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The State of the Affordable Care Act

Episode 421

Nov. 6, 2025

Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains unclear, even at this late date, whether expanded tax credits launched during the pandemic in 2021 will be continued or allowed to expire, exposing millions of Americans to much higher out-of-pocket costs. In this special episode of “What the Health?” from KFF Health News and WAMU, host Julie Rovner interviews KFF vice president Cynthia Cox about the past, present, and possible future of the health law and how those who purchase ACA coverage should proceed during this time of uncertainty.

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A red emergency sign on the side of a building

White House Calls This 9/11-Era Fund ‘Wasteful.’ Red and Blue States Rely on It.

States from California to Texas say they rely on tens of millions in federal funding to help them prepare for the next pandemic, cyberattack, or mass-casualty catastrophe. The Trump administration wants to cut it.

By Don Thompson

Nov. 6, 2025

A photo of a man at an orchard picking persimmons from a tree.

Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits

Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.

By Amanda Seitz

Nov. 6, 2025

A close up of photograph of an unrecognizable doctor using stethoscope while listening to the belly of a pregnant woman.

Is Covid During Pregnancy Linked to Autism? What a New Study Shows, and What It Doesn’t

Massachusetts researchers examine how growth and learning are subtly shaped among children whose mothers had covid while pregnant.

By Céline Gounder

Nov. 5, 2025

A vector illustration of a woman standing a bit hunched over in the middle of the frame while three dashed-line outlines of hands point at her.

While Politicos Dispense Blame, These Doctors Aim To Take Shame Out of Medicine

Clinicians and researchers are starting to embrace an effort to develop what’s known as “shame competence” in physicians to combat burnout and prevent that uncomfortable emotion from being passed along to patients.

By Charlotte Huff

Nov. 5, 2025

An Arm and a Leg

This Health Economist Wants Your Medical Bills

Season 14, Episode 3

Nov. 5, 2025

A longtime health economist sets her sights on lowering Americans’ insurance premiums.

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Louisiana Took Months To Sound Alarm After Two Babies Died in Whooping Cough Outbreak

Louisiana health officials appear to have deviated from the usual steps for public health communications amid a whooping cough outbreak after it killed two infants.

By Rosemary Westwood, WWNO

Nov. 4, 2025

A photo of HealthCare.gov's website. A pop-up form reads, "Get covered for 2026. Start here."

Congressional Stalemate Creates Chaos for Obamacare Shoppers

This year, Affordable Care Act marketplace consumers will need to be more informed than ever to navigate their health coverage choices.

By Michelle Andrews

Nov. 4, 2025

A police officer holding a rifle stands outside.

Payback: Tracking Opioid Cash

From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs

Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.

By Aneri Pattani

Nov. 3, 2025

Two people dancing with their arms in the air at an outdoor concert.

Payback: Tracking Opioid Cash

Sock Hops and Concerts: How Some Places Spent Opioid Settlement Cash

States, counties, and cities are receiving millions in opioid settlement money to address the addiction crisis. The ways they spent the dollars in 2024 sometimes drew criticism from advocates and at least one state official, who alleged misuse.

By Aneri Pattani

Nov. 3, 2025

A sign is carved at the entrance to the Hubert H. Humphrey Building. It reads, "Department of Health and Human Services."

Trump’s HHS Orders State Medicaid Programs To Help Find Undocumented Immigrants

Federal health authorities have taken the "unprecedented" step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they’ve received more than 170,000 names collectively.

By Phil Galewitz

Nov. 3, 2025

KFF Health News On Air

Journalists Help Make Sense of Government Shutdown and Obamacare Open Enrollment

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

Nov. 1, 2025

A man sorts through a food delivery at a food bank

The Nation’s Largest Food Aid Program Is About To See Cuts. Here’s What You Should Know.

The federal government is making sweeping changes to SNAP, the program that helped feed about 42 million people in the U.S. last year. Here’s a breakdown of the changes to come and potential impacts.

By Katheryn Houghton, Samantha Liss, and Renuka Rayasam

Oct. 31, 2025

The Week in Brief

Deal or No Deal? States Prepare for Congress To Act at the Last Minute on Obamacare

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

By Amanda Seitz

Oct. 31, 2025

At The Hollow in Florida, the ‘Medical Freedom’ Movement Finds Its Base Camp

Florida’s surgeon general, spiritual healers, and Trump allies push their cures in a swampy outpost of anti-government absolutism and mystical belief.

By Arthur Allen

Oct. 31, 2025

A cartoon drawing of a patient being handed a bill in a hospital room. In the foreground, the patient's wallet bursts into flames, and its ghost floats up from its fiery form.

A Bite, a Bill, and a Bureaucratic Chill in Winning Halloween Haikus

This year’s most spirited Halloween haikus were inspired by tick migration, Medicaid work requirements, and rising copays.

By KFF Health News Staff

Oct. 31, 2025

Better Treatments Buoy Multiple-Myeloma Patients, Bound by Research Cuts and Racial Disparities

Although racial disparities in the diagnosis and treatment of multiple myeloma remain, Black survivors of multiple myeloma say the latest developments in treatment give them hope even as federal research cuts create a grim forecast for cancer research.

By Melba Newsome

Oct. 31, 2025

What the Health? From KFF Health News

Happy Open Enrollment Eve!

Episode 420

Oct. 30, 2025

A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.

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Four people are in frame walking past a sign with white lettering on a red background reading "Emergency Entrance" and "Emergency Department Chest Pain Center" each with arrows pointing right. One person carries a handwritten sign that reads "Keep ICE Out of Hospitals."

California Faces Limits as It Directs Health Facilities To Push Back on Immigration Raids

California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.

By Claudia Boyd-Barrett

Oct. 30, 2025

A photo of a woman in a headscarf facing away from the camera.

Refugees Will Be Among the First To Lose Food Stamps Under Federal Changes

Under the budget law that Republicans call the One Big Beautiful Bill Act, food assistance for refugees will be sliced. The change is sowing fear, uncertainty, and a struggle for survival — a sign of what’s to come for millions of Americans.

By Renuka Rayasam

Oct. 30, 2025

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