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Potential Patient Safety Risks Among Methadone Maintenance Treatment Patients Identified By Researchers
Boston Medical Center (BMC) researchers have identified potential safety risks among methadone maintenance treatment (MMT) patients due to the quantity and accuracy of medical record documentation. Improved communication and coordination among substance use treatment and medical providers could mitigate and manage the potential adverse effects of methadone and interacting medications. The BMC study appears in the July issue of Journal of General Internal Medicine.
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Stress And Culture Affect Exercise Motivation
Stress levels and cultural considerations affect how much and for what reasons college students exercise, according to research presented at the American College of Sports Medicine"s 56th Annual Meeting in Seattle.
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Washington State Drops Budget Provision That Would Have Cut Medicaid Pharmacy Payments
Washington state lawmakers this week eliminated a budgetary proposal that would have reduced Medicaid payment rates to pharmacies to the lowest levels in the country, the AP/Spokane Spokesman-Review reports. The provision would have reduced the payment rate from 86% to 80% of the average wholesale price of branded drugs. It had been approved by the state House and Gov. Chris Gregoire (D) and was intended to address the state"s $9.3 billion shortfall for the current fiscal year.The state"s Department of Social and Health Services moved to make the rate change on April 1, but pharmacy operators and a person living with HIV/AIDS brought a suit in federal court in Tacoma, Wash., and a judge blocked the change. According to the judge"s order, the plaintiffs likely could prove that their best interests had not been sufficiently considered and that the proposal would diminish the quality of Medicaid care in the state. Walgreen had stated that if the rate change occurred, 44 of its 111 stores in the state would no longer be able to fill Medicaid prescriptions. Other pharmacies made similar arguments. The state prepared an argument on behalf of the rate cut, but later decided against it.Along with eliminating the payment reduction, state legislators added a provision that a DSHS analysis is required before rates can be lowered in the next budget, as well as one placing a 2% cap on any future rate cuts. DSHS spokesperson Jim Stevenson said the agency had not started to analyze what would be required to get a rate cut approved, but added, "I think we"re at a stage where we"re going to have to do it soon if we want to get ready for July 1," the start of fiscal year 2010 (AP/Spokane Spokesman-Review, 5/13).
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Antiabortion-Rights Group Operation Rescue Considering Purchase Of Tiller's Clinic

Operation Rescue President Troy Newman on Wednesday said that his group is considering trying to purchase murdered abortion provider George Tiller"s Wichita, Kan., clinic, which Tiller"s family permanently closed on Tuesday, the New York Times reports. The clinic is owned by Tiller"s family. The family"s lawyer, Dan Monnat, called Operation Rescue"s proposal "just another irreverent, extremist publicity stunt." He declined to comment further on the situation. The family has not announced its plans for the building and land, which are worth $734,100, according to Sedgwick County, Kan., property records. The clinic has long been a focal point for the antiabortion-rights movement because it was one of the few in the U.S. that offered abortion later in pregnancy. Newman said that he has discussed the possible purchase with only a few members of Operation Rescue"s board but is certain that the funds could be raised if they decide to attempt to buy the clinic. Newman also said that one possibility for the location would be to turn it into a memorial museum to serve as "a tribute to the babies." He denied the claim that his comments are a publicity stunt.According to the Times, the closing of Tiller"s clinic has set off a "flurry of concerns" from abortion-rights advocates that it will be more difficult for women to access abortion services in situations when catastrophic health issues are identified late in pregnancy (Davey, New York Times, 6/11). LeRoy Carhart, a Nebraska abortion provider who worked with Tiller at the clinic, said that he will continue to perform third-trimester abortions in Kansas but did not provide information on where he will practice, the AP/Yahoo! News reports. Although he did not provide details, Carhart said that "there will be a place in Kansas for the later second- and the medically indicated third-trimester patients very soon." He said he has seen an increase in patients at his Nebraska clinic since Tiller"s murder. Carhart traveled to Tiller"s clinic to perform second- and third-trimester abortions because Kansas has less restrictive abortion laws than Nebraska. Carhart said he has not performed any procedures at his clinic after 22 weeks" gestation because his staff is not trained to do them. According to the AP/Yahoo! News, Nebraska law prohibits abortion when a fetus is considered viable. Kansas law, however, allows abortion after 21 weeks" gestation if continuing the pregnancy would endanger the woman"s life or cause "substantial and irreversible impairment" of a major bodily function, which courts have interpreted to include mental health (Gibbs, AP/Yahoo! News, 6/11).Broadcast CoverageThree media outlets on Wednesday reported on issues related to Tiller"s murder. Summaries appear below.~ MSNBC"s "The Rachel Maddow Show": The program included a discussion with Jennifer Boulanger, executive director for the Allentown Women"s Center, about threats to the center since Tiller"s murder (Maddow, "The Rachel Maddow Show," MSNBC, 6/10).~ NPR"s "All Things Considered": The program included a discussion with NPR health policy correspondent Julie Rovner about the correct terminology for referring to abortion later in pregnancy and why the phrase "late-term abortion" is inaccurate (Block, "All Things Considered," NPR, 6/10).~ WBUR"s "On Point": The program included a discussion with the Rev. Katherine Ragsdale -- a board member of NARAL Pro-Choice America and the incoming dean and president of Episcopal Divinity School -- and Jim Wallis -- founder and editor of the progressive evangelical group Sojourners -- about abortion-rights supporters" reaction to violence in the antiabortion-rights movement (Ashbrook, "On Point," WBUR, 6/10). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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