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Time’s Up for Expanded ACA Tax Credits
Episode 427A last-minute push from Democrats and four moderate Republicans will force a House vote on renewing enhanced premium tax credits for Affordable Care Act plans, but not until January. That means millions will have to choose between paying dramatically more or dropping coverage next year. Meanwhile, the Centers for Disease Control and Prevention officially drops the federal recommendation for newborns to receive a hepatitis B shot. Tami Luhby of CNN, Alice Miranda Ollstein of Politico, and Lizzy Lawrence of Stat join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Tony Leys, who wrote the latest “Bill of the Month” feature, and the panel discusses the year’s biggest developments in health policy.
How To Pick Health Insurance — In the Worst Year Ever
Season 14, Episode 5As millions face skyrocketing health insurance premiums, the “An Arm and a Leg” team navigates their own limited options.
Crunch Time for ACA Tax Credits
Episode 426Dec. 15 is the deadline to sign up for Affordable Care Act plans that begin Jan. 1, and Congress remains at odds over letting expanded tax credits for the plans’ premiums expire and increasing the cost of insurance for millions of Americans. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to remake vaccine policy to reflect ideology rather than science. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sheryl Gay Stolberg of The New York Times join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Georgetown professor Linda Blumberg about the GOP’s health plans.
The GOP Still Can’t Agree on a Health Plan
Episode 425Senate Democrats were promised a vote by mid-December on extending enhanced Affordable Care Act subsidies, but Republicans still can’t decide whether they want to put forward their own alternative or what that might include. Meanwhile, the CDC and FDA are roiled by debates over vaccines. Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Paige Winfield Cunningham of The Washington Post join ϳԹ News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews ϳԹ News’ Aneri Pattani about her project tracking opioid settlement payments.
Trump Almost Unveils a Health Plan
Episode 424Just weeks before some tax credits for Affordable Care Act premiums expire, the Trump administration floated a plan to extend the enhanced aid — but it was met with immediate GOP pushback. Meanwhile, health secretary Robert F. Kennedy Jr. says he ordered the Centers for Disease Control and Prevention to revise its website to suggest childhood vaccines might be linked to autism. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Joanne Kenen and Joshua Sharfstein about their new book, “Information Sick: How Journalism’s Decline and Misinformation’s Rise Are Harming Our Health — And What We Can Do About It.”
The GOP Circles the Wagons on ACA
Episode 423Republicans are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the CDC altering its website to suggest childhood vaccines could play a role in causing autism. Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy.
The Government Is Open
Episode 422The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act tax credits. Plus, new details are emerging about how the Trump administration is using the Medicaid program to advance its policy goals. Anna Edney of Bloomberg News, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join ϳԹ News’ Emmarie Huetteman to discuss these stories and more. Also this week, ϳԹ News’ Julie Rovner interviews ϳԹ News’ Julie Appleby, who wrote the latest “Bill of the Month” feature.
A Few Good Things From 2025 (Really)
Season 14, Episode 4Good news for health care access this year includes new state laws to rein in prior authorization and medical debt collectors.
The State of the Affordable Care Act
Episode 421Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains unclear, even at this late date, whether expanded tax credits launched during the pandemic in 2021 will be continued or allowed to expire, exposing millions of Americans to much higher out-of-pocket costs. In this special episode of “What the Health?” from ϳԹ News and WAMU, host Julie Rovner interviews KFF vice president Cynthia Cox about the past, present, and possible future of the health law and how those who purchase ACA coverage should proceed during this time of uncertainty.
This Health Economist Wants Your Medical Bills
Season 14, Episode 3A longtime health economist sets her sights on lowering Americans’ insurance premiums.
Happy Open Enrollment Eve!
Episode 420A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join ϳԹ News’ Julie Rovner to discuss those stories and more.
A Listener’s DIY Project Helps Others Deal With High Medical Bills
Season 14, Episode 2A medical student’s DIY project brings “An Arm and a Leg” listeners together with new tools to fight medical debt.
Nutrition Programs Face Their Own Shutdown
Episode 419Two major nutrition programs — SNAP and WIC — are likely to exhaust their funding in November, and the furloughs and firings at the CDC have left the agency unable to perform some of its major functions. Meanwhile, President Donald Trump’s new IVF policy is being met with dissatisfaction from both sides. Shefali Luthra of The 19th, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews ϳԹ News’ Katheryn Houghton, who wrote the latest “Bill of the Month” feature.
Schrödinger’s Government Shutdown
Episode 418Democrats and Republicans remain stalled over funding the federal government as Republicans launch a new attack on the Affordable Care Act. Meanwhile, the Trump administration is taking advantage of the shutdown to lay off workers from programs supported mostly by Democrats. Anna Edney of Bloomberg News, Lauren Weber of The Washington Post, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join ϳԹ News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews health insurance analyst Louise Norris about Medicare open enrollment.
Starting To Feel the Shutdown’s Bite
Episode 417The government shutdown continues with no end in sight, and while it theoretically should not affect entitlement programs, the lapse of some related authorizations — like for Medicare telehealth programs — is leaving some doctors and patients high and dry. Meanwhile, the FDA quietly approved a new generic abortion pill. Sarah Karlin-Smith of Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join ϳԹ News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews Sarah Grusin of the National Health Law Program.
Democrats Make This Shutdown About the ACA
Episode 416The foreshadowed federal shutdown came after Congress failed to pass required spending bills, with Democrats demanding Republicans renew the expiring Affordable Care Act subsidies in exchange for their votes. While a shutdown does not affect Medicare and Medicaid, it could eventually hinder activities from every corner of the Department of Health and Human Services. Meanwhile, as Democrats and Republicans point fingers, HHS Secretary Robert F. Kennedy Jr. pursues policies and personnel that would undermine vaccines. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Rachel Cohrs Zhang of Bloomberg News join ϳԹ News’ Julie Rovner to discuss the news. Also this week, Rovner interviews ϳԹ News’ Cara Anthony, who wrote a recent “Bill of the Month” feature about an out-of-network eye surgery that left one kindergartner’s family with a big bill.
The Struggle To Afford Insurance in 2026 Hits Home
Season 14, Episode 1The senior producer of “An Arm and a Leg” starts planning for health insurance in 2026, and — like millions of others signing up during this year’s open enrollment — faces a steep price increase.
Public Health Further Politicized Under the Threat of More Firings
Episode 415In a rambling news conference that shocked public health experts, President Donald Trump — without scientific evidence — blamed the over-the-counter drug acetaminophen, and too many childhood vaccines, for the increase in autism diagnoses in the U.S. That came days after a key immunization advisory panel, newly reconstituted with vaccine doubters, changed several long-standing recommendations. Former Centers for Disease Control and Prevention official Demetre Daskalakis joins ϳԹ News’ Julie Rovner to discuss those stories. Meanwhile, Sandhya Raman of CQ Roll Call and Anna Edney of Bloomberg News join Rovner with the rest of the news, including a threat by the Trump administration to fire rather than furlough federal workers if Congress fails to fund the government beyond the Oct. 1 start of the new fiscal year.
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Listen: The Surprising Power of Pushback When Health Insurance Won’t Pay
Denied coverage for preventive care? You’re not powerless. In this new episode of NPR’s “Life Kit” podcast, ϳԹ News reporter Jackie Fortiér explores why denials happen and how to avoid common pitfalls.
Ousted CDC Officials Clap Back at RFK Jr.
Episode 414Fired less than a month after being confirmed as head of the Centers for Disease Control and Prevention, Susan Monarez appeared at a dramatic Senate hearing this week alongside another ousted CDC official and directly contradicted Health and Human Services Secretary Robert F. Kennedy’s earlier testimony about why she was fired. Monarez told the Health, […]