States Rush To Figure Out How To Enforce Trump’s Medicaid Work Requirements
A KFF survey of state Medicaid officials offers insight into lingering uncertainty and differing plans for work requirement implementation as the Jan. 1 deadline approaches.
Nebraska
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Trump’s Medicaid Work Mandate Debuting in Nebraska to Much Dismay
On May 1, the state will become the first to require people on the government health program to fulfill a work requirement or lose their coverage under a new rule that was a key part of congressional Republicans’ One Big Beautiful Bill Act.
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Rural Nebraska Dialysis Unit Closes Despite the State’s $219M in Rural Health Funding
A rural Nebraska dialysis unit that was hemorrhaging money closed, upending patients’ lives. That’s despite a federal rural health program that granted the state more than $200 million this year to improve health care in rural communities.
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Trump’s One Big Beautiful Bill Act Darkens Outlook for Government-Backed Clinics
About 17,000 federally funded health clinics stand to collectively lose $32 billion under GOP-backed fiscal policies in the next five years — just as more uninsured patients will rely on them for low-cost care.
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Inside the High-Stakes Corporate Fight Over Feeding Preterm Babies
Behind their warm-and-fuzzy marketing, infant formula industry giants Abbott, maker of Similac products, and Mead Johnson, maker of the Enfamil line, have turned neonatal intensive care units into arenas of brutal competition.
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Give and Take: Federal Rural Health Funding Could Trigger Service Cuts
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
By Aaron Bolton, MTPR and Arielle Zionts -
Trump’s Cuts to Medicaid Threaten Services That Help Disabled People Live at Home
Iowa patient advocates say that in the face of federal Medicaid cuts, the state is quietly reducing in-home services that help people avoid being institutionalized. National groups are bracing for similar cuts elsewhere.
By Tony Leys -
Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.
By Arielle Zionts and Sarah Jane Tribble -
Red and Blue States Alike Want To Limit AI in Insurance. Trump Wants To Limit the States.
A revolt is afoot in both red and blue states against the use of artificial intelligence in health insurance determinations — and against efforts led by President Donald Trump to tie states’ hands.
By Darius Tahir and Lauren Sausser -
Farmers Now Owe a Lot More for Health Insurance
More than a quarter of the agricultural workforce purchases health insurance through the individual marketplace, a much larger share than the overall percentage of U.S. adults. After a tough year for farmers, the loss of enhanced ACA subsidies is putting health insurance out of reach for many.
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States Race To Launch Rural Health Transformation Plans
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
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It’s the ‘Gold Standard’ in Autism Care. Why Are States Reining It In?
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
By Bram Sable-Smith and Andrew Jones -
Rural Health Providers Could Be Collateral Damage From $100K Trump Visa Fee
Dozens of health care organizations have asked the Trump administration to shield the doctors, nurses, and techs they need to fill shortages from the president’s new $100,000 visa fee for skilled foreign workers. So far, there’s no sign of a reprieve.
By Arielle Zionts and Phillip Reese -
Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
By Sarah Jane Tribble and Arielle Zionts -
Nuclear Missile Workers Are Contracting Cancer. They Blame the Bases.
People who maintained the nation’s land-based nuclear missile arsenal are coming down with similar cancers. The Air Force is wrapping up a large study of the health risks they may have faced.
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Instead of Selling, Some Rural Hospitals Band Together To Survive
Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.
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Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration's cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new KFF Health News analysis shows.
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Tribal Health Officials Work To Fill Vaccination Gaps as Measles Outbreak Spreads
Native American tribes and health organizations are hosting clinics and calling patients to counteract low measles vaccination rates and limited access to health care as the disease spreads across the country.
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Cuts to Food Benefits Stand in the Way of RFK Jr.’s Goals for a Healthier National Diet
The Trump administration has said improving American nutrition is a priority, but deep cuts to federal food assistance could lead people to forgo healthy food in favor of cheaper alternatives.
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GOP Governors Mum as Congress Moves To Slash Medicaid Spending for Their States
In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors — whose constituents stand to lose federal funding and health coverage — have gone quiet on the health consequences.