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.
Legislation
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In the Fallout From Trump’s Health Funding Cuts, States Face Tough Budget Decisions
The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic uncertainty. State and local governments now face difficult decisions.
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Even in States That Fought Obamacare, Trump’s New Law Poses Health Consequences
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
By Daniel Chang and Sam Whitehead -
New Medicaid Federal Work Requirements Mean Less Leeway for States
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
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Lawfully Present Immigrants Help Stabilize ACA Plans. Why Does the GOP Want Them Out?
The GOP’s tax and spending law and a new rule by the Centers for Medicare & Medicaid Services will make it harder to enroll in Affordable Care Act health plans, will raise consumers’ out-of-pocket costs, and could prompt younger, healthier people, including lawfully present immigrants who will lose financial aid, to drop coverage.
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A Brain-Dead Pregnant Woman Was Kept Alive in Georgia. It’s Unclear if State Law Required It.
The anti-abortion movement is rallying around new laws that establish fetal “personhood.” Doctors are scrambling to adjust, but even conservatives don’t always agree on how such laws should be applied.
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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 -
Are 5 Million Nondisabled Medicaid Recipients Watching TV All Day? That’s Unsupported
CNN pundit Scott Jennings said almost 5 million nondisabled Medicaid recipients "simply choose not to work" and "spend six hours a day socializing and watching television." But a recent analysis found only about 300,000 cited a lack of interest in working as the reason they were unemployed.
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Louisiana Upholds Its HIV Exposure Law as Other States Change or Repeal Theirs
State lawmakers unsuccessfully attempted to extend the law this year to cover the intentional exposure of other sexually transmitted infections.
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$50B Rural Health ‘Slush Fund’ Faces Questions, Skepticism
Lawmakers added a $50 billion program for rural health to President Donald Trump’s massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won’t reach the right places.
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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 -
Perspective
Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.
The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.
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In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry
The health industry couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Donald Trump’s tax and spending bill for many reasons. A big one: Congressional Republicans were more worried about angering Trump than a backlash from hospitals and low-income constituents back home.
By Phil Galewitz and Stephanie Armour Digesting Trump’s Big Budget Law
Episode 405President Donald Trump’s big budget bill became his big budget law on July 4, codifying about $1 trillion in cuts to the Medicaid program. But the law includes many less-publicized provisions that could reshape the way the nation pays for and receives health care. Meanwhile, at the Department of Health and Human Services, uncertainty reigns as both staff and outside recipients of federal funds face cuts. Rachel Roubein of The Washington Post, Tami Luhby of CNN, and Rachel Cohrs Zhang of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Julie Appleby, who reported the latest KFF Health News’ “Bill of the Month” feature, about some very pricey childhood immunizations.
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Insurers Fight State Laws Restricting Surprise Ambulance Bills
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.
Trump’s Bill Reaches the Finish Line
Episode 404The House on Thursday moved to approve the largest-ever cuts to federal safety net programs, the last step before the measure goes to President Donald Trump’s desk. After the Senate very narrowly passed the bill, House GOP leaders ushered it past resistance from conservatives wary of adding trillions to the federal debt and moderates concerned about its cuts to Medicaid. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. has continued to pursue his anti-vaccine agenda, despite promising that he would not. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more.
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GOP Governors Mum as Congress Moves To Slash Medicaid Spending for Their States
In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors — whose constituents stand to lose federal funding and health coverage — have gone quiet on the health consequences.
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To Cut Medicaid, the GOP’s Following a Path Often Used To Expand Health Care
Republicans are attempting to use the budget reconciliation process to boost President Donald Trump’s priorities and reduce health coverage. That process has been used to pass nearly every major piece of health legislation for decades — except usually lawmakers use it to expand health care, not cut it, writes Julie Rovner.
By Julie Rovner -
Republican Megabill Will Mean Higher Health Costs for Many Americans
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care — with ramifications that could touch all Americans.
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Too Sick To Work, Some Americans Worry Trump’s Bill Will Strip Their Health Insurance
Republicans claim 4.8 million Americans on Medicaid who could work choose not to. The GOP’s work-requirement legislation could sweep up disabled people who say they’re unable to hold jobs.
By Phil Galewitz and Stephanie Armour