February, 2015 The Family Health Coalition is committed to working together through broad-based community representation to optimize the health and well-being of uninsured, underinsured and Medicaid enrolled women of childbearing age, infants and families by establishing a system of universal and comprehensive quality health education, prevention, services and support. Meetings General Coalition Meeting March 11, 2015 Noon to 1:00 p.m. Community Service Council Steering Committee March 3, 2015 9:00 a.m. to 10:00 a.m. Community Service Council Social Marketing Committee February 5, 2015 March 5, 2015 11:00 a.m. to Noon Community Service Council Training Institute February 27, 2015 10:00 a.m. to Noon Community Service Council Motivational Interviewing with Dan Duffy, MD Grants HHS/Health Resources and Services Administration (HRSA): Geriatrics Workforce Enhancement Program. Deadline is March 5, 2015. Learn more. HHS/HRSA: Regional AIDS Education and Training Centers (AETC) Grant. Deadline is March 6, 2015. Learn more. HHS/HRSA: AETC National Coordinating Resource Center (NCRC) Cooperative Agreement. Deadline is March 6, 2015. Learn more. Corporation for National and Community Service (CNCS): Foster Grandparent Program (FGP) Indian Tribe Competition and Senior Companion Program (SCP) Indian Tribe Competition. These competitions are open to federally-recognized Indian Tribes, including current tribal grantees. Deadline for Notice of Intent is April 17, 2015. Learn more. Conferences Texas Healthy Start Alliance 13th Annual Education Conference Strengthening the Foundation of our Practice: Strategies for Healthy Communities February 25-27, 2015 South Padre Island Click here for more information. ---------------16th Annual Spring Conference February 28-March 3, 2015 Washington, DC Click here for more info ----------------4th International Infant & Toddler Conference April 8-11 Tulsa, OK Click here for registration and more information. Opioid Painkillers Widely Prescribed Among Reproductive Age Women Opioids are typically prescribed by health care providers to treat moderate to severe pain. They are also found in some prescription cough medications. The most commonly prescribed opioids among both groups of women were hydrocodone, codeine and oxycodone. "Taking opioid medications early in pregnancy can cause birth defects and serious problems for the infant and the mother," said CDC Director Tom Frieden, M.D., M.P.H. "Many women of reproductive age are taking these medicines and may not know they are pregnant and therefore may be unknowingly exposing their unborn child. That's why it's critical for health care professionals to take a thorough health assessment before prescribing these medicines to women of reproductive age CDC researchers analyzed 2008-2012 data from two large health insurance claims datasets: one of women aged 15-44 years with private insurance and another of women in the same age group enrolled in Medicaid. They found that, on average, 39 percent of Medicaid-enrolled women filled an opioid prescription from an outpatient pharmacy each year compared to 28 percent of women with private health insurance. The higher opioid prescribing rates among Medicaid enrollees might be due to differences in the prescription medications covered under their health insurance plan, differences in use of health care services, or differences in the prevalence of underlying health conditions among Medicaid enrollees compared with persons covered by private health insurance. Geographic region data available in the private insurance claims indicated that opioid prescription rates were highest among reproductive-aged women in the South and lowest in the Northeast. Race/ethnicity information was available for the Medicaid data and indicated opioid prescriptions were nearly one and a half times higher among non-Hispanic white women of reproductive age compared to nonHispanic black or Hispanic women. Previous studies of opioid use in pregnancy suggest these medications might increase the risk of neural tube defects (major defects of the baby's brain and spine), congenital heart defects and gastroschisis (a defect of the baby's abdominal wall). There is also a risk of neonatal abstinence syndrome (NAS) from exposure to medications such as opioids in pregnancy. NAS is when a newborn experiences symptoms of withdrawal from medications or drugs taken by a mother during pregnancy. "Women, who are pregnant, or planning to become pregnant, should discuss with their health care professional the risks and benefits for any medication they are taking or considering." said Coleen Boyle, Ph.D., MS.Hyg., Director of CDC's National Center on Birth Defects and Developmental Disabilities. "This new information underscores the importance of responsible prescribing, especially of opioids, for women of child bearing age." DC's National Center on Birth Defects and Developmental Disabilities is working to provide better information to women and their health care providers about medication use during pregnancy through its Treating for Two: Safer Medication Use in Pregnancy initiative. Through Treating for Two, CDC is working with its partners, other federal agencies and the public to understand trends in medication use among pregnant women and women of childbearing age and to provide women and health care providers with information about the safety or risk of using specific medications during pregnancy. This information will help women and their healthcare providers to make informed decisions about treating health conditions during pregnancy. Click here for more information about medications and pregnancy Click here to learn more about CDC's work on birth defects Medicare at 50-The Commonwealth Fund, January 2015 Since 1965, Medicare has provided millions of older and disabled Americans with guaranteed access to affordable health care. The broad popularity of the program, however, belies the intensely ideological struggle that preceded its creation and that continues in the debate over its future. In the first report of a two-part series published in the New England Journal of Medicine, David Blumenthal, M.D., Karen Davis, and Stuart Guterman trace the origins of Medicare and discuss its accomplishments, the changes it has undergone, and the challenges that remain. Report Rise in Access to Care and Affordability in First Year of ACA-The Commonwealth Fund, January 2015 For the first time, The Commonwealth Fund's Biennial Health Insurance Surveyfielded since 2001-finds sharp declines in uninsured rates for working-age Americans, with rates for young and low-income adults now at their lowest levels in 14 years. The number of people reporting that costs were a problem in accessing care also fell, as did the number of people with trouble paying medical bills. Brief Links to non-Federal and Federal organizations are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by the Family Health Coalition or the Federal Government, and none should be inferred. The Community Service Council is not responsible for the content of the individual organization Web pages found at these links. Family Health Coalition via Community Service Council | 16 East 16th Street, Suite 202 | Tulsa | OK | 74119