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Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
Through shrouded bureaucratic maneuvers, White House budget director Russell Vought and DOGE have quietly upended outbreak response, HIV treatment, and dementia care in communities across America.
States from California to Texas say they rely on tens of millions in federal funding to help them prepare for the next pandemic, cyberattack, or mass-casualty catastrophe. The Trump administration wants to cut it.
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鈥檚 most loyal constituencies.
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鈥檝e received more than 170,000 names collectively.
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.
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鈥檛 fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
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 鈥 a sign of what鈥檚 to come for millions of Americans.
Florida has announced plans to end mandatory vaccination. Now scientists are assessing which of several diseases deadly to children 鈥 whooping cough, measles, polio, rubella, mumps, diphtheria, and tetanus 鈥 are likely to make a resurgence and when.
As families fracture, people are living longer and are more likely to find themselves without close relatives or friends at the end of their lives.
As a warming climate intensifies storms, 51视频 Health News has identified more than 170 U.S. hospitals at risk of significant and potentially dangerous flooding. Climate experts warn that the Trump administration鈥檚 cuts leave the nation less prepared.
Some injured patients say they wish they had tried harder to check the backgrounds of doctors and clinics they trusted, but those records are hard to find.
States are taking aim at chemicals and additives in foods as Republicans and Democrats alike embrace at least one aspect of the Trump administration鈥檚 鈥淢ake America Healthy Again鈥 push. It鈥檚 a shift for Republicans, who had vilified past Democratic efforts to impose government will on what people eat and drink.
As the climate changes, hurricanes are intensifying more quickly, leaving Louisiana鈥檚 current mass evacuation plan in limbo. But transportation officials say the price is too high to switch to methods used in Florida and Texas.
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
In South Texas鈥 Rio Grande Valley, many people go without health insurance, and the health system struggles as a result. Similar communities dot the nation, and more could face such difficulties under President Donald Trump鈥檚 tax-and-spending law.
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children.
Public health officials see lice as a nuisance, not a health threat, and the Centers for Disease Control and Prevention has recommended for years that students with live lice be allowed to remain in class. But as 鈥渘o-nit鈥 policies have been dropped in favor of 鈥渘onexclusion鈥 rules, some school districts have seen parents and teachers push back.
The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic uncertainty. State and local governments now face difficult decisions.
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