Budget-Strapped Montana Will Stress-Test Trumps Medicaid Work Rules
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Montana Hurries To Adopt Trumps Medicaid Work Rules Amid Budget Woes
The state is ramping up to implement the federal work requirements six months ahead of the deadline. But Montana is one of several states already struggling to pay for health services.
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Montana Moves Ahead With Doula Pay but Warns Medicaid Cuts Still May Come
Montana health officials say theyre seeking to add doula services to the states Medicaid program, reversing a previous statement that they would not be moving forward amid a budget shortfall.
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This Northern Cheyenne Doula Was About To Start Getting Paid Then Medicaid Cuts Hit
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.
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The NIH Workforce Is Its Smallest in Decades. Heres the Work Left Behind.
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Rachana Pradhan and Katheryn Houghton -
Six Federal Scientists Run Out by Trump Talk About the Work Left Undone
Cancer treatments, disease outbreaks, addiction science: Scientists say an exodus from the National Institutes of Health will harm the nation's ability to respond to illness.
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The People And Research Lost in the NIH Exodus
Government data shows the National Institutes of Health lost about 4,400 people more than 20% of its staff as the Trump administration slashed the federal workforce. Hear from six scientists on why they walked out the door and the work they left behind.
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End of Enhanced Obamacare Subsidies Puts Tribal Health Lifeline at Risk
Tribal insurance programs give Native Americans access to affordable health care when the Indian Health Service falls short. Those plans are threatened by the expiration of enhanced Affordable Care Act subsidies.
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In Lodge Grass, Montana, a Crow Community Works To Rebuild From Meths Destruction
Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.
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Even as SNAP Resumes, New Work Rules Threaten Access for Years To Come
Even as the federal government resumed funding the nations largest food assistance program, people risk losing access to the aid because of new rules.
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The Nations Largest Food Aid Program Is About To See Cuts. Heres What You Should Know.
The federal government is making sweeping changes to SNAP, the program that helped feed about 42 million people in the U.S. last year. Heres a breakdown of the changes to come and potential impacts.
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As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
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She Had a Broken Arm, No Insurance And a $97,000 Bill
Deborah Buttgereit knew piecing together the broken bone in her elbow would be expensive. But complications the doctor deemed a surprise, midsurgery, drove the total bill tens of thousands of dollars above the original estimate.
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New Medicaid Federal Work Requirements Mean Less Leeway for States
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
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Republicans Call Medicaid Rife With Fraudsters. This Man Sees No Choice but To Break the Rules.
Congressional Republicans successfully pushed to add hurdles to qualify for Medicaid by saying they would eliminate waste, fraud, and abuse. This is the story of a Montana man who explains why he said he is breaking the rules to keep his health insurance and his job.
By Katheryn Houghton Illustration by Oona Zenda -
Doulas, Once a Luxury, Are Increasingly Covered by Medicaid Even in GOP States
Even as states brace for significant reductions in federal Medicaid funding over the next decade, conservative legislatures across the country are passing laws that grant doula access to Medicaid beneficiaries.
By Lauren Sausser and Katheryn Houghton -
Insurers Fight State Laws Restricting Surprise Ambulance Bills
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag concerns about raising premiums.
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Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.s Promises of Protection
The Indian Health Service was mostly spared in the federal governments widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.
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Federal Cuts Ripple Through a Bioscience Hub in Rural Montana
The National Institutes of Healths Rocky Mountain Laboratories in Hamilton, Montana, is one of only a few dozen research facilities of its type. The threat of staffing and grant cuts has town leaders worried and has added to long-standing tension around the labs presence in this politically conservative region.
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Meet the Florida Group Chipping Away at Public Benefits One State at a Time
The Trump administrations Make America Healthy Again platform has boosted the agenda of a conservative think tank thats been working for more than a decade to reshape the nations public assistance programs.
By Katheryn Houghton and Samantha Liss
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