WASHINGTON–U.S. Environmental Protection Agency (EPA) announced two grants to help reduce students’, teachers’ and staffs’ exposure to pests and pesticides in our nation’s schools, while saving money, energy and pesticide treatment costs.

“Children are among the most vulnerable members of our society, and EPA is working to protect them from needless threats,” said Jim Jones, assistant administrator for the office of chemical safety and pollution prevention. “Our goal is to have schools across the nation implement sustainable pest management practices to provide a healthier learning environment for our students and teachers.”

Integrated pest management (IPM) is a sustainable approach to controlling pests that focuses on prevention. This program is designed to utilize all appropriate pest management strategies, including the judicious use of pesticides.

These strategies include repairing water leaks, adding weather stripping to windows, and installing door sweeps.  The result is a reduction in pest problems, pesticide use, and treatment costs along with water and energy savings. The IPM approach emphasizes removing the underlying conditions for pest to thrive.

The two projects that received awards are:

NEHA Mentorship Program for Developing School IPM Capabilities— National Environmental Health Association, $241,000

This project will promote effective and environmentally sensitive pest management practices in schools through an intensive mentorship program between local health departments and underserved school districts. The mentorship program, pairing local health departments with school districts, will provide increased access to technical resources, and partnerships. This project will take place in 2016 and 2017.

Keeping the Pests Out: The Economics of Integrated Pest Management in Schools – Health Resources in Action, $300,000

This project will examine the costs and benefits of implementing school IPM activities. Currently, there are only a few studies about the economics of school IPM. This project will help school districts understand the costs and benefits associated with establishing and sustaining IPM programs. The results of this two year project will be available in early 2018.

IPM is a smart, sensible, and sustainable approach that takes advantage of all appropriate pest management strategies, including the judicious use of pesticides.

These projects support EPA’s vision that all of the nation’s students can attend schools with IPM programs.

The Healthy Indiana Plan 2.0 is now just over a year old. It’s Indiana’s version of the expanded Medicaid program offered by the Affordable Care Act. But unlike traditional Medicaid, Indiana received waiver approval for an alternate system that incorporates personal responsibility and consumer-driven health care. Here’s the theory: if one is financially engaged, it encourages a sense of ownership, personal empowerment, and responsible utilization of medical services.

Waiver approval was important since the expansion is almost entirely funded by the federal government. Before the expansion, Indiana Medicaid covered only low-income pregnant women, children, the disabled and parents below 24 percent of poverty; childless adults were excluded. Now, HIP 2.0 covers all adults below 138 percent of poverty. That’s nothing short of a sea change for Indiana.

I support the HIP 2.0 approach. It adds a small measure of financial responsibility but does not appear to discourage participation by the eligible poor. Actually, the personal financial contribution is negligible for the vast majority of HIP participants. If below the poverty level, participants can opt not to contribute to a HSA-like POWER account and pay small co-pays for medical services other than preventative services. If participants do contribute to the POWER account, they receive enhanced services and have no co-pays. The typical contributions are from $1 to a few dollars per month for the vast majority of participants. If between 100 to 138 percent of poverty, the personal contributions are moderately more substantial.

The HIP 2.0 program has been a great success and well received by patients. The Pence administration has aggressively encouraged participation through effective outreach; approximately 370,000 people are now covered, including 270,000 new participants and more than 5,300 new health-care providers. Seventy percent of participants have chosen to contribute to a POWER account. Emergency department visits by HIP recipients formally on Medicaid are reported to be down 40 percent, and patients appear more aware of the cost of medical care. HIP 2.0 has also been a godsend to Indiana hospitals, important economic and medical-care anchors for our communities, which are now seeing significant reductions in uncompensated care while facing reduced reimbursements from Obamacare.

Feldman is director of medical education and residency training at Franciscan St. Francis Health and a former Indiana State Health Commissioner.

Matt Lloyd

Deputy Chief of Staff, Communications and Strategy

Governor Mike Pence

317-864-0884 (cell)