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Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.

How America Lost Control of the Bird Flu, Setting the Stage for Another Pandemic

Exclusive reporting reveals how the United States lost track of a virus that could cause the next pandemic. Problems like the sluggish pace of federal action, deference to industry, and neglect for the safety of low-wage workers put the country at risk of another health emergency.

New Colorado Gun Law Aims To Shore Up Victim Services

A new tax on guns and ammunition in Colorado is set to take effect in the spring. Voters approved the tax, with most of the proceeds going to support services for crime victims and other social programs.

Federal Judge Halts Dreamers’ Brand-New Access to ACA Enrollment in 19 States

A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.

What the Health? From KFF Health News: Trump’s Nontraditional Health Picks

Not only has President-elect Donald Trump chosen prominent vaccine skeptic Robert F. Kennedy Jr. to lead the Department of Health and Human Services, Trump also has said he will nominate controversial TV host Mehmet Oz to run the Centers for Medicare & Medicaid Services, which oversees coverage for nearly half of Americans. Meanwhile, the lame-duck Congress is back in Washington with just a few weeks to figure out how to wrap up work for the year. Rachel Cohrs Zhang of Stat, Sandhya Raman of CQ Roll Call, and Riley Ray Griffin of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Sarah Varney, who has been covering a trial in Idaho challenging the lack of medical exceptions in that state’s abortion ban.

Florida Gov. DeSantis’ Canadian Drug Import Plan Goes Nowhere After FDA Approval

Florida sued the FDA over what it said was a “reckless delay” in approving its drug importation plan. Now, nearly a year after the FDA gave the state the green light, the program has yet to begin.

Ex-Eye Bank Workers Say Pressure, Lax Oversight Led to Errors

Corneas, the windshields of the eye, are the most transplanted part of the human body. But four former employees at Rocky Mountain Lions Eye Bank told of numerous retrieval problems, including damage to eyes and removal from the wrong body.

Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help

Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.

12 States Promised To Open the Books on Their Opioid Settlement Funds. We Checked Up on Them.

Victims of the opioid crisis, health advocates, and public policy experts have repeatedly called on state and local governments to transparently report how they’re using the funds they are receiving from settlements with opioid makers and distributors.

7 of 10 States Backed Abortion Rights. But Little To Change Yet.

Voters in 10 states weighed in on abortion rights this election. Despite the results supporting abortion rights in seven of those states, much of the abortion landscape on abortion won’t change much immediately, as medical providers navigate the legal hurdles that remain.

‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way

Nineteen states are seeking to stall a Biden administration rule that would allow recipients of the Deferred Action for Childhood Arrivals program to enroll in ACA coverage and qualify for subsidies. DACA provides work authorization and temporary deportation protection to people brought to the U.S. as children without immigration paperwork.

How a Proposed Federal Heat Rule Might Have Saved These Workers’ Lives

Laborers have suffered in extreme heat triggered by climate change. Deaths aren’t inevitable, researchers say: Employers can save lives by providing ample water and breaks.

Exclusive: Emails Reveal How Health Departments Struggle To Track Human Cases of Bird Flu

Emails show how health officials struggle to track the bird flu, partly in deference to the agricultural industry. As a result, researchers don’t know how often farmworkers are being infected — and could miss alarming signals.