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.
More than 100 rural hospitals have stopped delivering babies since 2021, including a South Dakota hospital that serves small towns, farming communities, and a Native American reservation. Patients there now travel at least an hour to give birth.
In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.
Health and Human Services Secretary Robert F. Kennedy Jr. has announced a proposed reorganization for the department — which, counting those who already have left the agency, amounts to about a 25% cut in its workforce. And its planned “Administration for a Healthy America” will collapse several existing HHS agencies into one. Meanwhile, the department continues to cut billions in health spending while the nation faces measles outbreaks in several states and the continuing possibility of another pandemic, such as bird flu. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Julie Rovner to discuss the news.
Some of the Trump administration’s dramatic funding and policy shifts are facing major pushback for the first time — not from Congress, but from the courts. Federal judges around the country are attempting to pump the brakes on efforts to freeze government spending, shut down the U.S. Agency for International Development, eliminate access to health-related webpages and datasets, and limit grant funding provided by the National Institutes of Health. Meanwhile, Congress is off to a slow start in trying to turn President Donald Trump’s agenda into legislation, although Medicaid is clearly high on the list for potential funding cuts. Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Maya Goldman of Axios News join KFF Health News’ Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Mark McClellan, director of the Duke-Margolis Institute for Health Policy and a former health official during the George W. Bush administration, about the impact of cutting funding to research universities.
In several red states, officials say few or no abortions happened in 2023, raising alarm among researchers about the politicization of vital statistics.
Birth centers, where midwives deliver babies with emergency backup from hospitals, can offer an alternative for families as hospitals close maternity units. But the state’s stiff regulations and what many call a dysfunctional licensing process are hobbling new initiatives and forcing some facilities to shut down.
President-elect Donald Trump has made his choices to fill some top jobs at the Department of Health and Human Services. They include controversial figures who were vocal critics of the Biden administration’s handling of the covid pandemic and have proposed sweeping changes to the agencies they would lead. Meanwhile, the Supreme Court heard its first two health-related cases of the term, challenging a Tennessee law barring transgender medical care for minors and, separately, challenging the FDA’s handling of e-cigarettes. Joanne Kenen of the Johns Hopkins University and Politico, Shefali Luthra of The 19th, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported and wrote the latest KFF Health News-Washington Post Well+Being “Bill of the Month” feature, about an emergency room bill for a visit that didn’t get past the waiting room.
Florida discovered a glitch in its Deloitte-run Medicaid eligibility system. The problem, alleged in court testimony, led to new mothers wrongly losing their insurance coverage.
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