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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.
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.
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.
Two 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.
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.
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.
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.
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.
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.
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.
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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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.
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.
Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
Roughly 20 states now have laws permitting families to place cameras in the rooms of loved ones. Facility operators are often opposed.
Tensions between Robert F. Kennedy Jr. and his employees at the Department of Health and Human Services are mounting, as he made a series of claims about autism this week — contradicting his agency’s findings. Plus, President Donald Trump unveiled an executive order to lower drug prices as his administration explores tariffs that could raise them. Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Plus, KFF Health News’ Julie Rovner interviews two University of California-San Francisco researchers about an upcoming Supreme Court case that could have major ramifications for preventive care.
Health care price transparency is one of the few bipartisan issues in Washington, D.C. But much of the information that hospitals and health plans have made available to the public is not helpful to patients, and there’s no conclusive evidence yet that it’s lowering costs or increasing competition.
A bill designed to force PBMs to pay higher fees to independent drugstores sailed through the state House, but lobbyists are marshaling their forces to kill the measure in the Senate.
Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.
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