Health Policy Center
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Health Policy Update







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Following labor and delivery (L&D) unit closures in rural New Hampshire, driving time to the nearest unit doubled
Reduced proximity to an open L&D unit was also associated with attending fewer prenatal care visits than is recommended and giving birth en route to the hospital or having an unplanned home birth.

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Who has received advance child tax credit (CTC) payments, and how were the payments used?
Advance CTC payments are helping households with children cover basic expenses and improve their financial circumstances. But payments are not reaching many households likely eligible for them, and people with the lowest incomes report the lowest receipt rates.

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More than a year and a half after Congress approved funding to help health care providers weather the pandemic, billions remain unspent
We estimate that $26.8 billion of the $178 billion COVID-19 Provider Relief Fund remains unspent, including $8 billion in grants that providers returned because they did not need them, giving policymakers an opportunity to retarget remaining funds.

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Lessons learned from states’ implementation experiences with the American Rescue Plan Act’s (ARPA’s) Marketplace provisions
The early implementation experiences of three state-based Marketplaces highlight the importance of centering ARPA’s message of insurance affordability, raising awareness of enhanced subsidies, collaborating with state agencies, and engaging Marketplace partners.

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