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Federal Health Work in Flux

Episode 389

March 20, 2025

It’s the Trump administration vs. the federal courts, as the Department of Government Efficiency continues to try to cancel federal contracts and programs and fire workers. But in the haste to cut things, jobs and programs are being eliminated even if they align with the new administration’s goal to “Make America Healthy Again.” Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more.

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A photo of Martin O'Malley standing inside a Senate committee hearing room.

KFF Health News / CMG TV Stations Investigation

Exclusive: Social Security Chief Vows to Fix ‘Cruel-Hearted’ Overpayment Clawbacks

New Social Security Commissioner Martin O’Malley is promising to change how the agency reclaims billions of dollars it wrongly pays to beneficiaries, saying the existing process is “cruel-hearted and mindless.”

By Fred Clasen-Kelly

March 13, 2024

A photo of a laptop screen with Facebook Ad Library open. It shows three ads by Medicare Advantage Majority.

Medicare Advantage ‘Dark Money’ Group Attempts To Win Higher Payments for Insurance Companies

Medicare Advantage insurers say a proposal by the Trump administration to keep their payments nearly flat next year may lead to service cuts that harm seniors struggling to afford health care. A decision is due by early next month.

By Fred Schulte, Maia Rosenfeld, and David Hilzenrath

March 13, 2026

Rural Health Payout

Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans

Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.

By Arielle Zionts and Sarah Jane Tribble

March 4, 2026

A woman in a pink shirt walks away from the camera while holding a young boy on her right him. The boy looks behind her at the camera.

Bill of the Month

Toddler’s Backyard Snakebite Bills Totaled More Than a Quarter Million Dollars

For snakebite victims, antivenom is critical — and costly. It took more than $200,000 worth of antivenom to save one toddler’s life after he was bitten by a rattlesnake.

By Jackie Fortiér

Oct. 30, 2024

A photo of a husband and wife standing on the beach.

Deadly Denials

After Series of Denials, His Insurer Approved Doctor-Recommended Cancer Care. It Was Too Late.

Eric Tennant’s doctors recommended histotripsy, which would target, and potentially destroy, a cancerous tumor in his liver. But by the time his insurer approved the treatment, Tennant was no longer considered a good candidate. He died in September.

By Lauren Sausser

Nov. 21, 2025

An older doctor consults with a younger doctor as they both review forms on a clipboard.

The New Old Age

When the Doctor Needs a Checkup

The physician workforce is aging fast, and some hospitals now require that older clinicians undergo testing for cognitive decline. Many have resisted.

By Paula Span

Feb. 4, 2026

A digital render of a brain modeled out of circuitry.

States Pass Privacy Laws To Protect Brain Data Collected by Devices

Colorado, California, and Montana have passed neural data privacy laws meant to prevent the exploitation of brain information collected by consumer products.

By Kate Ruder

July 23, 2025

A photo of a train advertisement that reads, "A pathway to a better you. Get free healthcare coverage through Georgia Pathways."

Georgia Shows Rough Road Ahead for States as Medicaid Work Requirements Loom

President Donald Trump signed legislation that requires many Medicaid recipients to prove they’re working to qualify for health care coverage, allocating $200 million for states that expanded Medicaid to prepare systems to verify people’s eligibility. Georgia’s program, which has been expensive and difficult to administer, has had limited enrollment.

By Renuka Rayasam and Sam Whitehead

July 21, 2025

A photo of Martha Santana-Chin smiling in front of a wall painted blue. The wall appears decorated for Thanksgiving: a string of pennants spells out "Give Thanks." Images of employees' heads are superimposed on turkeys.

GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan

Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation’s largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care’s Medicaid rolls by the end of 2028.

By Bernard J. Wolfson

Jan. 15, 2026

A doctor writes notes in an examination room while talking to a patient out of frame.

New Federal Medicaid Rules Require One Month of Work. Some States Demand More.

Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they’ve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.

By Samantha Liss

April 16, 2026

Priced Out

Many ACA Customers Are Paying Higher Premiums. Most Blame Trump and Republicans, Poll Finds.

A KFF poll offers insights into people’s insurance coverage decisions and how those choices could play into their vote in November’s midterm elections.

By Julie Appleby

March 19, 2026

The Health 202

The Neglected U.S. Victims of Agent Orange

By Hannah Norman

April 30, 2024

Washington Power Has Shifted. Here’s How the ACA May Shift, Too.

With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.

By Stephanie Armour, Sam Whitehead, and Julie Rovner

Nov. 21, 2024

A picture of a woman pretending to go through the process of dying during a training program. She is circled by others who are learning how to preform aid.

More People Are Caring for Dying Loved Ones at Home. A New Orleans Nonprofit Is Showing Them How.

Demand for home health care, including at-home hospice care, has skyrocketed since the onset of the covid pandemic. A New Orleans nonprofit is teaching people how to provide end-of-life care for relatives and community members.

By Halle Parker, Verite News

Nov. 25, 2025

Diagnosis: Debt

Workers’ Wages Siphoned To Pay Medical Bills, Despite Consumer Protections

Health care providers and debt collectors are biting from people’s paychecks to cover old medical bills. A KFF Health News investigation in Colorado shows that this aggressive collection practice is widespread even in a state considered to have strong consumer protections.

By Rae Ellen Bichell

Oct. 2, 2025

A photo illustration of a hand holding up a $100 bill that is disappearing into thin air.

Priced Out

It’s 2026 and You’re Uninsured. Now What?

Many Americans are expected to lose ACA or Medicaid coverage in coming months and years as a result of the One Big Beautiful Bill Act and the expiration of enhanced pandemic-era subsidies that helped people afford Obamacare plans. Doctors and researchers say there are still ways to find affordable care.

By Renuka Rayasam

Feb. 2, 2026

A photo of a home health aide helping an older woman sit down.

The New Old Age

Solving the Home Care Quandary

Paid home care is buckling under the surging demands of an aging population. But there are alternatives that could upgrade jobs and improve patient care.

By Paula Span

Jan. 8, 2026

Sheldon Ekirch with her hands folded on a table next to her pill bottles.

Deadly Denials

Fighting a Health Insurance Denial? Here Are 7 Tips To Help

Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.

By Lauren Sausser

Sept. 4, 2025

A photo of a senior woman at a table sorting her pills into an organizer.

Montana Looks To Fast-Track Medicaid Access for Older Applicants

As Montana’s population ages, providers serving low-income seniors say more people aren’t getting the care they need as they wait to get on Medicaid. Montana lawmakers are considering creating a shortcut to that care.

By Katheryn Houghton

Oct. 10, 2024

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