In a First, Trump and GOP-Led Congress Prepare To Swell Ranks of U.S. Uninsured

Fewer Americans will likely have health insurance, compromising their physical and financial health, as the Trump administration and GOP-controlled Congress weigh major changes to the Affordable Care Act and Medicaid. “The effects could be catastrophic,” one policy analyst predicts.

At Some Federal Beaches, Surf’s Up but the Lifeguard Chair’s Empty

Some of the nation’s most well-known beaches are managed by the National Park Service, which saw about 1,000 employees laid off in February by the quasi-agency Department of Government Efficiency, then led by Elon Musk. The void has become a serious public health and safety concern.

KFF Health News' 'What the Health?': Supreme Court Upholds Bans on Gender-Affirming Care

The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.

Trump Team’s Reworking Delays Billions in Broadband Build-Out

A Trump administration reworking of a $42 billion broadband expansion program will trigger delays as millions of rural Americans wait for promised connections and the telehealth services they bring.

The Price You Pay for an Obamacare Plan Could Surge Next Year

An estimated 4 million Americans will lose health insurance over the next decade if Congress doesn’t extend enhanced subsidies for Affordable Care Act marketplace coverage, which expire at the end of the year. Florida and Texas would see the biggest losses, in part because they have not expanded Medicaid eligibility.

‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.

A Revolutionary Drug for Extreme Hunger Offers Clues to Obesity’s Complexity

A new drug is helping families who’ve spent years padlocking fridges, chaining garbage cans, and hiding food as their children with Prader-Willi syndrome deal with unrelenting hunger. But additional progress — and a broader understanding of obesity — is now under threat as the government dismantles the pipeline for promising new research.

‘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.

In a Dusty Corner of California, Trump’s Threatened Cuts to Asthma Care Raise Fears

The Trump administration wants to shutter the CDC’s National Asthma Control Program, which provides millions in funding to state-administered initiatives aimed at fighting the disease. The program’s closure, combined with massive cuts to environmental programs, could put the 28 million Americans with asthma at increased risk.

Newsom’s Push To Block Law Could Save California Nursing Homes Over $1 Billion

Gov. Gavin Newsom wants to block a state law that requires nursing homes to have 96 hours of backup power in the case of emergencies, potentially giving the industry a break from spending over $1 billion on facility upgrades. Patient advocates say rolling back the nursing home industry requirements for preparedness could jeopardize the safety of residents.

Ballad Health’s Hospital Monopoly Underperformed. Then Tennessee Lowered the Bar.

Ballad Health, a state-sanctioned hospital monopoly in Tennessee and Virginia, can now be deemed a “clear and convincing” benefit to the public with performance that would earn a “D” on most grading scales, according to Tennessee state documents.

Role Reversal: Millions of Kids Are Caregivers for Elders. Why Their Numbers Might Grow.

As state officials anticipate Medicaid funding cuts that could strip resources for those with disabilities and chronic health conditions, an army of unpaid caregivers waits in the wings: children. At least 5.4 million kids are estimated to be caring for family members at home, a number likely to rise if Medicaid cuts hit professional home-based services.

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.

Trump Won’t Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.

Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.