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Tough decisions for NJ on health insurance as 2026 cuts loom
Gov.-elect Mikie Sherrill and the Legislature will have to grapple with federal cuts to Medicaid, and hospitals warn of being deluged with patients.
One thousand Pennsylvanians now dropping health insurance daily
Nansi Armstrong is living in America’s painful health insurance purgatory: earning too much to qualify for Medicaid but not enough to cover premiums...
How To Submit Public Comments To Oppose Proposed Rules Restricting Transgender Health Care Access
Comments to the Centers for Medicare and Medicaid Services can help fight the Trump administration’s latest attempt to restrict federal funding for transgender health care for youth. This toolkit details how to submit them.
2025 Health Care Delivery Snapshot
In 2025, MSMS advanced physician interests through advocacy, collaboration, and direct support on payer, legal, and regulatory issues. MSMS submitted letters, individually or jointly, to federal and state legislators and regulators on issues including Medicare payment, Medicaid funding, telehealth, physician-owned hospitals, downcoding policies, out-of-network care, substance use disorder home health, ACA premium tax credits, immunizations, and medical student loans. MSMS met...
Idaho isn’t sure mental health cuts will save money long-term, Medicaid director says
Idaho health officials aren’t sure that a Medicaid contractor’s cuts to critical mental health services will save money long-term.
Medicaid Health Plans Step Up Outreach Efforts Ahead of GOP Changes
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.
Iowa Medicaid work requirements to start in 2027, Eastern Iowa Health Center could lose millions
Starting on January 1, 2027, people will have to work or volunteer for 80 hours a month to keep their benefits.
Trump secures agreements with major drugmakers to lower Medicaid prescription costs for Americans
President Donald Trump announced Friday that nine additional pharmaceutical companies joined its most-favored-nation pricing initiative.
GOP-led House passes bill to block the use of Medicaid funds for transgender care for minors
The GOP-controlled House passed a bill that would block Medicaid funds from being used for gender identity care to minors.
US Health Secretary Kennedy Proposes Rules to Cut Access to Gender-Affirming Care
WASHINGTON, Dec 18 (Reuters) - U.S. Health Secretary Robert F. Kennedy Jr. moved on Thursday to cut access to gender-affirming care for children proposing rules that would bar hospitals that deliver such care from its Medicare and Medicaid programs and also bar Medicaid and children's ...
Omaha community health expert talks Pillen's new Medicaid work requirements
Nebraska is the first state require proof of work for those using expanded Medicaid services. One health expert shares what the changes could mean for
Owner of CT roofing business sentenced to 15 months in prison for tax evasion
He also was ordered to pay more than $1.1 million to the IRS and $578,259 to the Connecticut Medicaid program, officials said.
Attorney General Jeff Jackson Announces Health Care Fraud Sentencing
FOR IMMEDIATE RELEASE Tuesday, December 16, 2025 Contact: nahmed@ncdoj.gov 919-538-2809 RALEIGH – Today, Attorney General Jeff Jackson announced that Giselle Alexandria Farrell was sentenced to 24 months of supervised probation and ordered to pay $12,916.56 in restitution after pleading guilty to Medicaid provider fraud. “North Carolinians rely on Medicaid for essential health care,” said Attorney General Jeff […]
Metro Atlanta health facility owners indicted for stealing over $1.4 million in Medicaid, AG says
"They’re abusing a program that’s meant to care for our most vulnerable Georgian," the attorney general said.
One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts
The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.
Incoming health care changes mean more overall struggles for Ohioans, advocates say
Health care advocates and researchers say the new year will be a challenging one for Ohioans with federal changes to health care coming with surety but uncertainty.
Dr. Oz took over Medicare. It hasn’t been the disaster his critics feared.
The former TV doctor running the Centers for Medicare & Medicaid Services, Washington’s wonky health agency, has garnered positive reviews — even from some Democrats.
Our California Health Plans Honored With Top Ratings
Kaiser Permanente receives 5 out of 5 stars for overall quality of care from the California Center for Data Insights and Innovation and from the Centers for Medicare & Medicaid Services.
Louisiana yanks a Medicaid contract, pushing 345,000 people to other plans
Gov. Jeff Landry and Attorney General Liz Murrill have been battling some of the nation’s largest health care companies in the legislature and in court.
Louisiana abruptly cuts two Medicaid contracts, putting care options for 488,500 in limbo
Gov. Jeff Landry’s administration is abruptly ending contracts with two of the six companies that provide Medicaid insurance in Louisiana, a move that could leave 488,500 residents uncertain of what health care they will have starting Jan. 1.
Louisville business crowd hears Kentucky Republicans talk 2026 legislative priorities
Republicans in the Kentucky legislature say Medicaid oversight, the state income tax and housing are key issues heading into the 2026 legislative session.
Idaho judge rules state can cut mental health service that many warn risks public safety
The cut to a critical Idaho Medicaid mental health service for people with severe mental illness took effect Monday, Magellan says.
1.6 million Americans removed from health care plan under Trump admin
Around 1.6 million Americans were removed from Medicaid during the first six months of President Donald Trump's second term, KFF data shows.
Idaho sheriffs worry Medicaid mental health cuts pose ‘significant public-safety concern’
The Idaho Sheriffs' Association warned elected officials of public safety risks from cuts to Medicaid mental illness services.
PacificSource Medicaid patients warned they may lose coverage at Salem Health Jan. 1
As of Tuesday, PacificSource Community Solutions and Salem Health had not reached an agreement for in-network coverage for thousands of Salem Residents on the Oregon Health Plan for 2026. The parties announced earlier this week that they’d agreed on coverage for PacificSource patients with commercial insurance or Medicare.
Colorado seeks at least $500 million in rural health funding from federal Republicans’ megabill
Colorado health officials are seeking at least $500 million in health care funding over five years for rural communities, as cuts to Medicaid and other safety-net services are set to take hold. The funding would...
Delaware works to shore up rural hospitals threatened by Medicaid cuts
Delaware has a plan to transform health care in the state’s rural areas, but is dealing with billions in federal funding cuts.
State Variations in the Role of the Reproductive Health Safety Net for Contraceptive Care Among Medicaid Enrollees
This KFF analysis uses 2023 T-MSIS Research Identifiable Files to look at where reproductive-age female Medicaid enrollees received their last contraceptive visit by state. Overall, more than four in 10 (43%) female Medicaid enrollees received their last contraceptive visit of 2023 at a safety net provider, which includes Planned Parenthood clinics, community health centers, state and local health departments, and Indian health services, but there is wide variation by state.
Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
Some people with Arizona Medicaid are running into 'ghost networks' for mental health care
A “ghost network is really a directory of providers that’s just largely unreachable, out of network or doesn’t accept new patients,” said Meridith Seife, deputy regional inspector general and a co-author of the recent report from the Office of Inspector General (OIG) at the U.S. Department of Health and Human Services.
Trump is Making Health Care Unaffordable Again
Substantial cuts to Medicaid in the Trump administration’s One Big Beautiful Bill and a refusal by Republicans to renew Affordable Care Act tax credit subsidies will bring the total of uninsured Americans to about 31 million by 2027. Tens of millions more will experience sticker shock when they get their health insurance bills from the ACA, Medicaid, Medicare and private companies.