Medicaid Cuts Would Kneecap Health Services, Tribal Leaders Warn
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Healthcare Costs
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Federal Health Work in Flux
Episode 389It’s the Trump administration vs. the federal courts, as the Department of Government Efficiency continues to try to cancel federal contracts and programs and fire workers. But in the haste to cut things, jobs and programs are being eliminated even if they align with the new administration’s goal to “Make America Healthy Again.” Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more.
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In New York, Providers Must Put Patient Costs on the Table
The governor’s fiscal year 2026 budget revises a law designed to limit unexpected bills that can put people at risk for unfair medical billing practices and reduce medical debt. Consumer groups say it doesn’t go far enough.
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Tribal Health Leaders Say Medicaid Cuts Would Decimate Health Programs
As Congress mulls significant cuts to Medicaid, Native American tribes are bracing for potentially devastating financial fallout. That’s because Medicaid is the largest third-party payer for Native American health programs, funding that has helped address chronic underfunding of the Indian Health Service.
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Checking the Facts on Medicaid Use by Latinos
Republicans’ moves to scale back Medicaid are leading to more misinformation about immigrants, especially Latinos, circulating on social media platforms. The misconceptions include the myths that Latinos covered by Medicaid don’t work and that they use Medicaid significantly more than others.
The Cutting Continues
Episode 388The Trump administration’s efforts to downsize the federal government continue, with both personnel and programs being cut at the Department of Health and Human Services, the Department of Veterans Affairs, and the Social Security Administration. Meanwhile, the fight over cuts to the Medicaid program for those with low incomes heats up, as Republicans worry that more of their voters than ever before are Medicaid beneficiaries. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Jeff Grant, who recently retired from the Centers for Medicare and Medicaid Services after 41 years in government service.
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California Borrows $3.4 Billion for Medicaid Overrun as Congress Eyes Steep Cuts
Medi-Cal, California’s Medicaid program, borrowed $3.4 billion from the state — and will likely need even more — due to higher prescription costs and increased eligibility for seniors and immigrants. The top Republican in the state Senate is demanding a hearing “so the public knows exactly where their tax dollars are going.”
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Can House Republicans Cut $880 Billion Without Slashing Medicaid? It’s Likely Impossible.
A Republican House resolution, which needs the Senate’s buy-in, directed a committee to propose ways to reduce the deficit by at least $880 billion over a decade. Lawmakers have taken Medicare off the table for cuts, which makes it impossible to reach $880 billion without cutting Medicaid.
Medical-Debt Watchdog Gets Sidelined by the New Administration
Season 13, Episode 4The Consumer Financial Protection Bureau is offline — for now. Here’s what that could mean for people with medical debt.
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Under Trump, Social Security Resumes What It Once Called ‘Clawback Cruelty’
Last year, the government stopped cutting off people’s monthly Social Security benefits to claw back overpayments. Last week, under President Donald Trump, it reversed that change.
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Thought Inflation Was Bad? Health Insurance Premiums Are Rising Even Faster
California businesses saw employees’ monthly family insurance premiums rise nearly $1,000 over a 15-year period, more than double the pace of inflation. And employees’ share grew as companies shifted more of the cost to workers.
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Trump Health Care Proposal Billed as Consumer Protection but Adds Enrollment Hoops
The proposal also would reverse a Biden administration policy that allowed “Dreamers” — immigrants in the country illegally who were brought here as children — from qualifying for subsidized ACA coverage.
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She Co-Founded the Office That Became DOGE. Now, She Sees ‘Irresponsible Transformation.’
As a deputy chief technology officer in the Obama administration, Jennifer Pahlka brought Silicon Valley talent to Washington to streamline public access to government services. She believes better government technology could both ensure taxpayer dollars aren’t wasted and that people who need health care and food assistance receive it.
By Sarah Kwon -
Years Later, Centene Settlements With States Still Unfinished
At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.
By Andy Miller -
Trump Vowed To End Surprise Medical Bills. The Office Working on That Just Got Slashed.
The Trump administration’s first round of sweeping staff cuts to federal agencies eliminated dozens of positions at the Center for Consumer Information and Insurance Oversight, which is tasked with implementing the No Surprises Act.
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A Runner Was Hit by a Car, Then by a Surprise Ambulance Bill
A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center — which released him with no further treatment. The ambulance bill? Almost $13,000.
By Sandy West -
Republicans Once Wanted Government out of Health Care. Trump Voters See It Differently.
Frustrated by high health care prices, many who backed President Donald Trump support strong government actions to protect patients. It’s unclear whether GOP leaders will listen.
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Opioid Cash Grab: As Federal Funding Dries Up, States Turn to Settlement Money
Nevada’s budget debate highlights how uncertainty over funding for federal safety net programs may lead some officials to turn to opioid settlement dollars to make up the difference.
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Watch: What Is Medicaid, Again?
KFF Health News correspondent Sam Whitehead discusses Medicaid's history and role in the U.S. health system.
By Sam Whitehead and Hannah Norman -
Montana’s Medicaid Expansion Conundrum
State lawmakers appear ready to preserve the state’s Medicaid expansion program without knowing what federal changes might be in store.