In 2024, the Texas State Guard participated in Operation Border Health, a five-day free health clinic in Texas. The annual event was canceled this year after the Trump administration announced a plan to strip more than $550 million in federal public health and pandemic emergency funds from Texas. (Texas State Guard/CC BY-ND 2.0) Patients begin…
It was March 2020, and Robert Gordon was about to kick some 80,000 people off health insurance. As the Michigan state health director, he had spent the past year, and some $30 million in state tax dollars, trying to avoid that very thing. Gordon was a Democrat, a veteran of the Obama administration, and he…
Angela Hart and Devi Shastri, The Associated Press SACRAMENTO, Calif. — The Trump administration is taking its immigration crackdown to the health care safety net, launching Medicaid spending probes in at least six Democratic-led states that provide comprehensive health coverage to poor and disabled immigrants living in the U.S. without permanent legal status. The Centers…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
SACRAMENTO, California — La administración Trump ha extendido su política de mano dura en inmigración a la red de atención médica pública, iniciando investigaciones sobre el gasto de Medicaid en al menos seis estados liderados por demócratas. Estos estados brindan cobertura médica integral a inmigrantes pobres y con discapacidades que viven en el país sin…
Lauren Sausser When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of conflicting decisions, and a health insurer switch before she finally won approval. She started treatment in January and now channels time…
After losing 50 pounds on the injectable weight loss medication Zepbound, Kyra Wensley received a surprising letter from her pharmacy benefit manager in April. Her request for coverage had been denied, the letter said, because she’d had a body mass index of less than 35 when she started Zepbound. The 25-year-old who lives in New…
Amy Frank dijo que pasó 17 horas al teléfono durante casi tres semanas, rebotando entre su aseguradora y el sistema hospitalario local, para asegurarse de que el plan de salud cubriera la atención que su esposo necesitaba después de una cirugía. Muchas de sus llamadas no pasaron de la música en espera. Cuando lograba comunicarse,…
Amy Frank said it took 17 hours on the phone over nearly three weeks, bouncing between her insurer and her local hospital system, to make sure her plan would cover her husband’s post-surgery care. Many of her calls never got past the hold music. When they did, the hospital told her to call her insurer….
Preocupados por la inflación, los estadounidenses han estado atentos a precios de productos cotidianos como los huevos y la gasolina. Pero un gasto menos conocido debería causar más alarma: el aumento de las primas de los seguros médicos. Llevan años subiendo, y ahora lo están haciendo a un ritmo sin precedentes. Hay que considerar que,…
John Daley, Colorado Public Radio En el Valle de San Luis, al sur de Colorado, las nubes se elevan sobre las imponentes montañas de la cordillera Sangre de Cristo. Un coro de mirlos gorjea mientras revolotea entre los juncos de un refugio de vida silvestre. Grandes campos cultivados en forma de círculo, intercalados con arbustos…
Wary of inflation, Americans have been watching the prices of everyday items such as eggs and gasoline. A less-noticed expense should cause greater alarm: rising premiums for health insurance. They have been trending upward for years and are now rising faster than ever. Consider that, from 2000 to 2020, egg prices fluctuated between just under…
Jonnell Wieder earned too much money at her job to keep her Medicaid coverage when the covid-19 public health emergency ended in 2023 and states resumed checking whether people were eligible for the program. But she was reassured by the knowledge that Medicaid would provide postpartum coverage for her and her daughter, Oakleigh McDonald, who…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Jackie Fortiér and Oona Zenda Illustrations by Oona Zenda “My son was diagnosed with congenital CMV, a virus that can cause hearing loss. As part of this diagnosis, he will be required to have routine hearing tests every few months until he is 10 years old. I reached out to you because I wanted to…
Despite recent efforts to bolster California’s behavioral health workforce, the state is operating with only about two-thirds of the psychiatrists and therapists it needs. The problem is so severe it’s making it hard to backfill retiring practitioners, particularly in the state’s rural areas. “It feels helpless, because there is more than you can fix. There’s…
Maryland is the first state to tap into an old fund connected to the Affordable Care Act to help solve a new problem: helping pay the expenses of patients who travel to Maryland for an abortion. With abortion now restricted or illegal in 22 states, jurisdictions like Maryland have become a destination for patients from…
As they move into adulthood, many young Americans face a unique and daunting challenge: finding their own health insurance by the time they turn 26. The lucky ones are covered through their jobs. But in an age of gig employment, more are falling off the “26 insurance cliff” and landing hard. For a project produced…
Medicare enrollees who buy the optional Part D drug benefit may see substantial premium price hikes — potentially up to $50 a month — when they shop for next year’s coverage. Such drug plans are used by millions of people who enroll in what is called original Medicare, the classic federal government program that began…
Elisabeth Rosenthal and Hannah Norman, KFF Health News Amid the challenges of adulthood, one rite of passage is unique to the United States: the need to find your own health insurance by the time you turn 26. That is the age at which the Affordable Care Act declares that young adults generally must get off…
Elisabeth Rosenthal It was supposed to be easier than this. When the Affordable Care Act was passed in March 2010, the goal was to help more Americans get health insurance. And, indeed, the establishment of online marketplaces and a broadening of the eligibility guidelines for Medicaid accomplished that. Fifteen years later, however, that system is…
John Daley, Colorado Public Radio In southern Colorado’s San Luis Valley, clouds billow above the towering mountains of the Sangre de Cristo range. A chorus of blackbirds whistle as they flit among the reeds of a wildlife refuge. Big, circular fields of crops, interspersed with native shrubs, give it a feel of bucolic quiet. But…
Dan Weissmann When a New York couple purchased a health insurance plan from a telemarketer, they thought it covered everything they wanted: doctor visits, tests, and medicine. But then came the unexpected bills for thousands of dollars, forcing them to skip crucial medical care. In their series “Health Care Hustlers,” Bloomberg reporters Zachary Mider and…
Se suponía que iba a ser más fácil. Cuando la Ley de Cuidado de Salud a Bajo Precio (ACA) se aprobó en marzo de 2010, el objetivo era ayudar a que más personas en el país obtuvieran seguro médico. Y, de hecho, la creación de mercados en línea y la ampliación de los criterios de…
People thinking about starting a business or retiring early — before they’re old enough for Medicare — may want to wait until November, when they can see just how much their Affordable Care Act health insurance will cost next year. Sharp increases are expected. Premiums for ACA health plans, also known as Obamacare, which many…
Michelle Andrews Si quieres vacunarte contra covid-19 este otoño, ¿lo cubrirá el seguro médico de tu empleador? No hay una respuesta clara. El secretario de Salud y Servicios Humanos, Robert F. Kennedy Jr., un veterano activista antivacunas, ha modificado radicalmente la forma en que se aprueban estas vacunas, y para quiénes se recomiendan, creando incertidumbre…
Cuando el presidente Donald Trump firmó una ley que agrega requisitos laborales para algunos beneficiarios de Medicaid, es posible que haya perjudicado a legisladores de al menos 14 estados que estaban diseñando sus propios planes, según observadores del sector de salud. Georgia es el único estado con un requisito laboral para Medicaid, pero varios estados…
When President Donald Trump signed a law adding work requirements for some Medicaid recipients, he may have undercut lawmakers in at least 14 states who were designing their own plans, according to health industry observers. Georgia is the only state with a work requirement in place for Medicaid, but several states have been pursuing such…
If you want a covid-19 shot this fall, will your employer’s health insurance plan pay for it? There’s no clear answer. Health and Human Services Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist, has upended the way covid vaccines are approved and for whom they’re recommended, creating uncertainty where coverage was routine. Agencies within…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Durante dos décadas, la pediatra Lanre Falusi, de Washington D.C., ha asesorado a los padres sobre el calendario de vacunas que deben recibir sus hijos, la seguridad de la vacunación y sus efectos secundarios. Pero dijo que este año las charlas han cambiado. “Por primera vez, los padres de recién nacidos me preguntan si en…
If you want to create a perfect storm at Covered California and other Affordable Care Act marketplaces, all you have to do is make enrollment more time-consuming, ratchet up the toll on consumers’ pocketbooks, and terminate financial aid for some of the youngest and healthiest enrollees. And presto: You’ve got people dropping coverage; rising costs;…
Jackie Fortiér For two decades, Washington, D.C., pediatrician Lanre Falusi has counseled parents about vaccine safety, side effects, and timing. But this year, she said, the conversations have changed. “For the first time, I’m having parents of newborns ask me if their baby will still be able to get vaccines,” Falusi said. Throughout the country,…
President Donald Trump rode to reelection last fall on voter concerns about prices. But as his administration pares back federal rules and programs designed to protect patients from the high cost of health care, Trump risks pushing more Americans into debt, further straining family budgets already stressed by medical bills. Millions of people are expected…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
President Donald Trump signed legislation that mandates some Medicaid recipients prove they’re working, volunteering, or completing other qualifying activities at least 80 hours a month to maintain coverage. This applies to 40 states (plus Washington, D.C.) that have expanded Medicaid to a broader pool of low-income adults. Those states will share $200 million to prepare…
MISSOULA, Mont. — As congressional Republicans finalized Medicaid work requirements in President Donald Trump’s budget bill, one man who relies on that government-subsidized health coverage was trying to coax his old car to start after an eight-hour shift making sandwiches. James asked that only his middle name be used to tell his story so that…
When Lawrence and Penny Higgins of Fairfield, Maine, first learned in 2020 that high levels of toxic chemicals called PFAS taint their home’s well water, they wondered how their health might suffer. They had consumed the water for decades, given it to their pets and farm animals, and used it to irrigate their vegetable garden…
Loreben Tuquero, PolitiFact “Almost 5 million able-bodied Medicaid recipients ‘simply choose not to work’ and ‘spend six hours a day socializing and watching television.’” Scott Jennings on “CNN NewsNight with Abby Phillip” on July 1 Republicans defended the GOP megabill’s Medicaid changes as targeting a group of people they believe shouldn’t qualify: people who can…
La terapia de rehabilitación puede ser una bendición después de una hospitalización por un derrame cerebral, una caída, un accidente, un reemplazo de articulación, una quemadura grave o una lesión de la médula espinal, entre otras afecciones. La fisioterapia, la terapia ocupacional y la terapia del habla se ofrecen en diversos entornos: hospitales, residencias de…
Every time Ashton Alexander sees an ad for Georgia Pathways to Coverage, it feels like a “kick in the face.” Alexander tried signing up for Pathways, the state’s limited Medicaid expansion, multiple times and got denied each time, he said, even though he met the qualifying terms because he’s a full-time student. Georgia is one…
Elisabeth Rosenthal Last year in Massachusetts, after finding lumps in her breast, Jessica Chen went to Lowell General Hospital-Saints Campus, part of Tufts Medicine, for a mammogram and sonogram. Before the screenings, she asked the hospital for the estimated patient responsibility for the bill using her insurance, Tufts Health Plan. Her portion, she was told,…
Jordan Rau, KFF Health News Federal health officials do not inform consumers about severe safety violations in hospitals that specialize in physical rehabilitation. Nor does Medicare impose fines as it does for nursing homes, or provide easy-to-understand five-star ratings as it does for general hospitals, according to an investigation by KFF Health News and The…
Julie Appleby, KFF Health News Most of the 24 million people in Affordable Care Act health plans face a potential one-two punch next year — double-digit premium increases along with a sharp drop in the federal subsidies that most consumers depend on to buy the coverage, also known as Obamacare. Insurers want higher premiums to…
The Host The Senate has passed — and sent back to the House — a bill that would allow the Trump administration to claw back some $9 billion in previously approved funding for foreign aid and public broadcasting. But first, senators removed from the bill a request to cut funding for the President’s Emergency Plan…
Jordan Rau, KFF Health News and Irena Hwang, The New York Times Rehab hospitals that help people recover from major surgeries and injuries have become a highly lucrative slice of the health care business. But federal data and inspection reports show that some run by the dominant company, Encompass Health Corp., and other for-profit corporations…
Rehabilitation therapy can be a godsend after hospitalization for a stroke, a fall, an accident, a joint replacement, a severe burn, or a spinal cord injury, among other conditions. Physical, occupational, and speech therapy are offered in a variety of settings, including at hospitals, nursing homes, clinics, and at home. It’s crucial to identify a…
Doctors, hospitals, and health insurers for weeks issued dire warnings to Republican lawmakers that millions of people would lose health coverage and hospitals would close if they cut Medicaid funding to help pay for President Donald Trump’s big tax and spending bill. But Republicans ignored those pleas, made even deeper cuts, and sent the legislation…
Rae Ellen Bichell and Katheryn Houghton Nicole Silva’s 4-year-old daughter was headed to a relative’s house near the southern Colorado town of La Jara when a vehicle T-boned the car she was riding in. A cascade of ambulance rides ensued — a ground ambulance to a local hospital, an air ambulance to Denver, and another…
The Host As he had wanted, President Donald Trump signed his big budget bill into a big budget law in a White House ceremony on July 4, cementing, among other things, billions of dollars in cuts to health programs such as Medicaid. The new law will also reshape rules for the Affordable Care Act, Medicare,…
As a postpartum doula, Dawn Oliver does her best work in the middle of the night. During a typical shift, she shows up at her clients’ home at 10 p.m. She answers questions they may have about basic infant care and keeps an eye out for signs of postpartum depression. After bedtime, she may feed…
Dan Weissmann In response to the high price of prescription drugs, “An Arm and a Leg” asked listeners to share their strategies for getting the medicine they need at prices they can manage. Host Dan Weissmann and producers Emily Pisacreta and Claire Davenport share tips from a retired hospital manager who now helps seniors find…
Phil Galewitz, KFF Health News and Julie Appleby, KFF Health News and Renuka Rayasam and Bernard J. Wolfson The tax and spending legislation the House voted to send to President Donald Trump’s desk on Thursday, enacting much of his domestic agenda, cuts federal health spending by about $1 trillion over a decade in ways that…
Bram Sable-Smith Four years before Kimberly Gallagher enrolled in Medicaid herself, the public health insurance program’s rules prompted her to make an excruciating choice — to give up guardianship of her son so she could work as his caregiver. Now, another proposed twist in the rules could mean that, even though Missouri pays her to…
Phil Galewitz, KFF Health News The last time a Republican-controlled Congress and President Donald Trump moved to slash Medicaid spending, in 2017, a key political force stood in their way: GOP governors. Now, as Congress steamrolls toward passing historic Medicaid cuts of about $1 trillion over 10 years through Trump’s tax and spending legislation, red-state…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Shorter enrollment periods. More paperwork. Higher premiums. The sweeping tax and spending bill pushed by President Donald Trump includes provisions that would not only reshape people’s experience with the Affordable Care Act but, according to some policy analysts, also sharply undermine the gains in health insurance coverage associated with it. The moves affect consumers and…
President Donald Trump’s “One Big Beautiful” budget reconciliation bill would make some of the most sweeping changes in health policy in years, largely affecting Medicaid and Affordable Care Act plans — with reverberations felt throughout the health care system. With only a few exceptions, the budget reconciliation process — which allows the political party in…
El “One Big Beautiful Bill” del presidente Donald Trump recorta el gasto federal en los mercados de Medicaid y la Ley de Cuidado de Salud a Bajo precio (ACA) en aproximadamente $1.000 millones a lo largo de una década, según la Oficina de Presupuesto del Congreso (CBO), una entidad no partidista. Esto amenaza la salud…
Claudia Boyd-Barrett For months, Maria, 55, a caregiver to older adults in California’s Orange County, has been trying not to smile. If she opens her mouth too wide, she worries, people will see her chipped, plaque-covered front teeth. An immigrant without legal status, Maria doesn’t have health or dental insurance. When her teeth start to…
Durante meses, María, de 55 años, cuidadora de adultos mayores en el condado de Orange, se ha esforzado por no sonreír. Le preocupa que si abre demasiado la boca, la gente vea sus dientes astillados y cubiertos de placa. Inmigrante sin papeles, María no tiene seguro médico ni dental. Cuando le empiezan a doler los…
CLARKESVILLE, Ga. — Last September, Alton Fry went to the doctor concerned he had high blood pressure. The trip would result in a prostate cancer diagnosis. So began the stress of trying to pay for tens of thousands of dollars in treatment — without health insurance. “I’ve never been sick in my life, so I’ve…
Arielle Zionts “A lot of times, health care comes with a job.” Sen. John Thune (R-S.D.), in an interview with KOTA on May 30, 2025 Millions of people are expected to lose access to Medicaid and Affordable Care Act marketplace health insurance plans if federal lawmakers approve the One Big Beautiful Bill Act, President Donald…
Phil Galewitz, KFF Health News and Stephanie Armour Stephanie Ivory counts on Medicaid to get treated for gastrointestinal conditions and a bulging disc that makes standing or sitting for long periods painful. Her disabilities keep her from working, she said. Ivory, 58, of Columbus, Ohio, believes she would be exempt from a requirement that adult…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
California lawmakers are poised to delay the state’s much-ballyhooed new law mandating in vitro fertilization insurance coverage for millions, set to take effect July 1. Gov. Gavin Newsom has asked lawmakers to push the implementation date to January 2026, leaving patients, insurers, and employers in limbo. The law, SB 729, requires state-regulated health plans offered…
GREENVILLE, Miss. — Cedric Sturdevant woke up with “a bit of depression” but made it to church, as he does every Sunday. In a few days, he would drive from Mississippi to Washington, D.C., to join HIV advocates at an April rally against the Trump administration’s actions. It had clawed back more than $11 billion…
Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system. Dozens of insurance companies, including Cigna, Aetna, Humana, and UnitedHealthcare, agreed to several measures, which…
MIAMI, Florida. — Josefina Muralles trabaja a tiempo parcial de noche como recepcionista en un condominio de Miami Beach. Así, puede cuidar durante el día de sus tres hijos, su madre mayor y su hermano, que está paralítico. También ayuda a su madre a alimentar, bañar y dar la medicación a Rodrigo Muralles, el hermano…
Bernard J. Wolfson Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions of dollars. The move could shrink access to health care for some of the nation’s poorest and most vulnerable people, warn analysts, patient advocates,…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
While the Senate budget bill released this week proposes deep funding cuts and work requirements for Medicaid — proposals likely to increase the number of people without health insurance — another big health care issue looms that could affect millions unless Congress acts. Enrollment in the Affordable Care Act’s health insurance marketplace has soared over…
When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through UnitedHealthcare covered her emergency care in Aspen, Colorado. It also covered related pain management and physical therapy after she returned home to New York City. The bills totaled more than $100,000. The real estate lawyer, now…
MIAMI — Josefina Muralles works a part-time overnight shift as a receptionist at a Miami Beach condominium so that during the day she can care for her three kids, her aging mother, and her brother, who is paralyzed. She helps her mother feed, bathe, and give medicine to her adult brother, Rodrigo Muralles, who has…
Phil Galewitz, KFF Health News Nearly two-thirds of adults oppose President Donald Trump’s “One Big Beautiful Bill” approved in May by the House of Representatives, according to a KFF poll released Tuesday. And even Trump’s most ardent supporters like the legislation a lot less when they learn how it would cut federal spending on health…
BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year with stage 4 cancer. Two years later, grueling rounds of chemotherapy have slowed the cancer’s progress, even…
The Host After explicitly promising senators during his confirmation hearing that he would not interfere in scientific policy over which Americans should receive which vaccines, Health and Human Services Secretary Robert F. Kennedy Jr. this week fired every member of the Advisory Committee on Immunization Practices, the group of experts who help the Centers for…
Jazmin Orozco Rodriguez Cuts to Medicaid and other federal health programs proposed in President Donald Trump’s budget plan would rapidly push more than 300 financially struggling rural hospitals toward a fiscal cliff, according to researchers who track the facilities’ finances. The hospitals would be at a disproportionate risk of closure, service reductions, or ending inpatient…
Louis Jacobson, PolitiFact “One out of every $5 or $6 in Medicaid [payments] is improper.” Russell Vought stated on June 1, 2025, in an interview on CNN’s “State of the Union.” Responding to charges that President Donald Trump’s tax and spending bill would cut Medicaid coverage for millions of Americans, Trump administration officials misleadingly counter…
Julie Appleby, KFF Health News Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay. A driver behind these changes is the “One Big Beautiful Bill,” the name…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Millions would lose Medicaid coverage. Millions would be left without health insurance. Signing up for health plans on the Affordable Care Act marketplaces would be harder and more expensive. President Donald Trump’s domestic policy legislation, the One Big Beautiful Bill Act that cleared the House in May and now moves to the Senate, could also…
ST. PAUL, Minn. — High school senior Joshua Yang understands sacrifice. When he was midway through 10th grade, his mom survived a terrible car crash. But her body developed tremors, and she lost mobility. After countless appointments, doctors diagnosed her with Parkinson’s disease, saying it was likely triggered by brain injuries sustained in the wreck….
On Christmas Day at the WaTiki indoor water park, Hans Wirt was getting winded from following his son up the stairs to the waterslides. Wirt’s breathing became more labored once they returned to the nearby hotel where they and Wirt’s girlfriend were staying while visiting family in Rapid City, South Dakota. Then he grew nauseated…
Noam N. Levey GLOBE, Ariz. — Like many residents of this copper-mining town in the mountains east of Phoenix, Debbie Cox knows plenty of people on Medicaid. Cox, who is a property manager at a real estate company in Globe, has tenants who rely on the safety-net program. And at the domestic violence shelter where…
Phil Galewitz, KFF Health News and Christine Mai-Duc President Donald Trump’s signature budget legislation would punish 14 states that offer health coverage to people in the U.S. without authorization. The states, most of them Democratic-led, provide insurance to some low-income immigrants — often children — regardless of their legal status. Advocates argue the policy is…
The Host With only a single vote to spare, the House passed a controversial budget bill that includes billions of dollars in tax cuts for the wealthy, along with billions of dollars of cuts to Medicaid, the Affordable Care Act, and the food stamp program — most of which will affect those at the lower…
A blockbuster lawsuit from the federal Department of Justice alleges that insurers Aetna, Elevance Health (formerly Anthem), and Humana paid “hundreds of millions of dollars in kickbacks” to large insurance brokerages eHealth, GoHealth, and SelectQuote. The payments, made from 2016 to at least 2021, were incentives to steer patients into the insurer’s Medicare Advantage plans,…
Phil Galewitz, KFF Health News and Christine Mai-Duc La emblemática legislación del presupuesto del presidente Donald Trump castigaría a 14 estados que ofrecen cobertura de salud a personas que viven en el país sin papeles. Estos estados, la mayoría liderados por demócratas, dan seguro médico a algunos inmigrantes de bajos ingresos —a menudo niños—, independientemente…
CHARLESTON, S.C. — When Page Campbell’s doctor recommended she try an injectable prescription drug called Wegovy to lose weight before scheduling bariatric surgery, she readily agreed. “I’ve struggled with my weight for so long,” said Campbell, 40, a single mother of two. “I’m not opposed to trying anything.” In early April, about four weeks after…
Elisabeth Rosenthal Health care has proved a vulnerable target for the firehose of cuts and policy changes President Donald Trump ordered in the name of reducing waste and improving efficiency. But most of the impact isn’t as tangible as, say, higher egg prices at the grocery store. One thing experts from a wide range of…
[*] When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage plans, they’re often offered assurances such as this one from eHealth: “Your benefit advisors will find plans that match your needs — no matter the carrier.” About a third of enrollees do seek help in making complex decisions about whether to…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
SACRAMENTO, Calif. — Gov. Gavin Newsom on Wednesday proposed that California roll back health care for immigrants without legal status, saying the state needed to cut benefits for some to maintain core services across the board. It’s a striking reversal for the Democrat, who had promised universal health care and called health coverage for immigrants…
It has been nearly eight years since Sen. John McCain’s middle-of-the-night thumbs-down vote torpedoed Republican efforts to repeal the Affordable Care Act and make drastic cuts to Medicaid. With Donald Trump back in the White House and the GOP back in control of Congress, Republicans again have their eyes on Medicaid, the government health program…
SACRAMENTO, Calif. — Gov. Gavin Newsom didn’t expect to be reckoning with another health care crisis. In March, as President Donald Trump and congressional Republicans escalated a nationwide debate over whether to slash health care for poor and disabled Americans, the Democratic governor had to tell state lawmakers that California’s health care costs had spiraled…
SACRAMENTO, California — El gobernador Gavin Newsom no esperaba enfrentarse a otra crisis sanitaria. En marzo, mientras el presidente Donald Trump y los republicanos del Congreso intensificaban el debate nacional sobre la posibilidad de recortar la atención médica para los estadounidenses pobres y con discapacidades, el gobernador demócrata tuvo que informar a los legisladores estatales…
Dan Weissmann News has been coming out of Washington, D.C., since the start of the second Donald Trump administration like water out of a fire hose. It can feel impossible to stay on top of all the changes. So in this episode of “An Arm and a Leg,” host Dan Weissmann speaks with KFF Health…
The Trump administration must soon make a decision that will affect millions of Americans’ ability to access and afford mental health and addiction care. The administration is facing a May 12 deadline to declare if it will defend Biden-era regulations that aim to enforce mental health parity — the idea that insurers must cover mental…
Christine Mai-Duc SACRAMENTO, Calif. — State Sen. Akilah Weber Pierson anticipates that California’s sprawling Medicaid program, known as Medi-Cal, may need to be dialed back after Gov. Gavin Newsom releases his latest budget, which could reflect a multibillion-dollar deficit. Even so, the physician-turned-lawmaker, who was elected to the state Senate in November, says her priorities…
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Phil Galewitz, KFF Health News On the eastern plains of Colorado, in a county of less than 6,000 people, Lincoln Health runs the only hospital within a 75-minute drive. The facility struggles financially, given its small size and the area’s tiny population. But for over a decade, the Hugo, Colorado-based health system has remained afloat…
Stephanie Armour In his March address to Congress, President Donald Trump honored a Texas boy diagnosed with brain cancer. Amid bipartisan applause, he vowed to drive down childhood cancer rates through his “Make America Healthy Again” initiative. A few days later, the administration quietly dropped a lawsuit to cut emissions from a Louisiana chemical plant…
CRESTWOOD, Mo. — The prospect of sweeping federal cuts to Medicaid is alarming to some Missourians who remember the last time the public medical insurance program for those with low incomes or disabilities was pressed for cash in the state. In 2005, Missouri adopted some of the strictest eligibility standards in the nation, reduced benefits,…
El principal organismo no partidista de control gubernamental del país ha confirmado que está examinando los costos de operar el único programa de Medicaid activo con requisito de trabajo, mientras legisladores republicanos estatales y federales consideran requisitos similares. La Oficina de Responsabilidad Gubernamental de Estados Unidos (GAO) informó a KFF Health News que su análisis…
Rennie Glasgow, who has served 15 years at the Social Security Administration, is seeing something new on the job: dead people. They’re not really dead, of course. In four instances over the past few weeks, he told KFF Health News, his Schenectady, New York, office has seen people come in for whom “there is no…
The country’s top nonpartisan government watchdog has confirmed it is examining the costs of running the nation’s only active Medicaid work requirement program, as Republican state and federal lawmakers consider similar requirements. The U.S. Government Accountability Office told KFF Health News that its analysis of the Georgia Pathways to Coverage program could be released this…
Republicans have long pushed to force working-age adults enrolled in Medicaid to show they are, in fact, working. Party members argue Medicaid, a taxpayer-funded program for people with low incomes and disabilities, shouldn’t cover Americans who aren’t actively trying to improve their financial situations. And Republicans are closer than ever to achieving a national work…
Faced with potential federal spending cuts that threaten health coverage and falling childhood vaccination rates, Monica Soni, the chief medical officer of Covered California, has a lot on her plate — and on her mind. California’s Affordable Care Act health insurance exchange covers nearly 2 million residents and 89% of them receive federal subsidies that…
Carmen Aiken of Chicago made an appointment for an annual physical exam in July 2023, planning to get checked out and complete some blood work. The appointment was at a family medicine practice run by University of Illinois Health. Aiken said the doctor recommended they undergo a Pap smear, which they hadn’t had in more…
For several years, Fred Neary had been seeing five doctors at the Baylor Scott & White Health system, whose 52 hospitals serve central and northern Texas, including Neary’s home in Dallas. But in October, his Humana Medicare Advantage plan — an alternative to government-run Medicare — warned that Baylor and the insurer were fighting over…
Hospitals have spent years amassing political influence at the federal and state levels. According to the nonprofit OpenSecrets, hospitals and nursing homes’ federal lobbying spending rose from $35 million in 2000 to more than $133 million last year, a 280% increase. They recently had a unique opportunity to flex some of that political muscle in…
For nearly three agonizing years, Mariah Freschi and her husband have been trying to have a second baby. The California mother recently underwent surgery to remove her blocked fallopian tubes, leaving in vitro fertilization as her only option to get pregnant. But the cost quoted by her Sacramento-area clinic was $25,000 — out of reach…
Mike Dennison HELENA, Mont. — As Republican legislative leaders in Montana girded for this year’s battle over whether to extend Medicaid expansion in the state, they took aim at one of the program’s biggest backers: hospitals. If Montana’s hospitals wanted to extend the government health insurance program that cost taxpayers about $1 billion in 2024,…
SACRAMENTO, Calif. — Medi-Cal, California’s complex, $174.6 billion Medicaid program, provides health insurance for nearly 15 million residents with low incomes and disabilities. The state enrolls twice as many people as New York and more than three times as many as Texas — the two states with the largest number of Medicaid participants after California….
They’re the fixers, the ones who step in when Affordable Care Act enrollees have a problem with their coverage, like a newborn incorrectly left off a policy or discovering that a rogue broker had signed them up or switched their plan without consent. Specially trained caseworkers help resolve such issues, which might otherwise cause consumers…
PBS News Weekend’s Ali Rogin spoke with KFF Health News contributor Michelle Andrews about what some people with missing limbs consider a disparity in health insurance coverage: Though a knee replacement likely would be covered, a prosthetic knee isn’t always. A prosthetic device can be subject to cost caps and an amputee may be required…
For many years, Eric Wunderlin’s health issues made it hard to find stable employment. Struggling to manage depression and diabetes, Wunderlin worked part-time, minimum-wage retail jobs around Dayton, Ohio, making so little he said he sometimes had to choose between paying rent and buying food. But in 2018, his CareSource Medicaid health plan offered him…
Arielle Zionts Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers. Medicare is the main federal health insurance program for people 65 or older. Participants…
Because of past fraud by rogue brokers, some Affordable Care Act policyholders may get an unexpected tax bill this season. But that isn’t the only potential shock. Other changes coming soon — stemming from proposals by the administration of President Donald Trump — could affect their coverage and its cost. And sorting out related problems…
Subrayando la magnitud del problema de la deuda médica en el país, una organización sin fines de lucro con sede en Nueva York ha llegado a un acuerdo para liquidar viejas facturas médicas de aproximadamente 20 millones de personas. Undue Medical Debt, que compra deudas de pacientes, está liquidando $30 mil millones en facturas impagas…
Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers. Medicare Advantage plans pay hospitals lower rates than traditional Medicare, said Jason Merkley, CEO of Brookings…
Noam N. Levey Underscoring the massive scale of America’s medical debt problem, a New York-based nonprofit has struck a deal to pay off old medical bills for an estimated 20 million people. Undue Medical Debt, which buys patient debt, is retiring $30 billion worth of unpaid bills in a single transaction with Pendrick Capital Partners,…
MANSFIELD, La. — When Desoto Regional Health System took out $36 million in loans last year to renovate a rural hospital that opened in 1952, officials were banking on its main funding source remaining stable: Medicaid, the joint federal-state health program for low-income people and the disabled. But those dollars are now in jeopardy, as…
Tina Ewing-Wilson remembers the last time major Medicaid cuts slashed her budget. In the late 2000s, during the Great Recession, the pot of money she and other Medi-Cal recipients depend on to keep them out of costly residential care homes shrank. The only way she could afford help was to offer room and board to…
Lauren Sausser HENRICO, Va. — Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. It was recommended by her psychologist to help with the depression associated with a stressful and painful…
Mari Villar was slammed by a car that jumped the curb, breaking her legs and collapsing a lung. Amy Paulo was in pain from a femur surgery that wasn’t healing properly. Katie Kriegshauser suffered organ failure during pregnancy, weakening her so much that she couldn’t lift her baby daughter. All went to physical therapy, but…
Tim Winard knew he needed to buy health insurance when he left his management job in manufacturing to launch his own business. It was the first time he had shopped around for coverage, searching for a plan that would cover him and his wife, who was also between jobs at the time. “We were so…
Brett Kelman In the wooded highlands of northern Arkansas, where small towns have few dentists, water officials who serve more than 20,000 people have for more than a decade openly defied state law by refusing to add fluoride to the drinking water. For its refusal, the Ozark Mountain Regional Public Water Authority has received hundreds…
HELENA, Mont. — Mark Nay’s first client had lost the van she was living in and was struggling with substance use and medical conditions that had led to multiple emergency room visits. Nay helped her apply for Medicaid and food assistance and obtain copies of her birth certificate and other identification documents needed to apply…
Rachana Pradhan and Aneri Pattani Illustration by Oona Zenda The National Institutes of Health employee said she knew things would be difficult for federal workers after Donald Trump was elected. But she never imagined it would be like this. Focused on Alzheimer’s and other dementia research, the worker is among thousands who abruptly lost their…
PLEASANTVILLE, Iowa — Zach Mecham has heard politicians demand that Medicaid recipients work or lose their benefits. He also has run into a jumble of Medicaid rules that effectively prevent many people with disabilities from holding full-time jobs. “Which is it? Do you want us to work or not?” he said. Mecham, 31, relies on…
Julie Appleby, KFF Health News “On Feb. 25, I voted yes on a budget resolution that protects Social Security, Medicare, and Medicaid while cutting some spending elsewhere.” Rep. Nick LaLota (R-N.Y.), in a YouTube video posted March 4, 2025 On Feb. 25, Rep. Nick LaLota (R-N.Y.) voted in favor of a House budget resolution that…
Jazmin Orozco Rodriguez While Congress considers potentially massive cuts to federal Medicaid funding, tribal health leaders are bracing for a crisis. Indian Country has a unique relationship to Medicaid, because the program helps tribes cover chronic funding shortfalls left by the Indian Health Service, the federal agency responsible for providing health care to Native Americans….
Jazmin Orozco Rodriguez As Congress mulls potentially massive cuts to federal Medicaid funding, health centers that serve Native American communities, such as the Oneida Community Health Center near Green Bay, Wisconsin, are bracing for catastrophe. That’s because more than 40% of the about 15,000 patients the center serves are enrolled in Medicaid. Cuts to the…
(iStock/Getty Images) Spending cuts, immigration, and Medicaid are at the top of the Washington agenda. That climate provides fertile ground for misinformation and myths to multiply on social networks. Some of the most common are those surrounding immigrants, Latinos, and Medicaid. These claims include assertions that Latinos who use Medicaid, the federal-state program for low-income…
The Senate Finance Committee got its chance March 14 to question Mehmet Oz, President Donald Trump’s nominee to lead the vast Centers for Medicare & Medicaid Services, the largest agency within the Department of Health and Human Services. Oz, with his long history in television, was as polished as one would expect, brushing off even…
The prospect of deep Medicaid cuts has become a flashpoint in Congress, with leaders of both parties accusing their counterparts of lying. House Democratic leader Hakeem Jeffries said Feb. 27 that a Republican budget measure would “set in motion the largest cut to Medicaid in American history,” and that Republicans are hiding the consequences. “The…
Christine Mai-Duc California’s Medicaid program has borrowed $3.4 billion from the state’s general fund — and will likely need even more — to cover ballooning health expenses for 15 million residents with low incomes and disabilities. The state Department of Finance disclosed the loan to lawmakers in a letter late Wednesday, noting funds were needed…
Julie Appleby, KFF Health News La administración Trump publicó el lunes 10 de marzo su primer conjunto importante de cambios propuestos a la Ley de Cuidado de Salud a Bajo Precio (ACA). Funcionarios federales dicen que tienen como objetivo acabar con el fraude en el programa. Pero expertos aseguran que dificultará la inscripción, lo que…
Julie Appleby, KFF Health News The Trump administration issued its first major set of proposed changes to the Affordable Care Act on Monday that federal officials said are intended to crack down on fraud in the program. Policy experts said they will make it harder for consumers to sign up for coverage, potentially reducing enrollment….
Dan Weissmann The federal Consumer Financial Protection Bureau has taken major steps to help people with medical debt in its nearly 14-year history. It issued rules barring medical debt from Americans’ credit reports and went after debt collectors who pressured customers to pay bills they didn’t owe. But in early February, the Trump administration moved…
Phillip Reese Kirk Vartan pays more than $2,000 a month for a high-deductible health insurance plan from Blue Shield on Covered California, the state’s Affordable Care Act marketplace. He could have selected a cheaper plan from a different provider, but he wanted one that includes his wife’s doctor. “It’s for the two of us, and…
When congressional Republicans in 2017 pushed to repeal the Affordable Care Act and slash Medicaid, dozens of physician groups, patient advocates, hospitals, and others rallied to defend the law and the safety-net program. Eight years later, two industry groups have been notably restrained as GOP lawmakers consider sweeping new Medicaid cuts: the American Medical Association…
Jennifer Pahlka is perhaps best known as the founder of Code for America, a widely respected nonprofit that helped formalize the principles of civic tech, a movement leveraging design and technology expertise to improve public access to government services and data. Notably, the organization reimagined the online application for California’s food assistance program, which once…
In Washington’s debate over enacting steep funding cuts to Medicaid, words are a central battleground. Many Republican lawmakers and conservative policy officials who want to scale back the joint state-federal health program are using charged language to describe it. Language experts and advocates for Medicaid enrollees say their word choice is misleading and aims to…
TUSTIN, Calif. — Cynthia Williams is furious with U.S. House Republicans willing to slash Medicaid, the government-run insurance program for people with low incomes or disabilities. The 61-year-old Anaheim resident cares for her adult daughter, who is blind, and for her sister, a military veteran with severe post-traumatic stress disorder and other mental health conditions….
More than three years ago, health insurance giant Centene Corp. settled allegations that it overcharged Medicaid programs in Ohio and Mississippi related to prescription drug billing. Now at least 20 states have settled with Centene over its pharmacy benefit manager operation that coordinated the medications for Medicaid patients. Arizona was among the most recent to…
The Justice Department’s years-long court battle to force UnitedHealth Group to return billions of dollars in alleged Medicare Advantage overpayments hit a major setback Monday when a special master ruled the government had failed to prove its case. In finding for UnitedHealth, Special Master Suzanne Segal found that the DOJ had not presented evidence to…
Chikao Tsubaki had been having a terrible time. In his mid-80s, he had a stroke. Then lymphoma. Then prostate cancer. He was fatigued, isolated, not all that steady on his feet. Then Tsubaki took part in an innovative care initiative that, over four months, sent an occupational therapist, a nurse, and a handy worker to…
Renuka Rayasam and Sam Whitehead En enero, durante una audiencia en el Congreso en su camino a convertirse en secretario del Departamento de Salud y Servicios Humanos (HHS), Robert F. Kennedy Jr. dio información errónea sobre cuestiones básicas de Medicaid, un programa que ahora supervisa. En ese momento, afirmó que a Medicaid lo financia por…
It took nearly three years to win presumptive workers’ compensation coverage for breast, cervical, and other cancers that firefighters who work for federal agencies may develop because of hazardous exposures on the job. Now, just weeks after the Labor Department added coverage for those illnesses, firefighters worry the gains may be in jeopardy after the…
Sandy West Jagdish Whitten was on a run in July 2023 when a car hit him as he crossed a busy San Francisco street. Whitten, then 25, described doing “a little flip” over the vehicle and landing in the street before getting himself to the curb. Concerned onlookers called an ambulance. But Whitten instead had…
HELENA, Mont. — Despite concerns about what Congress and the Trump administration might have planned for Medicaid, Montana’s Republican-led legislature and GOP governor appear ready to keep the state’s Medicaid expansion program in place beyond its scheduled end date this summer. State lawmakers don’t have the luxury of waiting until the federal picture sharpens. They…
By Sam Whitehead February 24, 2025 Article HTML Sam Whitehead Republicans in Congress have suggested big cuts to Medicaid. But what exactly is it? Medicaid, the state-federal health insurance program for people with low incomes or disabilities, is integral to the U.S. health care system. It keeps hospitals and other providers afloat, provides a key…
Thank you for your interest in supporting Kaiser Health News (KHN), the nation’s leading nonprofit newsroom focused on health and health policy. We distribute our journalism for free and without advertising through media partners of all sizes and in communities large and small. We appreciate all forms of engagement from our readers and listeners, and…
Renuka Rayasam Congressional lawmakers are facing tricky arithmetic as they hammer out a budget plan to finance President Donald Trump’s agenda. Republicans need to free up roughly $4 trillion to pay for renewing Trump’s 2017 tax cuts, which expire at the end of the year. Trump has vowed not to touch the costliest government programs,…
Renuka Rayasam Valentino Valdez recibió su certificado de nacimiento, su tarjeta de Seguro Social, una camiseta y pantalones color caqui cuando salió de una prisión de Texas en 2019, a los 21 años. Pero no tenía seguro médico, medicamentos para sus afecciones de salud mental ni acceso a un médico, dijo. Tres años después, terminó…
The Host The future of the Medicaid health insurance program for those with low incomes is in doubt, as Congress works on a budget plan calling for major cuts while President Donald Trump both promises to support that plan as well as to protect the program. Meanwhile, thousands of employees at the Department of Health…
McMINNVILLE, Tenn. — Each month, Michelle Shaw went to a pain clinic to get the shots that made her back feel worse — so she could get the pills that made her back feel better. Shaw, 56, who has been dependent on opioid painkillers since she injured her back in a fall a decade ago,…
In January, during a congressional hearing on his way to becoming secretary of the Department of Health and Human Services, Robert F. Kennedy Jr. got basic details wrong about Medicaid — a program he now oversees. He said that Medicaid is fully funded by the federal government (it’s not) and that many enrollees are unsatisfied…
Christine Mai-Duc When Colleen Henderson’s 3-year-old daughter complained of pain while using the bathroom, doctors brushed it off as a urinary tract infection or constipation, common maladies in the potty-training years. After being told her health insurance wouldn’t cover an ultrasound, Henderson charged the $6,000 procedure to her credit card. Then came the news: There…
Collection agents for the state of Iowa have sent letters seeking millions of dollars from the estates of at least two people with disabilities who died after spending most of their lives in a state institution. The amounts represent what Medicaid spent covering the residents’ care when they lived at the Glenwood Resource Center, a…
President Donald Trump’s return to the White House sent a clear signal about Medicaid to Republicans across the country: Requiring enrollees to prove they are working, volunteering, or going to school is back on the table. The day after Trump’s inauguration, South Carolina GOP Gov. Henry McMaster asked federal officials to approve a work requirement…
Nothing sweeps us off our feet like a health policy valentine. Readers showed their love this season, writing poetic lines about surprise medical bills, bird flu, the cost of health care, and more. Here are some of our favorites, starting with the grand prize winner, whose entry was turned into a cartoon by staff illustrator…
Valentino Valdez was given his birth certificate, his Social Security card, a T-shirt, and khaki pants when he was released from a Texas prison in 2019 at age 21. But he didn’t have health insurance, mental health medications, or access to a doctor, he said. Three years later, he landed in an inpatient hospital after…
Katheryn Houghton Montana Gov. Greg Gianforte’s administration is reviving efforts to do away with a panel that hears appeals from people who were denied public assistance to afford basics such as food and health care. The effort, billed as a way to reduce red tape in government, would leave district court as the only option…
SUITLAND, Md. — At a SuperSuds Laundromat just south of Washington, D.C., a steady stream of customers loaded clothes into washers and dryers on a recent Sunday morning, passing the time on their phones or watching television. Amid the low hum of spinning clothes, Adrienne Jones made the rounds in a bright yellow sweatshirt, asking…
Gloria Sachdev has spent years challenging the health care industry, trying to bring down the high cost of care. It’s working, even in an unlikely place: Indiana, which has had some of the nation’s highest hospital prices. Over the past few years, Indiana lawmakers have passed bills pushed by Sachdev that target complex and sometimes…
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
During her annual OB-GYN visit, Callie Anderson asked about getting off the birth control pill. “We decided the best option for me was an IUD,” she said, referring to an intrauterine device, a long-acting, reversible type of birth control. Anderson, 25, of Scranton, Pennsylvania, asked her doctor how much it might cost. At the time,…
States and the nation’s health industry were thrown into disarray after the Trump administration ordered Monday that the government freeze nearly all federal grants at 5 p.m. ET Tuesday, a sweeping directive that at least initially appeared to include funding for Medicaid, the state-federal health insurance program that covers more than 70 million Americans. By…
Covered California, el mercado de seguros de salud del estado, ha alcanzado un récord de 1,8 millones de inscritos y la cifra podría aumentar aún más antes de la fecha límite de inscripción abierta del 31 de enero, debido en gran parte a una mejora en los subsidios que ha hecho que los planes sean…
Covered California, the state’s health insurance marketplace, has hit a record 1.8 million enrollees and the number could climb higher ahead of a Jan. 31 open enrollment deadline, due in large part to enhanced subsidies that have made plans more affordable. But the state’s progress in extending health coverage to all residents could come to…
The Host Incoming President Donald Trump’s inauguration is Monday, yet the new GOP-led Congress is already rushing to work his priorities into legislation, eyeing cuts to Medicaid to pay for new tax and immigration priorities. But even in its waning days, the Biden administration continues to make big policy moves, including a possible order for…
SACRAMENTO, Calif. — As the nation braces for potential policy shifts under President-elect Donald Trump’s “Make America Healthy Again” mantra, the nation’s most populous state and largest health care market is preparing for a few changes of its own. With supermajorities in both houses, Democrats in the California Legislature passed — and Democratic Gov. Gavin…
Durante la presidencia de Joe Biden, la inscripción en Medicaid alcanzó un nivel récord y la tasa de personas sin seguro médico llegó a su nivel histórico más bajo. Pero se espera que el regreso de Donald Trump a la Casa Blanca, junto con un Senado y una Cámara de Representantes controlados por republicanos, cambie…
Under President Joe Biden, enrollment in Medicaid hit a record high and the uninsured rate reached a record low. Donald Trump’s return to the White House — along with a GOP-controlled Senate and House of Representatives — is expected to change that. Republicans in Washington say they plan to use funding cuts and regulatory changes…
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
Mike Dennison and Sue O’Connell HELENA, Mont. — A last-minute change to a 2019 bill put an end date on Montana’s Medicaid expansion program, setting the stage for what is anticipated to be the most significant health care debate of the 2025 Montana Legislature. In recent interviews, legislative leaders predicted a vigorous debate over keeping…
Angela Hart and Christine Mai-Duc SACRAMENTO, California.— Seis años después de asumir el cargo prometiendo ser el “gobernador de la salud” de California, el demócrata Gavin Newsom ha destinado decenas de miles de millones de dólares de fondos públicos a servicios de la red de seguridad para los residentes más necesitados del estado, mientras diseña…
SACRAMENTO, Calif. — Six years after he entered office vowing to be California’s “health care governor,” Democrat Gavin Newsom has steered tens of billions in public funding to safety net services for the state’s neediest residents while engineering rules to make health care more accessible and affordable for all Californians. More than a million California…
When Michael Adams was researching health insurance options in 2023, he had one very specific requirement: coverage for prosthetic limbs. Adams, 51, lost his right leg to cancer 40 years ago, and he has worn out more legs than he can count. He picked a gold plan on the Colorado health insurance marketplace that covered…
Tom Contos is an avid runner. When he started experiencing rectal bleeding in March, he thought exercise could be the cause and tried to ignore it. But he became increasingly worried when the bleeding continued for weeks. The Chicago health care consultant contacted his physician at Northwestern Medicine, who referred him for a diagnostic colonoscopy,…
Julie Appleby, KFF Health News New enrollments under the Affordable Care Act are on pace to trail last year’s record numbers by as many as a million as the outgoing Biden administration confronts upheavals in the program. Donald Trump’s election to a second term has cast uncertainty around the future of the health law. In…
Thank you for your interest in supporting Kaiser Health News (KHN), the nation’s leading nonprofit newsroom focused on health and health policy. We distribute our journalism for free and without advertising through media partners of all sizes and in communities large and small. We appreciate all forms of engagement from our readers and listeners, and…
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn’t exist. Independent Health Association of Buffalo, which operates two Medicare Advantage…
It seems simple: Require hospitals and insurers to post their negotiated prices for most health care services and — bingo — competition follows, yielding lower costs for consumers. But nearly four years after the first Trump administration’s regulations forced hospitals to post massive amounts of pricing information online, the effect on patients’ costs is unclear….
It’s open enrollment season for the Affordable Care Act — and there are ongoing challenges. First up, enrollment. New and returning sign-ups through healthcare.gov — the federal marketplace that serves 31 states — are well below last year’s rate. New enrollments were just over 730,000 in early December, compared with 1.5 million at the same time last year. To give consumers in those states more time to…
Las nuevas inscripciones bajo la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen ser hasta un millón menos que el número récord del año pasado, especialmente por problemas con el programa que enfrenta la saliente administración Biden. La reelección de Donald Trump para un segundo mandato ha generado incertidumbre sobre el futuro de…
Andy Miller and Renuka Rayasam and Sam Whitehead Three Democratic senators asked the country’s top nonpartisan government watchdog on Tuesday to investigate the costs of a Georgia program that requires some people to work to receive Medicaid coverage. The program, called “Georgia Pathways to Coverage,” is the nation’s only active Medicaid work requirement. Pathways has…
Among the biggest-grossing films in America in February 2002 were a war drama about American troops in Somalia (“Black Hawk Down”), an Arnold Schwarzenegger action movie (“Collateral Damage”), and a future Oscar winner about a brilliant mathematician struggling with schizophrenia (“A Beautiful Mind”). But none of these films topped the box office that month. That…
LOS ANGELES — President-elect Donald Trump’s promise of mass deportations and tougher immigration restrictions is deepening mistrust of the health care system among California’s immigrants and clouding the future for providers serving the state’s most impoverished residents. At the same time, immigrants living illegally in Southern California told KFF Health News they thought the economy…
LOS ÁNGELES, California.— La promesa del presidente electo Donald Trump de deportaciones masivas y restricciones migratorias más severas está aumentando la desconfianza en el sistema de salud entre los inmigrantes en California, y nublando el futuro de los proveedores que atienden a los residentes más empobrecidos del estado. Al mismo tiempo, inmigrantes que viven en…
Elisabeth Rosenthal When George Lai of Portland, Oregon, took his toddler son to a pediatrician last summer for a checkup, the doctor noticed a little splinter in the child’s palm. “He must have gotten it between the front door and the car,” Lai later recalled, and the child wasn’t complaining. The doctor grabbed a pair…
The Host The shooting death of UnitedHealthcare CEO Brian Thompson on the streets of New York City prompted a surprising wave of sympathy for the perpetrator, rather than the victim, from Americans who say they have been wronged by their health insurers. It remains to be seen whether backlash from the killing will result in…
Phil Galewitz, KFF Health News Con el regreso de Donald Trump a la Casa Blanca, y el control total del Congreso por parte de los republicanos en 2025, la expansión de Medicaid promovida por la Ley de Cuidado de Salud a Bajo Precio (ACA) vuelve a estar en peligro. Más de 3 millones de adultos…
Julie Appleby, KFF Health News A federal judge in North Dakota has ruled in favor of 19 states that challenged a Biden administration rule allowing — for the first time — enrollment in Affordable Care Act coverage by people brought to the U.S. as children without immigration paperwork, known as “Dreamers.” The move effectively bars…
Julie Appleby, KFF Health News Un juez federal en Dakota del Norte falló a favor de 19 estados que impugnaron una regla de la administración Biden que permite —por primera vez— que las personas traídas a Estados Unidos de niños, sin papeles, conocidas como Dreamers, se inscribieran para obtener cobertura de salud a través de…
