States Update Guardianship Laws To Keep Children of Immigrants Out of Foster Care
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State Watch
A KFF Health News examination of how the Trump administration is reshaping health care in America.
21 - 40 of 75 Results
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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.
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Medi-Cal Immigrant Enrollment Is Dropping. Researchers Point to Trump’s Policies.
A KFF Health News analysis found Medi-Cal lost almost 100,000 immigrants without legal status in the second half of 2025. California officials say it’s not clear if immigrants are losing coverage faster than other populations, but researchers said the most obvious driver is fear of the Trump administration’s immigration policies.
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Rural Nebraska Dialysis Unit Closes Despite the State’s $219M in Rural Health Funding
A rural Nebraska dialysis unit that was hemorrhaging money closed, upending patients’ lives. That’s despite a federal rural health program that granted the state more than $200 million this year to improve health care in rural communities.
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States Change Custody Laws To Keep Children of Detained Immigrants Out of Foster Care
As President Donald Trump’s heightened immigration enforcement continues across the country, some states are updating temporary guardianship laws to keep the children of detained and deported immigrants out of state custody.
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Pennsylvania Town Faces Fallout From Trump’s Environmental Rule Rollback
Even as the Trump administration publicly embraces the Make America Healthy Again movement and its ideals about reducing corporate harm to the environment, it has taken steps to stall environmental protections that MAHA followers hold dear.
By Stephanie Armour and Maia Rosenfeld -
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.
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Urgent Care Clinics Move To Fill Abortion Care Gaps in Rural Areas
When the only clinic that offered abortions in Michigan’s rural Upper Peninsula closed, an urgent care facility stepped in to fill the gap. Now, others are considering similar moves as brick-and-mortar clinics close in blue states.
By Kate Wells -
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.
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State-Run Insurance Plans for Foster Kids Leave Some of Them Without Doctors
North Carolina rolled out a $3.1 billion insurance plan for kids in foster care, but many doctors did not accept patients on the plan. The state is one of several experimenting with a model that has left kids’ guardians scrambling to find health care providers.
By Andrew Jones -
After Man’s Death Following Insurance Denials, West Virginia Tackles Prior Authorization
After Eric Tennant died, his widow vowed to speak out against West Virginia’s Public Employees Insurance Agency, which had denied cancer treatment recommended by Tennant’s doctor. Her efforts paid off. In March, West Virginia’s governor signed a bill to protect some patients from harm tied to prior authorization.
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Trump’s One Big Beautiful Bill Act Darkens Outlook for Government-Backed Clinics
About 17,000 federally funded health clinics stand to collectively lose $32 billion under GOP-backed fiscal policies in the next five years — just as more uninsured patients will rely on them for low-cost care.
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Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators
Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have uncovered few immigrants without legal status who are improperly receiving benefits.
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States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls
The One Big Beautiful Bill Act will add red tape and restrictions for those seeking Medicaid and SNAP benefits. And the costs to update computer systems that determine eligibility for those programs will be steep.
By Samantha Liss and Rachana Pradhan -
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.
By Aaron Bolton, MTPR and Arielle Zionts -
Oz Escalates Medicaid Fraud Claims Against States After Focus on Minnesota
The Trump administration’s unprecedented actions targeting Medicaid funding in Minnesota are part of what could become a playbook as officials turn pressure toward California, Florida, Maine, and New York.
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Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle
Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
By Don Thompson -
Maker of Device To Treat Addiction Withdrawal Seeks Counties’ Opioid Settlement Cash
Some researchers and recovery advocates see the NET device as the latest in a series of products pitched as the solution to the addiction crisis that have been overhyped to capitalize on money from the opioid settlements.
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Reckoning With State and Federal Cuts, Los Angeles Safety-Net Clinics Push for a New Tax
Across California and the nation, health providers, advocates, local officials, and state legislators are eyeing tax increases to offset a loss of more than $900 billion in federal Medicaid dollars as a result of the GOP’s One Big Beautiful Bill Act. In Los Angeles County, community clinics have banded together in support of a half-cent sales tax.
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Families Scramble To Pay Five-Figure Bills as Clock Ticks on Promised Preauthorization Reforms
Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, which often requires patients or their doctors to seek preapproval from insurers before proceeding with medical care. Patient advocates and medical providers remain skeptical.