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Oregon first in nation to use Medicaid dollars for air conditioners, power banks to protect against climate change – KTVZ

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Oregon first in nation to use Medicaid dollars for air conditioners, power banks to protect against climate change – KTVZ


By Samantha Young for KFF Health News in collaboration with Eric Tegethoff, Oregon News Service

PORTLAND, Ore. (KTVZ) — Oregon is shipping air conditioners, air purifiers and power banks to some of its most vulnerable residents, a first-in-the-nation experiment to use Medicaid money to prevent the potentially deadly health effects of extreme heat, wildfire smoke, and other climate-related disasters.

The equipment, which started going out in March, expands a Biden administration strategy to move Medicaid beyond traditional medical care and into the realm of social services.

At least 20 states, including California, Massachusetts and Washington, already direct billions of Medicaid dollars into programs such as helping homeless people get housing and preparing healthy meals for people with diabetes, according to KFF. Oregon is the first to use Medicaid money explicitly for climate-related costs, part of its five-year, $1.1 billion effort to address social needs, which also includes housing and nutrition benefits.

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State and federal health officials hope to show that taxpayer money and lives can be saved when investments are made before disaster strikes.

“Climate change is a health care issue,” so helping Oregon’s poorest and sickest residents prepare for potentially dangerous heat, drought, and other extreme weather makes sense, said Health and Human Services Secretary Xavier Becerra on a visit to Sacramento, California, in early April.

Becerra said the Biden administration wants states to experiment with how best to improve patient health, whether by keeping someone housed instead of homeless, or reducing their exposure to heat with an air conditioner.

But Medicaid’s expansion into social services may duplicate existing housing and nutrition programs offered by other federal agencies, while some needy Americans can’t get essential medical care, said Gary Alexander, director of the Medicaid and Health Safety Net Reform Initiative at the Paragon Health Institute.

“There are 600,000 or 700,000 intellectually disabled people in the United States waiting for Medicaid services. They’re on a waitlist,” said Alexander, who oversaw state health agencies in Pennsylvania and Rhode Island. “Meanwhile Medicaid has money for housing and food and air conditioners for recipients. Seems to me that we should serve the intellectually disabled first before we get into all of these new areas.”

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Scientists and public health officials say climate change poses a growing health risk. More frequent and intense floods, droughts, wildfires, extreme temperatures, and storms cause more deaths, cardiovascular disease from poor air quality, and other problems, according to the federal government’s Fifth National Climate Assessment.

The mounting health effects disproportionately hit low-income Americans and people of color, who are often covered by Medicaid, the state-federal health insurance program for low-income people.

Most of the 102 Oregonians who died during the deadly heat dome that settled over the Pacific Northwest in 2021 “were elderly, isolated and living with low incomes,” according to a report by the Oregon Health Authority, which administers the state’s Medicaid program, with about 1.4 million enrollees.

The OHA’s analysis of urgent care and emergency room use from May through September of 2021 and 2022 found that 60% of heat-related illness visits were from residents of areas with a median household income below $50,000.

“In the last 10-plus years, the amount of fires and smoke events and excessive heat events that we’ve had has shown the disproportionate impact of those events on those with lower incomes,” said Dave Baden, the OHA’s deputy director for programs and policy.

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And, because dangerously high temperatures aren’t common in Oregon, many residents don’t have air conditioning in their homes.

Traditionally, states hit by natural disasters and public health emergencies have asked the federal government for permission to spend Medicaid dollars on back-up power, air filters, and other equipment to help victims recover. But those requests came after the fact, following federal emergency declarations.

Oregon wants to be proactive and pay for equipment that will help an estimated 200,000 residents manage their health at home before extreme weather or climate-related disaster hits, Baden said. In addition to air conditioning units, the program will pay for mini fridges to keep medications cold, portable power supplies to run ventilators and other medical devices during outages, space heaters for winter, and air filters to improve air quality during wildfire season.

In March, the Oregon Health Plan, the state’s Medicaid program, began asking health insurers to find patients who might need help coping with extreme weather. Recipients must meet federal guidelines that categorize them as “facing certain life transitions,” a stringent set of requirements that disqualify most enrollees.

For example, a person with an underlying medical condition that could worsen during a heat wave, and who is also at risk for homelessness or has been released from prison in the past year, could receive an air conditioner. But someone with stable housing might not qualify.

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“You could be in a housing complex, and your neighbor qualified for an air conditioner and you didn’t,” Baden said.

At the offices of insurer AllCare Health in Grants Pass, Oregon, air conditioners, air filters, and mini fridges were piled in three rooms in mid-April, ready to be handed over to Medicaid patients. The health plan provided equipment to 19 households in March. The idea is to get the supplies into people’s homes before the summer fire season engulfs the valley in smoke.

Health plans don’t want to find themselves “fighting the masses” at Home Depot when the skies are already smoky or the heat is unbearable, said Josh Balloch, AllCare’s vice president of health policy.

“We’re competing against everybody else, and you can’t find a fan on a hot day,” he said.

Oregon and some other states have already used Medicaid money to buy air conditioners, air purifiers, and other goods for enrollees, but not under the category of climate change. For example, California offers air purifiers to help asthma patients and New York just won federal approval to provide air conditioners to asthma patients.

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Baden said Oregon health officials will evaluate whether sending air conditioners and other equipment to patients saves money by looking at their claim records in the coming years.

If Oregon can help enrollees avoid a costly trip to the doctor or the ER after extreme weather, other state Medicaid programs may ask the federal government if they can adopt the benefit. Many states haven’t yet used Medicaid money for climate change because it affects people and regions differently, said Paul Shattuck, a senior fellow at Mathematica, a research organization that has surveyed state Medicaid directors on the issue.

“The health risks of climate change are everywhere, but the nature of risk exposure is completely different in every state,” Shattuck said. “It’s been challenging for Medicaid to get momentum because each state is left to their own devices to figure out what to do.”

A California state lawmaker last year introduced legislation that would have required Medi-Cal, the state’s Medicaid program, to add a climate benefit under its existing social services expansion. The program would have been similar to Oregon’s, but AB 586, by Assembly member Lisa Calderon, died in the Assembly Appropriations Committee, which questioned in a staff analysis whether “climate change remediation supports can be defined as cost-effective.”

The cost savings are clear to Kaiser Permanente. After the 2021 heat wave, it sent air conditioners to 81 patients in Oregon and southwest Washington whose health conditions might get worse in extreme heat, said Catherine Potter, community health consultant at the health system. The following year, Kaiser Permanente estimated it had prevented $42,000 in heat-related ER visits and $400,000 in hospital admissions, she said.

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“We didn’t used to have extreme heat like this, and we do now,” said Potter, who has lived in the temperate Portland area for 30 years. “If we can prevent these adverse impacts, we should be preventing them especially for people that are going to be most affected.”



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CFP Semifinals Preview, Picks: What to Expect in Oregon-Indiana, Ole Miss-Miami

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CFP Semifinals Preview, Picks: What to Expect in Oregon-Indiana, Ole Miss-Miami


Two powerhouse matchups. One step away from the national championship.

After a longer wait between games in the first two rounds of the College Football Playoff, we should have two fantastic games in the semifinals, and Vegas thinks so, too.

Miami (Fla.) and Ole Miss go head-to-head fresh off their stunning upsets over Ohio State and Georgia, respectively, in the quarterfinals. Indiana and Oregon, meanwhile, will meet up in the Peach Bowl in a game that I’m really excited about.

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So, let’s dive into what I think will happen in each game, and who I have winning to advance to the national championship game. 

Fiesta Bowl: No. 10 Miami (Fla.) vs. No. 6 Ole Miss

When I first started watching film of this matchup, the first thing I thought of — and Miami fans are going to love this, because the last thing they want is me picking Miami after picking against the Hurricanes in the first two rounds — is that this Ole Miss team resembles the SMU team it lost to. 

By the way, it’s an SMU team I just spent time around during the Holiday Bowl and I had a conversation with SMU head coach Rhett Lashlee about Miami. We both talked about how dominant Miami is on the offense and defensive lines — that defensive line is excellent. But one thing SMU was able to do was utilize tempo on offense. So, a quicker tempo to try and tire those pass rushers while getting the ball on the perimeter as much in the first half as possible. Once the pass rushers got tired in the second half, it was easier for SMU to play offense and and it took advantage of that. 

Well, Ole Miss can do that. I think Trinidad Chambliss is a better quarterback than SMU’s Kevin Jennings. Ole Miss can run the ball with Kewan Lacy. The Rebels can get on the perimeter and Chambliss can create. He’s wonderful at creating. He was so good against Georgia, buying time, showing off his strong and accurate arm. 

Miami takes on Ole Miss in the Fiesta Bowl 🔥

So, at first blush, I liked Ole Miss in this game and the question for me was whether it would be able to hold up at the line of scrimmage. But that’s not the main question for me with this game. The main question of this game is who is coaching for Ole Miss? I cannot believe we’re in this situation where the head coach of a team playing in the semifinal is saying, “Well, I don’t really know what’s going on with the offensive coaching staff.” Are we kidding? What in the world is going on? In what world are we operating? 

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This is what I find so frustrating about this situation. This moment is meant to be so special for the players. It should be about Chambliss, Lacy and all these players who’ve put themselves in a position to win the national championship. Yet, they’re not being given the best possible opportunity to do that. This is not a coach’s moment.

Now, we’re talking about whether Ole Miss offensive coordinator Charlie Weis Jr. is back to game plan for the offense? I think Weis should’ve stayed at Ole Miss in the first place, but he followed Lane Kiffin to LSU and is still working with the Rebels through the CFP. Weis proved that he can call plays and that he doesn’t need to be under Kiffin in the win over Georgia. But now we’re sitting here and we don’t know what’s going on with Ole Miss’ offensive coaches. They should be there to build, implement, execute and call the game plan. It’s not just about who’s there on Thursday, it’s about who’s there the last seven or eight days. What should’ve happened in this situation was Kiffin allowing those coaches to remain in Oxford in a full capacity until the end of Ole Miss’ CFP run. 

Miami takes down Ohio State, Indiana rolls Alabama, Georgia stunned by Ole Miss & Oregon advances

Because of that, it has made me rethink what I believe will take place in this game. What I know about this game is that Miami has something that it can rely on, and it’s at the line of scrimmage on both sides. The offensive line with tackle Francis Mauigoa and the run game with running back Mark Fletcher Jr. have allowed Miami to not put quarterback Carson Beck in a position where he needs to throw the ball on third-and-long. How many times was he able to pick up a first down on a first-and-manageable? He had huge pickups with his feet, and he hasn’t needed to throw the ball 150 yards so far in this playoff. If Miami can control the tempo and line of scrimmage in this game, it’ll have a great chance to win this game.

On the flip side, it’s about corralling Chambliss if you’re Miami’s defense. If he can create, who knows how many points Ole Miss can score? This is a very good Ole Miss offense and it’s led by a quarterback who can force a lot of problems. 

What do I think is going to happen? The quickest way to be defeated is to be distracted, and Miami fans, I’m sorry to do this to you, but I’ve got to go with the Canes.

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Pick: Miami (Fla.) 30, Ole Miss 24 (Miami -3.5)

Peach Bowl: No. 5 Oregon vs. No. 1 Indiana

This is going to be one heck of a game, and we’ve already seen these two teams go head-to-head. We saw Indiana beat Oregon in Eugene in an incredible game that was tied in the fourth quarter before the Hoosiers pulled away with an incredible drive from Fernando Mendoza. 

Let me talk a little bit about Indiana. You’re here because you love this sport like I do, but there are things that can be frustrating and there’s one thing that’s frustrating with this Indiana team. There’s an overlooking of Indiana that’s happening right now across the country. The reason I know that is that Indiana’s résumé is the best résumé in all of college football, without a doubt. Indiana’s the most tested team in the country. The Hoosiers are 14-0 and have handled everybody. They have only given up more than 15 offensive points one time this year, and that was in a game on the road against Penn State. Indiana has only given up more than one touchdown in two games. This is the team that’s so sound, mistake-free and just absolutely bludgeoned Alabama.

Oregon faces Indiana in a Big Ten CFP semifinal 🔥

If you listen to some of the loudest voices, you get a sense that they think anyone can win the national championship. But if this Indiana team had any other logo, we would all be talking about whether this is the best team we’ve ever seen in college football. Yes, I know I’ve been guilty of this as well with the way I talked about Ohio State earlier this season, but no team in the history of our sport has ever gone 16-0. Granted, that’s a scheduling thing, but Indiana has a chance to do that and it’s been one of the great defensive teams we’ve had in a long time. 

So no, this isn’t a wide-open playoff. Indiana and Oregon are the odds-on favorites to win it all by a wide margin because of how tested they’ve been. That’s specifically the case for Indiana, which beat three teams that played in the CFP quarterfinals. No other team can say that. This team stands on business as the best team in college football.

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To that end, there are four tight games Indiana has played this year. If you’re Oregon, you’ve got to mimic those tight games. Oregon understands that blueprint because it played in one of those games. The blueprint isn’t simple, but in every one of those games, a few things happen. One of them is attacking Indiana’s strengths and making it work to succeed. The first area I would go after is Indiana’s run game. In all four of its close matchups, Indiana ran for less than 4 yards per carry. You have to do that just to remain in the game. When Indiana is able to run the ball efficiently, it’s almost unstoppable on third down. Indiana had the No. 1 third-down offense in college football because it’s in short-yardage situations. 

Second, Oregon has to find a way to score in the red zone, and I’m not talking about field goals. One of the things that goes unnoticed with Indiana is how elite its defense has been and how strong its red zone defense is. Indiana is No. 1 in the country in red zone touchdown percentage against at 26%. It’s a low number that we haven’t seen in several years. Oregon was 0-for-3 in scoring red zone touchdowns in the first matchup. 

Indiana adds Josh Hoover and Nick Marsh from the transfer portal 👏

Lastly, Oregon has to play cleanly against this Indiana team. Indiana plays clean and doesn’t make mistakes. Indiana is ice-cold, no mistakes, to quote Ice Man from “Top Gun.” Maybe we should start calling Curt Cignetti Ice Man because Indiana is phenomenal at limiting penalties and turnovers. Indiana posted the third-fewest penalties per game this season and has only committed eight turnovers so far. Indiana’s turnover margin is plus-18, which is tied for first in the nation. 

Those are three things Oregon needs to do just to be in the game late. Even then, that might not be enough because Indiana might be the most clutch team in college football. The Heisman Trophy winner, Fernando Mendoza, was clutch in all four of Indiana’s tight wins this year. 

This Oregon team is no slouch, though. What Dan Lanning has built at Oregon can’t be overstated. Oregon is 38-4 in the last three years, losing to Washington twice (played for national championship in 2023), Ohio State (won national championship in 2024) and Indiana earlier this year. This is a great program that’s deep and strong at almost every position. It just happens to be going against a team that’s suffocatingly good. 

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Indiana dominates Alabama, Are they the new powerhouse of college football?

When Oregon’s offense gets its chances, quarterback Dante Moore has got to capitalize. Oregon can’t have mistakes and miscues. Lanning is going to have to manage a really great game because if you miss a chance against Indiana, there’s a good chance the Hoosiers are going to win the game. 

If there’s one team that can do it, though, it would be Oregon. If you take away sacks, Oregon ran the ball for 4.8 yards per carry in its first matchup against Indiana. That’s the best way to protect Moore. We saw Ohio State quarterback Julian Sayin and Alabama quarterback Ty Simpson struggle against Indiana when their respective teams didn’t run the ball efficiently and early in down sets. 

I can talk all day about this game, but I’ve got to make a pick. I’ve got Indiana winning and covering, although this will be a phenomenal game. 

Pick: Indiana 27, Oregon 21 (Indiana -4.5)

Joel Klatt is FOX Sports’ lead college football game analyst and the host of the podcast “The Joel Klatt Show.” Follow him @joelklatt and subscribe to “The Joel Klatt Show” on YouTube.

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Oregon women score the last 14 points to beat No. 21 USC 71-66

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Oregon women score the last 14 points to beat No. 21 USC 71-66



Ehis Etute scored a career-high 17 points and grabbed 13 rebounds, and Oregon scored the last 14 points to beat No. 21 Southern California 71-66 on Tuesday night.

Oregon (14-3, 2-2 Big Ten) scored the first 12 points of the fourth quarter but USC answered with a 8-0 spurt and led 66-57 with 4:46 to play. Etute scored the next three points and Ari Long then hit three straight 3s. Katie Fiso capped the scoring with a pair of free throws with 17 seconds left. Londynn Jones missed a 3-pointer for the Trojans to end it.

Long and Fiso combined for 17 fourth-quarter points and Etute added seven points to go with five boards.

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Fiso finished with 14 points. Long and Mia Jacobs chipped in with 11 apiece for the Ducks.

Kara Dunn scored 21 points for USC (10-5, 2-2). Jazzy Davidson added 14 points, 13 rebounds and five assists.

Dunn scored 12 points with a pair of 3s in the first quarter as the Trojans jumped out to a 23-9 lead and led 37-21 at the break.

Up next

Oregon: Hosts No. 15 Michigan State on Sunday.

USC: At Minnesota on Sunday.

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Oregon National Guard troops begin demobilization after federal Title 10 deployment

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Oregon National Guard troops begin demobilization after federal Title 10 deployment


The 100 Oregon National Guard troops who were federalized under Title 10, have begun demobilization activities, according to Governor Kotek’s office and U.S. Northern Command.

CONTINUING COVERAGE | Oregon National Guard troops deployed under Title 10 orders

“All Title 10 troops in Portland, Los Angeles, and Chicago are conducting demobilizing activities. They will return to their home units once their demobilization is complete,” U.S. Northern Command stated on their website.

Oregon Governor Tina Kotek released a statement reading in part, “The citizen-soldiers of the Oregon National Guard are our neighbors, friends, and family. These courageous Oregonians deserve certainty and respect. While I am relieved that all our troops will finally return home, it does not make up for the personal sacrifices of more than 100 days, including holidays, spent in limbo.”

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The troops will travel to Fort Bliss, Texas to finish their demobilization before returning home to Oregon.

Oregon troops spent a majority of their time training at Camp Rilea on the Oregon Coast.

Read Governor Kotek’s full statement below:

“The citizen-soldiers of the Oregon National Guard are our neighbors, friends, and family. These courageous Oregonians deserve certainty and respect. While I am relieved that all our troops will finally return home, it does not make up for the personal sacrifices of more than 100 days, including holidays, spent in limbo.

“During this crisis, Oregonians stood united against the unwanted, unneeded, unconstitutional military intervention in our state, with thousands peacefully voicing their opposition to the Trump Administration’s abuse of power.

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“President Trump’s disregard for the facts on the ground revealed that he is more focused on provoking a fight in cities and states that don’t share his politics than serving the American people. I remain committed to defending our values and the rule of law.”

The court injunction that prevents guard deployment in Oregon remains in effect and on appeal in the Ninth Circuit Court of Appeals.



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