive order after Legislature failed to pass cap-and-trade measure Opponents of Oregon’s “climate protection program” have reprised their legal arguments that the regulations exceed the state […]
Reproductive Rights Left on the Table: Senator Cappelletti Reflects on Unfinished Business as Legislative Session Concludes
Harrisburg – October 30, 2026 – The Pennsylvania Senate recessed last Wednesday, October 22, with only two additional session days scheduled through the end of the 2026-2027 legislative session. As the chamber recessed—currently controlled by Republicans—the Senate left hundreds of bills on the table, including several that would advance reproductive freedoms in the Commonwealth. Senator Amanda M. Cappelletti (D-17, Delaware/Montgomery) said many of these state-level protections are critical for Pennsylvanians as Republicans in Washington continue to dismantle the nation’s healthcare infrastructure. “Wrapping up this legislative session and looking ahead to next Tuesday, access to abortion care is at the very top of my mind. I’m deeply disturbed that the majority party in our chamber was once again unwilling to come to the table and move lifesaving legislation that would protect basic healthcare in Pennsylvania,” said Senator Cappelletti, who served as the Director of Policy for Planned Parenthood Pennsylvania Advocates prior to her time in the legislature. Senator Cappelletti has proposed several bills to address reproductive healthcare, and three proposals to protect abortion care were left on the table for the third session in a row since she introduced them. On November 30, 2026, all legislative proposals not signed into law […]
What divided government could look like if Gina Hinojosa wins
Even if a Democrat were in the Governor’s Mansion, Republicans would likely control the Legislature. Divided government could mean limited political control.
An Hinojosa win would be a political feat, but she wouldn’t inherit the power Abbott holds
Even if a Democrat were in the Governor’s Mansion, Republicans would likely control the Legislature. Divided government could mean limited political control.
Change or continuity? Benson and James battle down stretch run for governor’s office
The successor to term-limited Gov. Gretchen Whitmer could chart a new course on education, economic development and a range of other issues, though much will depend on which party controls the Legislature.
Arizona Republican consultant thinks Democrats will 'end up disappointed'
A Republican political consultant and former Arizona lawmaker believes reports of the GOP’s demise are greatly exaggerated.
Oregon OSHA’s New Healthcare Workplace Violence Prevention Rules Take Effect January 1, 2027
In response to the Oregon Legislature’s enactment of Senate Bill 537, Oregon Occupational Safety and Health (Oregon OSHA) has now finalized its new workplace violence prevention rules for healthcare employers.
State Legislative Chambers Could Flip in the Midterms. Here's Where
The race to control Congress in the 2026 midterm elections has dominated the public’s attention. But in many cases, state legislatures may have an even greater impact on Americans’ lives – and there’s a lot of ferment in this year’s contests. With partisan gridlock often hampering lawmaking in ...
Politicians are afraid to fix taxes. So 100 citizens tried.
Connecticut’s property tax system has been broken for decades and the politicians have failed to fix the problem. So now, they’re trying something new: a citizens assembly. (Citizens assemblies are also old. They go back to Ancient Greece, when lawmakers were chosen not through elections, but through random lotteries.) Today on the show, Connecticut’s citizens assembly. It's like jury duty, but for taxes. About hundred random people from all around Connecticut come together to try to solve the state’s property tax problem. They wrestle with whether they should raise taxes, cut spending, find efficiencies, or a mix of everything. Will this alternative attempt to solve the unsolvable succeed, or will it be politics as usual?It’s a modern case study of what happens when politicians step aside to let citizens decide what’s best. Come along as we talk to the professor who helped put this assembly together, learn from the citizens involved how this experiment changed them, and meet the politician who agreed to take their proposals to the state legislature. Planet Money will be at Kilkenomics Festival 2026. Tickets here.Read: - Our book: Planet Money: A Guide to the Economic Forces That Shape Your Life - Our weekly longform Planet Money newsletter- Our weekly Indicator round-up newsletterFollow: - Instagram- TikTok- YouTube- FacebookSupport public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include bonus episodes and sponsor-free listening. Learn more at plus.npr.org.This episode of Planet Money was hosted by Erika Beras and Jeff Guo. It was produced by James Sneed with reporting help from Áine Pennello. It was edited by Jess Jiang, Sierra Juarez is our fact-checker, and Jimmy Keeley & Travis Hagen engineered the show. Alex Goldmark is the executive producer of Planet Money..
Editorial: Another dozen reasons to vote ‘no’ on Amendment 3
If you’re still still considering whether to vote for Amendment 3 (which would eliminate non-school property taxes for almost every homesteaded property in the state, and give the Legislature far
Election poses questions big and small for NY legislature
The possibilities in Albany range from subtle and symbolic— to seismic should favored Gov. Kathy Hochul not win her reelection bid.
Politics Friday: Will the election loosen a historically knotted Minnesota Legislature?
Friday at noon, four Minnesota legislative leaders discuss the 2026 playing field and the issues they say are motivating voters with all 201 seats on the ballot.
The last Democratic legislator in Rutland County is leaving office. What could that mean for the county’s political future?
Historically a Republican stronghold, Rutland County sent Republicans to fill a large majority of its seats in the Legislature last session. This election cycle, the Democratic Party couldn't find anyone to run for Senate and several House seats in Rutland.
How Governments Worldwide Are Shaping What AI Can Say About Politics
California and Hawai‘i, for example, are two states that have banned sharing deceptive AI content about candidates in the months around an election.
A record number of women are running for state legislatures this year
A record number of women are running for state legislative seats this November, more than two-thirds of whom are Democrats. Across the 46 states with legislative seats on the ballot, a total of 3,824 women are running — up from 2022’s previous record of 3,621 women candidates, according to the Center for American Women and Politics at Rutgers University.
“The Politics of Abuse”: Survivor of Childhood Sexual Abuse Shares How State Court Impacts Those Seeking Justice
Through the statewide tour, Trout and local advocates continued conversations about the barriers survivors face and the role North Carolina's legislature and courts play in addressing them.
Health Act Rally in Rochester
New Yorkers will rally on October 17 in a coordinated day of action calling on the State Legislature to pass the New York Health Act and guarantee healthcare for every New Yorker. Across hundreds of miles, New Yorkers will stand together on the same day, under the same banner, with one unified message for Albany: New York is facing a healthcare crisis.
Rally to pass the New York Health Act
ROCHESTER, N.Y. (WROC) – Dozens of community members are expected to gather on Saturday morning to call on the State Legislature to pass the New York Health Act. New Yorkers will stand together wit…
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
Chamber offers business-focused voter guide for 2026 general election
Business owners wanting to know where candidates for Congress, the state Legislature and Richland City Council stand on economic issues can review the Tri-City Regional Chamber of Commerce’s online voting guide.
Clinton Policy Institute outlines maternal health solutions for states
Health Care Clinton Policy Institute outlines maternal health solutions for states It’s the first major report from the project, which launched in July to foster nonpartisan policies to improve the wellbeing of children and families. Stephanie Akin 10:00 AM, Oct 15, 2026 Dr. Jacob Lenz performs an ultrasound at the Oklahoma State University obstetrics and gynecology clinic in Tulsa, Okla., on Tuesday, July 16, 2024. (AP Photo/Mary Conlon) The Clinton Policy Institute is calling on states to lead efforts to curb maternal mortality, releasing a 61-page playbook Thursday highlighting successful policies that could be adopted nationwide. The playbook is the first major report from the Clinton Foundation’s project, which launched in July to foster nonpartisan state and local policies to improve the wellbeing of children and families. “Eighty percent of maternal deaths are preventable, and we know what works,” CPI Chair Jennifer Klein said. “The solutions are well established and evidence-based.” CPI’s mission is to convene political leaders from both parties, policy experts, state officials and other stakeholders to explore solutions to longstanding problems. “What we aim to do is bring together people who are deeply engaged, but may not be meeting together in the same room,” Klein said, noting that state policymakers might not always be aware of what their peers are doing in other states. In May, CPI brought together lawmakers from Virginia and Pennsylvania, two of the 14 states that have passed bipartisan maternal health “Momnibus” packages modeled after a comprehensive federal proposal that has repeatedly stalled, called the Black Maternal Health Momnibus Act. Other participants included Dr. Mona Hanna, founder of Rx Kids, a Michigan program that provides direct cash allowances to pregnant women and infants. Pennsylvania Rep. Morgan Cephas, who was part of the group, said she learned about funding opportunities she hadn’t come across during her decade in the Legislature. “As legislators we can issue grants, we can pass legislation, we can move policy, but we want to ensure that funding opportunities and programs that are tackling this issue are sustainable,” Cephas said. The playbook outlines broad areas where state policy can make a difference, such as allowing Medicaid to pay for doulas and remote patient monitoring, and using federal and private grant funding to pay for home visits to pregnant and postpartum women. For each category, it highlights innovative programs that can serve as models, with examples of specific actions state lawmakers and governors’ offices can take. Those include the Rx Kids model, which gets funding from the Michigan state budget; Pennsylvania’s Healthy Moms Vibrant Futures strategic action plan, emphasizing equity-centered maternal care, regional collaboration, Medicaid innovation, and workforce development that was launched this year with more than 160 stakeholders; and Kansas’s Bridging Plan, which reserves three slots and provides at least $26,000 in loan forgiveness for obstetric residents who commit to practicing in rural or underserved communities for 36 months. CPI emphasizes that its work is nonpartisan. Klein, the director of the White House Gender Policy Council under former President Joe Biden, acknowledged that CPI also takes positions on abortion, Medicaid funding, and the need to address the economic and social drivers of poor health, which might rankle some conservatives. “We don’t shy away from talking about those things that we think are part and parcel of the maternal health crisis in this country,” Klein said. “That said, there are so many policies that are both evidence-based and have been tried successfully in both red and blue states, and people can see that they can have real impact.” She pointed to the federal option to extend postpartum Medicaid coverage from 60 days to 12 months that was made available during the Biden administration and has since been adopted by every state but Arkansas. Other initiatives embraced across party lines include Medicaid coverage for midwives and doulas, as well as “bundled” payments for prenatal and postpartum care. That alternative payment model, pioneered in states such as Arkansas, Colorado and Tennessee, incentivizes fixed fees to cover all healthcare services associated with pregnancy and childbirth. Advocates say it promotes more coordination among caregivers, discourages unnecessary interventions, and expands postpartum support. In addition to maternal health, the initiative is also focused on addressing family economic security, children’s well-being, and democracy and civic resilience.
The Politics of Heat, Homes, and Lobster Boats.
The Bar Harbor Story is generously sponsored by First National Bank. MOUNT DESERT ISLAND REGION—The candidates’ forum focusing on House District 15 and incumbent Holly Eaton and Clifford Noyes last week spent a lot of time on the candidates’ thought of heating, communication with constituents, property taxes, education costs, and other issues. It also was a time for the community to ask their own questions and see two candidates up close and personal at the Southwest Harbor Fire Department firehouse. Jim Vallette organized the hour-long event, which was moderated by Carrie Jones of the Bar Harbor Story. Ken Rozsahegyi provided technical support for the congenial event. House District 15 serves Brooklin, Deer Isle, Eagle Island Township, Frenchboro, Isle au Haut, Marshall Island, Southwest Harbor, Stonington, Swan's Island, Tremont, and Vinalhaven. Jones advised as she began the question and answer part of the event, ”Treat everyone here like they are going to be the ones who might give you a ride in a rainstorm, pull your pet out of a burning building, or be the one grading your kids’ papers at school, okay?” She continued. “That’s it. Tonight isn’t meant to be a gotcha debate. The goal is to give people in the district a chance to get to know both candidates, hear what they care about, and understand what they’d actually try to accomplish in Augusta.” The questions and discussion throughout were kind. Eaton currently serves in the position. She’s a Democrat from Deer Isle, raised in a fishing family and has worked in nonprofits and volunteered for her school board. Noyes is unenrolled (politically) and from Southwest Harbor and currently a school board member, self employed as a mason. He focused on fiscal issues throughout the forum. Eventually, at Jones’ prompting, the candidates played “Rock, Paper, Scissors” for who would go first for their closing statements. Noyes used the opportunity to urge others to head to the ballot. “Whether you vote for me or Holly, it’s important that people vote,” Noyes said. He hoped the voter turnout in the district would be over 35 percent because that would mean people were truly engaged. Eaton stressed that she’s a Democrat, but in Augusta, her role isn’t about party. “I am a Democrat, but when I go to Augusta, I am there to represent the people of District 15. I want people to feel as though I’m accessible, that I’m responsive, and that I show up for the district,” Eaton said. Being there for others was vital, she explained. “When something comes before me in Augusta, I try to look at it through the lens of the people and the communities that I represent. How will this affect the people who live here? Does it make it easier or harder to raise a family here, to operate a small business, to work on the water, to afford a home, to keep our schools open, or provide the essential services our communities depend on?” Eaton said. Noyes spoke about fiscal responsibility and about the state being more responsive to communities and the ideas that come from them. “I feel that we desperately need to restore some fiscal sanity, a little bit. So when the legislature meets again,” Noyes said, “it could be critical for Maine residents that we don’t keep digging this hole that we’re in financially and keep raising our taxes so the struggling families struggle even more.” The two answered a series of questions from Jones, then answered questions from the audience and participants via Zoom. Jones asked what they heard the most from people about what was making their lives hard and what can the legislature in Augusta do it about those issues. Both spoke to concerns about heating oil costs. Noyes spoke to the three H’s: health, home, and heat. Eaton and Noyes spoke to the burdens of families with lower incomes, with Eaton mentioning LIHEAP (Low-Income Home Energy Assistance Program). They both were in favor of free community college and trade programs. They both supported the working waterfront. Both said that data centers—such as the one proposed in Eastport, which is out of the district—should be a local decision, but neither were in favor of it. The working waterfront was supported by both. Eaton’s served on the Maine Marine Resource Committee in the legislature. She advocated a diversity of fishing resources and less of a reliance on lobstering. Shrimp, she hoped, would make a comeback. Noyes worried about out-of-state pressure on the lobstering industry, also spoke of shrimp harvesting timings, and said he supported the lobstering industry. QUICK NOTE Carrie Jones is, obviously, the co-founder of the Bar Harbor Story, which made us have a bit of a hard time putting out this story and thinking it through and how to present it. We ended up with this article. The debate in its entirety is below, many thanks to Ken and Jim for making it publicly available. UPCOMING AND PAST EVENTS The following events are or were organized by the League of Women Voters Downeast. DISTRICT 7 DISTRICT ATTORNEY DISTRICT 13 Thursday, Oct 15, 2026 5:30 PM to 6:30 PM Candidate Forum: House District 13 125 State St , Ellsworth Featuring candidates Michael Cunningham (D) and Russell White (R), moderated by Cyndi Wood, managing editor of the Ellsworth American. DEMOCRACY FORUM Friday, Oct 16, 2026 4:00 PM to 5:00 PM Democracy Forum — Election 2026: What’s on Your Ballot RECENT PRESS RELEASES AND BRIEFS To see all the press releases, click here. To see our news, click here. For the full archive, click here. All of these are on our dedicated website. [ ](https://barharborstory.substack.com/p/feeling-stressed-kids-corner-invites) [ Feeling Stressed? Kids’ Corner Invites Parents, Educators, and Caregivers to Rediscover the Joy with National Speaker Raelene Ostberg Oct 14 ](https://barharborstory.substack.com/p/feeling-stressed-kids-corner-invites) [ Read full story ](https://barharborstory.substack.com/p/feeling-stressed-kids-corner-invites) [ ](https://barharborstory.substack.com/p/mainely-meats-pink-party-for-breast) [ Mainely Meat’s Pink Party for Breast Cancer Awareness is October 18! Oct 14 ](https://barharborstory.substack.com/p/mainely-meats-pink-party-for-breast) [ Read full story ](https://barharborstory.substack.com/p/mainely-meats-pink-party-for-breast) [ ](https://barharborstory.substack.com/p/conners-emerson-school-announces) [ Conners Emerson School Announces Public Surplus Property Sale Oct 14 ](https://barharborstory.substack.com/p/conners-emerson-school-announces) [ Read full story ](https://barharborstory.substack.com/p/conners-emerson-school-announces) [ ](https://barharborstory.substack.com/p/planting-the-writers-garden) [ Planting the Writer’s Garden 12:15 AM ](https://barharborstory.substack.com/p/planting-the-writers-garden) [ Read full story ](https://barharborstory.substack.com/p/planting-the-writers-garden) [ ](https://barharborstory.substack.com/p/artist-maria-de-los-angeles-explores) [ Artist Maria de los Angeles explores migration and belonging in COA public lecture 12:19 AM ](https://barharborstory.substack.com/p/artist-maria-de-los-angeles-explores) [ Read full story ](https://barharborstory.substack.com/p/artist-maria-de-los-angeles-explores) HELP SUPPORT THE BAR HARBOR STORY When we started The Bar Harbor Story, we didn’t know if anyone would read it. But you showed up. You shared. You sent tips. Now—over 400,000 views every month later—it’s clear: people here care about their community and each other. We’ve kept everything free because news should never be out of reach, but every one of our stories takes time to write, and your support keeps The Bar Harbor Story going. If you value our work, please consider a paid subscription, a founding membership, or a sponsorship. It truly helps us cover one more meeting, tell one more story, shine one more light. Even $5 a month makes a difference. Click here to become a one-time supporter now. Thank you so much for being here. Founding member information can be found here. Have questions about sponsorships? Just send Shaun an email at sfarrar86@gmail.com, he’d love to hear from you. Subscribe Share Bar Harbor Story Share Leave a comment
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