Journalists Zero In on ‘Certificate of Need’ Laws and Turbulent Obamacare Enrollment Season
KFF Health News journalists made the rounds on regional media recently to discuss topical stories. Here’s a collection of their appearances.
Hospitals
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Scorpion Peppers Caused Him ‘Crippling’ Pain. Two Years Later, the ER Bill Stung Him Again.
Homemade hot sauce sent a Colorado man to the emergency room with what he called “the worst pain of my life.” But stomach cramps were only the beginning. Two years later, the bill came.
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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 -
One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts
The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.
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Health Care Consolidation and Rising Costs Happen, but Obamacare Is Not the Key Culprit
The debate over expiring Affordable Care Act tax credits has given Republicans room to resurface old criticisms — such as blaming the ACA for mergers and consolidation within the health care industry.
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A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It’s Still a Dirt Field.
Regulations meant to prevent unfettered health care expansion are withholding needed hospital beds in a rural part of North Carolina. Here, as in communities around the country, some officials and health care providers are contesting such “certificate of need” laws.
By Andrew Jones -
Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
By Sarah Jane Tribble and Arielle Zionts -
Once a Patient’s in Custody, ICE Can Be at Hospital Bedsides — But Detainees Have Rights
Federal law allows Immigration and Customs Enforcement agents to guard detainees at health care facilities, but patients can ask to speak privately with medical providers and lawyers.
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As Health Companies Get Bigger, So Do the Bills. It’s Unclear if Trump’s Team Will Intervene.
As health systems, doctor groups, and insurers merge into ever-bigger giants, patient care gets more expensive. Yet the Trump administration has sent mixed signals about its willingness to intervene — and shown some disdain for Biden officials’ more aggressive approach.
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California Faces Limits as It Directs Health Facilities To Push Back on Immigration Raids
California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
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Doctor Tripped Up by $64K Bill for Ankle Surgery and Hospital Stay
A doctor in Colorado became the patient after an accident totaled her car and sent her to the operating room. The hospital kept her overnight, but her insurer stopped paying after she left the emergency room.
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So Your Insurance Dropped Your Doctor. Now What?
Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.
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As Trump Denies Climate Change, At Least 170 Hospitals Face Major Flood Risk
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Brett Kelman -
California’s Nursing Shortage Is Getting Worse. Front-Line Workers Blame Management.
California’s nursing shortage is projected to worsen, and hospitals say funding cuts will only add strain. But front-line nurses blame heavy workloads, not a shortage, for driving workers away.
By Angela Hart -
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.
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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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Readers Speak Up for Patients Who Can’t, and for Kids With Disabilities
KFF Health News gives readers a chance to comment on a recent batch of stories.
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As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
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Big Loopholes in Hospital Charity Care Programs Mean Patients Still Get Stuck With the Tab
Even if people qualify for financial help with their hospital bills, the care they receive may not be covered.
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As the Trump Administration and States Push Health Data Sharing, Familiar Challenges Surface
Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans’ medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.
By Sarah Kwon