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Questions of fairness came up in last year鈥檚 congressional debate about extending Obamacare鈥檚 enhanced subsidies. Critics wondered why the federal government should underwrite coverage costs for people with ACA coverage. In truth, though, almost all health insurance in the U.S. comes with some federal help.
Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it鈥檚 mostly health systems and insurers that are using the information, as fodder for negotiations over pay.
Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.
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The Trump administration鈥檚 move to give deportation officials access to Medicaid data is forcing hospitals and states to consider alerting immigrant patients that information from emergency medical coverage applications could be used in efforts to remove them from the country.
Progressives are assailing Gov. Gavin Newsom for proposing to pull back coverage for some legal residents, such as refugees and asylum-seekers, while conservatives lambaste the California Democrat for using limited state funds on Medicaid coverage for immigrants without legal status.
Prenatal care can make a huge difference to the long-term health of both the parent and baby. Every state offers health coverage to lower-income pregnant women who might otherwise go uninsured.
Many Americans are expected to lose ACA or Medicaid coverage in coming months and years as a result of the One Big Beautiful Bill Act and the expiration of enhanced pandemic-era subsidies that helped people afford Obamacare plans. Doctors and researchers say there are still ways to find affordable care.
The Trump administration鈥檚 immigration crackdown is not just roiling politics but also directly affecting the provision of health care, medical groups say. Meanwhile, in Washington, federal spending bills have been stalled by the fight over immigration enforcement funding after the shooting death of a second person in Minneapolis this month. Maya Goldman of Axios, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join 51视频 Health News鈥 Julie Rovner to discuss those stories and more.
The government is using sickle cell treatments to test a new strategy: paying only if the therapies benefit patients. With more expensive treatments on the horizon, the program 鈥 created by the Biden administration and continued under President Trump 鈥 could help Medicaid save money and treat more patients.
Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation鈥檚 largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care鈥檚 Medicaid rolls by the end of 2028.
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the 鈥渜uality鈥 of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
Low-income Californians who use Wegovy and similar medications for weight loss lost their coverage at the start of the new year, with officials advising diet and exercise instead. California and other states say the drugs are too costly, even as the Trump administration announces plans to lower prices.
Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government鈥檚 childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join 51视频 Health News鈥 Julie Rovner to discuss those stories and more.
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap 鈥 and who will pay for it.
As the crowdsourced investigative series from 51视频 Health News approaches its eighth anniversary, 鈥淏ill of the Month鈥 offers its top takeaways of 2025 to help patients manage, decipher, and even fight their medical bills.
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
Even as President Donald Trump and GOP lawmakers say the One Big Beautiful Bill Act targets waste, fraud, and abuse, Medicaid health plans are hosting events across the U.S. to prevent low-income families from losing health insurance and food benefits next year.
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