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Creating Chaos at HHS

Episode 381

Jan. 23, 2025

President Donald Trump was sworn in Monday and by Wednesday had virtually stopped scientific policymaking at the Department of Health and Human Services. While incoming administrations often pause public communications, the acting HHS head ordered an unprecedented shutdown of all outside meetings, travel, and publications. Meanwhile, Trump issued a broad array of mostly nonbinding executive orders, but notably none directly concerning abortion. Rachel Cohrs Zhang of Stat, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Rodney Whitlock, a former congressional staffer, who explains the convoluted “budget reconciliation” process Republicans hope to use to enact Trump’s agenda.

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A health insurance claim form on a clipboard. A black pen rests on top.

Covered California Hits Record Enrollment, but Key Subsidies in Jeopardy

Enhanced federal subsidies and more state aid for out-of-pocket costs have made health insurance purchased through California’s marketplace more affordable. It's unclear if the incoming Republican Congress will extend the enhanced subsidies beyond 2025.

By Claudia Boyd-Barrett

Jan. 23, 2025

A photo of President Trump signing his name with a marker onto an executive order.

Trump’s Early Health Moves Signal Intent To Erase Biden’s Legacy. What’s Next Is Unclear.

President Donald Trump issued a flurry of executive orders and other actions on health care soon after reentering office. Other than signaling he intends to reverse many of Joe Biden’s moves, the orders will have little immediate impact.

By Julie Appleby and Stephanie Armour

Jan. 23, 2025

A photo of medical staff in a hospital rushing a patient in a bed down a hallway.

As States Diverge on Immigration, Hospitals Say They Won’t Turn Patients Away

California and Massachusetts are teaching immigrants their rights while Florida and Texas are collecting patients’ immigration status. As states offer differing guidelines for interacting with immigrant patients, hospitals around the U.S. say they won’t turn people away for care because of their immigration status.

By Vanessa G. Sánchez and Daniel Chang

Jan. 23, 2025

President Donald Trump signs behind a desk in the Oval Office and signs a document.

What To Know About Trump’s Executive Orders on US Health Care

From rolling back drug pricing policies to limiting gender-affirming care, President Donald Trump signed several health-related executive orders in the first hours of his second presidency. Here’s a roundup of the changes and what they mean.

By Tarena Lofton

Jan. 22, 2025

A woman with short brown hair held back with a white headband sits on a beige couch with a box in her lap filled with things. She is wearing long earrings and a blue tank top. Her legs are crossed and she is wearing knee-high black socks.

Long-Covid Patients Are Frustrated That Federal Research Hasn’t Found New Treatments

The federal government has allocated $1.15 billion to long-covid research without any new treatments yet brought to market. Patients and scientists say it’s time to push harder for breakthroughs.

By Sarah Boden

Jan. 22, 2025

The Growing Inequality in Life Expectancy Among Americans

To deliver on pledges from the new Trump administration to make America healthy again, policymakers will need to close gaps in longevity among racial and ethnic groups.

By Amy Maxmen

Jan. 22, 2025

A man in a white shirt and jeans poses for a photo sitting in a chair next to an American Red Cross blanket

Postcard From Pasadena, California

Amid Wildfire Trauma, L.A. County Dispatches Mental Health Workers to Evacuees

Catastrophic wildfires are common in California, and mental health specialists have become a key part of local governments’ response to extreme weather events, which scientists say are becoming more intense and frequent due to climate change. Los Angeles County has been modifying its approach with each disaster.

By Molly Castle Work

Jan. 21, 2025

Dogs Paired With Providers at Hospitals Help Ease Staff and Patient Stress

Some hospitals are bringing in dogs to spend entire shifts with doctors and nurses. The trained canines help staffers cope with the stress of their work amid high levels of burnout.

By John Daley, Colorado Public Radio

Jan. 21, 2025

KFF Health News On Air

Days From Trump Inauguration, Journalists Weigh California, Federal Health Policies

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

Jan. 18, 2025

A photo of a man inside an apartment, seated in a wheelchair.

For Homeless Seniors, Getting Into Stable Housing Takes a Village — And a Lot of Luck

The number of unhoused seniors in the U.S. is expected to triple by 2030. About half of this population is becoming homeless for the first time. Homeless services struggle to help. Finding affordable housing that’s also accessible for older Americans with medical conditions is an extra challenge.

By Aaron Bolton, MTPR

Jan. 17, 2025

A photo of Hostess snack cakes for sale inside a grocery store.

Junk Food Turns Public Villain as Power Shifts in Washington

Some Trump insiders are ready to take on the food industry. It remains to be seen whether their entrée will result in any meaningful change in government oversight of “Big Food” — or in American health.

By Stephanie Armour and David Hilzenrath

Jan. 17, 2025

What the Health? From KFF Health News

Hello, Trump. Bye-Bye, Biden.

Episode 380

Jan. 16, 2025

With just days to go before the official launch of a new administration, the GOP-led Congress is putting together plans on how to enact incoming President Donald Trump’s agenda, with a particular emphasis on cutting spending on the Medicaid program. Meanwhile, the Biden administration makes major moves in its last days, including banning a controversial food dye and ordering cigarette companies to minimize their nicotine content. Joanne Kenen of Johns Hopkins University and Politico Magazine, Anna Edney of Bloomberg News, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Harris Meyer, who reported and wrote the latest KFF Health News “Bill of the Month” feature, about a colonoscopy that came with a much larger price tag than estimated.

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A close up photo of an unidentifiable toddler sitting in his mother's lap while a doctor puts a band-aid on his arm after receiving a vaccination.

Childhood Vaccination Rates, a Rare Health Bright Spot in Struggling States, Are Slipping

Mississippi, Tennessee, and West Virginia — states with some of the worst health outcomes — also have some of the highest childhood vaccination rates. But doctors and health officials worry a rising tide of vaccine skepticism is causing those public health bright spots to dim.

By Daniel Chang and Sam Whitehead

Jan. 16, 2025

A photo of the exterior of the California Capitol.

New California Laws Target Medical Debt, AI Care Decisions, Detention Centers

California has a few major changes coming to its health policy landscape in 2025. New laws that took effect Jan. 1 ban medical debt from credit reports, allow public health inspections of private immigration detention centers, and ban toxic chemicals in makeup.

By Christine Mai-Duc

Jan. 16, 2025

Navigating Aging

I’m Moving Forward and Facing the Uncertainty of Aging

Our "Navigating Aging" columnist sets off on a new phase in life with lessons she’s learned reporting on aging and health.

By Judith Graham

Jan. 15, 2025

A woman, giving birth, is laying in a large bath rests her head on a man outside of the bath in an embrace. A woman in blacks scrubs and a stethoscope leans against the bath in conversation with the pair.

Midwives Blame California Rules for Hampering Birth Centers Amid Maternity Care Crisis

Birth centers, where midwives deliver babies with emergency backup from hospitals, can offer an alternative for families as hospitals close maternity units. But the state’s stiff regulations and what many call a dysfunctional licensing process are hobbling new initiatives and forcing some facilities to shut down.

By Ronnie Cohen

Jan. 15, 2025

A photo of a construction worker posing for a photo at a construction site.

Beyond Hard Hats: Mental Struggles Become the Deadliest Construction Industry Danger

The physical hazards of construction work have long been a focus of safety professionals. Yet attention on the psychosocial hazards is relatively new, with suicide and substance use soaring among male construction workers. Mitigating those risks requires more than hard hats, safety vests, and protective goggles.

By Katja Ridderbusch

Jan. 14, 2025

An illustration drawn with pencil and colored digitally shows a row of hands dropping ballot envelopes into a large box in the center of the image. Inside of the ballot box is a senior male judge, who is ripping a paper in half that says, "YES."

Voters Backed Abortion Rights but State Judges Have Final Say

Though abortion rights supporters prevailed on ballot measures in seven of the 10 states where abortion was up for a vote on Nov. 5, the state supreme courts voters have elected indicate legal fights to come aren’t clear-cut.

By Bram Sable-Smith and Katheryn Houghton

Jan. 14, 2025

A photo of a female medical student seated by a large, windowed sitting area. She is looking over her shoulder.

Can Medical Schools Funnel More Doctors Into the Primary Care Pipeline?

More medical schools say they will no longer charge tuition, in hopes that more students, graduating free of debt, will choose lower-paying primary care careers. But evidence suggests it will take a lot more than a free ride to replenish the primary care pipeline.

By Felice J. Freyer

Jan. 13, 2025

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