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A bill designed to force PBMs to pay higher fees to independent drugstores sailed through the state House, but lobbyists are marshaling their forces to kill the measure in the Senate.
The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
The anti-fluoride movement has more momentum than ever. In rural counties with few dentists, tooth decay could surge to levels that have not been seen in decades, experts warn.
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.
With the first licenses for providing psychedelic mushrooms issued, excitement and questions build about the fungi’s potential, affordability, and safety in the Centennial State.
Enrollment of underrepresented groups at medical schools fell precipitously this academic year after the Supreme Court’s 2023 ban on affirmative action. Education and health experts worry the Trump administration’s anti-DEI measures will only worsen the situation, even in states like California that have navigated bans on race-conscious admissions for years.
As Congress mulls significant cuts to Medicaid, Native American tribes are bracing for potentially devastating financial fallout. That’s because Medicaid is the largest third-party payer for Native American health programs, funding that has helped address chronic underfunding of the Indian Health Service.
A bill proposed by kratom industry advocates is prompting consideration — and some concern — in the Montana Legislature.
Hospital-based violence intervention programs have operated in the U.S. since the mid-1990s. The public health approach to gun violence works, by many accounts. But recent moves by the White House are raising anxiety about the programs’ future.
California businesses saw employees’ monthly family insurance premiums rise nearly $1,000 over a 15-year period, more than double the pace of inflation. And employees’ share grew as companies shifted more of the cost to workers.
Republicans have proposed legislation in several states to ban the pioneering technology used in covid shots. Many doctors worry a huge medical advance could be rolled back.
At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.
In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.
Nevada’s budget debate highlights how uncertainty over funding for federal safety net programs may lead some officials to turn to opioid settlement dollars to make up the difference.
State lawmakers appear ready to preserve the state’s Medicaid expansion program without knowing what federal changes might be in store.
Health officials expect a measles outbreak in West Texas to exceed 100 cases because of low vaccination rates and undetected infections. Vaccine misinformation and new laws may make such situations more common and harder to contain.
Congressional Republicans are pushing plans that could make deep cuts to Medicaid to finance President Donald Trump’s tax cuts and other priorities. At stake is coverage for millions of low-income Americans, as well as a huge revenue source for hospitals — and every state.
As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.
Patients and providers say health insurers’ preapproval requirements lead to delays and denials of needed medical treatments. Insurers argue that prior authorization keeps costs down.
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