Monday, December 1, 2025

Invoice With Billions in Well being Program Cuts Passes Home

The Host

With solely a single vote to spare, the Home handed a controversial price range invoice that features billions of {dollars} in tax cuts for the rich, together with billions of {dollars} of cuts to Medicaid, the Reasonably priced Care Act, and the meals stamp program — most of which can have an effect on these on the decrease finish of the earnings scale. However the invoice faces an unsure future within the Senate.

In the meantime, Well being and Human Companies Secretary Robert F. Kennedy Jr. launched a report from his fee to “Make America Wholesome Once more” that described threats to the well being of the American public — however notably included nothing on threats from tobacco, gun violence, or an absence of medical health insurance.

This week’s panelists are Julie Rovner of KFF Well being Information, Anna Edney of Bloomberg Information, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico.

Among the many takeaways from this week’s episode:

  • Home Republicans handed their “huge, lovely” invoice 215-214 this week, with one Republican critic voting current. However the Senate could have its personal “huge, lovely” rewrite. Some conservative senators who fear about federal debt are involved that the invoice isn’t totally paid for and would add to the price range deficit. Others, together with some red-state Republicans, say the invoice’s cuts to Medicaid and meals help go too far and would harm low-income Individuals. The invoice’s cuts would symbolize the most important reductions to Medicaid in this system’s 60-year historical past.
  • Lots of the invoice’s Medicaid cuts would come from including work necessities. Most individuals receiving Medicaid already work, however such necessities in Arkansas and Georgia confirmed that individuals typically lose protection underneath these guidelines as a result of they’ve bother documenting their work hours, together with due to technological issues. The nonpartisan Congressional Finances Workplace estimated an earlier model of the invoice would scale back the variety of individuals with Medicaid by at the very least 8.6 million over a decade. The necessities additionally might add a burden for employers. The invoice’s work necessities are comparatively broad and would have an effect on people who find themselves 19 to 64 years previous. 
  • Individuals whose Medicaid protection is canceled additionally would now not qualify for ACA subsidies for market plans. Medicare additionally could be affected, as a result of the invoice could be anticipated to set off an across-the-board sequestration lower.
  • The invoice additionally would affect abortion by successfully banning it in ACA market plans, which might disrupt a compromise struck within the 2010 legislation. And the invoice would block funding for Deliberate Parenthood in Medicaid, though that federal cash is used for different care comparable to most cancers screenings, not abortions. Previously, the Senate parliamentarian has stated that sort of provision isn’t allowed underneath price range guidelines, however some Republicans need to take the bizarre step of overruling the parliamentarian.
  • This week, FDA leaders launched covid-19 vaccine suggestions in a medical journal. They plan to restrict future entry to the vaccines to individuals 65 and older and others who’re at excessive threat of great sickness if contaminated, and so they need to require producers to do additional medical trials to point out whether or not the vaccines profit wholesome youthful individuals. There are questions on whether or not that is authorized, which merchandise could be affected, when this might take impact, and whether or not it’s moral to require these research. 
  • HHS launched a report on power illness beginning in childhood. The report doesn’t embody many new findings however is noteworthy partially due to what it doesn’t focus on — gun violence, the main explanation for dying for youngsters and youths in the USA; tobacco; the shortage of medical health insurance protection; and socioeconomic elements that have an effect on entry to wholesome meals.

Additionally this week, Rovner interviews College of California-Davis College of Legislation professor and abortion historian Mary Ziegler about her new e-book on the previous and way forward for the “personhood” motion geared toward granting authorized rights to fetuses and embryos.

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

Julie Rovner: The Washington Publish’s “White Home Officers Wished To Put Federal Employees ‘in Trauma.’ It’s Working,” by William Wan and Hannah Natanson.

Alice Miranda Ollstein: NPR’s “Ailments Are Spreading. The CDC Isn’t Warning the Public Like It Was Months In the past,” by Chiara Eisner.

Anna Edney: Bloomberg Information’ “The Potential Most cancers, Well being Dangers Lurking in One Standard OTC Drug,” by Anna Edney.

Sarah Karlin-Smith: The Farmingdale Observer’s “Scientists Have Been Learning Distant Work for 4 Years and Have Reached a Very Clear Conclusion: ‘Working From House Makes Us Happier,’” by Bob Rubila.

Additionally talked about on this week’s podcast:


To listen to all our podcasts, click on right here.

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

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