Dual Threats From Trump and GOP Imperil Nursing Homes and Their Foreign-Born Workers
Understaffed nursing homes face a workforce crisis if President Donald Trump and Republicans further curtail immigration and cut Medicaid.
Medicaid
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鈥榃e Need To Keep Fighting鈥: HIV Activists Organize To Save Lives as Trump Guts Funding
While Congress fails to stave off cuts to HIV care, community leaders in Mississippi and beyond race to limit the damage.
By Amy Maxmen -
Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States
Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.
Supreme Court Upholds Bans on Gender-Affirming Care
Episode 402The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more.
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Q&A: What Does the Budget Bill Mean for Your Health?聽
吃瓜不打烊 chief Washington correspondent Julie Rovner answers listeners鈥 questions about how the 鈥淥ne Big Beautiful Bill鈥 could affect health care in Washington, D.C., and beyond.
By Julie Rovner -
鈥楳AGA鈥 Backers Like Trump鈥檚 鈥楤ig Beautiful Bill鈥 鈥 Until They Learn of Health Consequences
A new poll finds that most adults oppose the GOP bill that would extend many of President Donald Trump鈥檚 tax cuts while reducing spending on domestic programs including Medicaid. Most Trump backers support the plan until they learn that millions would lose health coverage and local hospitals would lose funding.
RFK Jr. Upends Vaccine Policy, After Promising He Wouldn鈥檛
Episode 401Health and Human Services Secretary Robert F. Kennedy Jr. this week did something he had promised not to do: He fired every member of the scientific advisory committee that recommends which vaccines should be given to whom. And he replaced them, in some cases, with vaccine skeptics. Meanwhile, hundreds of employees of the National Institutes of Health sent an open letter to the agency鈥檚 director, accusing the Trump administration of policies that 鈥渦ndermine the NIH mission.鈥 Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more.
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鈥極ne Big Beautiful Bill鈥 Would Batter Rural Hospital Finances, Researchers Say
Rural hospitals would take an outsize hit from Republicans鈥 proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
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What Are 鈥業mproper鈥 Medicaid Payments, and Are They as High as a Trump Official Said?
The vast majority of improper payments stem from documentation mistakes and do not fit the definition of waste, fraud, or abuse. They also typically stem from health care providers鈥 actions, not beneficiaries鈥 abuse.
Trump鈥檚 鈥極ne Big Beautiful Bill鈥 Lands in Senate. Our 400th Episode!
Episode 400The House鈥檚 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鈥檚 estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade won鈥檛 make it an easy sell. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post 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 Arielle Zionts, who reported and wrote the latest 鈥淏ill of the Month鈥 feature, about a Medicaid patient who had an out-of-state emergency.
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Trump鈥檚 鈥極ne Big Beautiful Bill鈥 Continues Assault on Obamacare
The domestic policy legislation the House advanced in May includes the most substantial rollback of the Affordable Care Act since President Donald Trump and his Republican allies tried to pass legislation in 2017 that would have largely repealed President Barack Obama鈥檚 signature domestic accomplishment.
By Phil Galewitz and Julie Appleby -
Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.鈥檚 Promises of Protection
The Indian Health Service was mostly spared in the federal government鈥檚 widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.
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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.
By Leah Fabel -
Journalists Draw Link Between Internet Dead Zones, Threatened Medicaid Cuts, and Health
吃瓜不打烊 journalists made the rounds on national or local media recently to discuss topical stories. Here鈥檚 a collection of their appearances.
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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鈥檚 Medicaid program.
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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.
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Journalists Talk Medicaid Cuts and New Limitations on Weight Loss Drugs and Covid Shots
吃瓜不打烊 journalists made the rounds on national and local media recently to discuss topical stories. Here鈥檚 a collection of their appearances.
Bill With Billions in Health Program Cuts Passes House
Episode 398The 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鈥檚 panelists are Julie Rovner of 吃瓜不打烊, Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico.
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Republicans Aim To Punish States That Insure Unauthorized Immigrants
A GOP tax-and-spending bill the House approved Thursday would slash federal Medicaid reimbursement for states that offer health coverage to immigrants without legal status.
By Phil Galewitz and Christine Mai-Duc -
Trump Won鈥檛 Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.