SNS - Libraries in Champaign, Urbana, and Oakwood in the 52nd Senate District will receive a combined $196,330 in grants to improve resources for patrons and programming. Illinois Secretary of State and State Librarian Alexi Giannoulias announced this week that the Champaign Public Library would receive $131,128 and the Urbana Free Library would receive $56,928. The Oakwood would receive $8,274 in funding from the state. Danville, Rantoul, and Westville would also be recipients of grant money. The grants were distributed statewide to assist libraries most in need of upgrading their technology infrastructure. “I am truly delighted by the additional funding allocated to enhance library technology and accessibility here in our home of Champaign-Urbana, made possible by the recent budget I supported this Spring,” said State Representative Carol Ammons (103rd District—Urbana). “Both the Champaign Public Library and Urbana Free Library will receive just over $180,000, which will enrich library experiences and services for community members of all ages, young and old. Literacy unlocks wonder and curiosity in all of us, and I’m pleased that this funding will become a reality for my community.” Libraries in the district serve over 185,000 people. “Libraries throughout the state must have the resources and financial support they need to provide high-quality materials and programming to Illinois residents,” Giannoulias said. “Libraries serve as centers for lifelong learning and are critical to providing opportunities for children and adults to enrich their lives.” The Public Library Per Capita Grants are awarded annually to support local public library services. This year, public libraries received just under $1.50 per person in their service area. Public libraries can use this funding for operational needs, including purchasing materials for their library collections and making capital improvements to their facilities. Under the new technology grant initiative, eligible public libraries were determined by a review of their local tax base in comparison to the population that is served and also the poverty level of the community. "Libraries are more than just a place for books—they offer engaging programs and are essential for learning and success at every stage of life," said State Senator Paul Faraci (52nd District—Champaign). "By investing in our libraries, we're investing in our students, adult learners, and the entire community." Libraries have a two-year window to utilize technology grants for various purposes. These include acquiring hardware and software, expanding online collections and e-resources, purchasing digital devices and mobile apps, enhancing Wi-Fi capacity and internet accessibility, implementing patron self-checkouts, ensuring ADA compliance for library websites, and procuring adaptive technologies to meet the service needs of individuals with disabilities.
Area libraries receive grant money from the state
SNS - Libraries in Champaign, Urbana, and Oakwood in the 52nd Senate District will receive a combined $196,330 in grants to improve resources for patrons and programming. Illinois Secretary of State and State Librarian Alexi Giannoulias announced this week that the Champaign Public Library would receive $131,128 and the Urbana Free Library would receive $56,928. The Oakwood would receive $8,274 in funding from the state. Danville, Rantoul, and Westville would also be recipients of grant money. The grants were distributed statewide to assist libraries most in need of upgrading their technology infrastructure. “I am truly delighted by the additional funding allocated to enhance library technology and accessibility here in our home of Champaign-Urbana, made possible by the recent budget I supported this Spring,” said State Representative Carol Ammons (103rd District—Urbana). “Both the Champaign Public Library and Urbana Free Library will receive just over $180,000, which will enrich library experiences and services for community members of all ages, young and old. Literacy unlocks wonder and curiosity in all of us, and I’m pleased that this funding will become a reality for my community.” Libraries in the district serve over 185,000 people. “Libraries throughout the state must have the resources and financial support they need to provide high-quality materials and programming to Illinois residents,” Giannoulias said. “Libraries serve as centers for lifelong learning and are critical to providing opportunities for children and adults to enrich their lives.” The Public Library Per Capita Grants are awarded annually to support local public library services. This year, public libraries received just under $1.50 per person in their service area. Public libraries can use this funding for operational needs, including purchasing materials for their library collections and making capital improvements to their facilities. Under the new technology grant initiative, eligible public libraries were determined by a review of their local tax base in comparison to the population that is served and also the poverty level of the community. "Libraries are more than just a place for books—they offer engaging programs and are essential for learning and success at every stage of life," said State Senator Paul Faraci (52nd District—Champaign). "By investing in our libraries, we're investing in our students, adult learners, and the entire community." Libraries have a two-year window to utilize technology grants for various purposes. These include acquiring hardware and software, expanding online collections and e-resources, purchasing digital devices and mobile apps, enhancing Wi-Fi capacity and internet accessibility, implementing patron self-checkouts, ensuring ADA compliance for library websites, and procuring adaptive technologies to meet the service needs of individuals with disabilities.
Telehealth access for low-income households is coming to an end
For Cindy Westman, $30 buys a week’s worth of gas to drive to medical appointments and run errands.
It’s also how much she spent on her monthly internet bill before the federal Affordable Connectivity Program stepped in and covered her payments.
“When you have low income and you are living on disability and your daughter’s disabled, every dollar counts,” said Westman, who lives in rural Illinois.
More than 23 million low-income households — urban, suburban, rural, and tribal — are enrolled in the federal discount program Congress created in 2021 to bridge the nation’s digital connectivity gap. The program has provided $30 monthly subsidies for internet bills or $75 discounts in tribal and high-cost areas.
But the program is expected to run out of money in April or May, according to the Federal Communications Commission. In January, FCC Chairwoman Jessica Rosenworcel asked Congress to allocate $6 billion to keep the program running until the end of 2024. She said the subsidy gives Americans the “internet service they need to fully participate in modern life.”
The importance of high-speed internet was seared into the American psyche by scenes of children sitting in parking lots and outside fast-food restaurants to attend school online during the covid-19 pandemic. During that same period, health care providers and patients like Westman say, being connected also became a vital part of today’s health care delivery system.
Westman said her internet connection has become so important to her access to health care she would sell “anything that I own” to stay connected.
Westman, 43, lives in the small town of Eureka, Illinois, and has been diagnosed with genetic and immune system disorders. Her 12-year-old daughter has cerebral palsy and autism.
She steered the $30 saved on her internet toward taking care of her daughter, paying for things such as driving 30 minutes west to Peoria, Illinois, for two physical therapy appointments each week. And with an internet connection, Westman can access online medical records, and whenever possible she uses telehealth appointments to avoid the hour-plus drive to specialty care.
“It’s essential for me to keep the internet going no matter what,” Westman said.
Expanding telehealth is a common reason health care providers around the U.S. — in states such as Massachusetts and Arkansas — joined efforts to sign their patients up for the federal discount program.
“This is an issue that has real impacts on health outcomes,” said Alister Martin, an emergency medicine physician at Massachusetts General Hospital. Martin realized at the height of the pandemic that patients with means were using telehealth to access covid care. But those seeking in-person care during his ER shifts tended to be lower-income, and often people of color.
“They have no other choice,” Martin said. “But they probably don’t need to be in the ER action.” Martin became a White House fellow and later created a nonprofit that he said has helped 1,154 patients at health centers in Boston and Houston enroll in the discount program.
At the University of Arkansas for Medical Sciences, a federal grant was used to conduct dozens of outreach events and help patients enroll, said Joseph Sanford, an anesthesiologist and the director of the system’s Institute for Digital Health & Innovation.
“We believe that telehealth is the great democratization to access to care,” Sanford said. New enrollment in the discount program halted nationwide last month.
Leading up to the enrollment halt, Sen. Peter Welch (D-Vt.) led a bipartisan effort to introduce the Affordable Connectivity Program Extension Act in January. The group requested $7 billion — more than the FCC’s ask — to keep the program funded. “Affordability is everything,” Welch said.
In December, federal regulators surveyed program recipients and found that 22% reported no internet service before, and 72% said they used their ACP-subsidized internet to “schedule or attend healthcare appointments.”
Estimates of how many low-income U.S. households qualify for the program vary, but experts agree that only about half of the roughly 50 million eligible households have signed on.
“A big barrier for this program generally was people don’t know about it,” said Brian Whitacre, a professor and the Neustadt chair in the Department of Agricultural Economics at Oklahoma State University.
Whitacre and others said rural households should be signing up at even higher rates than urban ones because a higher percentage of them are eligible.
Yet, people found signing up for the program laborious. Enrollment was a two-step process. Applicants were required to get approved by the federal government then work with an internet service provider that would apply the discount. The government application was online — hard to get to if you didn’t yet have internet service — though applicants could try to find a way to download a version, print it, and submit the application by mail.
When Frances Goli, the broadband project manager for the Shoshone-Bannock Tribes in Idaho, began enrolling tribal and community members at the Fort Hall Reservation last year, she found that many residents did not know about the program — even though it had been approved more than a year earlier.
Goli and Amber Hastings, an AmeriCorps member with the University of Idaho Extension Digital Economy Program, spent hours helping residents through the arduous process of finding the proper tribal documentation required to receive the larger $75 discount for those living on tribal lands.
“That was one of the biggest hurdles,” Goli said. “They’re getting denied and saying, come back with a better document. And that is just frustrating for our community members.”
Of the more than 200 households Goli and Hastings aided, about 40% had not had internet before.
In the tribal lands of Oklahoma, said Sachin Gupta, director of government business and economic development at internet service provider Centranet, years ago the funding may not have mattered.
“But then covid hit,” Gupta said. “The stories I have heard.”
Elders, he said, reportedly “died of entirely preventable causes” such as high blood pressure and diabetes because they feared covid in the clinics.
“It’s really important to establish connectivity,” Gupta said. The end of the discounts will “take a toll.”
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF. Subscribe to KFF Health News' free Morning Briefing.Have you been boosted? Here's why the CDC recommends it
Kaiser Health News
Everyone over the age of 6 months should get the latest covid-19 booster, a federal expert panel recommended Tuesday after hearing an estimate that universal vaccination could prevent 100,000 more hospitalizations each year than if only the elderly were vaccinated.
The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices voted 13-1 for the motion after months of debate about whether to limit its recommendation to high-risk groups. A day earlier, the FDA approved the new booster, stating it was safe and effective at protecting against the covid variants currently circulating in the U.S.
After the last booster was released, in 2022, only 17% of the U.S. population got it — compared with the roughly half of the nation who got the first booster after it became available in fall 2021. Broader uptake was hurt by pandemic weariness and evidence the shots don’t always prevent covid infections. But those who did get the shot were far less likely to get very sick or die, according to data presented at Tuesday’s meeting.
The virus sometimes causes severe illness even in those without underlying conditions, causing more deaths in children than other vaccine-preventable diseases, as chickenpox did before vaccines against those pathogens were universally recommended.
The number of hospitalized patients with covid has ticked up modestly in recent weeks, CDC data shows, and infectious disease experts anticipate a surge in the late fall and winter.
The shots are made by Moderna and by Pfizer and its German partner, BioNTech, which have decided to charge up to $130 a shot. They have launched national marketing campaigns to encourage vaccination. The advisory committee deferred a decision on a third booster, produced by Novavax, because the FDA hasn’t yet approved it. Here’s what to know:
Who should get the covid booster?
The CDC advises that everyone over 6 months old should, for the broader benefit of all. Those at highest risk of serious disease include babies and toddlers, the elderly, pregnant women, and people with chronic health conditions including obesity. The risks are lower — though not zero — for everyone else. The vaccines, we’ve learned, tend to prevent infection in most people for only a few months. But they do a good job of preventing hospitalization and death, and by at least diminishing infections they may slow spread of the disease to the vulnerable, whose immune systems may be too weak to generate a good response to the vaccine.
Pablo Sánchez, a pediatrics professor at The Ohio State University who was the lone dissenter on the CDC panel, said he was worried the boosters hadn’t been tested enough, especially in kids. The vaccine strain in the new boosters was approved only in June, so nearly all the tests were done in mice or monkeys. However, nearly identical vaccines have been given safely to billions of people worldwide.
When should you get it?
The vaccine makers say they’ll begin rolling out the vaccine this week. If you’re in a high-risk group and haven’t been vaccinated or been sick with covid in the past two months, you could get it right away, says John Moore, an immunology expert at Weill Cornell Medical College. If you plan to travel this holiday season, as he does, Moore said, it would make sense to push your shot to late October or early November, to maximize the period in which protection induced by the vaccine is still high.
Who will pay for it?
When the ACIP recommends a vaccine for children, the government is legally obligated to guarantee kids free coverage, and the same holds for commercial insurance coverage of adult vaccines. For the 25 to 30 million uninsured adults, the federal government created the Bridge Access Program. It will pay for rural and community health centers, as well as Walgreens, CVS, and some independent pharmacies, to provide covid shots for free. Manufacturers have agreed to donate some of the doses, CDC officials said.
Will this new booster work against the current variants of covid?
It should. More than 90% of currently circulating strains are closely related to the variant selected for the booster earlier this year, and studies showed the vaccines produced ample antibodies against most of them. The shots also appeared to produce a good immune response against a divergent strain that initially worried people, called BA.2.86. That strain represents fewer than 1% of cases currently. Moore calls it a “nothingburger.”
Why are some doctors not gung-ho about the booster?
Experience with the covid vaccines has shown that their protection against hospitalization and death lasts longer than their protection against illness, which wanes relatively quickly, and this has created widespread skepticism. Most people in the U.S. have been ill with covid and most have been vaccinated at least once, which together are generally enough to prevent grave illness, if not infection — in most people. Many doctors think the focus should be on vaccinating those truly at risk.
With new covid boosters, plus flu and RSV vaccines, how many shots should I expect to get this fall?
People tend to get sick in the late fall because they’re inside more and may be traveling and gathering in large family groups. This fall, for the first time, there’s a vaccine — for older adults — against respiratory syncytial virus. Kathryn Edwards, a 75-year-old Vanderbilt University pediatrician, plans to get all three shots but “probably won’t get them all together,” she said. Covid “can have a punch” and some of the RSV vaccines and the flu shot that’s recommended for people 65 and older also can cause sore arms and, sometimes, fever or other symptoms. A hint emerged from data earlier this year that people who got flu and covid shots together might be at slightly higher risk of stroke. That linkage seems to have faded after further study, but it still might be safer not to get them together.
Pfizer and Moderna are both testing combination vaccines, with the first flu-covid shot to be available as early as next year.
Has this booster version been used elsewhere in the world?
Nope, although Pfizer’s shot has been approved in the European Union, Japan, and South Korea, and Moderna has won approval in Japan and Canada. Rollouts will start in the U.S. and other countries this week.
Unlike in earlier periods of the pandemic, mandates for the booster are unlikely. But “it’s important for people to have access to the vaccine if they want it,” said panel member Beth Bell, a professor of public health at the University of Washington.
“Having said that, it’s clear the risk is not equal, and the messaging needs to clarify that a lot of older people and people with underlying conditions are dying, and they really need to get a booster,” she said.
ACIP member Sarah Long, a pediatrician at Children’s Hospital of Philadelphia, voted for a universal recommendation but said she worried it was not enough. “I think we’ll recommend it and nobody will get it,” she said. “The people who need it most won’t get it.”
Illinois taxes are driving families and businesses out of the state
Reports show that the median Illinois household has a tax liability of $9,500, while Chicago's debt per taxpayer is almost $42,000.
Justin Carlson is a policy analyst for Illinois Policy Institute. He said the main driver of debt at both Chicago City Hall and the statehouse is underfunded pensions.
"It means higher taxes and higher fees, as the pension systems have required more funding," said Carlson. "That's less funding that you have for education or health care or social programs, or violence prevention, different things that communities rely on."
Carlson said the watchdog group Truth in Accounting reports Chicago's debt totals almost $49 billion, with two-thirds of that owed to the city's pension fund. In recent years, the city has almost doubled its property taxes to make its annual payments.
Carlson said across the state, the annual effective tax rate is just over 15%, making it the largest among the 50 states and Washington, D.C.
He said the high taxes are taking the biggest bite out of the incomes of people in marginalized neighborhoods and communities of color.
"That burden shifts even more to the people who can't afford to leave or don't want to leave," said Carlson. "Your taxes are just going to continue to go up, and that kind of feeds this vicious cycle where you have less money to draw from, and then the people who are left need to pay for higher and higher burdens."
He said part of the problem is that the formula for funding public pensions is spelled out in the Illinois Constitution, giving lawmakers very little leeway in how they write the budget.
"If you wanted to reform public pensions in Illinois, you would need to advance a constitutional amendment in order to change the benefits that are currently being offered," said Carlson. "So it's the case really locally and statewide of pensions being over-promised."
Time is running out for free Covid vaccines, tests, and many treatment for Americans
Kaiser Health News
Take vaccines. Until now, the federal government has been purchasing covid-19 shots. It recently bought 105 million doses of the Pfizer-BioNTech bivalent booster for about $30.48 a dose, and 66 million doses of Moderna's version for $26.36 a dose. (These are among the companies that developed the first covid vaccines sold in the United States.)
People will be able to get these vaccines at low or no cost as long as the government-purchased supplies last. But even before the end date for the public emergency was set, Congress opted not to provide more money to increase the government's dwindling stockpile. As a result, Pfizer and Moderna were already planning their moves into the commercial market. Both have indicated they will raise prices, somewhere in the range of $110 to $130 per dose, though insurers and government health programs could negotiate lower rates.
"We see a double-digit billion[-dollar] market opportunity," investors were told at a JPMorgan conference in San Francisco recently by Ryan Richardson, chief strategy officer for BioNTech. The company expects a gross price — the full price before any discounts — of $110 a dose, which, Richardson said, "is more than justified from a health economics perspective."
That could translate to tens of billions of dollars in revenue for the manufacturers, even if uptake of the vaccines is slow. And consumers would foot the bill, either directly or indirectly.
If half of adults — about the same percentage as those who opt for an annual flu shot — get covid boosters at the new, higher prices, a recent KFF report estimated, insurers, employers, and other payors would shell out $12.4 billion to $14.8 billion. That's up to nearly twice as much as what it would have cost for every adult in the U.S. to get a bivalent booster at the average price paid by the federal government.
As for covid treatments, an August blog post by the Department of Health and Human Services' Administration for Strategic Preparedness and Response noted that government-purchased supplies of the drug Paxlovid are expected to last through midyear before the private sector takes over. The government's bulk purchase price from manufacturer Pfizer was $530 for a course of treatment, and it isn't yet known what the companies will charge once government supplies run out.
How Much of That Pinch Will Consumers Feel?
One thing is certain: How much, if any, of the boosted costs are passed on to consumers will depend on their health coverage.
Medicare beneficiaries, those enrolled in Medicaid — the state-federal health insurance program for people with low incomes — and people with Affordable Care Act coverage will continue to get covid vaccines without cost sharing, even when the public health emergency ends and the government-purchased vaccines run out. Many people with job-based insurance will also likely not face copayments for vaccines, unless they go out of network for their vaccinations. People with limited-benefit or short-term insurance policies might have to pay for all or part of their vaccinations. And people who don't have insurance will need to either pay the full cost out-of-pocket or seek no- or low-cost vaccinations from community clinics or other providers. If they cannot find a free or low-cost option, some uninsured patients may be forced to skip vaccinations or testing.
Coming up with what could be $100 or more for vaccination will be especially hard "if you are uninsured or underinsured; that's where these price hikes could drive additional disparities," said Sean Robbins, executive vice president of external affairs for the Blue Cross Blue Shield Association. Those increases, he said, will also affect people with insurance, as the costs "flow through to premiums."
Meanwhile, public policy experts say many private insurers will continue to cover Paxlovid, although patients may face a copayment, at least until they meet their deductible, just as they do for other medications. Medicaid will continue to cover it without cost to patients until at least 2024. But Medicare coverage will be limited until the treatment goes through the regular FDA process, which takes longer than the emergency use authorization it has been marketed under.
Another complication: The rolls of the uninsured are likely to climb over the next year, as states are poised to reinstate the process of regularly determining Medicaid eligibility, which was halted during the pandemic. Starting in April, states will begin reassessing whether Medicaid enrollees meet income and other qualifying factors.
An estimated 5 million to 14 million people nationwide might lose coverage.
"This is our No. 1 concern" right now, said John Baackes, CEO of L.A. Care, the nation's largest publicly operated health plan with 2.7 million members.
"They may not realize they've lost coverage until they go to fill a prescription" or seek other medical care, including vaccinations, he said.
What About Covid Test Kits?
Rules remain in place for insurers, including Medicare and Affordable Care Act plans, to cover the cost of up to eight in-home test kits a month for each person on the plan, until the public health emergency ends.
For consumers — including those without insurance — a government website is still offering up to four test kits per household, until they run out. The Biden administration shifted funding to purchase additional kits and made them available in late December.
Starting in May, though, beneficiaries in original Medicare and many people with private, job-based insurance will have to start paying out-of-pocket for the rapid antigen test kits. Some Medicare Advantage plans, which are an alternative to original Medicare, might opt to continue covering them without a copayment. Policies will vary, so check with your insurer. And Medicaid enrollees can continue to get the test kits without cost for a little over a year.
State rules also can vary, and continued coverage without cost sharing for covid tests, treatments, and vaccines after the health emergency ends might be available with some health plans.
Overall, the future of covid tests, vaccines, and treatments will reflect the complicated mix of coverage consumers already navigate for most other types of care.
"From a consumer perspective, vaccines will still be free, but for treatments and test kits, a lot of people will face cost sharing," said Jen Kates, a senior vice president at KFF. "We're taking what was universal access and now saying we're going back to how it is in the regular U.S. health system."
You have a new business idea, here is how to finance your dream job
City of Urbana application window open for government rescue plan dollars
Increase support for community violence interventions
Increase availability and affordability of food
Provide relief and support for local businesses
St. Joseph mayor encourages everyone to fill out census online
CASA receives state funding
CASA is not-for-profit organization which recruits, trains, and monitors volunteers who serve as advocates for abused and neglected children. Their services are also used in Termination of Parental Rights (TPR) cases and sometimes in adoption proceedings. Trained volunteers work to ensure the welfare of the children under their care is closely monitored and make independent recommendations to the court system advocating in their best interest.
In Illinois there are 31 CASA programs with nearly 2,500 volunteers who in 2018 advocated for the best interests of 4,184 child victims of abuse and neglect.
"This funding means that more children across Illinois do not have to go through the court process alone," said Mari Christopherson, Executive Director for CASA. "We applaud the Governor in supporting a program that works."
According to the statement issued this week, the funding will distributed to the current local programs with the goal of expanding their ability to protect the interest of minor children who have experienced abuse or neglect with a Court Appointed Special Advocate. The funds will also be used to expand CASA into other communities to help an estimated 2,000 or more children who do not have access to volunteers and service in their area.
The local branch, Champaign County CASA, is located at 301 S. Vine, Suite 210, in the Lincoln Square Mall in Urbana.