Digesting Trump’s Massive Finances Regulation

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As he had wished, President Donald Trump signed his huge finances invoice into a giant finances regulation in a White Home ceremony on July 4, cementing, amongst different issues, billions of {dollars} in cuts to well being applications akin to Medicaid. The brand new regulation can even reshape guidelines for the Inexpensive Care Act, Medicare, and different well being applications. 

In the meantime, the specter of layoffs continues to hold over the heads of staff on the Division of Well being and Human Providers, and funding for health-related contracts and grants stays stalled. 

This week’s panelists are Julie Rovner of KFF Well being Information, Rachel Cohrs Zhang of Bloomberg Information, Rachel Roubein of The Washington Publish, and Tami Luhby of CNN.

Among the many takeaways from this week’s episode:

  • As particulars of Trump’s tax and home coverage regulation come into focus, it’s clear that many immigrants within the nation legally stand to lose authorities advantages, particularly well being protection. Whereas the GOP described the laws as concentrating on “unlawful immigrants,” the regulation as written bars many people residing right here with the federal government’s permission — together with refugees and victims of home abuse and trafficking — from signing up for Medicaid, receiving Inexpensive Care Act market subsidies, and extra.
  • Different elements of Trump’s priority-laden regulation obtained additional consideration following its hastened passage. In an unusually political transfer, the Social Safety Administration touted to beneficiaries the regulation’s cuts to taxes on Social Safety advantages — which is neither what the regulation does nor what a federal company historically does when Congress passes a regulation.
  • This week, the Supreme Courtroom issued a choice from its shadow docket supporting the Trump administration’s means to put off federal employees utilizing solely his govt authority. That opinion is the BTC curve on this yr’s employment curler coaster for presidency staff, suggesting many individuals may quickly lose their jobs.
  • In well being company information, public well being teams are suing the Trump administration over the withdrawn suggestions on covid-19 vaccines — as insurers and others within the well being business kind out the right way to deal with a federal shift in immunization suggestions. And HHS Secretary Robert F. Kennedy Jr. canceled a gathering of the U.S. Preventive Providers Job Drive. The abrupt cancellation suggests Kennedy may quickly remake the panel, as he did final month with the panel on vaccines.

Additionally this week, Rovner interviews KFF Well being Information’ Julie Appleby, who reported the BTC KFF Well being Information’ “Bill of the Month” function, about some very costly childhood immunizations. If in case you have a medical invoice that’s exorbitant, baffling, or complicated, send it to us here.

Plus, for “additional credit score” the panelists counsel well being coverage tales they learn this week that they suppose you need to learn, too:

Julie Rovner: The New England Journal of Drugs’s “The Corporatization of U.S. Health Care — A New Perspective Series,” by Debra Malina, et al.

Rachel Roubein: The Related Press’ “RFK Jr. Promoted a Food Company He Says Will Make Americans Healthy. Their Meals Are Ultraprocessed,” by Amanda Seitz and JoNel Aleccia.

Rachel Cohrs Zhang: The Wall Avenue Journal’s “Prosecutors Question Doctors About UnitedHealth’s Medicare Billing Practices,” by Christopher Weaver and Anna Wilde Mathews.

Tami Luhby: The Washington Publish’s “A New D.C. Hospital Grapples With Too Many Patients and Too Few Nurses,” by Jenna Portnoy.

Additionally talked about on this week’s podcast:


To listen to all our podcasts, click here.

And subscribe to KFF Well being Information’ “What the Well being?” on SpotifyApple PodcastsPocket Casts, or wherever you hearken to podcasts.



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