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KFF Health News' 'What the Health?': Bill With Billions in Health Program Cuts Passes House

Podcast

The House narrowly passed a budget reconciliation bill, including billions of dollars in tax cuts for the wealthy along with billions of dollars in cuts to health program spending. But the Senate is expected to make major changes to the measure before it can go to President Donald Trump for his signature. This week’s panelists are Julie Rovner of KFF Health News, Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico.

Housing, Nutrition in Peril as Trump Pulls Back Medicaid Social Services

KFF Health News Original

About half of states have broadened Medicaid, the state-federal low-income health care program, to pay for social services such as housing and nutritional support. The Trump administration, however, views these experiments as distractions from the core mission to provide health care.

Californians Receiving In-Home Care Fear Medicaid Cuts Will Spell End to Independent Living

KFF Health News Original

Bay Area senior Carol Crooks doesn’t know where congressional Republicans will land on Medicaid cuts as they look to fund a tax bill, but her health has already deteriorated as she worries about losing the help she needs to remain in her Oakland apartment — and out of a nursing home.

Mental Health and Substance Misuse Treatment Is Increasingly a Video Chat or Phone Call Away

KFF Health News Original

More Californians are getting mental health or substance use disorder treatment online or over the phone than in person, according to a KFF Health News analysis of UCLA’s latest California Health Interview Survey. But the telehealth experience isn’t always positive.

Newsom’s Pitch as He Seeks To Pare Down Immigrant Health Care: ‘We Have To Adjust’

KFF Health News Original

Gov. Gavin Newsom said that he’s proud his state expanded health care to all low-income residents regardless of immigration status but that tough budget times call for some adjustments. The Democrat’s new budget proposes scaling back benefits to adults living in the country illegally, as well as charging them a $100 monthly premium.

After Promising Universal Health Care, California Governor Must Reconsider Immigrant Coverage

KFF Health News Original

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.

A California Lawmaker Leans Into Her Medical Training in Fight for Health Safety Net

KFF Health News Original

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.

As Republicans Eye Sweeping Medicaid Cuts, Missouri Offers a Preview

KFF Health News Original

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.

Covered California Pushes for Better Health Care as Federal Spending Cuts Loom

KFF Health News Original

Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.

California’s Primary Care Shortage Persists Despite Ambitious Moves To Close Gap

KFF Health News Original

The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.

What ‘Fertilization President’ Trump Can Learn From State Efforts To Expand IVF Access

KFF Health News Original

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.

Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?

KFF Health News Original

Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.

Fate of Black Maternal Health Programs Is Unclear Amid Federal Cuts

KFF Health News Original

In California, Black women are at least three times as likely as white women to die from pregnancy-related causes. Santa Clara County initiatives aimed at reducing racial disparities work but depend on federal dollars — money that might not flow amid budget cuts and a push to end diversity, equity, and inclusion programs.

California Halts Medical Parole, Sends Several Critically Ill Patients Back to Prison

KFF Health News Original

California has unilaterally halted a court-ordered medical parole program. Instead, it’s sending its most incapacitated prisoners back to state lockups or releasing them early. The change is drawing protests from attorneys representing prisoners and the author of the medical parole law, who argue prisoners’ health may be compromised.

States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs

KFF Health News Original

Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.

Families of Transgender Youth No Longer View Colorado as a Haven for Gender-Affirming Care

KFF Health News Original

Colorado was long considered a haven for gender-affirming care. But under this Trump administration, hospitals in the state have limited the treatments available for people under 19. Some services have been restored, but trans youth and their families say the state isn’t the rock they thought it was.

More Psych Hospital Beds Are Needed for Kids, but Neighbors Say Not Here

KFF Health News Original

Amid a youth mental health crisis and a shortage of inpatient psychiatric beds, residents of a St. Louis suburb opposed a plan to build a 77-bed pediatric mental health hospital. Resistance to such facilities has occurred in other communities as misconceptions about mental health spur fear.