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At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won鈥檛 answer questions about its Centene situation.
The Trump administration鈥檚 sudden firings have gutted training programs across the nation that bolstered state and local public health departments.
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they鈥檙e fully licensed. Critics say patients could be harmed because of the loosened training requirements.
In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It鈥檚 unclear whether the new protections will stick under Trump.
The town of Havana, Florida, is seeking a family doctor to practice in the rural community. Incentives include rent-free office space with medical equipment owned by the town. With a physician shortage hitting small communities hard, town leaders put want ads in newspapers and on social media.
State legislatures nationwide, including several in the South, are spending millions to improve rural health outcomes and access. For years, though, most Southern states have refused billions of federal dollars to provide public health insurance to more low-income adults. That isn鈥檛 likely to change with Trump back in office.
Several states require schools to assemble teams of law enforcement and education officials to identify students who could become mass shooters and intervene before it鈥檚 too late. But some experts say the efforts often face a lack of guidance and significant pressure, putting them at risk of maligning innocent students.
With continuous glucose monitors, students with Type 1 diabetes no longer have to visit the school nurse for a finger prick. But some parents say it falls to them to keep an eye on blood sugar levels from home or work 鈥 even though they may not be able to quickly reach their child when something鈥檚 wrong.
California and Massachusetts are teaching immigrants their rights while Florida and Texas are collecting patients鈥 immigration status. As states offer differing guidelines for interacting with immigrant patients, hospitals around the U.S. say they won鈥檛 turn people away for care because of their immigration status.
The number of unhoused seniors in the U.S. is expected to triple by 2030. About half of this population is becoming homeless for the first time. Homeless services struggle to help. Finding affordable housing that鈥檚 also accessible for older Americans with medical conditions is an extra challenge.
Mississippi, Tennessee, and West Virginia 鈥 states with some of the worst health outcomes 鈥 also have some of the highest childhood vaccination rates. But doctors and health officials worry a rising tide of vaccine skepticism is causing those public health bright spots to dim.
Across the country, trash incinerators disproportionately overburden majority-Black and -Hispanic communities. Though the number of incinerators has declined nationwide since the 1980s, Florida offers financial incentives to waste management companies that expand existing facilities or build new ones.
The number of new and returning enrollees using healthcare.gov 鈥 the federal marketplace that serves 31 states 鈥 is well below last year鈥檚 as of early December. Also, a Biden administration push to give 鈥淒reamers鈥 access to Obamacare coverage and subsidies is facing court challenges.
A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
Aging alone, without a spouse, a partner, or children, requires careful planning. New programs for this growing population offer much-needed help.
Patient and consumer advocates fear a new Trump administration will scale back federal efforts to expand financial protections for patients and shield them from debt.
Florida discovered a glitch in its Deloitte-run Medicaid eligibility system. The problem, alleged in court testimony, led to new mothers wrongly losing their insurance coverage.
A private immigration detention center contractor has sued to block a California law allowing local public health officials to inspect facilities in response to allegations of medical neglect or unsanitary conditions.
Florida sued the FDA over what it said was a 鈥渞eckless delay鈥 in approving its drug importation plan. Now, nearly a year after the FDA gave the state the green light, the program has yet to begin.
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