Maryland Taps Affordable Care Act Fund To Help Pay for Abortion Care
The state is using an old source of funding to pay for a new money crunch: assisting out-of-state patients with the costs associated with abortion.
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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 -
Plan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists
Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.
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Insurers Fight State Laws Restricting Surprise Ambulance Bills
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.
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Wary of RFK Jr., Colorado Started Revamping Its Vaccine Policies in the Spring
Amid concerns that Health and Human Services Secretary Robert F. Kennedy Jr. is undermining trust in vaccines and public health science, some states are seeking new sources of scientific consensus and changing how they regulate insurance companies, prescribers, and pharmacists. Colorado has been at the front of this wave.
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Red and Blue States Alike Want To Limit AI in Insurance. Trump Wants To Limit the States.
A revolt is afoot in both red and blue states against the use of artificial intelligence in health insurance determinations — and against efforts led by President Donald Trump to tie states’ hands.
By Darius Tahir and Lauren Sausser -
KHN’s ‘What The Health?’: SCOTUS Decides An ACA Case. No, Not THAT Case.
The Supreme Court this week, in an 8-1 decision, ruled that insurers are due the roughly $12 billion that Congress several years ago tried to cut off in payments under the Affordable Care Act’s “risk corridors” provision. And while the COVID-19 pandemic continues to rage in many places around the country, states are starting to reopen their economies at the urging of President Donald Trump and over objections of public health officials. Caitlin Owens of Axios and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Carmen Heredia Rodriguez, who wrote the latest KHN-NPR “Bill of the Month” installment about COVID testing that should have been free but was not.
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Health Savings Accounts, Backed by GOP, Cover Fancy Saunas but Not Insurance Premiums
Health savings accounts can be used to cover medical expenses, tax-free. But while wealthier Americans are using them to pay for gym equipment, cedar ice baths, and hemlock saunas, poorer Americans can’t use them to pay their skyrocketing health insurance premiums.
By Amanda Seitz -
Four Ways Trump’s ‘One Big Beautiful Bill’ Would Undermine Access to Obamacare
The combination of the House-passed spending and tax bill and the Trump administration’s regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
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Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.
Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.
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In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry
The health industry couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Donald Trump’s tax and spending bill for many reasons. A big one: Congressional Republicans were more worried about angering Trump than a backlash from hospitals and low-income constituents back home.
By Phil Galewitz and Stephanie Armour -
How Louisiana’s New Surgeon General Wants To Transform Public Health
Evelyn Griffin is pushing for more emphasis on wellness and prevention. She has also aligned with the MAHA movement in fighting government mandates and questioning the safety of some vaccines.
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Hospitals’ Lobbying Frustrates Montana Lawmakers Who Sought To Boost Oversight
Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
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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.
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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 -
Medicaid Insurers’ Contracts on the Line in Tight Governor’s Race
The Democratic candidate for governor says he would make Iowa the second state to drop private Medicaid management companies, which he calls “a disaster.”
By Tony Leys -
A Cancer Survivor Hoped To Work — Then She Lost Her Medicaid Disability Coverage
As state governments grapple with how to determine who’s sick enough to be excused from new Medicaid work requirements, some families are already struggling with what illnesses guarantee health coverage because of a disability.
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Nonprofits Are Helping Musicians Pay for Insurance in Austin, Texas, and Beyond
A nonprofit and a local public health agency are subsidizing marketplace health insurance for Austin music artists, even as shifting marketplace conditions make the program a more expensive proposition. It’s becoming a model for other cities and sectors.
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In Connecticut, Doctors Now Sue Patients Most Over Medical Bills, Surpassing Hospitals
Physicians, dentists, and other nonhospital providers account for more than 80% of health care debt collection cases in Connecticut courts, a CT Mirror-KFF Health News investigation finds.
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This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.