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The Ax Falls at HHS

Episode 390

March 27, 2025

Health and Human Services Secretary Robert F. Kennedy Jr. has announced a proposed reorganization for the department — which, counting those who already have left the agency, amounts to about a 25% cut in its workforce. And its planned “Administration for a Healthy America” will collapse several existing HHS agencies into one. Meanwhile, the department continues to cut billions in health spending while the nation faces measles outbreaks in several states and the continuing possibility of another pandemic, such as bird flu. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Julie Rovner to discuss the news.

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A photo of a dentist working with his patient, who is lying back in a dental chair, using a mirror to look at his teeth.

With Few Dentists and Fluoride Under Siege, Rural America Risks New Surge of Tooth Decay

The anti-fluoride movement has more momentum than ever. In rural counties with few dentists, tooth decay could surge to levels that have not been seen in decades, experts warn.

By Brett Kelman

March 27, 2025

a row of tents along a street in Los Angeles

Trump Turns Homelessness Response Away From Housing, Toward Forced Treatment

The Trump administration is moving to end the “Housing First” approach despite warnings from providers and homelessness experts that the shift won’t work. But with homelessness rising, President Donald Trump could find allies in blue cities and states as the public clamors for streets to be cleaned up.

By Angela Hart

March 27, 2025

A drawing of a man in black and white covering his face with his hands. Behind him is a glowing red computer screen with windows. On the top left, the window shows Elon Musk with a chainsaw. The center window tells the man his employment has been terminated. The window on the bottom right shows a fork. The last window on the bottom left reads, "Employee of the Year 2024."

‘I Am Going Through Hell’: Job Loss, Mental Health, and the Fate of Federal Workers

Since the Trump administration began firing federal workers, they say they feel overwhelmed, have obtained or considered seeking psychiatric care and medication, and are anxious about paying their bills. And soon, their health insurance will run out.

By Rachana Pradhan and Aneri Pattani

March 26, 2025

A photo of a senior man having his blood pressure checked during a visit with a health care professional at his home.

Montana Examines Ways To Ease Health Care Workforce Shortages

Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.

By Sue O'Connell

March 26, 2025

A photo of a man seated at a desk, working on a computer, breathing through a portable ventilator.

Many People With Disabilities Risk Losing Their Medicaid if They Work Too Much

As politicians demand that more Medicaid recipients work, many people with disabilities say their state programs’ income and asset caps force them to limit their work hours or turn down promotions.

By Tony Leys

March 25, 2025

KFF Health News & PolitiFact HealthCheck

Bill That Congressman Says Protects Medicaid Doesn’t — And Would Likely Require Cutting It

U.S. Rep. Nick LaLota, a Long Island Republican, told his constituents that he voted for the House-passed GOP budget resolution because it protects Medicaid, Medicare, and Social Security. However, the bill charges a committee with making cuts that likely can’t be attained without slashing Medicaid.

By Julie Appleby

March 25, 2025

Dried psilocybin-containing mushrooms in a clear dish.

The Colorado Psychedelic Mushroom Experiment Has Arrived

With the first licenses for providing psychedelic mushrooms issued, excitement and questions build about the fungi’s potential, affordability, and safety in the Centennial State.

By Kate Ruder

March 24, 2025

A photo of protesters holding signs outside that read, "Stop the billionaire takeover," "Stop Elon now. Nobody elected Elon," "Workers over billionaires," and "We are one. Respect our rights."

Current, Former CDC Staff Warn Against Slashing Support to Local Public Health Departments

Public health and science researchers are concerned about the Trump administration’s cuts to the Centers for Disease Control and Prevention. Reductions in staff and budgets could undermine the nation’s ability to respond to threats, they say.

By Jess Mador, WABE

March 24, 2025

KFF Health News On Air

Journalists Demystify Bird Flu, Medicaid Work Requirements, and Reproductive Health Research

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

March 22, 2025

The Week in Brief

Medicaid Cuts Would Kneecap Health Services, Tribal Leaders Warn

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

By Jazmin Orozco Rodriguez

March 21, 2025

A photo of a woman walking with two kids on the sidewalk by a health clinic in California.

Workers Prep To Meet ICE Officials at the Health Clinic Door

Recent arrests by Immigration and Customs Enforcement in northern Virginia have put immigrant communities in the Washington, D.C., metropolitan area on alert. Health clinics that serve those communities say they are working to continue to care for patients amid detention and arrest fears.

By Jackie Fortiér

March 21, 2025

What the Health? From KFF Health News

Federal Health Work in Flux

Episode 389

March 20, 2025

It’s the Trump administration vs. the federal courts, as the Department of Government Efficiency continues to try to cancel federal contracts and programs and fire workers. But in the haste to cut things, jobs and programs are being eliminated even if they align with the new administration’s goal to “Make America Healthy Again.” Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more.

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US Judge Names Receiver To Take Over California Prisons’ Mental Health Program

A federal judge has named a receiver to run California’s troubled prison mental health system. Colette Peters, a reformist with a rocky tenure as director of the Federal Bureau of Prisons, will have four months to develop a plan to adequately care for tens of thousands of prisoners.

By Don Thompson

March 20, 2025

A photo of a crowd of medical school graduates donned in tams and gowns standing during a graduation ceremony.

Amid Plummeting Diversity at Medical Schools, a Warning of DEI Crackdown’s ‘Chilling Effect’

Enrollment of underrepresented groups at medical schools fell precipitously this academic year after the Supreme Court’s 2023 ban on affirmative action. Education and health experts worry the Trump administration’s anti-DEI measures will only worsen the situation, even in states like California that have navigated bans on race-conscious admissions for years.

By Annie Sciacca

March 20, 2025

A photo of Kathy Hochul speaking at a podium with the USA and New York flags behind her.

In New York, Providers Must Put Patient Costs on the Table

The governor’s fiscal year 2026 budget revises a law designed to limit unexpected bills that can put people at risk for unfair medical billing practices and reduce medical debt. Consumer groups say it doesn’t go far enough.

By Michelle Andrews

March 20, 2025

A photo of Indiana's Capitol taken at night as a car drives on the road in the foreground.

The Only Hospital in Town

Indiana Lawmakers Seek To Forbid Hospital Monopolies, but One Merger Fight Remains

Union Health has made a new bid to buy its only rival hospital in Terre Haute, Indiana. The system passed one hurdle after lawmakers watered down a bill that threatened the proposed deal. That means the merger will now face a likely showdown with Indiana’s new governor.

By Samantha Liss

March 19, 2025

A doctor office examination room with the examination table/reclining chair in its most upright position.

Tribal Health Leaders Say Medicaid Cuts Would Decimate Health Programs

As Congress mulls significant cuts to Medicaid, Native American tribes are bracing for potentially devastating financial fallout. That’s because Medicaid is the largest third-party payer for Native American health programs, funding that has helped address chronic underfunding of the Indian Health Service.

By Jazmin Orozco Rodriguez

March 19, 2025

A portrait of a middle-aged woman with straight brown hair wearing a black-and-white checkered jacket.

Her Case Changed Trans Care in Prison. Now Trump Aims To Reverse Course.

President Donald Trump ordered a halt to gender-affirming medical care for transgender prisoners in federal custody, and to housing trans women in female prisons. The new policies raise alarms for a formerly incarcerated trans woman. She said the order denies lifesaving medical care and creates a road map for rape.

By Bram Sable-Smith

March 18, 2025

KFF Health News & PolitiFact HealthCheck

Congressman Blames Trump Team for Ending Telehealth Medicare Benefit. Not Quite Right.

Rep. Ro Khanna of California warned of Trump administration “cuts” to Medicare telehealth access hitting March 31. But if Medicare recipients lose telemedicine benefits that day, it will be because Congress failed to act.

By Suz Redfearn

March 17, 2025

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