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Donald Trump is back in the White House, the GOP controls Congress, and Republicans have dusted off their 2017 plans to reshape Medicaid, the government health program for those with low incomes or disabilities.
Patients seeking mental health care are more likely to be on Medicaid than patients in more profitable areas of care, such as cancer or cardiac treatment.
Two stories from Washington, D.C., give listeners a sense of what changes the Trump administration has been making to health policy, with 吃瓜不打烊鈥 Julie Rovner and Arthur Allen.
Republicans on Capitol Hill are struggling to reach consensus on cutting the Medicaid program as they search for nearly a trillion dollars in savings over the next decade 鈥 as many observers predicted. Meanwhile, turmoil continues at the Department of Health and Human Services, with more controversial cuts and personnel moves, including the sudden nomination of Casey Means, an ally of Robert F. Kennedy Jr.鈥檚, to become surgeon general. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 吃瓜不打烊鈥 Lauren Sausser, who co-reported the latest 鈥淏ill of the Month鈥 feature, about an unexpected bill for what seemed like preventive care.
鈥淐itizen oversight is a cornerstone of a functioning democracy,鈥 Oregon Sen. Ron Wyden wrote to Health and Human Services Secretary Robert F. Kennedy Jr., demanding answers to more than two dozen questions, including who was involved in decisions to fire staff who handled Freedom of Information Act requests.
Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid 鈥 and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through people鈥檚 lives.
Members of Congress are back in Washington, and Republicans are struggling to find ways to reduce Medicaid spending without cutting benefits. Meanwhile, confusion continues to reign at the Department of Health and Human Services. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health, Alice Miranda Ollstein of Politico, and Margot Sanger-Katz of The New York Times join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more.
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what鈥檚 required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
Amid the Los Angeles wildfires, California's U.S. senators cosponsored legislation that would provide support to first responders who develop or die from service-related cancers. But those involved with similar efforts say the road to implementation is rough and paved with long waits, restrictive eligibility requirements, and funding issues.
A federal judge in Texas blocked a Biden administration rule to boost staffing at nursing homes. The decision comes even though many homes lack enough workers to maintain residents鈥 care.
The GOP-controlled Congress is weighing cuts to Medicaid, the government health program that covers millions of Americans 鈥 including nearly 40% of Louisianans represented in the House by Speaker Mike Johnson.
The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join 吃瓜不打烊鈥 Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews 吃瓜不打烊鈥 Julie Appleby, who reported and wrote the latest 鈥淏ill of the Month鈥 feature about a short-term health plan and a very expensive colonoscopy.
As House Republicans mull a massive $880 billion cut from federal programs likely including Medicaid, constituents, disability advocates, and health care providers are joining forces to lobby GOP members in California 鈥 including those who represent rural, deeply conservative pockets that stand to lose the most.
Health care price transparency is one of the few bipartisan issues in Washington, D.C. But much of the information that hospitals and health plans have made available to the public is not helpful to patients, and there鈥檚 no conclusive evidence yet that it鈥檚 lowering costs or increasing competition.
In his first term, President Donald Trump granted pardons or clemency to more than 60 convicted fraudsters, including health care executives who defrauded Medicare out of hundreds of millions of dollars, courts and juries found. Now, Trump says cracking down on fraud is a priority.
Health and Human Services Secretary Robert F. Kennedy Jr. has announced a proposed reorganization for the department 鈥 which, counting those who already have left the agency, amounts to about a 25% cut in its workforce. And its planned 鈥淎dministration for a Healthy America鈥 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 吃瓜不打烊鈥 Julie Rovner to discuss the news.
Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.
U.S. Rep. Nick LaLota, a Long Island Republican, told his constituents that he voted for the House-passed GOP budget resolution because it protects Medicaid, Medicare, and Social Security. However, the bill charges a committee with making cuts that likely can鈥檛 be attained without slashing Medicaid.
The Senate Finance Committee questioned Mehmet Oz, President Donald Trump鈥檚 nominee to lead the Centers for Medicare & Medicaid Services. 吃瓜不打烊 reporters discussed the biggest takeaways from the hearing.
Medi-Cal, California鈥檚 Medicaid program, borrowed $3.4 billion from the state 鈥 and will likely need even more 鈥 due to higher prescription costs and increased eligibility for seniors and immigrants. The top Republican in the state Senate is demanding a hearing 鈥渟o the public knows exactly where their tax dollars are going.鈥
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