Category: states

KFF Health News’ ‘What the Health?’: Trump’s ‘One Big Beautiful Bill’ Lands in Senate. Our 400th Episode!

The House’s gigantic tax-and-spending budget reconciliation bill has landed with a thud in the Senate, where lawmakers are divided in their criticism over whether it increases the deficit too much or cuts Medicaid and the Affordable Care Act too deeply. Meanwhile, the Congressional Budget Office’s estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade won’t make it an easy sell. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Arielle Zionts, who reported and wrote the latest “Bill of the Month” feature, about a Medicaid patient who had an out-of-state emergency.

Trump Decried Crime in America, Then Gutted Funding for Gun Violence Prevention

The U.S. Department of Justice canceled $500 million in grants to public safety organizations nationwide, including some that address gun violence. A clinic in St. Louis lost a $2 million award to develop a mobile clinic, increase mental health services, and engage the community.

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.

Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.’s Promises of Protection

The Indian Health Service was mostly spared in the federal government’s widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.

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.

A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78,000.

Federal law says Medicaid must cover out-of-state emergency care. But a Florida man got a five-figure bill after a South Dakota hospital declined to charge his state’s Medicaid program.

Language Service Cutbacks Raise Fear of Medical Errors, Misdiagnoses, Deaths

Federal cuts are hurting community organizations in California that provide language assistance services to people who speak limited English. Despite President Trump’s executive order declaring English the national language, millions in the U.S. need help navigating the health system.

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.

In Arizona County That Backed Trump, Conflicted Feelings About Cutting Medicaid

Medicaid plays a vital role in many rural communities that favored President Donald Trump in the 2024 election. But residents still seem open to Republican proposals to cut perceived waste in the program.