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The State of Federal Health Agencies Is Uncertain

Episode 387

March 6, 2025

The Supreme Court opined for the first time that Trump administration officials may be exceeding their authority to reshape the federal government by refusing to honor completed contracts, even as lower-court judges started blocking efforts to fire workers, freeze funding, and cancel ongoing contracts. Meanwhile, public health officials are alarmed at the Department of Health and Human Services’ public handling of Texas’ widening measles outbreak, particularly the secretary’s less-than-full endorsement of vaccines. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University School of Public Health and Politico Magazine, and Stephanie Armour of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.

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A photo of a large junk pile containing bags of clothing and trash. Home decor, shoes, and vintage electronics are also piled in.

For Seniors With Hoarding Disorder, a Support Group Helps Confront Stigma and Isolation

Hoarding disorder disproportionately affects older people. As baby boomers age, it is a growing public health concern. Effective treatments are scarce, and treating hoarding can require expensive interventions that drain municipal resources. Some experts fear a coming crisis.

By Sarah Boden

March 6, 2025

A woman wearing a green sweater stands at a podium and points into the audience.

To Patients, Parents, and Caregivers, Proposed Medicaid Cuts Are a Personal Affront

At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California’s version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.

By Bernard J. Wolfson

March 6, 2025

CDC Firings Undermine Public Health Work Far Beyond Washington

The Trump administration’s sudden firings have gutted training programs across the nation that bolstered state and local public health departments.

By Rachana Pradhan

March 5, 2025

An exterior photograph of a modern office building in a metropolitan area. Cars are seen driving in front of the building labeled "Centene Plaza."

Years Later, Centene Settlements With States Still Unfinished

At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.

By Andy Miller

March 5, 2025

UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments

A special master found the Justice Department failed to prove wrongdoing by the giant health insurer.

By Fred Schulte

March 4, 2025

A photo of President Trump at the White House speaking into a microphone, pointing with his hand.

Trump Vowed To End Surprise Medical Bills. The Office Working on That Just Got Slashed.

The Trump administration’s first round of sweeping staff cuts to federal agencies eliminated dozens of positions at the Center for Consumer Information and Insurance Oversight, which is tasked with implementing the No Surprises Act.

By Noam N. Levey

March 4, 2025

A photo taken at night of two police cars with blue flashing lights driving on a highway.

Law and Order or Bystander Safety? Police Chases Spotlight California’s Competing Priorities

California’s governor is pressuring Oakland to allow more police pursuits as part of a crackdown on crime. But more pursuits mean a greater risk to public health, with more potential injuries and deaths among bystanders. Policies in cities including New York and San Francisco reflect divergent local priorities.

By Don Thompson

March 4, 2025

A senior man stands beside a bookshelf, holding a book. He wears a white button-shirt.

Home Improvements Can Help People Age Independently. But Medicare Seldom Picks Up the Bill.

A small program celebrated by its proponents helps people modify their homes and safely live independently as they age. But most insurers won’t pay for it, including Medicare.

By Joanne Kenen

March 3, 2025

A photo of a doctor sitting at his desk with an x-ray image pulled up on his computer.

States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians

Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.

By Arielle Zionts

March 3, 2025

KFF Health News On Air

Journalists Discuss a Mysterious, Deadly Illness in Congo and Early Moves by Secretary RFK

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 1, 2025

The Week in Brief

Fires Undercut L.A.’s Headway on Homelessness

As Los Angeles recovers from historic wildfires, both previously unsheltered and chronically homeless people are facing even greater instability. Some lawmakers and providers argue now is the time to put in even more resources to maintain the progress the county and state have made in fighting the crisis.

By Angela Hart

Feb. 28, 2025

A photo of a young man posing for a portrait outside. A white car drives up the street behind him.

Bill of the Month

A Runner Was Hit by a Car, Then by a Surprise Ambulance Bill

A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center — which released him with no further treatment. The ambulance bill? Almost $13,000.

By Sandy West

Feb. 28, 2025

A female firefighter is walking on a road with a forest, hazy with smoke highlighted by afternoon sun, behind her.

Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump

In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.

By Kylie Mohr

Feb. 28, 2025

What the Health? From KFF Health News

House GOP Plan Targets Medicaid

Episode 386

Feb. 27, 2025

The House passed a budget plan that likely would result in major cuts to the Medicaid program. But the plan now faces a battle in the Senate, where even Republicans seem reluctant to dramatically reduce a health program that covers roughly 1 in 5 Americans. Meanwhile, federal judges and the Trump administration continue to differ over whether the administration has the authority to unilaterally cancel programs approved and funded by Congress and to fire federal workers. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Victoria Knight of Axios join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more.

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A small group of students are sitting on a small boat. An adult man stands behind the group, speaking. In the background is a river with deep green water. It is a sunny day.

Human, Bird, or Dog Waste? Scientists Parsing Poop To Aid DC’s Forgotten River

A huge infrastructure project coupled with a new scientific review of microbes in the water could be bringing Washington, D.C., closer to a once-unimaginable goal — a safely swimmable Anacostia River.

By Jackie Fortiér

Feb. 27, 2025

Three headshots are side by side. A man with glasses is on the left, a woman with straight caramel hair is in the center, and a man wearing a baseball cap is on the right.

Common Ground

Republicans Once Wanted Government out of Health Care. Trump Voters See It Differently.

Frustrated by high health care prices, many who backed President Donald Trump support strong government actions to protect patients. It’s unclear whether GOP leaders will listen.

By Noam N. Levey

Feb. 27, 2025

An adult man wearing a baseball cap and a high-collar sweatshirt looks into the camera.

Los Angeles County Has Cut Homelessness, but Wildfires Threaten To Erase That Gain

As Los Angeles recovers from historic wildfires, both previously unsheltered and chronically homeless people are facing even greater instability. Some lawmakers and providers argue now is the time to put in even more resources to maintain the progress the county and state have made in fighting the crisis.

By Angela Hart

Feb. 26, 2025

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

Health Clinic Workers Brush Up on Constitutional Protections as Immigration Raids Loom

Clinic administrators describe anxiety about President Donald Trump’s move to allow immigration arrests inside health centers.

By Jackie Fortiér

Feb. 26, 2025

A photo illustration of a figure standing alone, surrounded by fragments of a dollar bill arrayed in a random order.

Payback: Tracking Opioid Cash

Opioid Cash Grab: As Federal Funding Dries Up, States Turn to Settlement Money

Nevada’s budget debate highlights how uncertainty over funding for federal safety net programs may lead some officials to turn to opioid settlement dollars to make up the difference.

By Aneri Pattani

Feb. 25, 2025

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