Dual Threats From Trump and GOP Imperil Nursing Homes and Their Foreign-Born Workers
Understaffed nursing homes face a workforce crisis if President Donald Trump and Republicans further curtail immigration and cut Medicaid.
Legislation
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‘MAGA’ Backers Like Trump’s ‘Big Beautiful Bill’ — Until They Learn of Health Consequences
A new poll finds that most adults oppose the GOP bill that would extend many of President Donald Trump’s tax cuts while reducing spending on domestic programs including Medicaid. Most Trump backers support the plan until they learn that millions would lose health coverage and local hospitals would lose funding.
RFK Jr. Upends Vaccine Policy, After Promising He Wouldn’t
Episode 401Health and Human Services Secretary Robert F. Kennedy Jr. this week did something he had promised not to do: He fired every member of the scientific advisory committee that recommends which vaccines should be given to whom. And he replaced them, in some cases, with vaccine skeptics. Meanwhile, hundreds of employees of the National Institutes of Health sent an open letter to the agency’s director, accusing the Trump administration of policies that “undermine the NIH mission.” Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more.
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Newsom’s Push To Block Law Could Save California Nursing Homes Over $1 Billion
Gov. Gavin Newsom wants to block a state law that requires nursing homes to have 96 hours of backup power in the case of emergencies, potentially giving the industry a break from spending over $1 billion on facility upgrades. Patient advocates say rolling back the nursing home industry requirements for preparedness could jeopardize the safety of residents.
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Trump’s ‘One Big Beautiful Bill’ Continues Assault on Obamacare
The domestic policy legislation the House advanced in May includes the most substantial rollback of the Affordable Care Act since President Donald Trump and his Republican allies tried to pass legislation in 2017 that would have largely repealed President Barack Obama’s signature domestic accomplishment.
By Phil Galewitz and Julie Appleby -
Republicans Aim To Punish States That Insure Unauthorized Immigrants
A GOP tax-and-spending bill the House approved Thursday would slash federal Medicaid reimbursement for states that offer health coverage to immigrants without legal status.
By Phil Galewitz and Christine Mai-Duc -
Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers
The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.
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The GOP’s Trying Again To Cut Medicaid. It’s Only Gotten Harder Since 2017.
Donald Trump is back in the White House, the GOP controls Congress, and Republicans have dusted off their 2017 plans to reshape Medicaid, the government health program for those with low incomes or disabilities.
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After Promising Universal Health Care, California Governor Must Reconsider Immigrant Coverage
Gov. Gavin Newsom was elected to office in 2019 on a promise of universal health care. He dramatically expanded coverage, but after six years, the Democrat is forced to contemplate deep cuts — including to the nation’s largest health care expansion to immigrants living in the U.S. without legal permission.
By Angela Hart and Christine Mai-Duc A Health Policy Veteran Puts 2025 in Perspective
Season 13, Episode 7Two stories from Washington, D.C., give listeners a sense of what changes the Trump administration has been making to health policy, with KFF Health News’ Julie Rovner and Arthur Allen.
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Trump Team Faces Key Legal Decision That Could Put Mental Health Parity in Peril
The administration is facing a May 12 deadline to declare if it will defend Biden-era regulations that aim to enforce laws requiring parity in insurance coverage of mental and physical health care.
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A California Lawmaker Leans Into Her Medical Training in Fight for Health Safety Net
As California’s budget deadline looms, state Sen. Akilah Weber Pierson, a physician-turned-lawmaker, says state leaders may soon have to make some tough decisions on health care spending. With the state’s Medi-Cal program billions of dollars short, California’s health care safety net is at risk — even without federal cuts to Medicaid.
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Meet the Florida Group Chipping Away at Public Benefits One State at a Time
The Trump administration’s “Make America Healthy Again” platform has boosted the agenda of a conservative think tank that’s been working for more than a decade to reshape the nation’s public assistance programs.
By Katheryn Houghton and Samantha Liss -
Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love To Pay
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
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As Republicans Eye Sweeping Medicaid Cuts, Missouri Offers a Preview
Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid — and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through people’s lives.
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Montana Lawmakers Approve $124M To Revamp Behavioral Health System
The legislation calls for a new mental health facility in eastern Montana, upgrades to existing state facilities, expansion of community services, and revisions to commitment procedures.
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Government Watchdog Expects Medicaid Work Requirement Analysis by Fall
This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.
By Sam Whitehead and Renuka Rayasam -
Montana Hospitals Preserve Medicaid Expansion, Fend Off Regulations
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
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What ‘Fertilization President’ Trump Can Learn From State Efforts To Expand IVF Access
State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face — obstacles that have led to millions of people being left out even when mandates become law.
By Sarah Kwon -
A Chicago Hospital Bows to Federal Pressure on Trans Care for Teens
In the wake of an executive order by President Donald Trump opposing gender-affirming surgeries for minors, hospitals are pausing procedures — even those already scheduled. Families fear the eventual loss of all gender-affirming care for their transgender kids.