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States that run their own health insurance marketplaces fear an end to automatic Obamacare reenrollment under the tax and spending megabill would have an outsize effect on their policyholders.
In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors 鈥 whose constituents stand to lose federal funding and health coverage 鈥 have gone quiet on the health consequences.
Republicans are attempting to use the budget reconciliation process to boost President Donald Trump鈥檚 priorities and reduce health coverage. That process has been used to pass nearly every major piece of health legislation for decades 鈥 except usually lawmakers use it to expand health care, not cut it, writes Julie Rovner.
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care 鈥 with ramifications that could touch all Americans.
Republicans claim 4.8 million Americans on Medicaid who could work choose not to. The GOP鈥檚 work-requirement legislation could sweep up disabled people who say they鈥檙e unable to hold jobs.
In this special episode taped before a live audience at Aspen Ideas: Health, three former governors 鈥 one of whom also served as secretary of the Department of Health and Human Services 鈥 discuss how state and federal officials can work together to improve Americans鈥 health. Democrat Kathleen Sebelius, former Kansas governor and HHS secretary under President Barack Obama; Republican Chris Sununu, former New Hampshire governor; and Democrat Roy Cooper, former North Carolina governor, join 吃瓜不打烊鈥 Julie Rovner.
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The 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.
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.
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.
Health 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.
The combination of the House-passed spending and tax bill and the Trump administration鈥檚 regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
The 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.
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.
This episode was taped live on Friday, May 30, at the annual conference of the Association of Health Care Journalists in Los Angeles. Host Julie Rovner moderated a panel featuring Rachel Nuzum, senior vice president for policy at The Commonwealth Fund; Berenice N煤帽ez Constant, senior vice president of government relations and civic engagement at AltaMed Health Services; and Anish Mahajan, chief deputy director of the Los Angeles County Department of Public Health. The panelists discussed the national, state, and local implications of funding cuts made over the first 100 days of the second Trump administration and the potential fallout of reductions that have been proposed but not yet implemented. The panelists also took questions from health reporters in the audience.
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.
The 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.
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.
President Donald Trump鈥檚 budget office says he鈥檒l continue to fund the new 988 suicide prevention hotline, but documents sent to Congress offer clues 鈥 amid some mixed messages 鈥 about the administration鈥檚 approach to two pressing public health issues: mental health and addiction.
GOP-controlled House committees approved parts of President Donald Trump鈥檚 鈥渙ne big, beautiful bill鈥 this week, including more than $700 billion in cuts to health programs over the next decade 鈥 mostly from Medicaid, which covers people with low incomes or disabilities. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. testified before Congress for the first time since taking office and told lawmakers that Americans shouldn鈥檛 take medical advice from him. Julie Appleby of 吃瓜不打烊, Alice Miranda Ollstein of Politico, 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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