Health Insurance News

Stephanie Ivory counts on Medicaid to get treated for gastrointestinal conditions and a bulging disc that makes standing or sitting for long periods painful. Her disabilities keep her from working, she said. Ivory, 58, of Columbus, Ohio, believes she would…

“A lot of times, health care comes with a job.” Sen. John Thune (R-S.D.), in an interview with KOTA on May 30, 2025 Millions of people are expected to lose access to Medicaid and Affordable Care Act marketplace health insurance…

Can’t see the audio player? Listen on: The Host It’s not exactly news that our nation’s health care system is only a “system” in the most generous sense of the word and that no one entity is really in charge…

California lawmakers are poised to delay the state’s much-ballyhooed new law mandating in vitro fertilization insurance coverage for millions, set to take effect July 1. Gov. Gavin Newsom has asked lawmakers to push the implementation date to January 2026, leaving…

Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system….

GREENVILLE, Miss. — Cedric Sturdevant woke up with “a bit of depression” but made it to church, as he does every Sunday. In a few days, he would drive from Mississippi to Washington, D.C., to join HIV advocates at an…

Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions of dollars. The move could shrink access to health care for some…

(Moment/Getty Images) Millions of Americans lack health insurance, and health policy researchers expect many more will lose coverage due to policies pushed by the Trump administration and GOP-controlled Congress. KFF Health News is documenting this moment, the first explicit rollback of health coverage since the advent of the modern U.S. health system in the early

While the Senate budget bill released this week proposes deep funding cuts and work requirements for Medicaid — proposals likely to increase the number of people without health insurance — another big health care issue looms that could affect millions…

Can’t see the audio player? Listen on: The Host The Supreme Court this week ruled in favor of Tennessee’s law banning most gender-affirming care for minors — a law similar to those in two dozen other states. Meanwhile, the Senate…

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When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through UnitedHealthcare covered her emergency care in Aspen, Colorado. It also covered related pain management and physical therapy after she returned home…

MIAMI, Florida. — Josefina Muralles trabaja a tiempo parcial de noche como recepcionista en un condominio de Miami Beach. Así, puede cuidar durante el día de sus tres hijos, su madre mayor y su hermano, que está paralítico. También ayuda…

Senate Majority Leader John Thune (center) with fellow Republican Sens. John Barrasso of Wyoming and Shelley Moore Capito of West Virginia. As the Senate moves to a possible vote on President Donald Trump’s “One Big Beautiful Bill” before Independence Day,…

MIAMI — Josefina Muralles works a part-time overnight shift as a receptionist at a Miami Beach condominium so that during the day she can care for her three kids, her aging mother, and her brother, who is paralyzed. She helps…

BRIDGEPORT, W.Va. — By the time Eric Tennant was diagnosed in 2023 with a rare cancer of the bile ducts, the disease had spread to his bones. He weighed 97 pounds and wasn’t expected to survive a year with stage…

The Host After explicitly promising senators during his confirmation hearing that he would not interfere in scientific policy over which Americans should receive which vaccines, Health and Human Services Secretary Robert F. Kennedy Jr. this week fired every member of…

Cuts to Medicaid and other federal health programs proposed in President Donald Trump’s budget plan would rapidly push more than 300 financially struggling rural hospitals toward a fiscal cliff, according to researchers who track the facilities’ finances. The hospitals would…

Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay. A driver behind…

“One out of every $5 or $6 in Medicaid [payments] is improper.” Russell Vought stated on June 1, 2025, in an interview on CNN’s “State of the Union.” Responding to charges that President Donald Trump’s tax and spending bill would…

The Host After narrowly passing in the House in May, President Donald Trump’s “One Big Beautiful Bill” has now arrived in the Senate, where Republicans are struggling to decide whether to pass it, change it, or — as Elon Musk,…

Millions would lose Medicaid coverage. Millions would be left without health insurance. Signing up for health plans on the Affordable Care Act marketplaces would be harder and more expensive. President Donald Trump’s domestic policy legislation, the One Big Beautiful Bill…

ST. PAUL, Minn. — High school senior Joshua Yang understands sacrifice. When he was midway through 10th grade, his mom survived a terrible car crash. But her body developed tremors, and she lost mobility. After countless appointments, doctors diagnosed her…

On Christmas Day at the WaTiki indoor water park, Hans Wirt was getting winded from following his son up the stairs to the waterslides. Wirt’s breathing became more labored once they returned to the nearby hotel where they and Wirt’s…

GLOBE, Ariz. — Like many residents of this copper-mining town in the mountains east of Phoenix, Debbie Cox knows plenty of people on Medicaid. Cox, who is a property manager at a real estate company in Globe, has tenants who…

A blockbuster lawsuit from the federal Department of Justice alleges that insurers Aetna, Elevance Health (formerly Anthem), and Humana paid “hundreds of millions of dollars in kickbacks” to large insurance brokerages eHealth, GoHealth, and SelectQuote. The payments, made from 2016…

Can’t see the audio player? Listen on: The Host With only a single vote to spare, the House passed a controversial budget bill that includes billions of dollars in tax cuts for the wealthy, along with billions of dollars of…

La emblemática legislación del presupuesto del presidente Donald Trump castigaría a 14 estados que ofrecen cobertura de salud a personas que viven en el país sin papeles. Estos estados, la mayoría liderados por demócratas, dan seguro médico a algunos inmigrantes…

President Donald Trump’s signature budget legislation would punish 14 states that offer health coverage to people in the U.S. without authorization. The states, most of them Democratic-led, provide insurance to some low-income immigrants — often children — regardless of their…

CHARLESTON, S.C. — When Page Campbell’s doctor recommended she try an injectable prescription drug called Wegovy to lose weight before scheduling bariatric surgery, she readily agreed. “I’ve struggled with my weight for so long,” said Campbell, 40, a single mother…

President Donald Trump, flanked by, from left, Centers for Medicare & Medicaid Services Administrator Mehmet Oz, Health and Human Services Secretary Robert F. Kennedy Jr., and FDA Commissioner Marty Makary, reacts to a question from a reporter during an executive…

President Donald Trump, flanked by, from left, Centers for Medicare & Medicaid Services Administrator Mehmet Oz, Health and Human Services Secretary Robert F. Kennedy Jr., and FDA Commissioner Marty Makary, reacts to a question from a reporter during an executive…

When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage plans, they’re often offered assurances such as this one from eHealth: “Your benefit advisors will find plans that match your needs — no matter the carrier.” About…

Can’t see the audio player? Listen on: The Host After all-night markups, two key House committees approved GOP budget legislation that would cut hundreds of billions of dollars from federal health programs over the next decade, mostly from the Medicaid…

[Editor’s note: This transcript was generated using both transcription software and a human’s light touch. It has been edited for style and clarity.]  Julie Rovner: Hello and welcome back to “What the Health?” I’m Julie Rovner, chief Washington correspondent for…

SACRAMENTO — Gov. Gavin Newsom on Wednesday proposed that California roll back health care for immigrants without legal status, saying the state needed to cut benefits for some to maintain core services across the board. It’s a striking reversal for…

It has been nearly eight years since Sen. John McCain’s middle-of-the-night thumbs-down vote torpedoed Republican efforts to repeal the Affordable Care Act and make drastic cuts to Medicaid. With Donald Trump back in the White House and the GOP back…

SACRAMENTO, California — El gobernador Gavin Newsom no esperaba enfrentarse a otra crisis sanitaria. En marzo, mientras el presidente Donald Trump y los republicanos del Congreso intensificaban el debate nacional sobre la posibilidad de recortar la atención médica para los…

SACRAMENTO, Calif. — Gov. Gavin Newsom didn’t expect to be reckoning with another health care crisis. In March, as President Donald Trump and congressional Republicans escalated a nationwide debate over whether to slash health care for poor and disabled Americans,…

Note: “An Arm and a Leg” uses speech-recognition software to generate transcripts, which may contain errors. Please use the transcript as a tool but check the corresponding audio before quoting the podcast. Dan: Hey there–  2025 has been a LOT…

SACRAMENTO, Calif. — State Sen. Akilah Weber Pierson anticipates that California’s sprawling Medicaid program, known as Medi-Cal, may need to be dialed back after Gov. Gavin Newsom releases his latest budget, which could reflect a multibillion-dollar deficit. Even so, the…

The Trump administration must soon make a decision that will affect millions of Americans’ ability to access and afford mental health and addiction care. The administration is facing a May 12 deadline to declare if it will defend Biden-era regulations…

The Host After narrowly passing a budget resolution this spring foreshadowing major Medicaid cuts, Republicans in Congress are having trouble agreeing on specific ways to save billions of dollars from a pool of funding that pays for the program without…

On the eastern plains of Colorado, in a county of less than 6,000 people, Lincoln Health runs the only hospital within a 75-minute drive. The facility struggles financially, given its small size and the area’s tiny population. But for over…

Sandra Smith and her daughter, Sarah Smith, rely on Medicaid to pay for a nurse to come to their home in Crestwood, Missouri, 13 hours a day because Sarah needs round-the-clock care. (Bram Sable-Smith/KFF Health News) CRESTWOOD, Mo. — The…

In his March address to Congress, President Donald Trump honored a Texas boy diagnosed with brain cancer. Amid bipartisan applause, he vowed to drive down childhood cancer rates through his “Make America Healthy Again” initiative. A few days later, the…

Rennie Glasgow, who has served 15 years at the Social Security Administration, is seeing something new on the job: dead people. They’re not really dead, of course. In four instances over the past few weeks, he told KFF Health News,…

Este otoño, la Oficina de Responsabilidad del Gobierno de los EE. UU. espera publicar un informe sobre cuánto cuesta administrar Georgia Pathways to Coverage, el único programa activo de requisitos de trabajo de Medicaid del país, mientras otros estados y…

Republicans have long pushed to force working-age adults enrolled in Medicaid to show they are, in fact, working.  Party members argue Medicaid, a taxpayer-funded program for people with low incomes and disabilities, shouldn’t cover Americans who aren’t actively trying to…

Faced with potential federal spending cuts that threaten health coverage and falling childhood vaccination rates, Monica Soni, the chief medical officer of Covered California, has a lot on her plate — and on her mind. California’s Affordable Care Act health…

This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar…

Este otoño, la Oficina de Responsabilidad del Gobierno de los EE. UU. espera publicar un informe sobre cuánto cuesta administrar Georgia Pathways to Coverage, el único programa activo de requisitos de trabajo de Medicaid del país, mientras otros estados y…

Carmen Aiken of Chicago made an appointment for an annual physical exam in July 2023, planning to get checked out and complete some blood work. The appointment was at a family medicine practice run by University of Illinois Health. Aiken…

For several years, Fred Neary had been seeing five doctors at the Baylor Scott & White Health system, whose 52 hospitals serve central and northern Texas, including Neary’s home in Dallas. But in October, his Humana Medicare Advantage plan —…

Some federal employees who were fired, reinstated, and fired again by the Trump administration are now learning their health coverage lapsed despite being told otherwise. SCOTT SIMON, HOST: Some fired federal employees have received even more unwelcome news in recent days. It involves their government health insurance. They thought they still had a couple of

Hospitals have spent years amassing political influence at the federal and state levels. According to the nonprofit OpenSecrets, hospitals and nursing homes’ federal lobbying spending rose from $35 million in 2000 to more than $133 million last year, a 280%…

For nearly three agonizing years, Mariah Freschi and her husband have been trying to have a second baby. The California mother recently underwent surgery to remove her blocked fallopian tubes, leaving in vitro fertilization as her only option to get…

SACRAMENTO, Calif. — Medi-Cal, California’s complex, $174.6 billion Medicaid program, provides health insurance for nearly 15 million residents with low incomes and disabilities. The state enrolls twice as many people as New York and more than three times as many…

HELENA, Mont. — As Republican legislative leaders in Montana girded for this year’s battle over whether to extend Medicaid expansion in the state, they took aim at one of the program’s biggest backers: hospitals. If Montana’s hospitals wanted to extend…

They’re the fixers, the ones who step in when Affordable Care Act enrollees have a problem with their coverage, like a newborn incorrectly left off a policy or discovering that a rogue broker had signed them up or switched their…

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PBS News Weekend’s Ali Rogin spoke with KFF Health News contributor Michelle Andrews about what some people with missing limbs consider a disparity in health insurance coverage: Though a knee replacement likely would be covered, a prosthetic knee isn’t always….

PBS News Weekend’s Ali Rogin spoke with KFF Health News contributor Michelle Andrews about what some people with missing limbs consider a disparity in health insurance coverage: Though a knee replacement likely would be covered, a prosthetic knee isn’t always. A prosthetic device can be subject to cost caps and an amputee may be required

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Back to all blog list Published on April 17, 2025 All Marketplace plans have free preventive benefits to help keep you healthy and avoid more serious illnesses. Talk with your doctor to figure out which services are right for you. Remember,…

For many years, Eric Wunderlin’s health issues made it hard to find stable employment. Struggling to manage depression and diabetes, Wunderlin worked part-time, minimum-wage retail jobs around Dayton, Ohio, making so little he said he sometimes had to choose between…

Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers.  Medicare…

Because of past fraud by rogue brokers, some Affordable Care Act policyholders may get an unexpected tax bill this season. But that isn’t the only potential shock. Other changes coming soon — stemming from proposals by the administration of President…

Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers. Medicare…

Subrayando la magnitud del problema de la deuda médica en el país, una organización sin fines de lucro con sede en Nueva York ha llegado a un acuerdo para liquidar viejas facturas médicas de aproximadamente 20 millones de personas. Undue…

MANSFIELD, La. — When Desoto Regional Health System took out $36 million in loans last year to renovate a rural hospital that opened in 1952, officials were banking on its main funding source remaining stable: Medicaid, the joint federal-state health…

Underscoring the massive scale of America’s medical debt problem, a New York-based nonprofit has struck a deal to pay off old medical bills for an estimated 20 million people. Undue Medical Debt, which buys patient debt, is retiring $30 billion…

Tina Ewing-Wilson remembers the last time major Medicaid cuts slashed her budget. In the late 2000s, during the Great Recession, the pot of money she and other Medi-Cal recipients depend on to keep them out of costly residential care homes…

It’s a holy grail of health care: forcing the industry to reveal prices negotiated between health plans and hospitals — information that had long been treated as a trade secret. And among the flurry of executive orders President Donald Trump…

HENRICO, Va. — Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. It was recommended by…

Back to all blog list Published on January 16, 2025 Missed the January 15 deadline for 2025 Marketplace Open Enrollment? Don’t worry—you may still have options for health coverage for the rest of the year.  Enroll with a Special Enrollment…

Published on January 8, 2025 Time’s almost up to get health coverage for 2025. Act before January 15 to enroll in health coverage that starts February 1.  Enroll in health coverage now that meets your budget & needsDepending on your…

Back to all blog list Published on December 15, 2024 Do you hear that? It’s the clock ticking towards the January 15 deadline. You still have time to apply for, renew, or change 2025 health insurance. Notice: Note these important…

Back to all blog list Published on December 12, 2024 To start your new 2025 Marketplace coverage, pay the first premium. This is the amount you pay every month to the health insurance company to keep your coverage. How to…

Published on December 5, 2024 Don’t wait—time is running out! The December 15 deadline to apply, renew, or make changes for Marketplace coverage starting January 1 is fast approaching. Take action now to ensure you don’t experience any gaps in…

Published on December 1, 2024 Apply for, renew, or change your Marketplace plan by December 15 to make sure your coverage starts January 1.   Already have Marketplace coverage?Whether you want to keep your current coverage or you’re ready for a…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on November 21, 2024 Open Enrollment is now. Start 2025 off right by enrolling in coverage for the…

Back to all blog list Published on November 7, 2024 Before you apply, check out 2025 coverage options in the Marketplace and get an idea if you qualify for savings. Answer a few quick questions to preview plans and prices…

Back to all blog list Published on November 1, 2024 Don’t delay — enroll today! Open Enrollment for 2025 health insurance is here. Enroll in a new plan or change your coverage for the year ahead. Notice: Enroll by December…

Back to all blog list Published on October 24, 2024 Jump start for 2025 coverage by previewing plans with personalized price estimates based on your estimated income and household size.  Preview personalized 2025 plans & pricesTake a sneak peek at 2025…

Published on October 10, 2024 Open Enrollment for 2025 Marketplace coverage starts November 1.  Open Enrollment is right around the corner. Make sure you’re ready.  Did you: Gather basic information (PDF, 163 KB)? You can fill out your application faster…

Health Insurance Marketplace® is a registered trademark of the Department of Health & Human Services. An official website of the U.S. Centers for Medicare & Medicaid Services. Article Source Information contained on this page is provided by an independent third-party…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on September 19, 2024 It’s important to get the flu shot each year to protect you and your…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on September 5, 2024 Take a couple minutes to connect so you won’t miss important news, dates, and…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on August 22, 2024 Key dates to get Marketplace coverage next year:November 1, 2024: Open Enrollment starts —…

Back to all blog list Published on August 8, 2024 Be careful of people who may try to steal your personal information, trick you into paying them, or enroll you in coverage without your consent.   Ask yourself 3 questions before…

Back to all blog list Published on July 25, 2024 Some life changes can affect your coverage and how much you save on your Marketplace plan. If you have a life change, like moving or getting married, let us know…

Back to all blog list Published on July 11, 2024 All Marketplace health insurance plans must cover 10 categories of essential health benefits. Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each category may…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on June 27, 2024 A new address may mean new health coverage and savings options. Report your address…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on June 13, 2024 When a new baby arrives, you have a for health coverage. You have 60…

Back to all blog list Published on May 30, 2024 You have health insurance options if you lose Medicaid or Children’s Health Insurance Program (CHIP) coverage. 4 ways to stay covered1.  Get a Marketplace health plan. Most people qualify for…

Back to all blog list Published on May 16, 2024 Health insurance can protect you at any age.  4 health insurance options for young adults:Your college or university: If you’re in school, you can enroll in a student health plan.A…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on May 2, 2024 Whether you moved to a new state or had or adopted a baby, let…

Back to all blog list Published on April 4, 2024 How to “reconcile” your tax creditIf you (or anyone in your household) qualified for or used the premium tax credit to lower your Marketplace plan premium at any point in…

Published on March 21, 2024 You may be able to enroll in or change your Marketplace plan outside of Open Enrollment. Life events or changes may open a Special Enrollment Period for you.  What kinds of life events?Changes in household,…

Back to all blog list Published on March 7, 2024 The tax filing deadline is April 15, 2024. If anyone in your household had a Marketplace plan in 2023, use Form 1095-A, Health Insurance Marketplace®, to file your federal taxes….

Back to all blog list Published on February 22, 2024 If you had Marketplace coverage at any point in 2023 and got the , here’s what you need to know about filing your federal taxes.  Keep your Form 1095-A in a safe…

Back to all blog list Published on February 9, 2024 Get the most out of your Marketplace coverage with answers to some common questions, like how to use your coverage and what’s covered.  How do I use my coverage? What’s covered? All…

Published on January 25, 2024 Did someone in your household have a Marketplace plan in 2023?  When you file your taxes, you’ll need Form 1095-A, Health Insurance Marketplace® Statement. This form comes from the Marketplace, not the IRS. 1. Find your…

Published on January 5, 2024 Time is running out – your window to apply for, renew, or change your Marketplace plan for 2024 coverage ends on January 15.