Texans Can Appeal Surprise Medical Bills, But The Process Can Be Draining
In Texas, many people have a right to mediation of medical bills. But the concept can be off-putting, and patients often think they need a lawyer, which isn't the case.
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How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction
The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients.
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Texas Lawmakers Take Aim At Surprise Medical Bills
A proposed state law with bipartisan, bicameral support is on the move in Texas. It would force hospitals and insurers to settle surprise bills — instead of relying on patients to start the mediation process. The KHN/NPR "Bill of the Month" series is a catalyst for the effort.
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California Governor and Democratic Lawmakers at Odds Over Billions in Health Care Funds
Gov. Gavin Newsom is getting pressure from his political allies to begin spending money on health care that the state raised by fining Californians who go without health insurance. But Newsom says the state can’t afford to.
By Angela Hart She Sued a Hospital and Lost — But Felt She’d Won
Season 9, Episode 2A listener sued a hospital in small-claims court and lost but felt as if she’d won. Now, she wants to encourage more people to take their bills to court.
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On the Brink of Homelessness, San Diego Woman Wins the Medi-Cal Lottery
Annie Malloy, of San Diego, is among the first to receive a new housing move-in benefit from Medi-Cal, California’s Medicaid program. It’s an effort to help homeless and near-homeless people who might otherwise rack up huge medical bills.
By Angela Hart -
Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits.
Missouri is considering making it a felony to jack up temporary health care staffing prices during a statewide or national emergency. It’s one of at least 14 states looking to reel in travel nurse costs, after many hospitals struggled to pay for needed staffers earlier in the covid pandemic.
Wrestling With a Giant: How to Dispute a Hospital Bill
Season 9, Episode 3One listener tried to dispute a $1,300 “facility fee” with the treating hospital, his insurer, a bill-mediation service provided by his employer, and finally a debt collector. He didn’t win, but he learned valuable lessons about advocating for hospital discounts.
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Republican Lawmakers Shy Away From Changing Montana’s Constitutional Right to Abortion
Lawmakers in 14 states have passed near-total bans on abortion since the U.S. Supreme Court overturned Roe v. Wade. But in some conservative-led states where court rulings determined their constitutions protect abortion, including Montana, politicians haven’t asked voters to weigh in.
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Lawyer Fees Draw Scrutiny as Camp Lejeune Claims Stack Up
The Camp Lejeune Justice Act, which became law last year, created a pathway for veterans and their families to pursue damage claims against the government for toxic exposure at the military base. Now, advocates and lawmakers worry high lawyer fees could shortchange those injured.
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After Capping Insulin Copays, Colorado Sets Its Sights on EpiPens
Colorado’s proposed legislation to cap the copay for the EpiPen is part of a nationwide trend as more states try to shield patients from skyrocketing drug prices.
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Proposed PFAS Rule Would Cost Companies Estimated $1B; Lacks Limits and Cleanup Requirement
A proposed Environmental Protection Agency rule calls for companies to disclose PFAS manufactured or imported since 2011. The chemical industry is upset because such compliance would cost an estimated $1 billion, while environmental health advocates worry because the rule wouldn’t ban the chemicals outright.
Health Programs Are at Risk as Debt Ceiling Cave-In Looms
Episode 296A warning from the Treasury Department that the U.S. could default on its debt as soon as June 1 has galvanized lawmakers to intervene. But there is still no obvious way to reconcile Republican demands to slash federal spending with President Joe Biden’s demand to raise the debt ceiling and save the spending fight for a later date. Meanwhile, efforts to pass abortion bans in conservative states are starting to stall as some Republicans rebel against the most severe bans. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Alice Miranda Ollstein of Politico join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more.
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Can a Fetus Be an Employee? States Are Testing the Boundaries of Personhood After ‘Dobbs’
Laws granting rights to unborn children have spread in the decades since the U.S. and Missouri supreme courts allowed Missouri’s definition of life as beginning at conception to stand. Now, a wrongful death lawsuit involving a workplace accident shows how sprawling those laws — often intended to curb abortion — have become.
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Abortion Debate Ramps Up in States as Congress Deadlocks
Abortion is a top issue for state lawmakers meeting for their first full sessions since Roe v. Wade was overturned.
By Julie Rovner -
A Lot of Thought, Little Action: Proposals About Mental Health Go Unheeded
A recent report detailing problems with Florida’s patchwork mental health system had reached conclusions nearly identical to those of a similar report from more than 20 years ago. The echoes between the findings are unmistakable. And Florida isn’t the only state struggling with the criminalization of mental illness, a lack of coordination between providers, and insufficient access to treatment.
2023 Is a Wrap
Episode 3272023 was another busy year in health care. As the covid-19 pandemic waned, policymakers looked anew at long-standing obstacles to obtaining and paying for care in the nation’s health care system. Meanwhile, abortion has continued to be an issue in much of the nation, as states respond to the Supreme Court’s 2022 decision overturning the constitutional right to the procedure. This week, Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and wrap up the year in health. Also this week, Rovner interviews KFF Health News’ Jordan Rau about his joint KFF Health News-New York Times series “Dying Broke.”
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The Pill Club Reaches $18.3 Million Medicaid Fraud Settlement With California
The online women’s pharmacy agreed to pay $15 million to the state Department of Justice and $3.3 million to the Department of Insurance over claims it overbilled Medi-Cal.
By Don Thompson -
Mental Health Care by Video Fills Gaps in Rural Nursing Homes
In-person mental health care is hard to arrange in rural nursing homes, so video chats with faraway professionals are filling the gap.
By Tony Leys Zero Pox!
Season 2, Episode 3In the early 1970s, public health workers buoyed by the motto “zero pox!” worked across India to achieve 100% vaccination against smallpox. This episode is about what happened when these zealous young people encountered hesitation.