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Black Lung Disease Remains a Threat, but Federal Officials Delay Effort To Address It
The disease has long been a risk of coal mining, an industry the Trump administration is trying to reinvigorate.
California Eyes Prison Heat Protections That Fall Short of Workplace Standards
California is crafting weaker heat protections for prisons than other workplaces, citing billions in costs to cool aging institutions as climate and health risks increase. It’s a second-class standard, health and safety advocates say, and would leave correctional workers more susceptible to heat illness.
Sticker Shock at the Doctor's Office Could Motivate Midterm Voters
Steep jumps in health insurance premiums and deductibles are top of mind for many voters heading into midterm elections. KFF Health News chief Washington correspondent Julie Rovner explains how rising costs may shape competitive races. She also distills plans from candidates on both sides of the aisle to bring costs down.
The Sometimes-Awkward Art of Asking for a Second Opinion
A doctor has recommended a course of action that is invasive, expensive, or somehow different from what you'd prefer. Is it OK to get a second opinion? The answer is yes. Here’s how to make the ask a little less awkward.
How Is The Federal Government Counting Measles Deaths?
Recently Secretary of HHS Robert F. Kennedy, Jr., changed how the federal government tracks deaths in its official measles tally, after Pennsylvania reported four deaths. This Policy Watch reviews the two roles, strengths, and weaknesses of the two public health surveillance systems at the center of this change: the Nationally Notifiable Diseases Surveillance System (NNDSS) and the National Vital Statistics System (NVSS).
Democrats Demand Tougher Standards for Companies Running Medicaid Systems
A year after launching an inquiry into companies, including Deloitte, that receive billions in taxpayer dollars to build complex computer systems determining Medicaid eligibility, senators are urging the federal government to impose stricter rules.
Current and Historical Public Opinion on Medicare-for-All and Other National Health Plan Proposals
This chart pack summarizes KFF polling data on public opinion on Medicare-for-all and other national health plan proposals. The latest update finds that two-thirds of the public supports Medicare-for-all, while support changes drastically as respondents hear arguments from proponents and critics.
Workers Now Pay $7,471 on Average Annually for Family Health Coverage, Up 9% or $621 from 2025, Benchmark Employer Health Benefits Survey Finds
Workers are paying on average$7,471 annually toward the premiums for employer-sponsored family health benefits this year, which is up 9%, or $621, from 2025, per KFF’s annual benchmark health benefits survey of large and small employers. The burden of family premiums hits particularly hard for workers at small firms with less than 200 workers.
Cost-Saving Medicaid Meal Deliveries Threatened by Cuts, Policy Uncertainty
An experiment to provide meals to some Medicaid recipients shows food can be cost-effective medicine. But even as federal officials tout the power of nutrition, Medicaid budget cuts could lead states to think twice about covering healthy food for sick residents. One has already reconsidered.
GOP Focuses on Fraud, Seeking To Redirect Voters’ Ire Over Healthcare Costs
The anti-fraud efforts highlight a broader political fight ahead of the midterms. Republicans say they’re protecting taxpayer dollars by going after bad actors. Democrats contend the administration is — with insufficient evidence — targeting blue states to cut programs the GOP has long sought to shrink.
National bus tour brings healthcare affordability fight to Michigan
A new poll from the health policy research organization KFF found more than six in 10 Americans are worried about affording healthcare. The issue took center stage in Kalamazoo this week as the advocacy group Protect Our Care brought its national "Sick of It! Fix Health Care Now" bus tour to the city.
Aging Life Care Managers Can Be a ‘Godsend’ for Families
These service providers, formerly known as geriatric care managers, can arrange a move to a senior living facility, deal with Medicare and Medicaid, recommend doctors, drive a client to the dentist, and much more.
Trump to rally in North Carolina, even as GOP pulls its money
Michael Whatley, the state’s Republican Senate candidate, owes his nomination to Trump; the president continues to invest time, if not cash, on his behalf.
Is This A Healthcare Economy?
This analysis examines recent jobs growth in health care and how it compares to the rest of the economy. Health care employment has grown faster than other sectors of the economy, with jobs in physician offices, hospitals, outpatient care centers, home health, and other settings increasing over the past year even as the rest of the job market plateaued.
Obamacare enrollment fell to 20.5 million people as of June, KFF says
NEW YORK, Oct 14 (Reuters) - Affordable Care Act enrollment fell by 18% to 20.5 million members in June, according to health policy research firm KFF, marking the steepest annual decline since 2015 ...
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
Understanding the Role of Medicaid Fraud Control Units (MFCUs)
This brief describes the role of Medicaid Fraud Control Units (MFCUs) in program integrity efforts, examines caseload and case outcome data, and current issues facing MFCUs.
Insurance Coverage Lags as Cancer Science, Treatment Move Forward
“Brain cancer” or “H4 G34-mutant”? As knowledge about genetics advances, some doctors say cancers should be defined by their mutations, not the tissues where they manifest.
California’s Billionaire Tax Promises Healthcare Relief. The Fine Print Is Murkier.
An initiative on the California ballot would levy the nation’s first wealth tax on billionaires. Supporters say the proceeds would help offset President Donald Trump’s sweeping healthcare cuts. But critics argue that the temporary infusion of cash is a giveaway to politicians.
Rural MAHA Followers Say Trump Health Policies Haven’t Reached Their Communities
President Donald Trump has championed sprawling health policy changes under the Make America Healthy Again movement, but a KFF-Associated Press survey of rural voters found people aren’t seeing the initiatives reach their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
The findings signal an apparent disconnect between the Trump administration’s MAHA-branded policy priorities and rural America’s perception of their reach and effectiveness.
Doctors Should Keep an Eye on Your Mix of Medication. If They Don’t, You Should.
By Paula Span | KFF Health News Medications can snowball as we age. Pill organizers pile up. Prescriptions that are no longer necessary can mix with other drugs to create concerning side effects. “Once you get to six or seven prescription medications, you get a nearly 100% chance of some sort of ...
KFF Health Tracking Poll: Health Care Issues in the Lead-Up to the 2026 Midterm Election
With the 2026 midterms about a month away, health care costs remain tied with gas as voters’ top midterm concerns and the Democrats hold a clear edge over the Republicans Party on who voters trust to handle many top electoral issues, including the cost of health care and the cost of living. Two-thirds of U.S. adults now favor Medicare-for-all, a new high in KFF Polling, but support shifts when competing claims from critics and proponents are heard.
Tenet Adds First U.S. Exclusive Commercial Lender to Business Hub and Welcomes New West Coast Business Development Manager
Toronto, Ontario--(Newsfile Corp. - October 1, 2026) - Tenet Fintech Group Inc. (CSE: PKK) (OTCID: PKKFF) (FSE: P0T) ("Tenet" or the "Company"), an innovative analytics service provider, owner and operator of the Cubeler Business Hub, today announced that New York based commercial lender Premium Merchant Funding ("PMF") has signed on to be the first commercial lender on the Business Hub exclusively dedicated to lending and extending credit to U.S. based small and medium-sized enterprises.While..
Digging Into the Money Behind the US Healthcare System
Healthcare makes up a growing share of the U.S. economy — and household budgets. We break down how much money the nation is spending and on what.
Workers are paying 9% more for family health coverage this year, a higher jump than in the recent past
A KFF survey finds that rising healthcare costs are squeezing both employers and workers.
Patient Dies By Suicide After 'Insurance Issue' Delayed Medicine For Lung Disease Flare-Ups
By Lauren Sausser and KFF Health News HealthDay ReportersTUESDAY, Oct. 6, 2026 (HealthDay News) — Kenney Blewett was diagnosed with lung disease more than a decade ago but started experiencing flare-ups this year that made him feel like he couldn’t breathe. Blewett, of Kyle, Texas, described those ...
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new poll from The Associated Press and KFF reveals that while approximately half of rural voters identify with the Make America Healthy Again movement, eight in ten believe the Trump administration's healthcare policies have failed to benefit their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Before Saying Yes to the Medical Test, Know the Risks and Benefits
Tests like full-body scans marketed directly to consumers are pitched as a way to detect diseases early and establish a baseline of health markers. But there are financial, physical, and psychological risks to all medical tests — and in some cases, not getting a test could be better for your health.
Trump Dangles Rural Health Dollars To Push States To Change Hospital Laws
The Trump administration has tied billions in rural health funding for states partly to the policy commitments they make, including ending their certificate of need, or CON, laws governing the construction of new hospitals.
Rural and Urban Health Center Patients and Financing
This brief reports on rural and urban health center patients and financing in 2025 using national data from the Uniform Data System (UDS) and examines potential impacts of recent federal policy changes.
Midterm Election Update: Vaccines
Federal vaccine policy has shifted toward fewer recommended routine childhood vaccinations, more emphasis on individual decision-making, and greater skepticism about the safety and efficacy of some vaccines. The changes coincide with declining childhood vaccination rates, rising exemptions from school vaccine requirements, and a major measles resurgence.
Republicans and Democrats find a unifying target: Pharmacy benefit managers
Republicans and Democrats, both patients and politicians, seem united in their disdain for the healthcare companies known as pharmacy benefit managers. Tennessee and Arkansas are regulating them now.
A Closer Look at the $50 Billion Rural Health Transformation Program
The 2025 budget reconciliation created the Rural Health Transformation Program, which will award $50 billion in state grants over a five-year period. This brief provides an overview of the program, describing its structure, how funds can be used, how funding compares to Medicaid spending reductions in the reconciliation law, and how the funds are being distributed across and within states.
As health insurance costs soar, healthcare workers feel the pinch
Nationwide, 7% of all healthcare workers were uninsured in 2024, compared with 11% of all adults under 65, according to a KFF analysis.
KFF Tracking Poll on Health Information and Trust: Fall 2026 Update on Vaccine Views
The latest KFF Tracking Poll on Health Information and Trust finds about half of parents mistakenly believe spacing out vaccines is healthier for children, while confidence in many long-standing childhood vaccines is high across partisans. These findings take on new relevance following President Trump's recent executive order calling for changes in U.S. childhood vaccine recommendations, including splitting the measles, mumps, and rubella (MMR) vaccine—currently given as a single combined shot—into three separate vaccines across multiple visits.
Midterm Election Update: Medicaid Changes
Major federal changes to Medicaid eligibility and financing from the 2025 reconciliation law are coming, including new work requirements that will affect millions of Medicaid enrollees. KFF’s fact sheet provides an overview of what has changed, what is still ahead, and what the public thinks about Medicaid heading into the midterms.
Patient Dies by Suicide After ‘Insurance Issue’ Delayed Medicine for Lung Disease Flare-Ups
Hours after experiencing a flare-up related to chronic obstructive pulmonary disease, Kenney Blewett of Kyle, Texas, died by suicide in June. A medication his doctor prescribed days earlier to ease his breathing problems hadn’t been filled due to an “insurance issue,” his pharmacy explained via email.
Jefferson County begins local public health survey
Jefferson County health officials will conduct door-to-door surveys in Birmingham and surrounding communities.
‘Medicare for All’ Message Attracts Voters Buckling Under Medical Bills
The idea of scrapping the U.S. health insurance system for a massive expansion of government-funded healthcare isn’t new. But voters hit by ballooning private health insurance costs are rallying behind midterm candidates calling for universal coverage.
KFF/AP Survey Probes Rural Voters’ Increasing Anxieties About the Rising Cost of Living, Including Health Costs, Heading into the Midterm Elections
Rural voters’ frustrations about the cost of living in their community are growing and appear to be chipping away at Republicans’ enthusiasm to vote as the midterm elections near, a new KFF/AP Survey of Rural Voters finds.
Trump bucks and the politics of mailing checks
The checks started going out last week, nearly one million of them, and mostly to battleground states. With a return address for the U.S. Treasury and a letter enclosed signed by President Donald Trump, these one-time checks for $500 were ostensibly government rebates for Obamacare enrollees who overpaid. In the accompanying letter, however, Trump attacks his predecessor and talks about his record in office on an important issue he’s not polling well on, which makes it seem more like the most expensive political mailer in U.S. history. The average piece of direct mail costs between 30 cents and $3, according to Mail Processing Associates, a print, mail, and fulfillment company. At $500 a pop plus roughly 50 cents each to issue the paper check, the cost of Trump’s healthcare mailer sent to more than 950,000 enrollees comes in at more than $475 million. Trump’s midterm healthcare message “For years, the Biden Administration overcharged you to fund the operation of HealthCare dot gov,” Trump wrote in the letter. “That money belongs to hard-working Americans, not the Government, and now, I am returning it to you!” In the letter, Trump makes false and misleading claims about his administration’s record on healthcare costs, an issue Democrats have a 20 point advantage on over Republicans, according to a recent poll from KFF, a nonpartisan health policy think tank. Trump touts his administration’s TrumpRX program, which he claims is “delivering massive discounts.” However, new research from KFF found that of a selection of drugs available on the TrumpRX platform, just five were the lowest price, while 13 were the highest price. Trump also falsely claims in the letter that he’s fighting to lower healthcare costs. In reality, average monthly premium payment costs for enrollees rose 58% under Trump while marketplace sign-ups declined 5%, per KFF. Under Trump’s One Big Beautiful Bill Act, it’s estimated 10 million more Americans will be uninsured by 2034. You get a check and you get a check and you get a check Trump’s long promised cash outs to his fans, from his days as a casino operator and gameshow host to his presidency. During the early days of the COVID-19 pandemic in 2020, the first Trump administration made the unprecedented move to put Trump’s name on checks that went out under the CARES Act (notably the $500 refund checks this time around don’t feature Trump’s name). Ever since, Trump’s been chasing that high. In his second term, Trump’s promised more stimulus that never arrived, like refund checks from DOGE cuts and tariffs, while he said at his party’s convention last month that he’d give out $5,000 checks to everyone if Republicans win in November. In reality, DOGE overstated its cost cutting and Trump’s government actually now spends more than former President Joe Biden’s, while Trump’s tariffs actually grew the trade deficit. His proposal for $5,000 checks would add about $1.2 trillion to the national debt. The problem is there’s no money to give. These $500 checks — plus $90 Medicare rebate checks also going out as well as $250 deposited this week in some Trump Accounts for kids courtesy Dell Technologies CEO Michael Dell and his wife Susan — represent the closest Trump’s going to get to making good on his promise to deliver cash fast. And the checks seem especially targeted. Though the $500 checks went out to enrollees in one of 30 states that use the federal HealthCare dot gov marketplace, a Reuters review found 71% of the payments, or $339 million, went to enrollees in 13 states that have the most competitive elections for governor and U.S. Senate. Most Americans don’t buy it Could Trump bucks sway the election? An Economist-YouGov poll found 57% of U.S. adults doubt Trump will deliver on his promise for $5,000 checks, compared to 21% who do. “I’m waiting on my DOGE check and I’m still waiting on my tariff check,” one 2024 Trump voter who’s since turned on him told a recent focus group. “It felt like kind of trying to buy people’s votes, which honestly felt like in elementary when the class president was like, hey we’re going to take you to the water park if you vote for me. It’s like, I don’t think it works like that.” But for voters in swing states who got a check, it could still matter. One survey published in 2022 found receiving a physically personalized check in the mail during the pandemic was associated with a much greater self-reported likelihood of voting for Trump in 2020, and those gains mainly came from out partisans. The issue for Trump comes if these checks are mostly going to Obamacare enrollees whose premiums have gone up by more than just $500 since he took office and who view the money as something like a bribe before the election rather than an actual long-term solution to lowering household costs. Spending $500.50 per mailer would be absurd as a normal campaign expenditure, but since Trump’s checks and letter are a government rebate, his campaign and super PAC didn’t have to spend a dime and he got out his message regardless. If enough voters in key states are swayed by the one-time payment, it could prove to be the best $0 the Trump campaign spent. Subscribe [ ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ Why independent candidates are making independence central to their brand ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) Hunter Schwarz · Oct 6 [ Read full story ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) [ These designers and grocery nerds will brand Mamdani’s NYC grocery stores ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Hunter Schwarz · Oct 2 [ Read full story ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Trump wants to turn his first-ever golf course into a government course for presidents
ACA health coverage enrollment in NH declined by an estimated 4.8K after tax credits expired
After a set of tax credits designed to help Americans afford healthcare expired, 4,868 fewer New Hampshire residents were enrolled in ACA Marketplace healthcare plans, according to an analysis of federal data by KFF.
Rural MAHA followers say Trump hasn’t improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
HHS’s Elimination of Disparate Impact to Determine Discrimination: Potential Implications for Health and Health Care
This brief provides background on Title VI, summarizes the key changes in the 2026 final rule, and discusses the potential implications for racial and ethnic health disparities.
Voters Trust Democrats On Healthcare Costs By Wide Margin Over GOP
By a margin of nearly two-to-one, voters trust Democrats over Republicans when it comes to the issue of healthcare costs, a new KFF poll shows.
Implementation of 2025 Reconciliation Law: Medicaid Managed Care Rate Setting Uncertainty & Potential Plan Exits
This policy watch examines recent and anticipated managed care rate setting challenges and the potential implications of MCO exits.
Poll: Cost of Health Care and Gas Top Voters' Midterm Concerns; Democrats Hold Significant Advantage on Health Care Costs and Cost of Living
Just a month away from the midterm elections, affordability worries continue to top the public’s list of midterm election issues, with health care costs and gas costs tying as the top economic concern, KFF’s new Health Tracking Poll finds. Voters overall trust Democrats more than Republicans to handle the cost of health care and the cost of living.
Four Red Flags and One Truth Amid the Peptide Hype
Experimental peptides are all the rage on longevity and “optimization” podcasts, but a lot of the chatter is misleading.
Medicare-for-all support is rising, KFF poll finds
The survey also found that the public’s views of a national health plan are highly malleable.
Food Safety Finds a Place Among ‘Kitchen-Table’ Political Issues
Recent outbreaks of foodborne illness and high-profile recalls have made this issue a concern of voters.
The Legal and Policy Landscape of Crisis Pregnancy Centers
This brief examines the legal status of Crisis Pregnancy Centers, attempts to regulate them, and future efforts to expand their footprints as they gain more recognition and funding from local, state, and federal programs.
US Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect Oct. 1. A KFF Health News survey of nine states found many more are at imminent risk of losing health coverage.
Readers Are Pleading To Make American Healthcare Greater
KFF Health News gives readers a chance to comment on a recent batch of stories.
Hats Off to Stephanie Armour and KFF Health News: Food Safety Is on the Ballot. Now Let’s Talk About What Isn’t in the Recall Count.
This morning KFF Health News and CBS News published Stephanie Armour’s Food safety becomes an election issue as major outbreaks and recalls
Paid Family and Sick Leave in the U.S.
This fact sheet summarizes federal, state, and local policies on paid family and medical leave and paid sick leave.
Confusion and Angst Follow State's Early Rollout of Medicaid Work Rules
In most states, people with Medicaid coverage will have to prove they’re working, volunteering, or studying starting Jan. 1. But Montana put the rules into effect early, and they’re sowing uncertainty and anxiety.
After Failed Execution, Health Workers Say State’s Rules Flout Medical Ethics
The death penalty is legal in 27 states, and lethal injection is the primary method. That means involving medical professionals to store, test, and inject the drugs. After a botched execution in Tennessee, doctors and nurses there say medical professionals need to be removed from the process completely.
AI in Health Care Moves Toward More Autonomous Roles
Federal health agencies are testing AI applications that move into patient care typically handled by physicians. And recent research suggests people may place more trust in conversational AI, while false claims attributed to authoritative sources can increase willingness to share them.
7 Takeaways From an Investigation Into Financial Aid at Texas Hospitals
Hospitals can prevent medical debt by preemptively wiping out a patient’s bill. But a Tradeoffs analysis finds that few nonprofit facilities in Texas use this tool to the maximum benefit of patients.
Montana starts enforcing Medicaid work requirements on Oct 1. Patients are confused
In most states, people with Medicaid coverage will have to prove they're working, volunteering or studying, starting Jan. 1. But Montana is starting that early, and it's sowing confusion and anxiety.
Food Safety Finds a Place Among ‘Kitchen-Table’ Political Issues
Recent outbreaks of foodborne illness and high-profile recalls have made this issue a concern of voters.
What CDC's new teen health survey shows, and what it skips
Teen suicide risk hit a 10-year low in 2025. Guns, sexual violence, and self-harm. Where are the 2025 data on transgender teens? Missing data changes public health policy. Teen suicide risk hit a 10-year low in 2025. CDC asked more than 10,000 high school students over 100 questions in spring 2025. Yesterday, it published a report covering a fraction of them. The report focsed on five areas: diet, physical activity, sleep, digital behaviors, and mental health, reflecting the priorities of the Make America Healthy Again movement. There was good news. Fewer teens seriously considered suicide in 2025 than in any survey year since 2015: 14%, down from 20% in 2023. Sadness fell. Underlying Conditions is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe Sports participation, which dipped to 49% in 2021, is back to its 2015 level of 58%. Daily PE fell from 27% to 20% in two years, while fewer students eat breakfast daily than a decade ago. Guns, sexual violence, and self-harm. The questionnaire is public, and it goes well beyond those five areas. Students answered questions about sexual violence, self-harm, and whether they got help when they felt sad or anxious. They said how quickly they could get a loaded gun. They reported whether food ran out at home and whether they felt close to people at school. There were questions about sexual identity, including whether they were transgender. The report did not publish any of the answers students gave to those questions. CDC posts the raw survey data online, so anyone can see what the report left out. The report doesn’t cover the health of sexual minority students. Among students who identified as gay, lesbian, bisexual, questioning, or another non-straight identity, persistent sadness fell from 66% to 57% between 2023 and 2025. Serious thoughts of suicide fell from 41% to 30%. Those drops were bigger than the ones among straight students, although the gap remains wide: 28% of straight students reported persistent sadness, about half the rate of LGBQ+ students. About 1 in 7 girls reported sexual violence in the past year. One in 6 students hurt themselves on purpose. Among students who needed help for sadness or anxiety, half rarely or never got it. And among students who had seriously considered suicide, 43% said they could get a loaded gun without an adult’s permission. One protective factor rose sharply. In 2023, 55% of students said they felt close to people at their school; in 2025, 63% did. CDC’s earlier research ties that kind of connection to better mental health. Where are the 2025 data on transgender teens? In 2023, CDC's national survey asked high school students, for the first time, whether they were transgender. Their answers are the only nationally representative data on transgender teens, and their mental health is by far the worst of any demographic. That year, 71% of transgender students reported persistent sadness, 54% seriously considered suicide, and 26% attempted it, compared with 38%, 18%, and 8% of cisgender students. But we don’t have 2025 data. The timing matters because students took the survey in spring 2025, as federal policy toward transgender youth shifted. On January 28th, an executive order directed agencies to end federal support for gender-affirming care for people under 19, and several hospitals paused that care within days. In February, the CDC said it would no longer process transgender identity data. Later in 2025, the Supreme Court upheld Tennessee’s ban on gender-affirming care for minors, and HHS ended the 988 Lifeline’s dedicated line for LGBTQ+ youth. Researchers disagree about how much state policy shapes trans teens’ mental health. A 2024 Trevor Project study estimated that anti-trans laws increased suicide attempts among trans and nonbinary youth. Critics dispute its methods and its estimates. The 2025 survey could have added national evidence to that fight. CDC collected the data but hasn’t publicly released it. Missing data changes public health policy. Surveillance works as a feedback loop. It can show officials whether their policies help or hurt. The CDC didn’t provide data on the students most exposed to transgender policy shifts. The report kept measures that frame health as personal choice, like fruit, breakfast, and sports. It left out measures that track policy, like gun access, mental healthcare, food at home, and school climate, all of which respond to what legislators and agencies decide. HHS did not respond to questions that I sent on September 21st.
States Bet Big On Rural Health Startups, With A Silicon Valley Twist
By Sarah Jane Tribble and KFF Health News HealthDay ReportersFRIDAY, Sept. 18, 2026 (HealthDay News) — When Josh Fleig, Louisiana’s chief innovation officer, learned his state had set aside $20 million a year, for five years, to invest in startup rural health companies, his reaction was not ...
Medicare Beneficiaries with Multiple and Complex Health Needs Face Challenges
New KFF polling focuses on the health care access and affordability challenges among adults with multiple or complex health conditions, including older Medicare beneficiaries. The results suggest important opportunities for policymakers to strengthen Medicare access and affordability. Medicare Beneficiaries Often Have High Health Needs Many Medicare enrollees have multiple or serious health conditions. More than […]
Here's why a family health insurance plan costs more than $28,000
The average family health insurance plan offered through an employer cost $28,303 this year, an increase of 5% from a year ago, according to KFF.
GOP Focuses on Fraud, Seeking To Redirect Voters’ Ire Over Healthcare Costs
By Stephanie Armour | KFF Health News Heading into the midterm elections, high healthcare costs rank among voters’ biggest concerns. But lately, there’s a twist giving the issue new momentum on campaign agendas: a focus on fraud in government health programs. The administration of President Donald ...
Health insurance costs continue rising for American workers, new survey finds
new KFF survey found that Americans with employer-sponsored health insurance are paying more for coverage in 2026, with workers at small businesses facing the steepest increases.
KFF Midterms Data Presentation: What Do Voters Think About Health Care Now?
Join KFF for a virtual event at Noon ET on Wednesday, October 14, featuring KFF public opinion and survey experts who will provide analysis and insights on the latest findings from recent public opinion surveys about health care issues in advance of the midterms, including current public sentiment about Medicare-for-All and how it compares historically. After the presentation, experts will take questions from attendees.
As Health Insurance Costs Soar, Healthcare Workers Also Feel The Pinch
By Hayat Norimine and KFF Health News HealthDay ReportersFRIDAY, Sept. 25, 2026 (HealthDay News) — Joshua and Ashley Durham run a family medicine practice, and for the first time in their lives, they have no health insurance. When the Durhams began their practice in Boise, Idaho, at the end of 2023 ...
Health Journalists Visit Conservative Georgia District and Weigh AI Bioweapon Threat
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
After failed execution, health workers say Tennessee's method flouts medical ethics
After a botched lethal injection in May, dozens of Tennessee medical professionals told the governor that healthcare professionals shouldn't help with executions, no matter the method.
Nursing home oversight lags, putting residents at risk
A recent KFF analysis of federal nursing home oversight found an association between short staffing and serious harm to residents.
Food Aid Enrollment Tanks After SNAP Rule Changes
It’s been more than a year since President Donald Trump signed the One Big Beautiful Bill Act, and SNAP enrollment is down more than 20% in Louisiana. Anti-hunger groups say far more people could lose access if states are required to cover more of the food program’s cost.
Green Card Processing Backlogs for Refugees and Asylees Could Have Implications for Health Coverage and Care
This data note highlights changes in green card (I-485) application processing for refugees and asylees between fiscal year (FY) 2021 and FY2025, as well as across the first three quarters of FY2025 to FY2026 (since FY2026 data are only available through the third quarter). It discusses the implications of these trends for access to federally funded health coverage following eligibility changes under the 2025 reconciliation law.
Republicans and Democrats Find a Unifying Target: Pharmacy Benefit Managers
Some states have considered barring companies that own a PBM from also owning brick-and-mortar pharmacies, as CVS does. Two states have followed through. A similar proposal at the federal level has gained prominent sponsors, aligning conservative, business-friendly Republicans with Democrats traditionally more open to government regulation.
‘Medicare for All’ message attracts voters buckling under medical bills
Support for Medicare for All is at its highest in at least a decade, according to a new KFF poll. The survey found two-thirds of Americans now favor expanding the government health program that largely covers seniors (about half of whom are enrolled in private plans through Medicare Advantage).
ACA health coverage enrollment in NH declined by 4.8k after credits expired
The KFF analysis found that New Hampshire enrollment in ACA healthcare plans fell by 8 percent from 2025 to 2026. Across the country, enrollment fell from roughly 21.8 million in 2025 to 19.2 million in 2026, per KFF.
Premiums for Employer-Sponsored Family Health Coverage Top $28,000 in 2026
Workers are paying on average $7,471 annually toward the premiums for employer-sponsored family health benefits this year, which is up 9%, or $621, from 2025, according to KFF’s annual benchmark health benefits survey of large and small employers.
Insurance Coverage Lags as Cancer Science, Treatment Move Forward
“Brain cancer” or “H4 G34-mutant”? As knowledge about genetics advances, some doctors say cancers should be defined by their mutations, not the tissues where they manifest.
Proposed Changes to Demographic Data Collection in the Census Could Impact Efforts to Address Health and Health Care Disparities
This issue brief provides an overview of the decennial census and discusses potential implications of the changes outlined in a September 2026 proposed rule to prohibit the collection of race and ethnicity data on the census and exclude many noncitizen immigrants from the apportionment count.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
New Arrivals in the ER? Georgia Gears Up To Solve Rural Maternal Health Crisis
Most of Georgia’s counties are without a labor and delivery unit. To fill the gap, the state is looking to equip emergency rooms to handle obstetric emergencies. Advocates and doctors worry, however, that the ER is being used as a stopgap.
Women's Health Care Affordability Challenges
As health care costs dominate the national political conversation, our 2026 KFF Women’s Health Survey shows the toll those costs are taking on women. Our new nationally representative survey of women and men ages 18–64 finds costs remain a major barrier for women, specifically — causing everything from delayed care to rationed medications to cuts in spending on basic needs.
‘Medicare for All’ Is Back. Now Comes the Hard Part.
At a time when more than 100 million Americans carry medical debt, it’s easy to get behind a promise of free, or free-ish, no-hassle health care. But turning an inspirational slogan into law gets gnarly.
Job-Based Health Plan Costs Rise, With Little Relief in Sight
Employers saw their healthcare premiums rise 5% this year — and some passed on that burden to workers — as the cost of family coverage in job-based insurance exceeds $28,000 for family plans.
It’s Hard To Predict Who Will Be Suicidal. It’s Easier To Ensure People Can’t Shoot Themselves.
Some mental health experts favor suicide prevention steps that are applied broadly, with protections that aren’t tied to an individual’s specific risk.
States Are Forcing Hospitals To Offer More People Financial Aid. In Oregon, It’s Working.
Oregon passed a law to require hospitals to proactively screen patients to see if they qualify for financial aid. Patients got immediate relief. Hospitals pushed to roll back the law following federal cuts to Medicaid and Affordable Care Act subsidies.
Doctors Should Keep an Eye on Your Mix of Medication. If They Don’t, You Should.
There’s a term for reducing unnecessary or harmful drugs: “deprescribing.” Especially as patients age, experts say, it’s important to regularly review the medications they’re taking.
3 Common Drugs Older Adults Might Be Overusing
Not all older people need benzodiazepines, antibiotics, or daily aspirin — and taking them can carry increased risks.
Economic Frustration Tests Trump’s Standing With Rural Voters, New KFF-AP Poll Finds
Rural voters rank the cost of living and cost of healthcare as top issues they want to hear about from midterm candidates as they face a tightening pocketbook pinch.
'Medicare for All' message attracts midterm voters buckling under medical bills
Midterm candidates are talking up Medicare for All, and in a poll 2 out of 3 Americans said they support it. The phrase speaks to a desire for radical change, though many don't really know what it is.
KFF Women’s Health Survey Explores How Women Navigate Contraceptive Information
Many reproductive-age women seek health information through online sources, where they may encounter false or misleading information about contraception, according to the 2026 KFF Women’s Health Survey. And an Ohio health department’s new AI policy offers a rare example of a health-specific policy addressing accuracy and public trust.
As health insurance costs soar, some Idaho healthcare workers pay for medical care out of pocket
This story was first published by KFF Health News on Sept. 22, 2026. Joshua and Ashley Durham run a family medicine practice, and for the first time in their lives, they have no health insurance. When the Durhams began their practice at the end of 2023 — he as a primary care physician and she […]
Cost of employer-sponsored health insurance plans rises again, nonpartisan survey finds
The price health insurance companies charge for employer-sponsored plans increased again this year, as did the deductible many people must pay before those plans begin covering most healthcare costs, according to a survey released Thursday by the nonpartisan health organization KFF.
KFF Health Tracking Poll: Health Care Issues in the Lead-Up to the 2026 Midterm Election
Affordability worries continue to top the public’s list of midterm election issues, with health care and gas costs tying as the top economic concern, finds KFF’s new Health Tracking Poll conducted on the SSRS Opinion Panel. Overall, voters trust Democrats more than Republicans to handle health care costs and the cost of living. A quarter...
Health Insurance Coverage of the Urban Population
State level data on Health Insurance Coverage of the Urban Population from KFF, the leading health policy organization in the U.S.
Rural MAHA followers say Trump health policies haven't reached their communities
About half of rural voters identify with Make America Healthy Again, a sprawling political movement championed by the Trump administration, but most said President Donald Trump’s healthcare policies have not benefited their communities, according to a new poll from The Associated Press in partnership with KFF.