‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes
The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
Montana’s Small Pharmacies Behind Bill To Corral Pharmacy Benefit Managers
A bill designed to force PBMs to pay higher fees to independent drugstores sailed through the state House, but lobbyists are marshaling their forces to kill the measure in the Senate.
With Few Dentists and Fluoride Under Siege, Rural America Risks New Surge of Tooth Decay
The anti-fluoride movement has more momentum than ever. In rural counties with few dentists, tooth decay could surge to levels that have not been seen in decades, experts warn.
Montana Examines Ways To Ease Health Care Workforce Shortages
Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.
The Colorado Psychedelic Mushroom Experiment Has Arrived
With the first licenses for providing psychedelic mushrooms issued, excitement and questions build about the fungi’s potential, affordability, and safety in the Centennial State.
Amid Plummeting Diversity at Medical Schools, a Warning of DEI Crackdown’s ‘Chilling Effect’
Enrollment of underrepresented groups at medical schools fell precipitously this academic year after the Supreme Court’s 2023 ban on affirmative action. Education and health experts worry the Trump administration’s anti-DEI measures will only worsen the situation, even in states like California that have navigated bans on race-conscious admissions for years.
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.
Without Federal Action, States Wrestle With Kratom Regulation
A bill proposed by kratom industry advocates is prompting consideration — and some concern — in the Montana Legislature.
Hospital Gun-Violence Prevention Programs May Be Caught in US Funding Crossfire
Hospital-based violence intervention programs have operated in the U.S. since the mid-1990s. The public health approach to gun violence works, by many accounts. But recent moves by the White House are raising anxiety about the programs’ future.
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.
MRNA Vaccines, Once a Trump Boast, Now Face Attacks From Some in GOP
Republicans have proposed legislation in several states to ban the pioneering technology used in covid shots. Many doctors worry a huge medical advance could be rolled back.
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.
States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.
Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump
In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.
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.
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.
Texas Measles Outbreak Nears 100 Cases, Raising Concerns About Undetected Spread
Health officials expect a measles outbreak in West Texas to exceed 100 cases because of low vaccination rates and undetected infections. Vaccine misinformation and new laws may make such situations more common and harder to contain.
GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk
Congressional Republicans are pushing plans that could make deep cuts to Medicaid to finance President Donald Trump’s tax cuts and other priorities. At stake is coverage for millions of low-income Americans, as well as a huge revenue source for hospitals — and every state.
As States Mull Medicaid Work Requirements, Two With Experience Scale Back
As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.
Republican States Claim Zero Abortions. A Red-State Doctor Calls That ‘Ludicrous.’
In several red states, officials say few or no abortions happened in 2023, raising alarm among researchers about the politicization of vital statistics.
