Dubious Buys Raise Alarm Over Local Control of Opioid Cash
Much of the questionable opioid settlement spending in 2025 occurred at the county and city level, where decision-makers often have no background in addiction policy.
West Virginia
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Black Lung Disease Remains a Threat, but Federal Officials Delay Effort To Address It
The disease has long been a risk of coal mining, an industry the Trump administration is trying to reinvigorate.
By Taylor Sisk -
States Bet Big on Rural Health Startups, With a Silicon Valley Twist
States are spending rural health dollars on tech startups, betting that untested companies will succeed where doctors have vanished and hospitals have collapsed. Louisiana’s call for innovative technology drew more than 200 pitches, seeking from $250,000 to $3 million in seed money.
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$50B Rural Health Transformation Program Needs More Transparency, Groups Say
States must submit Rural Health Transformation Program progress reports to the federal government, but they aren’t required to proactively post those reports, or related information, publicly.
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Tracking State Rural Health Transformation Plans
KFF Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
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Thousands of Medicare Beneficiaries Thought Their Drug Plan Was Free. Then They Lost It.
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year — and didn’t know it. They were dropped from their coverage for failing to pay amounts as little as $8, and most can’t get it again until 2027.
By Susan Jaffe -
License To Deliver: Some Midwives Break the Law To Assist With Home Births
Some states bar professional midwives from attending home births if they don’t have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
By Lisa Rab -
Food Stamp Work Rules Don’t Increase Employment, Researchers Say
Work requirements will encourage people who are able to work to seek and maintain jobs, proponents say. But researchers haven’t found that they lower the unemployment rate.
By Taylor Sisk -
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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Evidence Shows ACA’s Mandated Benefits Alone Don’t Drive Up Costs. The Debate Continues.
The Affordable Care Act put in place a package of benefits that health insurance plans must cover. Critics contend this mandate has jacked up premiums. Evidence supporting that claim is mixed.
By Julie Appleby and Sarah Boden -
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.
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As Lung Disease Threatens Workers, Lawmakers Seek Protections for Countertop Manufacturers
Crystalline silica, which is released into the air when workers cut and polish engineered stone, can scar human lungs beyond repair. Kitchen countertops made with this stone have triggered an increased rate of this fatal illness, doctors say.
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Louisville Found PFAS in Drinking Water. The Trump Administration Wouldn’t Require Any Action.
After detecting a sudden spike in PFAS in its drinking water, the city traced it upstream along the Ohio River to a factory in West Virginia. But the EPA has relaxed Biden-era plans to regulate PFAS levels. So what happens next?
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Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
Breakups between insurers and health systems, on top of plan cuts, left more than 3.7 million Medicare Advantage enrollees facing a tough choice last year: find new insurance or new doctors. But hospital systems say their Advantage plans can avert such upheaval, giving patients peace of mind.
By Susan Jaffe -
RFK Jr.’s MAHA Movement Has Picked Up Steam in Statehouses. Here’s What To Expect in 2026.
“Make America Healthy Again” policies driven by HHS Secretary Robert F. Kennedy Jr. have made major strides in state legislatures, with food additives among the most common targets. The trend is expected to continue this year.
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How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
By Jordan Rau -
Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
By Samantha Liss and Sam Whitehead -
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.
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From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs
Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.
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Sock Hops and Concerts: How Some Places Spent Opioid Settlement Cash
States, counties, and cities are receiving millions in opioid settlement money to address the addiction crisis. The ways they spent the dollars in 2024 sometimes drew criticism from advocates and at least one state official, who alleged misuse.