Gary Harm Reduction works with local agencies to provide services
The local organization hosted Regional Health Systems' medical van from 1 to 3 p.m. Wednesday, doing community outreach for those with nowhere else to go.
'We can't do what we do without other systems and the same with them,' said Executive Director Kristen Martin. 'My approach is all hands on deck, all fighting, all inclusive. … We don't want to further stigmatize or harm anybody, so we're just making sure people's values align.'
The organization was founded in 2020, according to its website, and it provides the opioid antidote naloxone, known by its brand name Narcan, advocacy for substance users and people in recovery. The group is entirely volunteer and has distributed more than 5,000 Narcan kits, according to its website.
Indiana's overdose death rate is 41 per 100,000 individuals, according to the Centers for Disease Control and Prevention. Lake County has the second-highest overdose rate in the state, according to Post-Tribune archives.
For the local unhoused population, Gary Harm Reduction provides items like fresh clothes, blankets, ponchos and other items, Martin said.
Gary Harm Reduction works with the medical van every first and third Wednesday of the month, Martin said. Regional Health Systems provides medical and dental services through its van, said Practice Manager Douglas Van Ramshorst, and it can assist with harm and overdose reduction.
'This looks pretty much like any other family doctor's office,' Van Ramshorst said. 'We can see kids, elderly folks, adults, do sick visits, primary care visits, physicals, pretty much anything.'
The medical van helps ensure that Regional Health Systems is providing care to all areas that need it, Van Ramshorst said.
Regional Health Systems' medical van isn't a free clinic, Van Ramshorst said, but they bill patients later and don't accept payment on-site. Most patients have Medicaid or Medicare, and Regional Health Systems accepts 'almost every private insurance.'
The agency charges based on a sliding scale, which allows people to pay based on their income. For example, if someone is homeless and has no income, the organization waives all fees.
'We're a fairly qualified health center, which means that we don't turn anyone away due to their inability to pay,' Van Ramshorst said. 'We always tell people, 'If you're going to have an issue, going to us is better than going to urgent care or the emergency room'.'
Since the beginning of 2025, Gary Harm Reduction has seen its federal and state grants decrease from about $500,000 to about $50,000, Executive Board Member Robert Bailey previously told the Post-Tribune.
Federal cuts went to diversity, equity and inclusion, LGBTQ+ and HIV grants, Bailey previously said.
The city of Gary has multiple Narcan vending machines, including one at Gary Harm Reduction's 5610 W. Ridge Road location. Martin said.
The city's Narcan machines were funded through the Opioid Settlement Fund, which is a state program. Gary hasn't had to pivot plans for Narcan due to changes in federal funding, city spokesperson Erika Blackwell said in an email.
In addition to Narcan, the machines also have socks, hand sanitizer, wipes and other sanitary items.
Gary Behavioral Health Manager Chakara Gunn helps at Gary Harm Reduction, and in addition to the Narcan machine, she serves as a resource connection.
'People call and they're like, 'Hey, this is what I'm looking for',' Gunn said, 'and I can connect them from the health department to Kristen and the services she can offer.'
For Martin, it's important to have connections like the Gary Health Department to reach more residents who need assistance.
Gary Harm Reduction is also participating in community events that help raise awareness for their work, Martin said. On Saturday, the organization participated in the city's Neighborhood Wellness Block Party with other Gary health agencies.
The organization also hosts an annual Region Recovery Riot, which will be Sept. 6 at the Gary Aquatorium. The Region Recovery Riot helps connect the community with prevention resources.
Through the various provided resources, Martin hopes people become more comfortable asking for help when needed.
'There's no court orders saying they have to come here,' she said. 'It's all just love and wanting to help. … We're trying to get rid of the stigma.'
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Los Angeles Times
11 hours ago
- Los Angeles Times
California, other Democratic-led states roll back Medicaid access for people lacking legal status
SACRAMENTO — For nearly 20 years, Maria would call her sister — a nurse in Mexico — for advice on how to manage her asthma and control her husband's diabetes instead of going to the doctor in California. She didn't have legal status, so she couldn't get health insurance and skipped routine exams, relying instead on home remedies and, at times, getting inhalers from Mexico. She insisted on using only her first name for fear of deportation. Things changed for Maria and many others in recent years when some Democratic-led states opened up their health insurance programs to low-income immigrants regardless of their legal status. Maria and her husband signed up the day the program began last year. 'It changed immensely, like from Earth to the heavens,' Maria said in Spanish of Medi-Cal, California's Medicaid program. 'Having the peace of mind of getting insurance leads me to getting sick less.' At least seven states and the District of Columbia have offered coverage for immigrants, mostly since 2020. But three of them have done an about-face, ending or limiting coverage for hundreds of thousands of immigrants who aren't in the U.S. legally — California, Illinois and Minnesota. The programs cost much more than officials had projected at a time when the states are facing multibillion-dollar deficits now and in the future. In Illinois, adult immigrants ages 42 to 64 without legal status have lost their healthcare to save an estimated $404 million. All adult immigrants in Minnesota no longer have access to the state program, saving nearly $57 million. In California, no one will automatically lose coverage, but new enrollments for adults will stop in 2026 to save more than $3 billion over several years. Cuts in all three states were backed by Democratic governors who once championed expanding health coverage to immigrants. The Trump administration this week shared the home addresses, ethnicities and personal data of all Medicaid recipients with U.S. Immigration and Customs Enforcement officials. Twenty states, including California, Illinois and Minnesota, have sued. Healthcare providers told the Associated Press that all of those factors, especially the fear of being arrested or deported, are having a chilling effect on people seeking care. And states may have to spend more money down the road because immigrants will avoid preventive healthcare and end up needing to go to safety-net hospitals. 'I feel like they continue to squeeze you more and more to the point where you'll burst,' Maria said, referencing all the uncertainties for people who are in the U.S. without legal permission. People who run free and community health clinics in California and Minnesota said patients who got on state Medicaid programs received knee replacements and heart procedures and were diagnosed for serious conditions like late-stage cancer. CommunityHealth is one of the nation's largest free clinics, serving many uninsured and underinsured immigrants in the Chicago area who have no other options for treatment. That includes the people who lost coverage July 1 when Illinois ended its Health Benefits for Immigrants Adults Program, which served about 31,500 people ages 42 to 64. One of CommunityHealth's community outreach workers and care coordinator said Eastern European patients she works with started coming in with questions about what the change meant for them. She said many of the patients also don't speak English and don't have transportation to get to clinics that can treat them. The worker spoke to the AP on condition of anonymity to protect patients' privacy. Health Finders Collective in Minnesota's rural Rice and Steele counties south of Minneapolis serves low-income and underinsured patients, including large populations of Latino immigrants and Somali refugees. Executive director Charlie Mandile said his clinics are seeing patients rushing to squeeze in appointments and procedures before 19,000 people age 18 and older are kicked off insurance at the end of the year. Free and community health clinics in all three states say they will keep serving patients regardless of insurance coverage — but that might get harder after the U.S. Department of Health and Human Services decided this month to restrict federally qualified health centers from treating people without legal status. CommunityHealth Chief Executive Stephanie Willding said she always worried about the stability of the program because it was fully state funded, 'but truthfully, we thought that day was much, much further away.' 'People are going to die. Some people are going to go untreated,' Alicia Hardy, chief executive officer of CommuniCARE+OLE clinics in California, said of the state's Medicaid changes. 'It's hard to see the humanity in the decision-making that's happening right now.' A spokesperson for the Minnesota Department of Health said ending the state's program will decrease MinnesotaCare spending in the short term, but she acknowledged healthcare costs would rise elsewhere, including uncompensated care at hospitals. Minnesota House Speaker Lisa Demuth, a Republican, said the state's program was not sustainable. 'It wasn't about trying to be non-compassionate or not caring about people,' she said. 'When we looked at the state budget, the dollars were not there to support what was passed and what was being spent.' Demuth also noted that children will still have coverage, and adults lacking permanent legal status can buy private health insurance. Healthcare providers also are worried that preventable conditions will go unmanaged, and people will avoid care until they end up in emergency rooms — where care will be available under federal law. One of those safety-net public hospitals, Cook County Health in Chicago, treated about 8,000 patients from Illinois' program last year. Dr. Erik Mikaitis, the health system's CEO, said doing so brought in $111 million in revenue. But he anticipated other providers who billed through the program could close, he said. 'Things can become unstable very quickly,' he said. State lawmakers said California's Medi-Cal changes stem from budget issues — a $12-billion deficit this year, with larger ones projected ahead. Democratic state leaders last month agreed to stop new enrollment starting in 2026 for all low-income adults without legal status. Those under 60 remaining on the program will have to pay a $30 monthly fee in 2027. States are also bracing for impact from federal policies. Cuts to Medicaid and other programs in President Trump's massive tax and spending bill include a 10% cut to the federal share of Medicaid expansion costs to states that offer health benefits to immigrants starting October 2027. California health officials estimate roughly 200,000 people will lose coverage after the first full year of restricted enrollment, though Gov. Gavin Newsom maintains that even with the rollbacks, California provides the most expansive healthcare coverage for poor adults. Every new bill requires a shift in Maria's monthly calculations to make ends meet. She believes many people won't be able to afford the $30-a-month premiums and will instead go back to self-medication or skip treatment altogether. 'It was a total triumph,' she said of Medi-Cal expansion. 'But now that all of this is coming our way, we're going backwards to a worse place.' Fear and tension about immigration raids are changing patient behavior, too. Providers told the AP that, as immigration raids ramped up, their patients were requesting more virtual appointments, not showing up to routine doctor's visits and not picking up prescriptions for their chronic conditions. Maria has the option to keep her coverage. But she is weighing the health of her family against risking what they've built in the U.S. 'It's going to be very difficult,' Maria said of her decision to remain on the program. 'If it comes to the point where my husband gets sick and his life is at risk, well then, obviously, we have to choose his life.' Nguyễn and Shastri write for the Associated Press and reported from Sacramento and Milwaukee, respectively. AP journalist Godofredo Vasquez in San Francisco contributed to this report.
Chicago Tribune
11 hours ago
- Chicago Tribune
Illinois among Democrat-led states rolling back Medicaid access for people lacking permanent legal status
SACRAMENTO, Calif. — For nearly 20 years, Maria would call her sister — a nurse in Mexico — for advice on how to manage her asthma and control her husband's diabetes instead of going to the doctor in California. She didn't have legal status, so she couldn't get health insurance and skipped routine exams, relying instead on home remedies and, at times, getting inhalers from Mexico. She insisted on using only her first name for fear of deportation. Things changed for Maria and many others in recent years when a handful of Democrat-led states opened up their health insurance programs to low-income immigrants regardless of their legal status. Maria and her husband signed up the day the program began last year. 'It changed immensely, like from Earth to the heavens,' Maria said in Spanish of Medi-Cal, California's Medicaid program. 'Having the peace of mind of getting insurance leads me to getting sick less.' At least seven states and the District of Columbia have offered coverage for immigrants since mostly 2020. But three of them have done an about-face, ending or limiting coverage for hundreds of thousands of immigrants who aren't in the U.S. legally in California, Illinois and Minnesota. The programs cost way more than officials had projected at a time when the states are facing multibillion-dollar deficits now and in the future. In Illinois, adult immigrants ages 42-64 without legal status have lost their health care to save an estimated $404 million. All adult immigrants in Minnesota no longer have access to the state program, saving nearly $57 million. In California, no one will automatically lose coverage, but new enrollments for adults will stop in 2026 to save more than $3 billion over several years. Cuts in all three states were backed by Democratic governors who once championed expanding health coverage to immigrants. The Trump administration this week shared the home addresses, ethnicities and personal data of all Medicaid recipients with U.S. Immigration and Customs Enforcement officials. Twenty states, including California, Illinois and Minnesota, have sued. Health care providers told The Associated Press that everything, especially the fear of being arrested or deported, is having a chilling effect on people seeking care. And states may have to spend more money down the road because immigrants will avoid preventive health care and end up needing to go to safety-net hospitals. 'I feel like they continue to squeeze you more and more to the point where you'll burst,' Maria said, referencing all the uncertainties for people who are in the U.S. without legal permission. People who run free and community health clinics in California and Minnesota said patients who got on state Medicaid programs received knee replacements and heart procedures, and were diagnosed for serious conditions like late-stage cancer. CommunityHealth is one of the nation's largest free clinics, serving many uninsured and underinsured immigrants in the Chicago area who have no other options for treatment. That includes the people who lost coverage July 1 when Illinois ended its Health Benefits for Immigrants Adults Program, which served about 31,500 people ages 42-64. One of CommunityHealth's community outreach workers and care coordinator said Eastern European patients she works with started coming in with questions about what the change meant for them. She said many of the patients also don't speak English and don't have transportation to get to clinics that can treat them. The worker spoke to the AP on condition of anonymity to protect patients' privacy. Health Finders Collective in Minnesota's rural Rice and Steele counties south of Minneapolis serves low-income and underinsured patients, including large populations of Latino immigrants and Somali refugees. Executive director Charlie Mandile said they're seeing patients rushing to squeeze in appointments and procedures before 19,000 people age 18 and older are kicked off of insurance at the end of the year. Free and community health clinics in all three states say they will keep serving patients regardless of insurance coverage — but that might get harder after the U.S. Department of Health and Human Services decided this month to restrict federally qualified health centers from treating people without legal status. CommunityHealth CEO Stephanie Willding said she always worried about the stability of the program because it was fully state funded, 'but truthfully, we thought that day was much, much further away.' 'People are going to die. Some people are going to go untreated,' Alicia Hardy, chief executive officer of CommuniCARE+OLE clinics in California, said of the state's Medicaid changes. 'It's hard to see the humanity in the decision-making that's happening right now.' A spokesperson for the Minnesota Department of Health said ending the state's program will decrease MinnesotaCare spending in the short term, but she acknowledged health care costs would rise elsewhere, including uncompensated care at hospitals. Minnesota House Speaker Lisa Demuth, a Republican, said the state's program was not sustainable. 'It wasn't about trying to be non-compassionate or not caring about people,' she said. 'When we looked at the state budget, the dollars were not there to support what was passed and what was being spent.' Demuth also noted that children will still have coverage, and adults lacking permanent legal status can buy private health insurance. Health care providers also are worried that preventable conditions will go unmanaged, and people will avoid care until they end up in emergency rooms – where care will be available under federal law. One of those safety-net public hospitals, Cook County Health in Chicago, treated about 8,000 patients from Illinois' program last year. Dr. Erik Mikaitis, the health system's CEO, said doing so brought in $111 million in revenue. Chicago's safety net hospitals face potential service cuts, layoffs after signing of 'big, beautiful' tax billBut he anticipated other providers who billed through the program could close, he said, adding: 'Things can become unstable very quickly.' State lawmakers said California's Medi-Cal changes stem from budget issues — a $12 billion deficit this year, with larger ones projected ahead. Democratic state leaders last month agreed to stop new enrollment starting in 2026 for all low-income adults without legal status. Those under 60 remaining on the program will have to pay a $30 monthly fee in 2027. States are also bracing for impact from federal policies. Cuts to Medicaid and other programs in the recently signed massive tax and spending bill include a 10% cut to the federal share of Medicaid expansion costs to states that offer health benefits to immigrants starting October 2027. California health officials estimate roughly 200,000 people will lose coverage after the first full year of restricted enrollment, though Gov. Gavin Newsom maintains that even with the rollbacks, California provides the most expansive health care coverage for poor adults. Every new bill requires a shift in Maria's monthly calculations to make ends meet. She believes many people won't be able to afford the $30-a-month premiums and will instead go back to self-medication or skip treatment altogether. 'It was a total triumph,' she said of Medi-Cal expansion. 'But now that all of this is coming our way, we're going backwards to a worse place.' Fear and tension about immigration raids are changing patient behavior, too. Providers told the AP that, as immigration raids ramped up, their patients were requesting more virtual appointments, not showing up to routine doctor's visits and not picking up prescriptions for their chronic conditions. Maria has the option to keep her coverage. But she is weighing the health of her family against risking what they've built in the U.S. 'It's going to be very difficult,' Maria said of her decision to remain on the program. 'If it comes to the point where my husband gets sick and his life is at risk, well then, obviously, we have to choose his life.'
Yahoo
11 hours ago
- Yahoo
3 Democrat-led states have rolled back Medicaid access for people lacking permanent legal status
SACRAMENTO, Calif. (AP) — For nearly 20 years, Maria would call her sister — a nurse in Mexico — for advice on how to manage her asthma and control her husband's diabetes instead of going to the doctor in California. She didn't have legal status, so she couldn't get health insurance and skipped routine exams, relying instead on home remedies and, at times, getting inhalers from Mexico. She insisted on using only her first name for fear of deportation. Things changed for Maria and many others in recent years when a handful of Democrat-led states opened up their health insurance programs to low-income immigrants regardless of their legal status. Maria and her husband signed up the day the program began last year. 'It changed immensely, like from Earth to the heavens,' Maria said in Spanish of Medi-Cal, California's Medicaid program. 'Having the peace of mind of getting insurance leads me to getting sick less.' At least seven states and the District of Columbia have offered coverage for immigrants since mostly 2020. But three of them have done an about-face, ending or limiting coverage for hundreds of thousands of immigrants who aren't in the U.S. legally in California, Illinois and Minnesota. The programs cost way more than officials had projected at a time when the states are facing multibillion-dollar deficits now and in the future. In Illinois, adult immigrants ages 42-64 without legal status have lost their health care to save an estimated $404 million. All adult immigrants in Minnesota no longer have access to the state program, saving nearly $57 million. In California, no one will automatically lose coverage, but new enrollments for adults will stop in 2026 to save more than $3 billion over several years. Cuts in all three states were backed by Democratic governors who once championed expanding health coverage to immigrants. The Trump administration this week shared the home addresses, ethnicities and personal data of all Medicaid recipients with U.S. Immigration and Customs Enforcement officials. Twenty states, including California, Illinois and Minnesota, have sued. Health care providers told The Associated Press that everything, especially the fear of being arrested or deported, is having a chilling effect on people seeking care. And states may have to spend more money down the road because immigrants will avoid preventive health care and end up needing to go to safety-net hospitals. 'I feel like they continue to squeeze you more and more to the point where you'll burst,' Maria said, referencing all the uncertainties for people who are in the U.S. without legal permission. 'People are going to die' People who run free and community health clinics in California and Minnesota said patients who got on state Medicaid programs received knee replacements and heart procedures, and were diagnosed for serious conditions like late-stage cancer. CommunityHealth is one of the nation's largest free clinics, serving many uninsured and underinsured immigrants in the Chicago area who have no other options for treatment. That includes the people who lost coverage July 1 when Illinois ended its Health Benefits for Immigrants Adults Program, which served about 31,500 people ages 42-64. One of CommunityHealth's community outreach workers and care coordinator said Eastern European patients she works with started coming in with questions about what the change meant for them. She said many of the patients also don't speak English and don't have transportation to get to clinics that can treat them. The worker spoke to the AP on condition of anonymity to protect patients' privacy. Health Finders Collective in Minnesota's rural Rice and Steele counties south of Minneapolis serves low-income and underinsured patients, including large populations of Latino immigrants and Somali refugees. Executive director Charlie Mandile said they're seeing patients rushing to squeeze in appointments and procedures before 19,000 people age 18 and older are kicked off of insurance at the end of the year. Free and community health clinics in all three states say they will keep serving patients regardless of insurance coverage — but that might get harder after the U.S. Department of Health and Human Services decided this month to restrict federally qualified health centers from treating people without legal status. CommunityHealth CEO Stephanie Willding said she always worried about the stability of the program because it was fully state funded, 'but truthfully, we thought that day was much, much further away.' 'People are going to die. Some people are going to go untreated,' Alicia Hardy, chief executive officer of CommuniCARE+OLE clinics in California, said of the state's Medicaid changes. 'It's hard to see the humanity in the decision-making that's happening right now.' A spokesperson for the Minnesota Department of Health said ending the state's program will decrease MinnesotaCare spending in the short term, but she acknowledged health care costs would rise elsewhere, including uncompensated care at hospitals. Minnesota House Speaker Lisa Demuth, a Republican, said the state's program was not sustainable. 'It wasn't about trying to be non-compassionate or not caring about people," she said. "When we looked at the state budget, the dollars were not there to support what was passed and what was being spent.' Demuth also noted that children will still have coverage, and adults lacking permanent legal status can buy private health insurance. Health care providers also are worried that preventable conditions will go unmanaged, and people will avoid care until they end up in emergency rooms – where care will be available under federal law. One of those safety-net public hospitals, Cook County Health in Chicago, treated about 8,000 patients from Illinois' program last year. Dr. Erik Mikaitis, the health system's CEO, said doing so brought in $111 million in revenue. But he anticipated other providers who billed through the program could close, he said, adding: 'Things can become unstable very quickly.' Monthly fees, federal policies create barriers State lawmakers said California's Medi-Cal changes stem from budget issues — a $12 billion deficit this year, with larger ones projected ahead. Democratic state leaders last month agreed to stop new enrollment starting in 2026 for all low-income adults without legal status. Those under 60 remaining on the program will have to pay a $30 monthly fee in 2027. States are also bracing for impact from federal policies. Cuts to Medicaid and other programs in the recently signed massive tax and spending bill include a 10% cut to the federal share of Medicaid expansion costs to states that offer health benefits to immigrants starting October 2027. California health officials estimate roughly 200,000 people will lose coverage after the first full year of restricted enrollment, though Gov. Gavin Newsom maintains that even with the rollbacks, California provides the most expansive health care coverage for poor adults. Every new bill requires a shift in Maria's monthly calculations to make ends meet. She believes many people won't be able to afford the $30-a-month premiums and will instead go back to self-medication or skip treatment altogether. 'It was a total triumph,' she said of Medi-Cal expansion. 'But now that all of this is coming our way, we're going backwards to a worse place.' Fear and tension about immigration raids are changing patient behavior, too. Providers told the AP that, as immigration raids ramped up, their patients were requesting more virtual appointments, not showing up to routine doctor's visits and not picking up prescriptions for their chronic conditions. Maria has the option to keep her coverage. But she is weighing the health of her family against risking what they've built in the U.S. 'It's going to be very difficult,' Maria said of her decision to remain on the program. 'If it comes to the point where my husband gets sick and his life is at risk, well then, obviously, we have to choose his life.' ___ Associated Press journalist Godofredo Vasquez in San Francisco contributed to this report. Shastri reported from Milwaukee. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content. Trân Nguyễn And Devi Shastri, The Associated Press
