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Maryland’s public health chief prepares to tackle health disparities

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Maryland’s public health chief prepares to tackle health disparities


Newly appointed Maryland Well being Secretary Laura Herrera Scott in her workplace in Baltimore on Jan. 30. (Marvin Joseph/The Washington Submit)

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Laura Herrera Scott, Gov. Wes Moore’s newly appointed performing secretary of well being, inherits an company grappling with the consequences of a few of the greatest challenges going through the state, together with a brand new part of the coronavirus pandemic, well being disparities and entry to behavioral-health therapy.

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Those that know her say Herrera Scott, who was a serious within the Medical Corps of the U.S. Military Reserve and was deployed to Iraq, has a protracted historical past of marrying scientific and coverage information to construct consensus and lead. She has been the chief medical officer of the Baltimore Metropolis Well being Division, Maryland’s deputy secretary of well being in Martin O’Malley’s gubernatorial administration from 2011 to 2015 and has a grasp’s diploma in public well being from the Johns Hopkins Bloomberg College of Public Well being. She discovered firsthand about disparities in well being entry whereas coaching in her native New York state.

Herrera Scott is a longtime Maryland resident who most not too long ago labored at Anthem Blue Cross and Blue Protect and Summit Well being. The governor’s workplace known as her “a visionary chief within the well being house,” for creating packages that enhance care and advance fairness. As she awaits a affirmation vote within the state legislature, we talked to Herrera Scott about her priorities.

A: After I was doing my post-baccalaureate program, I volunteered at a hospital in Decrease Manhattan, however then my paying job was practising on the Higher East Facet. And my expertise working at a hospital in downtown and my expertise engaged on the Higher East Facet had been very, very, very totally different. The identical service however very, very, very totally different expertise and really totally different stage of care. And after that, I simply knew I might be in public service making an attempt to stage the taking part in discipline.

Q: How did the pandemic have an effect on you personally, and the way will that affect your work?

A: We had been impacted like different households. We had youngsters at residence that weren’t at college. So simply the logistics of making house for individuals to do distant work, distant studying. Simply the exhaustion of doing issues remotely, being on digital camera on a regular basis. I might say, like everyone else, it shrank our worlds.

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I’m pondering actually about, how can we make communities extra resilient for the subsequent time, and what does that appear to be? What are the issues we have to put in place to assist our communities keep wholesome? Understanding who in your group is socially remoted, and constructing some form of community to deal with that [and ensuring] entry to meals and markets. There’s a lot of issues to think about that had been problematic throughout covid. And so I’m actually occupied with, as we take into consideration de-escalating now that the general public well being emergency is unwinding, and normalizing covid, regardless that persons are nonetheless dying from covid, how can we be sure that even when there’s one other rising infectious illness, sure communities aren’t impacted greater than others?

Q: How did your navy service inform your public well being dedication?

A: I signed on the dotted line proper earlier than 9/11, I feel it occurred in June. Partly for mortgage reimbursement. I used to be the primary particular person in my household to [finish] school, first doctor, and I owed some huge cash for pupil loans. My stepfather was in Vietnam on two excursions. I’ve quite a lot of household which have served within the Military.

I used to be within the States for 2004 and 2005 — I used to be backfill — after which the third time I went abroad, to Iraq. It was simply an unimaginable studying expertise [with the] individuals I acquired to fulfill and simply how dedicated to serving persons are and likewise acquired to do some work for girls veterans particularly. I used to be on the Veterans Well being Administration after my third deployment. I went to the VA because the nationwide director of girls veteran’s well being care.

Q: You helped scale back racial disparities in overdoses in Baltimore. How are you going to apply these classes statewide?

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A: The numbers had been a lot smaller early on, when the fentanyl numbers began going up. And so we might take a look at each single case. There’s quite a lot of work we did on the granular stage, on the Zip code, the census block we had been geocoding and overlaying different maps. And I feel as a result of we had been so focused on what was occurring in overdoses on the time that we had been placing initiatives in place that basically saturated communities the place the exercise was occurring.

And I feel, how do you handle disparities? You need to be very particular, meet individuals the place they’re and attempt to handle the wants of the group along with the well being factor that you simply’re making an attempt to handle.

Years in the past, I offered HIV care, and once I was making an attempt to get individuals on antiretrovirals, I had loads of sufferers that [said], ‘Doc, I would like a spot to place my head tonight. You discover me a mattress after which we are able to discuss your medicines.’ Even earlier than social drivers of well being had been so large, I acknowledged that as a clinician for the sufferers I used to be caring for, that if I didn’t assist them get different issues of their life straightened out, I couldn’t care for their HIV wants.

Q: How will you bolster the workforce pipeline and entice workers amid intense competitors?

A: Nicely, to begin with, we’ve got Governor Wes Moore, proper? I’m being completely severe. It’s why I went again into public service — to work for him, and I feel he’s acquired a daring imaginative and prescient for the state. I feel it’s an thrilling time to be in well being care, working for him and being allowed to consider revolutionary methods to do various things. And so I feel that’s interesting for people who find themselves actually dedicated to serving.

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However extra virtually, it’s a must to be inventive. I do know, we’ve got a lot of jobs which have bachelor’s as a part of the requirement; many firms are actually their job descriptions and jobs to see which of them don’t really want bachelor’s levels. And will we take into consideration the roles we’ve got and create a pathway from highschool into jobs? Actually, the governor’s yr of service [plan], is {that a} potential pipeline for making a workforce of the longer term?

Wes Moore needs Md. college students to do a yr of service after graduating

Q: Will you scrap former governor Larry Hogan’s plan to shutter state hospitals?

A: Proper now, we’re not speaking about closings, however we’ve got to do our due diligence, and I simply don’t know what I don’t know at this level. Simply nationwide traits, sadly, quite a lot of rural hospitals have closed, and in the event that they haven’t closed absolutely, they’ve closed actually vital service strains that affect the group, like OB [obstetric] care for instance.

We would like a supply system that serves everybody. Governor Moore’s marketing campaign to depart nobody behind — that’s actually on my thoughts as I take into consideration our health-care system and the way we’re assembly the wants, or not, of Marylanders.

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Not essentially extra brick-and-mortar however digital well being with telehealth go to; what does that appear to be? That’s a few of the work that we’ll be over the subsequent few months to actually perceive the supply panorama on the city, suburban and rural [levels]. They’re actually not equal communities of their entry and the quantity of companies that they’ve.

Q: Do you assist lawmakers’ plan for a examine fee to remake public well being?

A: Public well being infrastructure has been deteriorating for years, and that’s been a operate of the funding that they’ve been getting. We all know throughout covid they had been simply overwhelmed to start with. Thank goodness for public well being officers and all of the those who acquired us by way of the disaster, however I do suppose it’s time to rethink what the system ought to appear to be. I, for one, actually welcome suggestions in regards to the public well being company of the longer term.

Q: How will you’re employed to cut back the state’s emergency-department wait instances, that are the longest within the nation?

A: I feel workforce is actually a part of the issue. There are sicker sufferers within the hospital. Lengths of keep have gone up, after which discharges on the again finish sluggish issues up. There’s additionally states that don’t have lengthy ER wait instances. So, one of many issues that I will likely be is: What are these states doing that makes them so quick? So, it’s on my listing of issues to work with the hospitals and the Maryland Hospital Affiliation to determine.

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Q: Did Gov. Moore should do a lot persuading so that you can take this position?

A: I used to be watching the marketing campaign very carefully and threw my identify within the hat. I really feel honored and privileged to be on this position now. It’s an enormous alternative. And I admire the magnitude of the chance — in addition to the magnitude if I don’t get it proper.

This interview was edited and condensed for house and readability.



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Maryland makes filing taxes online free for some

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Maryland makes filing taxes online free for some


More than 700,000 Marylanders should be able to file their state and federal income tax returns online for free next year, saving residents hours of work and hundreds of dollars on tax software and prep services.

Maryland joined dozens of states Wednesday in a voluntary federal program called Direct File after a test run received positive reviews and showed possible cost savings. Filing paper returns by mail will still be an option.

“It’s unacceptable that Marylanders should have to pay any portion whatsoever of their refund or paycheck to fulfill a mandatory requirement like filing tax returns,” Maryland Comptroller Brooke Lierman said at a news conference in Annapolis.

The first-term Democrat called the program a game changer for Maryland taxpayers that will modernize her agency. It targets low-to-moderate earners with relatively simple tax returns, and is expected to expand over time.

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Lierman’s office will partner with the nonprofit Code for America to integrate the Maryland tax filing system into Direct File. Eligibility requirements will be announced in January, the comptroller’s office said.

Gov. Wes Moore, State Treasurer Dereck E. Davis, members of Maryland’s congressional delegation, U.S. Deputy Secretary of the Treasury Wally Adeyemo and nonprofit partners joined Lierman for the announcement.

U.S. Rep. Steny Hoyer joined Gov. Wes Moore and others Wednesday to announce that Marylanders can file federal and state tax returns online starting in 2025. (Brenda Wintrode)

Funds from the Inflation Reduction Act of 2022 helped build and test the system. The IRS and Treasury Department then invited states to participate.

The IRS has been considering a free e-filing option for low-income American taxpayers for decades, according to the Congressional Research Service. When tax prep companies pushed back, the federal government agreed not to compete with them if they provided free help and e-filing to low-earning taxpayers.

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However, many qualified taxpayers were pushed toward paid services, according to an investigation by nonprofit news outlet ProPublica.

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The IRS piloted Direct File in 12 states this year. Filers used a laptop, tablet, cellphone or other device to submit income returns and request certain tax credits offered to low-earning individuals and families.

In a survey, nine out of 10 Direct File users ranked their experience as “Excellent” or “Above Average.”

U.S. Rep Steny Hoyer, a Democrat representing Maryland’s 5th District, called paying taxes the “price of our democracy.”

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“We ought to make it as easy as possible for people to comply with a legal obligation that they have to support their country, their state and their communities,” he said. “And this system of Direct File does that.”

Robin McKinney, CEO and co-founder of CASH Campaign of Maryland, said easy, free online filing makes the government work more efficiently for citizens and should deliver refunds and credits to taxpayers faster.

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McKinney’s nonprofit promotes economic advancement for low- to moderate-income Marylanders and provides free tax help, among other services.

Economic Security Project, a nonprofit that advocates for guaranteed income and economic equity for working families, found that adopting Direct File could mean $355 million in costs and time saved for Maryland’s low- to moderate-earners.

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Maryland recently has expanded tax credits for working families, but about $152 million goes unclaimed each year, according to the Security Project’s analysis.

They also estimated that about $148 million could be saved in filing fees and $56 million could be saved in time spent filing taxes.

That money could have gone into Marylanders’ pockets, CASH Campaign’s McKinney said, and it could have gone back into the state’s economy.





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Maryland joins IRS Direct File program, offering free tax filing for up to 700,000 taxpayers – Maryland Matters

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Maryland joins IRS Direct File program, offering free tax filing for up to 700,000 taxpayers – Maryland Matters


Some Maryland taxpayers will be able to use a free electronic filing tool for their federal taxes rather than having to pay a tax preparer or buy tax-filing software next year, when Maryland will offer the IRS’s new Direct File service.

The service was tested in 12 states this year, where 140,803 people filed with Direct File, saving an estimated $5.6 million in tax preparation fees. Maryland Comptroller Brooke Lierman (D) estimated Wednesday that as many as 700,000 Maryland taxpayers could be eligible for the program when it debuts in the state next year.

“While we value our relationship with tax preparers and CPAs (certified public accountants), it’s unacceptable that Marylanders should have to pay any portion whatsoever of their refund or paycheck to fulfill a mandatory requirement like filing tax returns,” Lierman said at a news conference announcing the program.

The IRS and the U.S. Treasury still have to finalize eligibility rules for the program this fall, but Lierman said it will be a “game changer” for those families who do qualify, which could be as much as 20% of individual taxpayers in the state.

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“Taxes are a part of the glue that keeps our state and our nation together, functioning, producing, protecting and thriving,” Lierman said. “Yet in America, we make it uniquely challenging to pay those taxes and file a return — until now.”

According to the Treasury, taxpayers spend “approximately 13 hours and $270 preparing their taxes each year.” Many Americans use tax filing services or software, such as TurboTax and H&R Block, to ensure that their taxes are filed correctly, despite most of the information being readily available state and federal tax collection agencies.

It’s unacceptable that Marylanders should have to pay any portion whatsoever of their refund or paycheck to fulfill a mandatory requirement like filing tax returns.

– Comptroller Brooke Lierman

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Direct File launched this year in 12 states for people to file their 2023 federal returns — Arizona, California, Florida, Massachusetts, New Hampshire, New York, Nevada, South Dakota, Tennessee, Texas, Washington and Wyoming. Treasury Deputy Secretary Wally Adeyemo said the program is aimed at helping middle-income tax filers with “relatively simple” filings.

“What I can tell you is our goal for us is to build a system that’s going to work for working class and middle class Americans. So you get a W-2, and you’re somebody who’s a teacher, you’re a fireman, you’re a doctor who’s earning most of your money from a W-2, we want to make sure we’re building a system that potentially works for you,” said Adeyemo, who was in Annapolis for the announcement.

“The thing we’re not going to do is build a system that works for big corporations or wealthy individuals. Next year we’re going to expand the system so that more Americans are able to participate in it,” Adeyemo said.

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The Biden administration invited all 50 states and the District of Columbia to join the program next year, when people will be filing their 2024 taxes. The Treasury said that Maryland joins Oregon, New Jersey, Pennsylvania, New Mexico, Connecticut, North Carolina, Wisconsin, and Maine in taking up Direct File.

“I know to some, this announcement may seem inconsequential — and I know how exciting tax announcements are,” Gov. Wes Moore (D) joked at the announcement. “But the details matter. They matter to the families who are impacted by this work. They’re going to matter to the families, who … dread tax season because it feels complicated. Who dread tax season because it seems expensive, or oftentimes have to deal with the consequences of getting something wrong.”

U.S. Sen. Chris Van Hollen (D-Md) discussing Maryland’s participation in the Direct File program on Sept. 4, 2024. Photo by Danielle J. Brown.

The Direct File program came out of the Inflation Reduction Act signed in 2022, which also secured additional funding to help the IRS modernize and provide better services to Americans.

But Sen. Chris Van Hollen (D-Md.), who chairs a Senate Appropriations Subcommittee on Financial Services and General Government Appropriations Subcommittee, said Direct File program and other services under the Inflation Reduction Act could be “under threat.”  While his subcommittee wants to fully fund the IRS and keep Direct File going, House leaders want to cut funding for both.

He also said that the industry is lobbying against the free tax filing system.

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“There are people who didn’t want us to do this, including a lot of the middlemen” who currently profit from tax preparation, Van Hollen said. “They’re lobbying against this kind of thing.”

In addition to Van Hollen, Moore, Lierman and Adeyemo, Wednesday’s event drew a number of Maryland Democratic heavyweights: U.S. Sen. Ben Cardin, U.S. Reps. Steny Hoyer John Sarbanes and State Treasurer Dereck Davis.

Hoyer put it simply: “Nobody likes taxes.”

“We don’t really get excited about paying our taxes. But we know that it is the price of our democracy,” Hoyer said. “We ought to make it as easy as possible for people to comply with a legal obligation that they have to support their country, their state and their communities.”

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Maryland Weather: Nice stretch with rain chance Friday into Saturday

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Maryland Weather: Nice stretch with rain chance Friday into Saturday


BALTIMORE -Nice weather continues through Thursday. Sprinkles & drizzle may develop Friday with steadier rain likely Saturday. 

We are right in the middle of an outstanding weather pattern that will continue into Thursday. Temperatures reached the middle to upper 70s Wednesday afternoon with comfortable humidity levels. High clouds are mainly south of Baltimore, so we’ve enjoyed a mostly sunny sky.

We have a fantastic evening of weather on the way. If you’re headed to the Os game this evening expect mostly sunny weather for the 1st pitch at 6:35 PM against the White Sox. Temperatures will start in the upper 70s, but then ease into the lower 70s by the end of the game. 

Early fall-like temperatures return tonight with lows in the 50s for most neighborhoods. The coolest overnight lows in the low 50s will be located in neighborhoods north and west of the Baltimore Beltway. Temperatures in the metro will dip down into the upper 50s. Any patchy high thin clouds will sink south overnight.

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Humidity levels gradually climb Thursday, but we still score ourselves a very nice day. Highs will climb toward 80°. Other than a few patchy clouds, expect a mostly sunny sky. 

You will feel even more humidity in the air on Friday. With an easterly to southeasterly wind off the Ocean, areas of low clouds will be possible. As the atmosphere continues to moisten through the day Friday, patchy sprinkles and drizzle will become possible. The greatest chance for this happening would be late Friday into Friday evening. While the rain will be light and patchy in nature, you may want a poncho or light rain jacket if you’re headed to any high school Friday night football games. 

Scattered showers and patchy drizzle is likely Friday night with lows in the middle 60s.

Saturday will be our last real humid day for awhile. Expect patchy areas of light rain and showers during the morning and midday hours. There may be a lull or two in the wet weather Saturday, but a steadier round of showers, possibly a thunderstorm will cross the area Saturday evening into early Saturday night. Highs on Saturday will top out in the upper 70s. The cold front that’s responsible for Saturday’s wet weather will flush out the clouds, showers, and humidity overnight Saturday. Temperatures late Saturday night will fall into the lower to middle 50s!

Sunday has another beautiful fall-like feel. Early morning temperatures in the lower to middle 50s with highs in the middle 70s. We get to enjoy abundant sunshine and pleasant breeze out of the northwest at 10 mph.

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A winning stretch of weather continues for most of next week along with a gradual warming trend. Highs on Monday reach the upper 70s. By Tuesday and Wednesday, high temperatures climb into the lower 80s with plenty of sunshine and low humidity. We get to enjoy yet another spectacular stretch of September weather for most of next week with little to no rain! 



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