Federal Judge Blocks Mandate on Nursing Home Staffing
A federal judge in Texas blocked a Biden administration rule to boost staffing at nursing homes. The decision comes even though many homes lack enough workers to maintain residents’ care.
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A federal judge in Texas blocked a Biden administration rule to boost staffing at nursing homes. The decision comes even though many homes lack enough workers to maintain residents’ care.
The GOP-controlled Congress is weighing cuts to Medicaid, the government health program that covers millions of Americans — including nearly 40% of Louisianans represented in the House by Speaker Mike Johnson.
The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join ϳԹ News’ Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews ϳԹ News’ Julie Appleby, who reported and wrote the latest “Bill of the Month” feature about a short-term health plan and a very expensive colonoscopy.
As House Republicans mull a massive $880 billion cut from federal programs likely including Medicaid, constituents, disability advocates, and health care providers are joining forces to lobby GOP members in California — including those who represent rural, deeply conservative pockets that stand to lose the most.
Health care price transparency is one of the few bipartisan issues in Washington, D.C. But much of the information that hospitals and health plans have made available to the public is not helpful to patients, and there’s no conclusive evidence yet that it’s lowering costs or increasing competition.
In his first term, President Donald Trump granted pardons or clemency to more than 60 convicted fraudsters, including health care executives who defrauded Medicare out of hundreds of millions of dollars, courts and juries found. Now, Trump says cracking down on fraud is a priority.
Health and Human Services Secretary Robert F. Kennedy Jr. has announced a proposed reorganization for the department — which, counting those who already have left the agency, amounts to about a 25% cut in its workforce. And its planned “Administration for a Healthy America” will collapse several existing HHS agencies into one. Meanwhile, the department continues to cut billions in health spending while the nation faces measles outbreaks in several states and the continuing possibility of another pandemic, such as bird flu. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join ϳԹ News’ Julie Rovner to discuss the news.
Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.
U.S. Rep. Nick LaLota, a Long Island Republican, told his constituents that he voted for the House-passed GOP budget resolution because it protects Medicaid, Medicare, and Social Security. However, the bill charges a committee with making cuts that likely can’t be attained without slashing Medicaid.
The Senate Finance Committee questioned Mehmet Oz, President Donald Trump’s nominee to lead the Centers for Medicare & Medicaid Services. ϳԹ News reporters discussed the biggest takeaways from the hearing.
Medi-Cal, California’s Medicaid program, borrowed $3.4 billion from the state — and will likely need even more — due to higher prescription costs and increased eligibility for seniors and immigrants. The top Republican in the state Senate is demanding a hearing “so the public knows exactly where their tax dollars are going.”
A Republican House resolution, which needs the Senate’s buy-in, directed a committee to propose ways to reduce the deficit by at least $880 billion over a decade. Lawmakers have taken Medicare off the table for cuts, which makes it impossible to reach $880 billion without cutting Medicaid.
The American Medical Association and the leading nursing home trade group both are lobbying Republicans in Congress on other priorities.
As policymakers in Washington debate potentially steep funding cuts to Medicaid, Republicans are using terms such as “money laundering” and “discrimination” to make their case. Language experts and Medicaid advocates say their word choice is misleading and designed to sway the public against the popular program.
The Supreme Court opined for the first time that Trump administration officials may be exceeding their authority to reshape the federal government by refusing to honor completed contracts, even as lower-court judges started blocking efforts to fire workers, freeze funding, and cancel ongoing contracts. Meanwhile, public health officials are alarmed at the Department of Health and Human Services’ public handling of Texas’ widening measles outbreak, particularly the secretary’s less-than-full endorsement of vaccines. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University School of Public Health and Politico Magazine, and Stephanie Armour of ϳԹ News join ϳԹ News’ Julie Rovner to discuss these stories and more.
At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California’s version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.
The House passed a budget plan that likely would result in major cuts to the Medicaid program. But the plan now faces a battle in the Senate, where even Republicans seem reluctant to dramatically reduce a health program that covers roughly 1 in 5 Americans. Meanwhile, federal judges and the Trump administration continue to differ over whether the administration has the authority to unilaterally cancel programs approved and funded by Congress and to fire federal workers. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Victoria Knight of Axios join ϳԹ News chief Washington correspondent Julie Rovner to discuss these stories and more.
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
Some of the Trump administration’s dramatic funding and policy shifts are facing major pushback for the first time — not from Congress, but from the courts. Federal judges around the country are attempting to pump the brakes on efforts to freeze government spending, shut down the U.S. Agency for International Development, eliminate access to health-related webpages and datasets, and limit grant funding provided by the National Institutes of Health. Meanwhile, Congress is off to a slow start in trying to turn President Donald Trump’s agenda into legislation, although Medicaid is clearly high on the list for potential funding cuts. Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Maya Goldman of Axios News join ϳԹ News’ Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Mark McClellan, director of the Duke-Margolis Institute for Health Policy and a former health official during the George W. Bush administration, about the impact of cutting funding to research universities.
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