Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits

Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.

From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs

Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.

Trump’s HHS Orders State Medicaid Programs To Help Find Undocumented Immigrants

Federal health authorities have taken the “unprecedented” step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they’ve received more than 170,000 names collectively.

What the Health? From KFF Health News: Happy Open Enrollment Eve!

A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.

Refugees Will Be Among the First To Lose Food Stamps Under Federal Changes

Under the budget law that Republicans call the One Big Beautiful Bill Act, food assistance for refugees will be sliced. The change is sowing fear, uncertainty, and a struggle for survival — a sign of what’s to come for millions of Americans.

California Faces Limits as It Directs Health Facilities To Push Back on Immigration Raids

California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.

Many Fear Federal Loan Caps Will Deter Aspiring Doctors and Worsen MD Shortage

Health care professionals fear that new caps on federal student lending, set to start in July, will put medical school out of reach for many who want to become doctors and exacerbate physician shortages. Others say unlimited federal lending has fed a rise in academic costs, saddling families and, ultimately, taxpayers with debt.

A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal

Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year’s open enrollment season, which begins in most states on Saturday.

Doctors Muffled as Florida Moves To End Decades of Childhood Vaccination Mandates

Florida has announced plans to end mandatory vaccination. Now scientists are assessing which of several diseases deadly to children — whooping cough, measles, polio, rubella, mumps, diphtheria, and tetanus — are likely to make a resurgence and when.

Officials Show Little Proof That New Tech Will Help Medicaid Enrollees Meet Work Rules

The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot programs and found little evidence of new — or effective — technology.