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Bill With Billions in Health Program Cuts Passes House

Episode 398

May 23, 2025

The House narrowly passed a budget reconciliation bill, including billions of dollars in tax cuts for the wealthy along with billions of dollars in cuts to health program spending. But the Senate is expected to make major changes to the measure before it can go to President Donald Trump for his signature. This week’s panelists are Julie Rovner of KFF Health News, Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico.

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A photo of Mike Johnson speaking at a podium with a sign attached to it that reads "One Big Beautiful Bill Act."

Republicans Aim To Punish States That Insure Unauthorized Immigrants

A GOP tax-and-spending bill the House approved Thursday would slash federal Medicaid reimbursement for states that offer health coverage to immigrants without legal status.

By Phil Galewitz and Christine Mai-Duc

May 23, 2025

A photo of an arm bandaged after receiving a vaccine.

Trump’s Team Cited Safety in Limiting Covid Shots. Patients, Health Advocates See More Risk.

The FDA will encourage new clinical trials on the widely used vaccines before approving them for children and healthy adults. The requirements could cost drugmakers tens of millions of dollars and are likely to leave boosters largely out of reach for hundreds of millions of Americans this fall.

By Stephanie Armour

May 23, 2025

A photo of a house severely damaged by a tornado. The upper half's walls have blown away, leaving just the roof frame behind.

Volunteers Help Tornado-Hit St. Louis Amid Wait for Federal Aid

As St. Louis deals with more than $1.6 billion in estimated property damage from the May 16 tornado, locals are pouring in to help the hard-hit area of North St. Louis. It’s unclear if residents can count on federal support as they rebuild.

By Cara Anthony and Bram Sable-Smith

May 22, 2025

A photo of a call center employee's headset resting on a desk.

Call Centers Replaced Many Doctors’ Receptionists. Now, AI Is Coming for Call Centers.

Artificial intelligence products with lifelike voices are being marketed to schedule or cancel medical visits, refill prescriptions, and help triage patients. Soon, many patients might initiate contact with the health system by speaking not with a human but with AI.

By Darius Tahir

May 22, 2025

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By Oona Zenda

May 21, 2025

A sign on a subway platform reads, "Need to talk? Dial 988. The Suicide and Crisis Lifeline is free and confidential."

3 Things To Watch on Mental Health in Trump’s Early Budget Proposals

President Donald Trump’s budget office says he’ll continue to fund the new 988 suicide prevention hotline, but documents sent to Congress offer clues — amid some mixed messages — about the administration’s approach to two pressing public health issues: mental health and addiction.

By Aneri Pattani

May 21, 2025

A photo of a woman sitting on a hospital bed with her legs off to the side. She smiles, facing the camera.

Trump Won’t Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.

Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.

By Lauren Sausser

May 21, 2025

KFF Health News & PolitiFact HealthCheck

Trump Exaggerates Speed and Certainty of Prescription Drug Price Reductions

According to the timeline in the May 12 executive order, prescription drug price reductions would not happen "almost immediately,” but rather could take months or years. And extending the savings to Americans outside federal health insurance programs such as Medicare would likely require congressional action.

By Louis Jacobson, PolitiFact

May 20, 2025

A photo illustration of an ice cream cone plus two ice cream bars against a pink spiral background. Around them are two drawings of the emulsifier Polysorbate 80's structure diagram.

This News Might Ruin Your Appetite — And Summer

Fresh studies expose a gap in the FDA’s assessments of foods: Widely used additives could damage the mix of bacteria in your gut, causing health problems.

By David Hilzenrath

May 20, 2025

A photo of President Trump seated at a desk, gesturing with his hands, holding a magic marker. Three men stand behind him; they are heads of federal health agencies.

How Trump Aims To Slash Federal Support for Research, Public Health, and Medicaid

One thing experts agree on: The damage from the funding cuts will be varied and immense.

By Elisabeth Rosenthal

May 20, 2025

A woman in a white shirt and black vest pulled up to expose her belly lies on an exam table as another woman holds a device to the pregnant woman's stomach.

Postcard From South Dakota

Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies

More than 100 rural hospitals have stopped delivering babies since 2021, including a South Dakota hospital that serves small towns, farming communities, and a Native American reservation. Patients there now travel at least an hour to give birth.

By Arielle Zionts

May 19, 2025

A photo of President Trump seated at a desk, signing an executive order.

Housing, Nutrition in Peril as Trump Pulls Back Medicaid Social Services

About half of states have broadened Medicaid, the state-federal low-income health care program, to pay for social services such as housing and nutritional support. The Trump administration, however, views these experiments as distractions from the core mission to provide health care.

By Angela Hart

May 19, 2025

A photo of an older man having his blood pressure checked by a doctor in an exam room.

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.

By Julie Appleby

May 19, 2025

KFF Health News On Air

Journalists Unpack Drug Prices, Threats to Medicaid, and the Fluoridation of Water

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

May 17, 2025

The Week in Brief

Flawed Federal Programs Maroon Rural Americans in Telehealth Limbo

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

By Sarah Jane Tribble

May 16, 2025

Even Where Abortion Is Still Legal, Many Brick-and-Mortar Clinics Are Closing

Some clinics that provide abortions are closing, even in states where voters have passed some of the nation's broadest abortion protections. It’s happening in places like New York, Illinois, and Michigan, as reproductive health care faces new financial pressures.

By Kate Wells, Michigan Public

May 16, 2025

A photo of an aide bringing an elderly woman coffee at her desk.

Californians Receiving In-Home Care Fear Medicaid Cuts Will Spell End to Independent Living

Bay Area senior Carol Crooks doesn’t know where congressional Republicans will land on Medicaid cuts as they look to fund a tax bill, but her health has already deteriorated as she worries about losing the help she needs to remain in her Oakland apartment — and out of a nursing home.

By Ronnie Cohen

May 16, 2025

A photo of an area in a pharmacy with filled prescriptions.

Pharmacists Stockpile Most Common Drugs on Chance of Targeted Trump Tariffs

While Big Pharma seems ready to weather the tariff storm, independent pharmacists and makers of generic drugs — which account for 90% of U.S. prescriptions — see trouble ahead for patients.

By Jackie Fortiér and Arthur Allen

May 16, 2025

A photo looking up at the Jacob K. Javits Federal Building at 26 Federal Plaza. It is a tall skyscraper in New York City.

Postcard From Manhattan

In Bustling NYC Federal Building, HHS Offices Are Eerily Quiet

Public health experts and advocates say that Health and Human Services regional offices, like the one in New York City, form the connective tissue between the federal government and locally based services.

By Michelle Andrews and Eliza Fawcett, Healthbeat

May 16, 2025

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