Tribal Groups Assert Sovereignty as Feds Crack Down on Gender-Affirming Care

Native American groups declare that tribal sovereignty trumps state and federal efforts to restrict or ban gender-affirming care for two-spirit and LGBTQ+ tribal citizens. Tribes are analyzing the risk of opposing Trump’s policies, advocates say.

$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.

The Foster Care System Has a Suicide Problem. Federal Cuts Threaten To Slow Fixes.

Children and young adults in the U.S. foster care system suffer from mental health disorders and die by suicide at far higher rates than the general population, yet the system doesn’t uniformly screen and treat children who are at risk.

Who’s Policing Opioid Settlement Spending? A Crowdsourced Database Might Help

Billions in opioid settlement money was meant to be spent on treating and preventing addiction — but what happens if it’s misspent? Some advocates say attorneys general need to pay closer attention. If they don’t, a new tool might empower the public.

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.

To Keep Medicaid, Mom Caring for Disabled Adult Son Faces Prospect of Proving She Works

A proposed work requirement would make Medicaid expansion enrollees prove they’re working or meet other criteria. Most already work, but millions are expected to lose coverage if the provision passes, many from red tape. A Missouri mother who cares for her disabled son would probably be subject to the rule.

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.

California Immigrants Weigh Health Coverage Against Deportation Risk

Immigrants without legal status who live in the state are facing a Medi-Cal enrollment freeze next year. But the spate of immigration raids has raised fears that signing up before the deadline will put them on the radar of federal officials.

Feds Investigate Hospitals Over Religious Exemptions From Gender-Affirming Care

Federal health officials are investigating claims that a Michigan health system fired an employee who sought a religious exemption to avoid calling transgender patients by their pronouns or referring them for gender-affirming care. Legal experts say the investigation escalates the Trump administration’s effort to curb medical care for transgender patients.

Thune Says Health Care Often ‘Comes With a Job.’ The Reality’s Not Simple or Straightforward.

Sixty percent of Americans have health insurance through their own workplace or someone else’s job. But not all employers provide health insurance or offer plans to all their workers. When they do, cost and quality vary widely, making Thune’s statement an oversimplification.

Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States

Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.

‘One Big Beautiful Bill’ Would Batter Rural Hospital Finances, Researchers Say

Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.