Investigations

From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs

Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.

Sock Hops and Concerts: How Some Places Spent Opioid Settlement Cash

States, counties, and cities are receiving millions in opioid settlement money to address the addiction crisis. The ways they spent the dollars in 2024 sometimes drew criticism from advocates and at least one state official, who alleged misuse.

Workers’ Wages Siphoned To Pay Medical Bills, Despite Consumer Protections

Health care providers and debt collectors are biting from people’s paychecks to cover old medical bills. A KFF Health News investigation in Colorado shows that this aggressive collection practice is widespread even in a state considered to have strong consumer protections.

At Least 170 US Hospitals Face Major Flood Risk. Experts Say Trump Is Making It Worse.

As a warming climate intensifies storms, KFF Health News has identified more than 170 U.S. hospitals at risk of significant and potentially dangerous flooding. Climate experts warn that the Trump administration’s cuts leave the nation less prepared.

Trump Administration Investigates Medicaid Spending on Immigrants in Blue States

The Centers for Medicare & Medicaid Services is hunting for Medicaid waste, fraud, and abuse in at least six Democratic-led states that expanded coverage to low-income and disabled immigrants without legal status, according to records obtained by KFF Health News and The Associated Press.

As Measles Exploded, Officials in Texas Looked to CDC Scientists. Under Trump, No One Answered.

Trump officials sowed fear and confusion among CDC scientists, slowing their response to the measles outbreak in West Texas. Cases surged and sparked new outbreaks across the U.S. and Mexico. Together, these linked outbreaks have sickened more than 4,500 and killed at least 16 in the U.S. and Mexico.

Who’s Policing Opioid Settlement Spending? A Crowdsourced Database Might Help

Billions in opioid settlement money was meant to be spent on treating and preventing addiction — but what happens if it’s misspent? Some advocates say attorneys general need to pay closer attention. If they don’t, a new tool might empower the public.

A Texas Boy Needed Protection From Measles. The Vaccine Cost $1,400.

A family living in Galveston was surprised to be charged thousands of dollars for immunizations for their children. Their insurance plan didn’t cover the shots, and the cost of the measles vaccine in particular was more than five times what health officials say it goes for in the private sector.

Trump Team’s Reworking Delays Billions in Broadband Build-Out

A Trump administration reworking of a $42 billion broadband expansion program will trigger delays as millions of rural Americans wait for promised connections and the telehealth services they bring.

Ballad Health’s Hospital Monopoly Underperformed. Then Tennessee Lowered the Bar.

Ballad Health, a state-sanctioned hospital monopoly in Tennessee and Virginia, can now be deemed a “clear and convincing” benefit to the public with performance that would earn a “D” on most grading scales, according to Tennessee state documents.

Flawed Federal Programs Maroon Rural Americans in Telehealth Blackouts

Taxpayers — through federal infrastructure programs — have paid billions of dollars to internet companies to hook up rural Americans. Some communities have nothing to show for it, leaving medically vulnerable rural patients disconnected and without access to telehealth.

The Patient Expected a Free Checkup. The Bill Was $1,430.

Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.