Final Reading: Vermont school officials say students’ mental health is at ‘a breaking point’

Final Reading: Vermont school officials say students’ mental health is at ‘a breaking point’
Final Reading: Vermont school officials say students’ mental health is at ‘a breaking point’
Rep. Peter Conlon, D-Cornwall, chair of the Home Committee on Education, is noticed at the Statehouse in Montpelier very last thirty day period. Photo by Glenn Russell/VTDigger

On Thursday early morning, lawmakers in the Residence Committee on Training were proven an impression of a uncooked egg, caught amongst the jaws of a vise and just beginning to crack. 

That egg, section of a PowerPoint presentation by Franklin Northeast Supervisory Union Superintendent Lynn Cota, was a metaphor for the condition of psychological wellness in Vermont schools.

“There comes a point — a breaking position — wherever items commence to split,” Cota instructed lawmakers. “And I assume that we are dangerously shut to a breaking issue with all that we’re making an attempt to keep in general public education.”

The testimony arrived in a hearing about children’s psychological wellbeing and staffing shortages in schools and Vermont’s selected agencies, nonprofits tasked with offering mental well being remedy to communities across the state. 

More than the past 5 yrs, schools and businesses have faced a two-pronged problem: elevated psychological health and fitness demands from kids, and a lack of assets to offer treatment. Like an egg caught in between the jaws of the vise, the program is showing cracks, officers claimed.

This image of a cracking egg, portion of a PowerPoint presentation by Franklin Northeast Supervisory Union Superintendent Lynn Cota, was a metaphor for the point out of psychological wellness in Vermont faculties.

Students’ mental wellness demands are not obtaining satisfied. Providers’ waitlists are increasing for a longer period and for a longer time. Small children are expending times in hospital emergency rooms ready for mental health and fitness treatment. Schools are pressured to direct a lot more and much more funding toward psychological health and fitness, all although competing with specified companies for a limited pool of employees.

“Every college program in Washington County ideal now is effectively developing our possess mini psychological wellness businesses inside of our buildings,” Montpelier Roxbury Public Universities Superintendent Libby Bonesteel informed lawmakers. “We are carrying out this not mainly because we really feel it is our task or our space of knowledge, due to the fact it really is not. We are undertaking this out of desperation.”

But faculty officials designed it obvious that they did not occur to the legislature looking for reforms or funds — at the very least, not for by themselves. Instead, superintendents explained, the state must devote in its psychological well being system writ large, which include specified agencies and other treatment suppliers.

“You most likely really don’t frequently get people today that come to you and say, ‘We’re not asking you for just about anything for us,’” Cota claimed. “I really don’t consider we are inquiring genuinely for just about anything for us.”

— Peter D’Auria


IN THE KNOW

A invoice that would ban paramilitary instruction camps, such as Slate Ridge in West Pawlet, drew favourable reviews Thursday from members of the Senate panel examining it. Nonetheless, some lawmakers expressed issue that proving somebody violated the proposed legislation would be difficult.

The bill, S.3, would make it a crime to run a paramilitary training facility if the man or woman executing it “knows or reasonably ought to know that the training, education, or demonstrating will be unlawfully used for use in or in furtherance of a civil ailment.”

The Senate Judiciary Committee took up the bill during a hearing Thursday. Although committee associates normally spoke in favor of the most current model of the evaluate, concerns kept popping up about the attainable problems of convicting another person of a crime past a affordable doubt. 

At the conclude of the discussion, Sen. Dick Sears, D-Bennington, the committee chair, stated he to begin with did not believe the invoice would go pretty far, but current improvements make it more possible to progress.

Read through extra in this article.

— Alan Keays

Damien Boomhower and his spouse, Jessica, hoped to rejoice their organic and natural dairy farm’s 10-year anniversary in 2022 with the pop of a champagne bottle. As a substitute, he was additional nervous about the farm’s economic point out than he’d been because he bought it. 

Natural dairy farmers across Vermont are enduring a disaster. The farmers have requested lawmakers to insert $9.2 million to the state’s Spending budget Adjustment Act, H.145. Lawmakers in the Household have presently approved the funding, and the bill now sits on the Senate side.

“This is a lot more to them than their livelihoods,” reported Rep. Heather Surprenant, P/D-Barnard, who is vice chair of the Residence Agriculture Committee and also an organic dairy farmer. “It’s a way of existence and a little something they are actively in search of to be in, and I would hope that folks would glance at that and want to assistance them in that.”

Whilst the Household has currently permitted the funding, it’s possible it could hit roadblocks as it moves through the Senate and as it reaches the Gov. Phil Scott’s desk. 

Study a lot more listed here.

— Emma Cotton


ON THE Transfer

The Vermont Property has sophisticated a monthly bill which intends to legally defend out-of-point out sufferers who occur to Vermont to receive reproductive health and fitness care, and safeguard the Vermont medical practitioners who present these types of care.

Colloquially referred to as a shield legislation, H.89 is Vermont lawmakers’ most recent go to beef up protections for abortion entry following the U.S. Supreme Court overturned Roe v. Wade scenario precedent. The monthly bill also involves protections for gender-affirming treatment for transgender patients, as many condition legislatures during the nation try to restrict obtain that care, as effectively. 

The laws would defend Vermont wellness care providers from investigation, interrogations, subpoenas, extradition or arrest by out-of-point out entities need to that medical doctor supply reproductive treatment to a individual who traveled to Vermont from a condition exactly where this sort of care is unlawful. The monthly bill is rather limited in what protections it can supply sufferers once they go away Vermont but does present some safety by in essence kneecapping out-of-condition investigators.

The House on Thursday authorized H.89 on its next looking through by voice vote, so no vote rely is available. 

“Given the really aggressive attacks on reproductive legal rights and reproductive well being care across the region, I imagine it was really crucial for us to move this legislation to shield suppliers and clients,” Property Speaker Jill Krowinski, D-Burlington explained to VTDigger just after the floor vote. 

Examine additional here.

— Sarah Mearhoff


WHAT WE’RE Looking through

After getting report of off-duty racism and misogyny by Vermont troopers, public basic safety main originally declined to choose motion (VTDigger)

Vermont State University group shocked, dismayed by library and athletic changes (VTDigger)

UVM officers apologize to Vermont-condition recognized tribes though Odanak reps continue to denounce them (Vermont Public)

Final Days to Use Your FSA Money: Here’s What You Could Get

Final Days to Use Your FSA Money: Here’s What You Could Get

This story is part of 12 Days of Tips, helping you make the most of your tech, home and health during the holiday season.

Your flexible spending account (FSA) provides a delicate balance of risk and reward. On the positive side, you get tax-free contributions toward expected health costs like over-the-counter medicine, screening tests and medical equipment. On the negative side, you usually have to spend your money every year or you lose it. (Don’t let your company take your money.)

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FSA funds can be used for medical treatments, insurance deductibles and copayments and for prescription medicine that isn’t covered by insurance, but a whole long list of items and health services can be FSA eligible, including several you may not have considered, like face masks, yoga classes or sunscreen. 

Read on to find all of the possible ways to spend your FSA money before the end of 2022. For more, read about the best life insurance companies or the best pet insurance.

What is a flexible spending account, or FSA?

Flexible spending accounts (also called flexible spending arrangements) are a type of “cafeteria plan” from employers that allow people to use tax-free contributions from their paychecks for specific expenses. There are several types of FSAs, but the most common are health FSAs, which participants can use to pay for medical and dental costs that aren’t covered by insurance.

With an FSA, you’ll decide how much you want to contribute at the beginning of the year, and your employer will deduct a portion of it from every paycheck.

The maximum amount an employee can contribute to an FSA is $2,850 for 2022 and $3,050 for 2023. Employers might provide additional funds to FSAs as a benefit, but those funds do not impact the employee contribution limit.

Traditionally, employees with FSAs will file claims with their employers to receive reimbursement for eligible expenses. Some companies now issue a debit card with FSAs so that plan participants can make purchases directly from their accounts.

Most FSAs follow a “use it or lose it” system where unused funds at the end of the year revert to your employer, with two possible exceptions. Changes to the laws on FSAs in 2021 allow companies the option of giving employees either up to a two-and-half-month grace period (that is, until March 15, 2023) to use FSA funds; or carrying over funds up to $610 into the following year. If you do carry over money from 2022 into 2023, that does not affect your yearly contribution limit of $3,050. 

Employers are not required to provide either FSA continuation option to their employees, however. Every company has its own FSA rules, so be sure to check with your FSA plan administrator or human resources department for the exact details of your plan.

What can I spend my FSA money on?

Along with medical treatment such as doctor and emergency room visits, insurance deductibles and copayments, and prescription medicine, there is a long list of approved products and services that are eligible for FSA coverage.

While some FSA items are automatically eligible for everyone, other products and services require a letter of medical necessity (LMN) from a licensed physician. The following list of FSA-eligible products is not completely exhaustive, but it covers all of the major categories of medical and dental care that can be paid for with FSA money:

Over-the-counter medicine: OTC medications were not FSA eligible until the passage of the Coronavirus Aid, Relief, and Economic Security Act in 2020. Now, cold, flu and allergy medications, pain relief like ibuprofen and acetaminophen, motion sickness pills, glucosamine sulfate for joint pain and other OTC medicine all qualify for FSA claims. First-aid kits and supplies like adhesive bandages and antibiotics are also eligible.

A photo of N95 face masks wrapped in plastic on a blue background

The IRS added COVID-19 protections like face masks to the FSA eligibility list in 2021.


Sarah Tew/CNET

COVID-19: COVID-related products such as face masks, at-home tests and hand sanitizer qualify for FSA reimbursement.

Dental procedures and products: Your dentures, implants, bridges and sealants are all covered by FSA, as are dental reconstruction and wisdom teeth removal. FSA funds can usually cover orthodontia, including Invisalign. Veneers require an LMN from a dentist.

Vision: Not only can you use your FSA funds for prescription eyeglasses and prescription sunglasses, you can also use them for non-prescription reading glasses or blue-blocker glasses. Similarly, contact lenses and supplies, including cleaning solution and lens cases, are eligible for FSA coverage, as are cataract and laser eye surgery.

Hearing: Your FSA money can be used for hearing aids, as well as batteries and maintenance for those aids. Telephones for the hearing impaired are also covered, as are products like ear cleaners and wax removers.

Breathing: Respiratory products such as nasal spray, inhalers and vaporizers are eligible for FSA coverage. With an LMN from a doctor, air conditioning, air filters and air purifiers can all be eligible for reimbursement.

Sleep: Along with OTC sleep medications, your FSA money can also be used for CPAP machines for sleep apnea and mouth guards to prevent teeth grinding. Prescription sleep medicine is also included. Items such as pillows with lumbar support or melatonin can be covered with an LMN from a doctor.

Preventive screenings: Take care of yourself with tests to evaluate your health that can be paid for with FSA money. Eligible screenings include DNA testing, heart scans, cancer screening, diabetes screening, HPV and HIV screening, breast cancer mammography screening and CT scans, as well as any blood tests that aren’t covered by insurance.

Pregnancy and sexual health: Most pregnancy related items and services are eligible for FSA funding, including pregnancy tests, prenatal vitamins, infertility treatments, intrauterine insemination and in vitro fertilization (IVF), as well as costs related to egg donors, surrogates, and egg and embryo storage. Men can use FSA funds on vasectomy reversal and Viagra.

Babies: FSA funds can cover many newborn-related expenses, including breast pumps, lactation consultants, breastfeeding classes, breast milk storage bags, diaper rash ointment, children’s sunscreen and baby breathing monitors. Infant formula can qualify, but only with an LMN from a doctor.

Contraception: FSA funds can help prevent unwanted pregnancies as well. Birth control pills, tubal ligation, vasectomies and condoms are all eligible. Levonorgestrel-based “morning-after pills” like Plan B One-Step or Take Action are eligible for FSA funding, as are all legal abortion procedures, including RU 486 pills (Mifepristone).

Menstruation: Pads, tampons, period underwear, pain relievers and other menstrual supplies all qualify as FSA expenses.

Medical equipment: Most products for measuring health are eligible for FSA money. Examples are thermometers, blood pressure monitors, blood sugar test kits and pulse oximeters.

Batteries: Along with the medical equipment itself, if you use batteries to power medical devices, they are FSA eligible.

Mental health: You can use FSA money for mental health treatments and services, including therapy and counseling in person or online. Visits to psychologists or psychiatrists are eligible, as are psychiatric care and prescription medicine. Unfortunately, marriage and couples counseling are not eligible for FSA reimbursement.

Addiction: FSAs can cover smoking cessation treatments and products to help stop smoking, like nicotine gum or patches. They can also cover donations to Alcoholics Anonymous meetings and the cost of transportation to attend, as well as other substance abuse programs and treatment for gambling addiction. An LMN is required to cover the cost of staying at a halfway house.

Weight loss: Weight-loss programs are eligible for FSA coverage, as are gastric bypass or lap-band surgeries. Prescription drugs for weight loss can also be covered by FSA money.

four yoga mats rolled up outside on a deck

Yoga mats and classes can be paid for with an FSA, but only with a letter from a doctor.


Amanda Capritto/CNET

Physical fitness: Most fitness expenses aren’t eligible for FSA coverage unless they are prescribed by a physician with an LMN. These expenses, if doctor recommended, can include personal trainers, gym memberships and yoga classes.

Athletic protection: If you’re looking to keep yourself safe and healthy during athletic activity, your FSA funds will cover many items, including athletic tape, braces and bandages, cups, face masks and mouth guards.

Muscle therapy: Most physical therapy is eligible for FSA funding, including massage devices at home. You can also use your FSA money for carpal tunnel supports, back braces or heating and cooling pads.

Foot care: Even though you can’t use FSA funds for athletic shoes (no matter how orthopedic) you can still use FSA money for healthy feet. Supports for high or low arches, foot care products and corn removers are some of the items eligible for FSA coverage.

Transportation: FSA money can be used to pay for travel expenses related to medical care or advice, including airplane tickets, gas for driving, mileage and maintenance costs, parking, bus or train fares and lodging.

Alternative medicine: A few nontraditional medical products and practices are eligible for FSA funding, including acupuncture, chiropractic services, homeopathy and holistic medicine.

Health-related home improvements: If you need to make changes to your living situation to account for an injury or medical situation, your FSA money should be eligible for most of it, including wheelchair ramps, grab bar installations, wider doorways, lowered kitchen cabinets or counters and home elevators, 

Mobility: For help getting around, FSA money can cover many products, including scooters, wheelchairs, crutches, canes and artificial limbs. Modifications to automobiles can also be eligible for FSA reimbursement with an LMN from a doctor.

Where can I buy products eligible for FSA spending?

You can purchase FSA-eligible products and services anywhere, as long as they qualify for reimbursement. Many major online retailers have created FSA-eligible stores that include all of the products that can be bought with FSA funds. 

Amazon, CVS, Target, Walgreens and Walmart all have their own FSA/HSA stores to make it easy to find qualifying medical and dental products.

Which expenses can’t be paid for with FSA money?

Despite the long list of potential uses for your FSA money, there are some medical and dental items that don’t qualify. Here is a list of products, services and expenses that are not eligible to be covered by FSAs:

  • Adoption expenses
  • Athletic shoes
  • Baby bottles
  • Bug repellant
  • Cannabidiol (CBD) products
  • Car seats
  • Cotton swabs
  • Dehumidifiers
  • Dental floss
  • Deodorants
  • Hair regrowth or hair removal products (including electrolysis)
  • Health or dental insurance premiums
  • Lactaid or other lactose-intolerance medication
  • Latex or nitrile gloves
  • Liposuction
  • Marriage counseling
  • Mattresses
  • Medical marijuana
  • Paternity testing
  • Protective goggles or safety glasses
  • Shampoo, soap, shaving cream or skin moisturizer
  • Smoke or carbon monoxide detectors
  • Summer or athletic camps
  • Tattoo removal
  • Teeth whitening or bleaching
  • Toothbrushes or toothpaste
  • UV protective gear
  • Veterinarian costs
  • Weight-loss supplements

For more health-related reading, learn how colder weather in winter can impact your breathing.