KFF Health News' 'What the Health?': Trump’s ‘One Big Beautiful Bill’ Lands in Senate. Our 400th Episode!

The House’s gigantic tax-and-spending budget reconciliation bill has landed with a thud in the Senate, where lawmakers are divided in their criticism over whether it increases the deficit too much or cuts Medicaid and the Affordable Care Act too deeply. Meanwhile, the Congressional Budget Office’s estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade won’t make it an easy sell. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Arielle Zionts, who reported and wrote the latest “Bill of the Month” feature, about a Medicaid patient who had an out-of-state emergency.

Trump Decried Crime in America, Then Gutted Funding for Gun Violence Prevention

The U.S. Department of Justice canceled $500 million in grants to public safety organizations nationwide, including some that address gun violence. A clinic in St. Louis lost a $2 million award to develop a mobile clinic, increase mental health services, and engage the community.

Trump Administration Is Ending Multiple HIV Vaccine Studies, Scientists and Officials Say

The cuts will shutter two major HIV vaccine research efforts, and a National Institutes of Health senior official said the agency has been instructed not to issue any more HIV vaccine research funding in the next fiscal year, with few exceptions.

KFF Health News' 'What the Health?': Live From AHCJ: Shock and Awe in Federal Health Policy

This episode was taped live on Friday, May 30, at the annual conference of the Association of Health Care Journalists in Los Angeles. Host Julie Rovner moderated a panel featuring Rachel Nuzum, senior vice president for policy at The Commonwealth Fund; Berenice Núñez Constant, senior vice president of government relations and civic engagement at AltaMed Health Services; and Anish Mahajan, chief deputy director of the Los Angeles County Department of Public Health. The panelists discussed the national, state, and local implications of funding cuts made over the first 100 days of the second Trump administration and the potential fallout of reductions that have been proposed but not yet implemented. The panelists also took questions from health reporters in the audience.

RFK Jr. Says Healthy Pregnant Women Don’t Need Covid Boosters. What the Science Says.

Despite opposition by the leader of the Department of Health and Human Services, existing evidence on the safety and efficacy of getting a covid vaccine during pregnancy all points the same way: The shots are important for maternal and fetal health.

Feds Chop Enforcement Staff and Halt Rules Meant To Curb Black Lung in Coal Miners

The Trump administration has paused implementation of a rule limiting miners’ exposure to airborne silica dust days after a federal court agreed to put it on hold to hear an industry challenge. The protections are meant to head off a surge in cases of black lung disease. Meanwhile, any enforcement of new standards might be meager due to workforce cuts.

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

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.

Trump’s Team Cited Safety in Limiting Covid Shots. Patients, Health Advocates See More Risk.

The FDA will encourage new clinical trials on the widely used vaccines before approving them for children and healthy adults. The requirements could cost drugmakers tens of millions of dollars and are likely to leave boosters largely out of reach for hundreds of millions of Americans this fall.

Volunteers Help Tornado-Hit St. Louis Amid Wait for Federal Aid

As St. Louis deals with more than $1.6 billion in estimated property damage from the May 16 tornado, locals are pouring in to help the hard-hit area of North St. Louis. It’s unclear if residents can count on federal support as they rebuild.

Flawed Federal Programs Maroon Rural Americans in Telehealth Blackouts

Taxpayers — through federal infrastructure programs — have paid billions of dollars to internet companies to hook up rural Americans. Some communities have nothing to show for it, leaving medically vulnerable rural patients disconnected and without access to telehealth.

KFF Health News' 'What the Health?': Cutting Medicaid Is Hard — Even for the GOP

Republicans on Capitol Hill are struggling to reach consensus on cutting the Medicaid program as they search for nearly a trillion dollars in savings over the next decade — as many observers predicted. Meanwhile, turmoil continues at the Department of Health and Human Services, with more controversial cuts and personnel moves, including the sudden nomination of Casey Means, an ally of Robert F. Kennedy Jr.’s, to become surgeon general. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who co-reported the latest “Bill of the Month” feature, about an unexpected bill for what seemed like preventive care.