Feds Chop Enforcement Staff and Halt Rules Meant To Curb Black Lung in Coal Miners

KFF Health News Original

The Trump administration has paused implementation of a rule limiting miners’ exposure to airborne silica dust days after a federal court agreed to put it on hold to hear an industry challenge. The protections are meant to head off a surge in cases of black lung disease. Meanwhile, any enforcement of new standards might be meager due to workforce cuts.

In Arizona County That Backed Trump, Conflicted Feelings About Cutting Medicaid

KFF Health News Original

Medicaid plays a vital role in many rural communities that favored President Donald Trump in the 2024 election. But residents still seem open to Republican proposals to cut perceived waste in the program.

Federal Cuts Ripple Through a Bioscience Hub in Rural Montana

KFF Health News Original

The National Institutes of Health’s Rocky Mountain Laboratories in Hamilton, Montana, is one of only a few dozen research facilities of its type. The threat of staffing and grant cuts has town leaders worried and has added to long-standing tension around the lab’s presence in this politically conservative region.

Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies

KFF Health News Original

More than 100 rural hospitals have stopped delivering babies since 2021, including a South Dakota hospital that serves small towns, farming communities, and a Native American reservation. Patients there now travel at least an hour to give birth.

Housing, Nutrition in Peril as Trump Pulls Back Medicaid Social Services

KFF Health News Original

About half of states have broadened Medicaid, the state-federal low-income health care program, to pay for social services such as housing and nutritional support. The Trump administration, however, views these experiments as distractions from the core mission to provide health care.

Los hospitales que atienden partos en zonas rurales están cada vez más lejos de las embarazadas

KFF Health News Original

Más de un centenar de hospitales rurales han dejado de atender partos desde 2021, según el Center for Healthcare Quality and Payment Reform. El cierre de los servicios de obstetricia se suele achacar a la falta de personal y la falta de presupuesto.

Mental Health and Substance Misuse Treatment Is Increasingly a Video Chat or Phone Call Away

KFF Health News Original

More Californians are getting mental health or substance use disorder treatment online or over the phone than in person, according to a KFF Health News analysis of UCLA’s latest California Health Interview Survey. But the telehealth experience isn’t always positive.

Flawed Federal Programs Maroon Rural Americans in Telehealth Blackouts

KFF Health News Original

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.

Federal Cuts Gut Food Banks as They Face Record Demand

KFF Health News Original

Food banks nationwide are being pinched by record demand, high food prices, and hundreds of millions of dollars in federal budget cuts. As the economy plods onto shaky ground, food bank leaders hope Congress patches the holes by passing a new farm bill.

California’s Primary Care Shortage Persists Despite Ambitious Moves To Close Gap

KFF Health News Original

The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.

In a Broken Mental Health System, a Tiny Jail Cell Becomes an Institution of Last Resort

KFF Health News Original

Like local jails nationwide, Montana’s small holding facilities have become institutions of last resort as patients in mental health crisis stall in backlogs, waiting for beds at the state-run mental hospital.

Moms in Crisis, Jobs Lost: The Human Cost of Trump’s Addiction Funding Cuts

KFF Health News Original

In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.