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End-of-Year Chaos on Capitol Hill

Episode 377

Dec. 19, 2024

Democrats and Republicans in the House and Senate successfully negotiated an enormous end-of-Congress health package, including bipartisan efforts to address prescription drug prices — only to see it blown up at the last minute after Elon Musk and President-elect Donald Trump applied pressure. Meanwhile, the Supreme Court accepted its first abortion-related case of the term, and the attorney general of Texas sued a doctor in New York for prescribing abortion pills to a Texas patient. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF President and CEO Drew Altman about what happened in health policy in 2024 and what to expect in 2025.

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A photo of President Trump showing a signed executive order to photographers in the Oval Office of the White House. He is flanked by Robert F. Kennedy Jr. and Howard Lutnick.

How Much Will That Surgery Cost? 🤷 Hospital Prices Remain Largely Unhelpful.

Health care price transparency is one of the few bipartisan issues in Washington, D.C. But much of the information that hospitals and health plans have made available to the public is not helpful to patients, and there’s no conclusive evidence yet that it’s lowering costs or increasing competition.

By Daniel Chang

April 2, 2025

A woman stands beside a ballot box, smiling.

Health Care Costs Jump to the Fore as Candidates Jockey To Be California Governor

During a California gubernatorial debate, candidates promised to protect people’s access to health care and fight back against Trump administration cuts. With the contest a year away, polling shows voters want the next governor to minimize out-of-pocket health care costs, increase mental health care, and expand caregiving services.

By Claudia Boyd-Barrett

Nov. 10, 2025

A photo of a sign that reads, "Montana State Hospital — Warm Springs."

Drawn-Out Overhaul of Troubled Montana Hospital Leaves Lawmakers in Limbo

Unsure how to help the troubled psychiatric facility, legislators look to shore up other parts of the state’s mental health system.

By Mara Silvers, Montana Free Press

Jan. 31, 2025

What the Health? From KFF Health News

Happy Open Enrollment Eve!

Episode 420

Oct. 30, 2025

A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.

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Bill Of The Month

Her Biopsy Report Was Benign. But The Bill Is A Spot Of Contention.

After a test to rule out cancer, Brianna Snitchler faced a $2,170 facility fee for the hospital’s radiology room used that day.

By Cara Anthony

Sept. 30, 2019

As Measles Exploded, Officials in Texas Looked to CDC Scientists. Under Trump, No One Answered.

Trump officials sowed fear and confusion among CDC scientists, slowing their response to the measles outbreak in West Texas. Cases surged and sparked new outbreaks across the U.S. and Mexico. Together, these linked outbreaks have sickened more than 4,500 and killed at least 16 in the U.S. and Mexico.

By Amy Maxmen

Aug. 25, 2025

A photo of Tim Walz at a campaign rally.

How Minnesota Figures Into the Presidential Politics of Insulin Prices

Minnesota led the way on insulin affordability, culminating in 2020 when Gov. Tim Walz signed a law going further to cut costs than other state laws. Now, former President Donald Trump and Vice President Kamala Harris are vying for support from people with diabetes.

By Bram Sable-Smith

Oct. 1, 2024

A photo illustration of a hand placing a ballot into a box.

Voters Fret High Medical Bills Are Being Ignored by Presidential Rivals

Health care hasn’t figured prominently on the campaign trail this fall. These voters wish it would.

By Noam N. Levey

Oct. 24, 2024

A photo of a gavel resting on its block in silhouette.

KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records

Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.

By Fred Schulte

Nov. 12, 2024

1st Biden-Trump Debate of 2024: What They Got Wrong, and Right

A debate marked by President Joe Biden’s faltering performance featured clashes over insulin costs, inflation, abortion, immigration, and Jan. 6.

By KFF Health News and PolitiFact staffs

June 28, 2024

A photo of an older woman posing with a younger woman.

Health Care Groups Aim To Counter Growing ‘National Scandal’ of Elder Homelessness

The housing crisis is requiring creative scrambling and new partnerships from health care organizations to keep older patients out of expensive nursing homes as homelessness grows.

By Felice J. Freyer

Aug. 18, 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 female nurse practitioner, in wire frame glasses, inspects the ear of a man in a cap, sunglasses, and a check shirt.

Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors

Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.

By Arielle Zionts

Aug. 12, 2025

An Arm and a Leg

Why ‘The Pitt’ Is Our Fave New Drama

Season 13, Episode 6

May 5, 2025

An emergency room doctor says what the TV show “The Pitt” gets right about hospitals, including why they’re so crowded and the bills so high.

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An up close photograph of a Rocky Mountain Wood tick clinging to a tall blade of grass.

Ticks Are Migrating, Raising Disease Risks if They Can’t Be Tracked Quickly Enough

Doctors need to know when to screen for tick-borne diseases in their communities. But it’s getting harder for local health departments to get funding for tick surveys as federal public health grants from agencies like the Centers for Disease Control and Prevention dry up.

By Aaron Bolton, MTPR

Sept. 18, 2025

A roll of one hundred dollar bills sits among a row of prescription medication bottles.

California May Regulate and Restrict Pharmaceutical Brokers

California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumers’ choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.

By Don Thompson

Sept. 18, 2024

Some Employers Test Arrangement To Give Workers Allowance for Coverage

Employers are showing interest in a type of health reimbursement account that gives workers a contribution to choose and buy their own plans, rather than participating in group plans.

By Michelle Andrews

Oct. 2, 2024

A landscape photograph of a dirt road in a rural setting. The road extends into the distance.

For Many Rural Women, Finding Maternity Care Outweighs Concerns About Abortion Access

A legislative effort to expand access to prenatal care in rural Oregon with mobile clinics was scuttled because those clinics would have provided abortions in rural areas. Opposition to the proposal shows that, even in states that ensure access to abortions, that care isn’t universally available or accepted.

By Lillian Mongeau Hughes

Jan. 2, 2025

A photo of the California State Capitol at an angle on a sunny day. Orange and palm trees are seen in the foreground in front of the building.

California Continues Progressive Policies, With Restraint, in Divisive Election Year

This legislative cycle, Gov. Gavin Newsom signed bills affirming reproductive rights and mandating insurance coverage of in vitro fertilization, but the Democrat was reluctant to impose new regulations and frequently cited costs for vetoing bills.

By Don Thompson

Oct. 18, 2024

Trump 2.0

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