Obamacare Sign-Ups Drop, but the Extent Won’t Be Clear for Months
Experts say Affordable Care Act sign-up data won’t be clear until people who were enrolled have paid — or haven't paid — their new, often much higher, premiums.
Washington
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Newsom Walks Thin Line on Immigrant Health as He Eyes Presidential Bid
Progressives are assailing Gov. Gavin Newsom for proposing to pull back coverage for some legal residents, such as refugees and asylum-seekers, while conservatives lambaste the California Democrat for using limited state funds on Medicaid coverage for immigrants without legal status.
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These 3 Policy Moves Are Likely To Change Health Care for Older People
Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.
By Paula Span -
Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.
Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.
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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 -
Criminally Ill: Systemic Failures Turn State Mental Hospitals Into Prisons
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.
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Oregon Hospital Races To Build a Tsunami Shelter as FEMA Fights To Cut Its Funding
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
By Hannah Norman and Daniel Chang -
Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
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Trump’s HHS Orders State Medicaid Programs To Help Find Undocumented Immigrants
Federal health authorities have taken the "unprecedented" step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they’ve received more than 170,000 names collectively.
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The Quiet Collapse of America’s Reproductive Health Safety Net
The HHS office that administers the Title X family planning program has been effectively shut down. And with cuts to federal funding for other family health programs, expected Medicaid cuts, and the potential lapse of ACA subsidies, health leaders fear they are seeing the biggest setback to U.S. reproductive care in half a century.
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Trump Team Takes Aim at State Laws Shielding Consumers’ Credit Scores From Medical Debt
Reversing guidance from the Biden administration, the Consumer Financial Protection Bureau concludes that states cannot bar medical debt from their residents’ credit reports.
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After Chiding Democrats on Transgender Politics, Newsom Vetoes a Key Health Measure
California Gov. Gavin Newsom vetoed a bill that would have expanded access to hormone therapy, a top priority for the trans community. Advocates say it would have ensured continuity in gender-affirming care amid Trump administration attacks. Analysts say it’s another sign of the Democrat’s move to the center.
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It’s a Bird! It’s a Plane! It’s a Chemtrail? New Conspiracy Theory Takes Wing at Kennedy’s HHS
The idea that airplane vapors are toxic to people or that there are ongoing efforts to intentionally change the climate made the social media rounds. Now, it has found advocates at the Department of Health and Human Services.
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Wary of RFK Jr., Colorado Started Revamping Its Vaccine Policies in the Spring
Amid concerns that Health and Human Services Secretary Robert F. Kennedy Jr. is undermining trust in vaccines and public health science, some states are seeking new sources of scientific consensus and changing how they regulate insurance companies, prescribers, and pharmacists. Colorado has been at the front of this wave.
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Investigation
At Least 170 US Hospitals Face Major Flood Risk. Experts Say Trump Is Making It Worse.
As a warming climate intensifies storms, KFF Health News has identified more than 170 U.S. hospitals at risk of significant and potentially dangerous flooding. Climate experts warn that the Trump administration’s cuts leave the nation less prepared.
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AI Will Soon Have a Say in Approving or Denying Medicare Treatments
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
By Lauren Sausser and Darius Tahir -
Amid Confusion Over US Vaccine Recommendations, States Try To ‘Restore Trust’
The decisions by the Advisory Committee on Immunization Practices matter, because insurers and federal programs rely on them, but they are not binding. States can follow the recommendations, or not.
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States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit
North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.
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Kennedy’s Take on Vaccine Science Fractures Cohesive National Public Health Strategies
A lack of faith in the soundness of the Centers for Disease Control and Prevention’s new direction has led states to explore enacting their own vaccine policies. A patchwork of divergent recommendations and requirements could result.
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When I Go, I’m Going Green
In a survey by the National Funeral Directors Association, more than 60% of respondents said they would be interested in exploring green and natural burial alternatives.
By Paula Span