Your New Therapist: Chatty, Leaky, and Hardly Human

With high demand for mental health care, a wave of artificial intelligence-powered chatbots are being marketed as therapy apps — with little evidence they work and few regulations.

New Federal Medicaid Rules Require One Month of Work. Some States Demand More.

Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they’ve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.

Rural Nebraska Dialysis Unit Closes Despite the State’s $219M in Rural Health Funding

A rural Nebraska dialysis unit that was hemorrhaging money closed, upending patients’ lives. That’s despite a federal rural health program that granted the state more than $200 million this year to improve health care in rural communities.

States Change Custody Laws To Keep Children of Detained Immigrants Out of Foster Care

As President Donald Trump’s heightened immigration enforcement continues across the country, some states are updating temporary guardianship laws to keep the children of detained and deported immigrants out of state custody.

States Face Another Challenge With Medicaid Work Rules: Staffing Shortages

Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.

Urgent Care Clinics Move To Fill Abortion Care Gaps in Rural Areas

When the only clinic that offered abortions in Michigan’s rural Upper Peninsula closed, an urgent care facility stepped in to fill the gap. Now, others are considering similar moves as brick-and-mortar clinics close in blue states.

This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit

Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.

US Scientists Sequence 1,000 Genomes From Measles, a Disease Long Eliminated With Vaccines

This week, the CDC began to publish long-awaited data that will reveal the extent of measles’ comeback. While applauding the science, researchers say the Trump administration has done little to contain the virus. “That we’re even talking about this is nuts,” one virologist said.

Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators

Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have uncovered few immigrants without legal status who are improperly receiving benefits.

‘They Tricked Me’: A Father Was Chained After He Went to ICE To Reunite With His Kids

The administration has largely converted the HHS Office of Refugee Resettlement into an arm of immigration enforcement, detaining children longer while helping immigration officers arrest their parents or other family members. One father was chained when he went to an ICE office to discuss being reunited with his son and daughter.

Lawmakers Seek To Protect Crisis Pregnancy Centers as Abortion Clinic Numbers Shrink

Some states have tried to crack down on crisis pregnancy centers, accusing them of deceptive practices. But now conservative lawmakers are pushing legislation to increase protections for the organizations, which work to dissuade women from abortions.

Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle

Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.

What the Health? From KFF Health News: RFK Jr.’s Very Bad Week

HHS Secretary Robert F. Kennedy Jr. had another tough week. In addition to Kennedy having rotator cuff surgery, the nomination of his ally to become surgeon general is teetering, the controversial head of the FDA’s vaccine center is resigning next month, and a new survey shows Americans trust government health officials less than they do former Biden official Anthony Fauci. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss these stories and more.