Give and Take: Federal Rural Health Funding Could Trigger Service Cuts
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
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States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
The agreements, covering issues like drug pricing, reducing the use of synthetic food dyes, and cutting back on insurance prior authorization rules, were announced with fanfare and touted as victories. But it’s not clear whether they’ll result in lasting change.
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.
Legislative leaders say the decision whether to renew Montana’s Medicaid expansion program this year will loom over behavioral health spending and hospital regulation, among other topics.
An Alabama teen was told he needed surgery for debilitating hip pain. But his family’s insurer denied coverage for the procedure, which lacked a medical billing code. Expected to pay more than $7,000, his father charged it to credit cards.
The Health and Human Services secretary is winding down nearly $500 million in mRNA research funding, citing false claims that the technology is ineffective against respiratory illnesses — and notching a victory for critics of the covid vaccines. And President Donald Trump is demanding drugmakers drop their prices, quickly, but it’s unclear how he could make them comply. Lauren Weber of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Emmarie Huetteman to discuss these stories and more.
Since the Trump administration began firing federal workers, they say they feel overwhelmed, have obtained or considered seeking psychiatric care and medication, and are anxious about paying their bills. And soon, their health insurance will run out.
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.
Host Dan Weissmann checks back in on the fight for hospital charity care, with lessons from Dollar For and a savvy listener.
President Donald Trump spent a good deal of time on health issues in his State of the Union address, but not everything he said checks out. Meanwhile, Iowa Democrats heading into the caucuses said health is their top issue, but it’s hard to see how that played out in their actual choices. Margot Sanger-Katz of The New York Times, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Julie Appleby and NPR’s Selena Simmons-Duffin about the latest “Bill of the Month” feature.
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.
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.
There has been a steep rise in the share of people with severe mental illnesses being sent to state psychiatric hospitals on court orders after being accused of serious crimes. The shift has all but halted patients’ ability to get care before they have a catastrophic crisis.
The American Medical Association and the leading nursing home trade group both are lobbying Republicans in Congress on other priorities.
The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot programs and found little evidence of new — or effective — technology.
The Trump administration’s efforts to downsize the federal government continue, with both personnel and programs being cut at the Department of Health and Human Services, the Department of Veterans Affairs, and the Social Security Administration. Meanwhile, the fight over cuts to the Medicaid program for those with low incomes heats up, as Republicans worry that more of their voters than ever before are Medicaid beneficiaries. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Jeff Grant, who recently retired from the Centers for Medicare and Medicaid Services after 41 years in government service.
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.
Unsure how to help the troubled psychiatric facility, legislators look to shore up other parts of the state’s mental health system.
Insurance coverage for abortion care in the U.S. is a hodgepodge. Patients often don’t know when or if a procedure or abortion pills are covered, and the proliferation of abortion bans has exacerbated the confusion.
Measles has been spreading in Utah for nearly a year, straining hospitals, schools, and parents. The state’s outbreak provides a glimpse into a new era in America’s health, in which vaccine-preventable diseases become common again.
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