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Crunch Time for ACA Tax Credits

Episode 426

Dec. 11, 2025

Dec. 15 is the deadline to sign up for Affordable Care Act plans that begin Jan. 1, and Congress remains at odds over letting expanded tax credits for the plans’ premiums expire and increasing the cost of insurance for millions of Americans. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to remake vaccine policy to reflect ideology rather than science. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sheryl Gay Stolberg of The New York Times join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Georgetown professor Linda Blumberg about the GOP’s health plans.

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A close-up image of a black stethoscope wrapped around a stack of U.S. dollar bills.

Health Care Consolidation and Rising Costs Happen, but Obamacare Is Not the Key Culprit

The debate over expiring Affordable Care Act tax credits has given Republicans room to resurface old criticisms — such as blaming the ACA for mergers and consolidation within the health care industry.

By Julie Appleby

Dec. 11, 2025

A photo of the front of a research building. A sign on the front reads, "National Cancer Institute."

Trump Rules Force Cancer Registries To ‘Erase’ Trans Patients From Public Health Data

In 2026, U.S. cancer registries that receive federal funding will be required by the Trump administration to classify patients’ sex as only male, female, or not stated/unknown.

By Rachana Pradhan

Dec. 11, 2025

A photo of an older man looking out at a balcony in a wheelchair.

THE NEW OLD AGE

Wheelchair? Hearing Aids? Yes. ‘Disabled’? No Way.

Many older Americans shun an identity that could bring helpful accommodations, improve care, and provide community.

By Paula Span

Dec. 11, 2025

A photo of enrollment agents with laptops helping people shop for Obamacare plans.

Plan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists

Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.

By Julie Appleby

Dec. 10, 2025

A black and white photograph from 1988 shows Rafeeuddin Ahmed, Chairman of the UN Steering Committee for the Prevention and Control of AIDS, speaking at the opening ceremony. On the right is Mrs. M Perez de Cuellar, wife of the UN Secretary-General.

This HIV Expert Refused To Censor Data, Then Quit the CDC

HIV physician John Weiser talks about why complying with President Donald Trump’s orders to erase transgender people is bad for science and society. And he notes that acquiescing didn’t spare the CDC from further harm.

By Amy Maxmen

Dec. 10, 2025

A man wearing a black hat and glasses stands with his arm around a woman with long, dark hair and wearing glasses

Broken Rehab

How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths

Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.

By Jordan Rau

Dec. 9, 2025

A photo of a stethoscope against a green background. It is resting on top of a stack of $100 bills.

Trump’s Idea for Health Accounts Has Been Tried. Millions of Patients Have Ended Up in Debt.

Republican calls to give Americans cash instead of health insurance subsidies double down on a decades-old strategy of moving people into high-deductible plans with health savings accounts.

By Noam N. Levey

Dec. 9, 2025

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

Dec. 9, 2025

A mother and father sit on the floor in a well-lit room with their two young children in their laps for a studio portrait.

Out-of-Pocket Pain From High-Deductible Plans Means Skimping on Care

High-deductible health insurance plans are increasingly common, and many more enrollees will likely need to choose such plans for the coming year. For those with chronic conditions like diabetes, the gamble can mean compromised care and long-term consequences.

By Charlotte Huff

Dec. 9, 2025

Watch: What Do Republicans Really Want on Health Care?

On “What the Health? From KFF Health News,” distributed by WAMU, chief Washington correspondent and podcast host Julie Rovner sat down with Avik Roy, a GOP health policy adviser, to talk about how health care has evolved as a Republican Party issue.

By Julie Rovner

Dec. 8, 2025

A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It’s Still a Dirt Field.

Regulations meant to prevent unfettered health care expansion are withholding needed hospital beds in a rural part of North Carolina. Here, as in communities around the country, some officials and health care providers are contesting such “certificate of need” laws.

By Andrew Jones

Dec. 8, 2025

KFF Health News On Air

Journalists Dig Into Maine HIV Outbreak and Ever-Closer End to Enhanced ACA Subsidies

KFF Health News journalists made the rounds on national media recently to discuss topical stories. Here’s a collection of their appearances.

Dec. 6, 2025

A photo of the ACIP hearing from the press section. Reporters type on laptops in the foreground. In front of them is a large TV screen showing Robert Malone speaking. The full panel is seen behind the screen.

In RFK Jr.’s Upside-Down World of Vaccines, Panel Votes To End Hepatitis B Shot at Birth

A session of a vaccine panel dominated by skeptics was chaotically at odds with past practices of the CDC, which HHS Secretary Robert F. Kennedy Jr. has described as a “cesspool of corruption.” His crew voted to end a 34-year recommendation to vaccinate newborns against hepatitis B.

By Arthur Allen

Dec. 5, 2025

The Week in Brief

Feds Promised ‘Radical Transparency’ but Withhold $50B Rural Fund Details

Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.

By Sarah Jane Tribble

Dec. 5, 2025

A photo of Sen. Cassidy walking as reporters flank him on both sides.

Health Savings Accounts, Backed by GOP, Cover Fancy Saunas but Not Insurance Premiums

Health savings accounts can be used to cover medical expenses, tax-free. But while wealthier Americans are using them to pay for gym equipment, cedar ice baths, and hemlock saunas, poorer Americans can’t use them to pay their skyrocketing health insurance premiums.

By Amanda Seitz

Dec. 5, 2025

An exterior photograph of an emergency entrance at a hospital at daybreak.

While Scientists Race To Study Spread of Measles in US, Kennedy Unravels Hard-Won Gains

Scientists are conducting genetic analyses to see if the measles outbreak that started in Texas is still spreading from state to state. It’s a contentious question, because the findings may determine whether America loses its measles-free status.

By Amy Maxmen

Dec. 5, 2025

What the Health? From KFF Health News

The GOP Still Can’t Agree on a Health Plan

Episode 425

Dec. 4, 2025

Senate Democrats were promised a vote by mid-December on extending enhanced Affordable Care Act subsidies, but Republicans still can’t decide whether they want to put forward their own alternative or what that might include. Meanwhile, the CDC and FDA are roiled by debates over vaccines. Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Paige Winfield Cunningham of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews KFF Health News’ Aneri Pattani about her project tracking opioid settlement payments.

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Rural Health Payout

Tracking Applications for Rural Health Transformation Funds

KFF Health News is working to collect and post complete application materials, by state, here and will update this repository as new materials, released in response to public records requests, arrive.

Dec. 4, 2025

Two men walk beside each other in the hallway of a health clinic. Signage on the wall reads, "we help each other."

Rural Health Payout

Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.

The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.

By Jazmin Orozco Rodriguez

Dec. 4, 2025

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