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A ϳԹ News examination of how the Trump administration is reshaping health care in America.
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Iowa patient advocates say that in the face of federal Medicaid cuts, the state is quietly reducing in-home services that help people avoid being institutionalized. National groups are bracing for similar cuts elsewhere.
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.
Congress and the Trump administration are rolling back some lead remediation resources. Case studies of two cities and a state that faced lead contamination problems could give cash-strapped cities ideas of how to address such pollution themselves.
Idaho is positioning to slash Medicaid funding as state lawmakers grapple with the effects of the federal One Big Beautiful Bill Act, which President Donald Trump signed into law last year. On the table are in-home care services.
More than three dozen states cover dental services for low-income and disabled individuals on Medicaid, in recognition of such care’s importance to overall health. But with about $900 billion in funding cuts expected to hit states over the next decade, many programs could roll back dental coverage.
A growing body of evidence indicates that immigrants in the custody of Immigration and Customs Enforcement face medical consequences because of serious gaps in basic health care services. It’s adding to the political backlash against the Trump administration’s aggressive deportation policies.
In Georgia, a high number of callers to the 988 crisis line hang up or disconnect before reaching a counselor. Many other calls are transferred out of state.
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
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.
California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
Buoyed by a Montana court ruling upholding state residents’ right to a “clean and healthful environment,” nearly two dozen people ages 7 to 24 hope to block the Trump administration’s executive orders on energy.
The Trump administration has pushed a significant amount of health costs to states, whose budgets may already be strained by declining state tax revenues, a slowdown in pandemic spending, and economic uncertainty. State and local governments now face difficult decisions.
California researcher Neeta Thakur is leading a challenge to President Donald Trump’s new administration — one that pits public health science against political ideology. Whether she prevails could influence both the future of academic research and the health of those she’s spent her life trying to help.
Native American groups declare that tribal sovereignty trumps state and federal efforts to restrict or ban gender-affirming care for two-spirit and LGBTQ+ tribal citizens. Tribes are analyzing the risk of opposing Trump’s policies, advocates say.
The anti-abortion movement is rallying around new laws that establish fetal “personhood.” Doctors are scrambling to adjust, but even conservatives don’t always agree on how such laws should be applied.
Colorado, California, and Montana have passed neural data privacy laws meant to prevent the exploitation of brain information collected by consumer products.
State lawmakers unsuccessfully attempted to extend the law this year to cover the intentional exposure of other sexually transmitted infections.
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.
California lawmakers are poised to approve a six-month delay in implementing the state’s in vitro fertilization law, pushing its start to January 2026. The plan to postpone, which has drawn little attention, is part of the state budget package and has left patients, insurers, and employers in limbo.
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