Coverage Is Not Capacity

Medicaid doula coverage has spread, yet provider participation remains thin in Northern Virginia. A Massachusetts proposal would subsidize higher early-educator wages to expand formal child-care enrollment.

The question

What turns help promised on paper into care a family can actually use?

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Developments in this issue

Development 01 · 1 cited source

Medicaid Doula Coverage Outruns Participation in Northern Virginia

Doulas are covered in 26 states and Washington, D.C.; a June registry review found just 19 Northern Virginia doulas accepting Medicaid.

Development 02 · 2 cited sources

Massachusetts Wage Proposal Links Worker Pay to Child-Care Access

Jeff Liebman estimates a $6 per hour wage increase would raise formal child-care enrollment from 53 percent to 65 percent in five years; the state would cover the cost.

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Active threads

Will higher early-educator pay expand the child-care capacity that families can afford to use?2 signals →Are federal immigration rules pushing immigrant care workers and foreign-born older adults away from public benefits they legally qualify for, and thinning the care workforce as a side effect?2 signals →Will the Justice Department's reversal of ADA community-integration enforcement let states cut back the community-based care that disabled people and their family caregivers rely on?3 signals →Are states expanding or contracting home- and community-based care access as federal Medicaid pressure mounts?6 signals →