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# Register by Saturday, open enrollment is live, + a new HBCU medical school gets the green light
- URL: https://www.melaninblissmedia.com/register-by-saturday-open-enrollment-is-live-a-new-hbcu-medical-school-gets-the-green-light/
- Published: 2026-10-23T21:03:05.000Z
- Updated: 2026-10-23T21:03:05.000Z
- Description: what to ask before an insurer says “wait,” and where to turn if money is part of the harm.
- Author: Amber McClendon
- Tags: #memo, The Melanin Memo

---

Some weeks the news is a headline. This week it is a calendar. Three deadlines are close, one school got a go-ahead, and one October conversation needs a next step. Information should help you act, not leave you doing the connecting yourself.

Let’s get into it.

---

## Knowledge | Register to vote by Saturday

New York’s voter registration deadline for the November 3 general election is **Saturday, October 24, 2026**. Applications must be received by that date, by mail or in person, according to the [New York State Board of Elections](https://elections.ny.gov/registration-and-voting-deadlines?ref=melaninblissmedia.com).

Early voting runs **October 24 through November 1**. In New York City you are assigned one early voting site. Outside the city you can use any early voting center in your county. Hours are set by your county board, so check them before you go, and use the state’s [early voting page](https://elections.ny.gov/early-voting?ref=melaninblissmedia.com) to find your site.

**Not in New York?** Deadlines differ by state. Check your own state election office before you rely on these dates.

**The MB question:** Who in your family has not checked their registration this year?

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## Health | A new HBCU medical school moves forward

The Xavier Ochsner College of Medicine in New Orleans received preliminary accreditation from the Liaison Committee on Medical Education (LCME), announced October 14, according to [WAFB](https://www.wafb.com/2026/10/14/xavier-ochsner-college-medicine-awarded-preliminary-accreditation/?ref=melaninblissmedia.com). The first class is planned for summer 2027, and recruitment begins in the coming weeks. The school is described as the only HBCU college of medicine in the Gulf South. The same report says HBCU medical schools train nearly 70% of the nation’s Black physicians.

Preliminary accreditation lets the school recruit. It is not the last step. The report did not give class size, tuition, or financial aid.

**The MB question:** What will tuition cost, who gets residency slots, and how will the school be held accountable to the communities it says it will serve?

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## Hustle | Open enrollment is live

• **Medicare Open Enrollment** runs October 15 to December 7\. Changes take effect January 1, 2027\. Many people mix this up with the December 15 Marketplace deadline.

• **Marketplace enrollment** opens November 1\. December 15 is the last day to pick a plan for coverage that starts January 1, and enrollment ends January 15, according to [HealthCare.gov](https://www.healthcare.gov/quick-guide/dates-and-deadlines/?ref=melaninblissmedia.com). State exchanges, including NY State of Health, can have different dates.

Before you choose, gather your doctors, prescriptions, and expected 2027 income, then compare total yearly cost, not just the monthly premium. Our full guide, *The Enrollment Clock Is Running*, is on the MB site.

**The MB question:** Who in your family handles the paperwork, and do they know the deadline?

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## Heart | October, domestic violence, and money

October is Domestic Violence Awareness Month. Advocates, including the National Network to End Domestic Violence, describe financial control as part of abuse, and say economic security is a major factor in whether someone can leave safely and stay safe.

**If you or someone you know needs support:** The National Domestic Violence Hotline is 1-800-799-SAFE (7233), with chat at TheHotline.org, or text START to 88788\. If you are in immediate danger, call 911.

**The MB question:** After awareness month ends, who is responsible for the housing, income, and safety that survivors still need?

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## The Back Office of Care | Before an insurer says “wait”

Prior authorization is the approval step that sits between your doctor’s order and your care. In 2024, Medicare Advantage insurers made 52.8 million of these decisions. About 7.7% were denied in whole or in part. Only 11.5% of denials were appealed, and 80.7% of those appeals were partly or fully overturned, according to [KFF](https://www.kff.org/medicare/issue-brief/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024/?ref=melaninblissmedia.com).

Three questions to ask your doctor’s office and your plan:

1\. Has the request been submitted, and what is the reference number?

2\. If it is denied, what is the specific reason, in writing?

3\. What is the appeal deadline, and who is filing?

Our full explainer is coming this week.

## Closing

Check your registration, mark your two enrollment dates, and ask for it in writing. One reply to this email helps us know what you want more of.

*The Melanin Memo is information, not legal, medical, or financial advice. Dates and figures are from the sources linked above as of October 22, 2026.*

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## Held out of this issue (needs sourcing first)

• NFL and HBCU medical-student fellowship claims. The earlier draft’s 14-student figure may refer to the 2022 inaugural group, not a current 2026 program.

• The seasonal-depression section, including vitamin D and racial-comparison claims.

• The diaspora, culture, and local-news items that were based only on headlines.

• Subsidy and premium claims from secondary sources.

## Sources

• [NY State Board of Elections, deadlines](https://elections.ny.gov/registration-and-voting-deadlines?ref=melaninblissmedia.com)

• [NY State Board of Elections, early voting](https://elections.ny.gov/early-voting?ref=melaninblissmedia.com)

• [WAFB, Xavier Ochsner accreditation, Oct 14, 2026](https://www.wafb.com/2026/10/14/xavier-ochsner-college-medicine-awarded-preliminary-accreditation/?ref=melaninblissmedia.com)

• [HealthCare.gov, dates and deadlines](https://www.healthcare.gov/quick-guide/dates-and-deadlines/?ref=melaninblissmedia.com)

• [KFF, Medicare Advantage prior authorization, 2024](https://www.kff.org/medicare/issue-brief/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024/?ref=melaninblissmedia.com)

• [NNEDV, economic justice and survivors](https://nnedv.org/latest%5Fupdate/understanding-economic-justice-means-survivors?ref=melaninblissmedia.com)