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Trump’s Bill Reaches the Finish Line

Episode 404

July 3, 2025

The House on Thursday moved to approve the largest-ever cuts to federal safety net programs, the last step before the measure goes to President Donald Trump’s desk. After the Senate very narrowly passed the bill, House GOP leaders ushered it past resistance from conservatives wary of adding trillions to the federal debt and moderates concerned about its cuts to Medicaid. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. has continued to pursue his anti-vaccine agenda, despite promising that he would not. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more.

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A woman with brown hair and wearing an olive green t-shirt sits on a bench and looks at the young man with brown hair and a wearing a blue shirt with small palm trees sitting on the bench beside her. They are in a wooded area and there are trees in the background.

To Keep Medicaid, Mom Caring for Disabled Adult Son Faces Prospect of Proving She Works

A proposed work requirement would make Medicaid expansion enrollees prove they’re working or meet other criteria. Most already work, but millions are expected to lose coverage if the provision passes, many from red tape. A Missouri mother who cares for her disabled son would probably be subject to the rule.

By Bram Sable-Smith

July 3, 2025

A man with grey hair, glasses, a red tie and a dark suit stands behind a podium

GOP Governors Mum as Congress Moves To Slash Medicaid Spending for Their States

In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors — whose constituents stand to lose federal funding and health coverage — have gone quiet on the health consequences.

By Phil Galewitz

July 3, 2025

A line chart of reported dengue cases per million residents in Florida, California, the U.S., and Texas from 2015 to 2024 showing that rates have been rising since 2021 and Florida's rate at least two times of the other metrics in 2024.

As Mosquito Season Peaks, Officials Brace for New Normal of Dengue Cases

In recent years, locally acquired dengue cases have appeared in California, Florida, and Texas, parts of the U.S. where the disease isn’t endemic. Health and vector control officials worry that with climate change and the lack of a vaccine, dengue will take hold in a larger swath of North America.

By Phillip Reese

July 2, 2025

A photo of a White House event with three people sitting at the end of the table: Brooke Rollins, Donald Trump, and Robert F. Kennedy Jr.

‘MAHA Report’ Calls for Fighting Chronic Disease, but Trump and Kennedy Have Yanked Funding

Scientists and public health advocates see disconnects between what the Trump administration says about health — notably, in its “MAHA Report” — and what it’s actually doing.

By David Hilzenrath

July 2, 2025

A photo of an ambulance driving by in Washington, D.C. The rotunda of the U.S. Capitol is prominent in the background.

Republican Megabill Will Mean Higher Health Costs for Many Americans

Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care — with ramifications that could touch all Americans.

By Phil Galewitz, Julie Appleby, Renuka Rayasam, and Bernard J. Wolfson

July 2, 2025

HealthBent

To Cut Medicaid, the GOP’s Following a Path Often Used To Expand Health Care

Republicans are attempting to use the budget reconciliation process to boost President Donald Trump’s priorities and reduce health coverage. That process has been used to pass nearly every major piece of health legislation for decades — except usually lawmakers use it to expand health care, not cut it, writes Julie Rovner.

By Julie Rovner

July 2, 2025

A family portrait taken indoors. From left to right, the adolescent son, mother, father, and young daughter. They are wearing matching T-shirts.

HHS Eliminates CDC Staff Who Made Sure Birth Control Is Safe for Women at Risk

The Trump administration eliminated the CDC team that developed national guidelines for prescribing contraception safely for millions of women with underlying medical conditions.

By Rachana Pradhan

July 1, 2025

An outside view of the University of Michigan Hospital, a tan building with a large M on the outside

Feds Investigate Hospitals Over Religious Exemptions From Gender-Affirming Care

Federal health officials are investigating claims that a Michigan health system fired an employee who sought a religious exemption to avoid calling transgender patients by their pronouns or referring them for gender-affirming care. Legal experts say the investigation escalates the Trump administration’s effort to curb medical care for transgender patients.

By Kate Wells, Michigan Public

July 1, 2025

A woman is showing another woman something on a cell phone screen. In front of them is a sign that reads, "St. John's Community Health."

California Immigrants Weigh Health Coverage Against Deportation Risk

Immigrants without legal status who live in the state are facing a Medi-Cal enrollment freeze next year. But the spate of immigration raids has raised fears that signing up before the deadline will put them on the radar of federal officials.

By Claudia Boyd-Barrett

July 1, 2025

A portrait of a man outdoors, leaning his back against a tree trunk.

In a First, Trump and GOP-Led Congress Prepare To Swell Ranks of US Uninsured

Fewer Americans will likely have health insurance, compromising their physical and financial health, as the Trump administration and GOP-controlled Congress weigh major changes to the Affordable Care Act and Medicaid. “The effects could be catastrophic,” one policy analyst predicts.

By Renuka Rayasam and Sam Whitehead

June 30, 2025

A young boy sits on his father's lap on a mattress covered in a green fitted sheet on the floor.

Bill of the Month

A Texas Boy Needed Protection From Measles. The Vaccine Cost $1,400.

A family living in Galveston was surprised to be charged thousands of dollars for immunizations for their children. Their insurance plan didn’t cover the shots, and the cost of the measles vaccine in particular was more than five times what health officials say it goes for in the private sector.

By Julie Appleby

June 30, 2025

KFF Health News On Air

Journalists Break Down Reconciliation Bill, Vaccine Panel Meeting, and ‘Dobbs’ Anniversary

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

June 28, 2025

The Week in Brief

Trump Administration Cuts Leave Park Service With Fewer Lifeguards

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

By Stephanie Armour

June 27, 2025

An older man in a suit and tie with glasses is seated while a sign that reads "CDC" is in the distance behind him

Kennedy’s Vaccine Advisers Sow Doubts as Scientists Protest US Pivot on Shots

A new vaccine advisory panel appointed by the HHS secretary, a longtime anti-vaccine activist, reflected his unsupported claims about the safety of childhood inoculations.

By Arthur Allen and Sam Whitehead

June 27, 2025

KFF Health News & PolitiFact HealthCheck

Thune Says Health Care Often ‘Comes With a Job.’ The Reality’s Not Simple or Straightforward.

Sixty percent of Americans have health insurance through their own workplace or someone else’s job. But not all employers provide health insurance or offer plans to all their workers. When they do, cost and quality vary widely, making Thune’s statement an oversimplification.

By Arielle Zionts

June 27, 2025

A group of protesters stand holding signs. One large sign reads, "Death by a trillion cuts: Medicaid cuts kill." Others hold signs shaped like tombstones that read, "Here lies America's future," and "R.I.P. Sacrificed for the rich."

Too Sick To Work, Some Americans Worry Trump’s Bill Will Strip Their Health Insurance

Republicans claim 4.8 million Americans on Medicaid who could work choose not to. The GOP’s work-requirement legislation could sweep up disabled people who say they’re unable to hold jobs.

By Phil Galewitz and Stephanie Armour

June 27, 2025

What the Health? From KFF Health News

Live From Aspen — Governors and an HHS Secretary Sound Off

Episode 403

June 26, 2025

In this special episode taped before a live audience at Aspen Ideas: Health, three former governors — one of whom also served as secretary of the Department of Health and Human Services — discuss how state and federal officials can work together to improve Americans’ health. Democrat Kathleen Sebelius, former Kansas governor and HHS secretary under President Barack Obama; Republican Chris Sununu, former New Hampshire governor; and Democrat Roy Cooper, former North Carolina governor, join KFF Health News’ Julie Rovner.

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A photo of a warning sign on a beach that reads, "No lifeguard on duty."

At Some Federal Beaches, Surf’s Up but the Lifeguard Chair’s Empty

Some of the nation’s most well-known beaches are managed by the National Park Service, which saw about 1,000 employees laid off in February by the quasi-agency Department of Government Efficiency, then led by Elon Musk. The void has become a serious public health and safety concern.

By Stephanie Armour

June 26, 2025