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Trump Signs Order for New Women's Health Programs, RFK Jr. and Peptides, Healthcare on the Ballot

2026-11-14T08:02:02.360-08:00

➡️ President Trump signed an executive order to establish women’s health programs at the White House and NIH. ➡️ RFK Jr. submitted an initial plan to the White House to allow specialty pharmacies to produce peptides, even though they’re largely unregulated. ➡️ Several states have key health issues on their midterm ballots. Want more of the top healthcare and health policy issues each week? KFF Health News will be back with a weekly video recap of the news you need to know.

First time buying health insurance during open enrollment? Here’s what to know

2026-11-14T07:58:12.304-08:00

Buying health insurance can be overwhelming, but there are people who can help you figure it out — free of charge. HealthQ checks in with an “independent assister” to learn more.

North Dakota’s Bipartisan Push To Cap Insulin Costs

2026-11-14T07:56:23.770-08:00

Republicans and Democrats in North Dakota worked together to limit what people with diabetes have to pay for insulin, joining a growing bipartisan push across the country to protect patients. For years, healthcare issues have divided Americans. But there’s a lot about healthcare that people agree on. KFF Health News and ‪@NPR‬ are exploring some of the hopeful — and sometimes unexpected — ways that Americans are putting aside their differences and taking on big healthcare challenges like high costs, corporate influence, and shrinking access to care. Reporter: Noam N. Levey/KFF Health News Video producer: Hannah Norman/KFF Health News Additional visuals: Francis Ying, Ang Kritzberger, Getty Images, and the North Dakota Legislative Council Music: Fermin Canyon, Campfire Rounds, and Base Camp by Blue Dot Sessions

What You Need to Know About the Opioid Settlement Funds

2026-11-14T07:55:00.060-08:00

States and localities are receiving more than $54 billion over nearly two decades from companies like Purdue Pharma, McKesson, CVS, and others that made, distributed, and sold opioid painkillers. The money is meant as restitution for the companies' roles in fueling the epidemic. KFF Health News senior correspondent Aneri Pattani breaks down the money’s path – from when it lands to how it’s spent.

Payback Tracking the Opioid Settlement Cash

2026-11-14T07:53:28.788-08:00

Payback Tracking the Opioid Settlement Cash Opioid manufacturers, distributors, and retailers are paying tens of billions of dollars in restitution to settle lawsuits about their role in the overdose epidemic, with little oversight on how the money is spent. We’re tracking how state and local governments use — or misuse — the cash. https://kffhealthnews.org/opioid-settlements/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--mFMEodjoOMPFjBNW68AKGNZulp5HvpM1FJsj54rjLxo6iaiOPGgCcPj5PR5afGYkbfB6h0DUzcoT79rUEfIrFJnJqMQ&_hsmi=449197740&utm_content=449197740&utm_source=hs_email

Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage. By Andrew Jones, Katheryn Houghton, and Jazmin Orozco Rodriguez Nov. 13, 2026

2026-11-14T07:47:07.428-08:00

https://kffhealthnews.org/health-care-costs/medicaid-work-rule-requirement-native-american-north-carolina-exemption-coverage/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-8cm6oDdQIkZA-GhhdVmUOSTvgyurssxUbRmD5xn3_DceRi4evWGxfycPk7fHIKX5hRNUOLnaPqM4yQBkA0TunGYeFnuw&_hsmi=449197740&utm_content=449197740&utm_source=hs_email Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage. By Andrew Jones, Katheryn Houghton, and Jazmin Orozco Rodriguez Work requirements don’t apply to tribal citizens. But federal health officials provided limited guidance on how states should check eligibility. “I’m extremely nervous,” a North Carolina tribal healthcare administrator said.

Early Medicaid Work Requirement Insights From Nebraska Authors: Amaya Diana, Anna Mudumala, and Jennifer Tolbert Published: Sep 29, 2026

2026-11-14T07:45:46.233-08:00

https://www.kff.org/medicaid/early-medicaid-work-requirement-insights-from-nebraska/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9h4K4x3Z_zGFNWhfsS4Tqb21RtwBW1FvMN1UlzgZSc8Yy1vyqcin1yp5jjMzXkso4xDvd6C_c5nxmLDUBIV3fOeml9Hg&_hsmi=449197740&utm_content=449197740&utm_source=hs_email I’m Rachana Pradhan, a Washington, D.C.-based KFF Health News reporter who is counting the days until Thanksgiving (and ignoring emails about Black Friday deals). Send your best Turkey Day recipes and story tips to rpradhan@kff.org. By Rachana Pradhan Six months ago, Nebraska became the first state to enforce Medicaid work requirements under President Donald Trump’s signature One Big Beautiful Bill Act. “We’re excited to be able to be the first to make it happen,” Gov. Jim Pillen said at a news conference in December. Initial state data shows that most affected applicants met the requirements or qualified for an exclusion. And most affected enrollees have kept their coverage. Even so, the rollout in Nebraska — eight months earlier than the timeline required by law — has been rife with problems, according to health clinics and organizations advocating for poor and working-class Nebraskans. The story of Eli McCreary shows how confusion has interrupted essential medical care. McCreary, who lives in Omaha, was diagnosed with kidney cancer earlier this year. Shortly after, he said, he got a call from a local hospital. He said he was informed that he wasn’t insured anymore under Medicaid — and that the hospital would cancel his appointments unless he paid out-of-pocket. When McCreary, who was 64 at the time, phoned a call center for help, he said he was told his Medicaid now required him to have a job. McCreary had previously worked as a driver for an asphalt services company before his health deteriorated. He said he’d worked “until I couldn’t do the job anymore.” His experience encapsulates something KFF Health News encountered in its reporting: Advocates who work with Medicaid enrollees in Nebraska say that participants don’t know whether the work rules apply to them. These advocates say enrollees also have received inaccurate information. On Jan. 1, Medicaid work requirements will apply to millions of adults in more than 40 states. “It’s already a shaky system, and now you’ve added more burdens on top of that,” said Gelila Selassie, director of health advocacy for the nonprofit Justice in Aging. Despite what McCreary said he was told, the Nebraska health department told KFF Health News that McCreary experienced “no lapses in coverage” and that he was disenrolled from Medicaid after turning 65. Jeff Powell, a spokesperson for the Nebraska health department, said Medicaid work requirements weren’t the reason: McCreary aged out of Medicaid and into Medicare before they could be applied to him. McCreary eventually rescheduled his appointments related to his cancer diagnosis. He had surgery in early November to remove his right kidney. With their newly elected majorities in Congress, Democrats have said they want to repeal the One Big Beautiful Bill Act’s changes to Medicaid in their first 100 hours in office in January. But they could face a Trump veto.

Second-Year Rural Health Fund Awards Per Rural Resident Continue to Vary Widely Authors: Zachary Levinson and Scott Hulver Published: Nov 13, 2026

2026-11-14T07:43:48.245-08:00

https://www.kff.org/medicaid/second-year-rural-health-fund-awards-per-rural-resident-continue-to-vary-widely/?utm_campaign=KFF-Health-Costs&utm_medium=email&_hsenc=p2ANqtz-8oDCdHs1LpbsgPcyCktID1Aw36wSS_4Ci4cEWroT5mBHucVnmrXjCaiG44m9rEmzVJfPtO9p5XyCyX0M6DPLwOveTLCw&_hsmi=449189078&utm_content=449189078&utm_source=hs_email Analysis: State Rural Health Fund Awards Don’t Closely Track Rural Populations The second-year awards to states under the federal Rural Health Transformation Program continue to show wide variation in how much money states receive per rural resident, a KFF analysis finds. Contact: Craig Palosky | 202.654.1369 | CraigP@kff.org The Centers for Medicaid and Medicare Services earlier this week awarded the second $10 billion batch in funding to states under the five-year, $50 billion program. Texas, which has more rural residents than any other state, received the largest second-year award of any state ($282 million) but the smallest payment per rural resident (about $70). This stems in part from the fact that half of the funds are shared equally among states while the rest is distributed based on other factors. In comparison, states like Rhode Island, New Jersey, and Alaska, with far fewer rural residents, received substantially higher amounts per rural resident (about $6,390, $1,030, and $990 respectively). The Rural Health Transformation Program was created under the July 2025 budget reconciliation law to help offset the impact of other health care changes in the bill, which was projected to reduce federal Medicaid spending by $911 billion over 10 years, including an estimated $137 billion reduction in rural areas.

Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Nov 13, 2026

2026-11-14T07:39:18.298-08:00

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-state-national-data-and-policies/

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Updated on: Nov 13, 2026

2026-11-14T07:38:20.861-08:00

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-overview/ The 2025 reconciliation law, once called the “One Big Beautiful Bill,” signed by President Trump on July 4, 2025, requires 44 states (including DC) to condition Medicaid eligibility for adults in the Affordable Care Act (ACA) Medicaid expansion group and certain enrollees in 1115 waiver programs on meeting work requirements starting January 1, 2027. States have the option to adopt a “hold harmless” period for up to six months through June 30, 2027, meaning they would not deny applications or disenroll individuals renewing their coverage due to non-compliance with the work requirements during this time.

Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Nov 13, 2026

2026-11-14T07:37:13.263-08:00

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-implementation-questions/

Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Nov 13, 2026

2026-11-14T07:36:17.550-08:00

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-resources/

Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Nov 13, 2026

2026-11-14T07:33:57.606-08:00

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-1115-waivers/ The 2025 reconciliation law requires states to condition Medicaid eligibility for adults in the ACA Medicaid expansion group on meeting work requirements starting January 1, 2027; however, states have the option to implement requirements sooner through a state plan amendment (SPA) or through an approved 1115 waiver.

What the Recent Elections and an Evolving Federal Policy Landscape Could Mean for Medicaid Expansion Efforts in 2027 Authors: Robin Rudowitz and Jennifer Tolbert Published: Nov 13, 2026

2026-11-14T07:32:52.028-08:00

https://www.kff.org/medicaid/what-the-recent-elections-and-an-evolving-federal-policy-landscape-could-mean-for-medicaid-expansion-efforts-in-2027/ Among the ten states that have not adopted the Medicaid expansion, Georgia, Kansas, Texas and Wisconsin are key states to watch for potential new debates about expansion given the outcome of the elections.

A Step Back for U.S. Public Health: The U.S. Is Likely to Lose Its Measles Elimination Status Josh Michaud Josh Michaud Published: November 13, 2026

2026-11-14T07:31:46.157-08:00

https://www.kff.org/quick-insights/a-step-back-for-u-s-public-health-the-u-s-is-likely-to-lose-its-measles-elimination-status/ The loss of measles elimination status would primarily carry symbolic weight, as the effect of rising cases and deaths is already clear. Still, it is a marker of how a combination of factors - COVID-19, increasing vaccine skepticism, and a growing partisan divide about vaccines - has been a step back for public health, and it is not clear when or if this trend will be reversed.

Measles Elimination Status: What It Is and How the U.S. Could Lose It Author: Josh Michaud Published: Nov 13, 2026

2026-11-14T07:30:36.867-08:00

https://www.kff.org/other-health/measles-elimination-status-what-it-is-and-how-the-u-s-could-lose-it/ This policy watch examines the United States’ measles elimination status, including what it means to eliminate measles, whether the current measles outbreak could threaten the country’s measles elimination status, and what losing that status might mean for measles control.

The Advancing Global Health Annual Program Statement (AGH/APS) Mechanism: Supplementing the America First MOUs Authors: Kellie Moss, Stephanie Oum, and Jennifer Kates Published: Nov 13, 2026

2026-11-14T07:29:05.613-08:00

https://www.kff.org/global-health-policy/the-advancing-global-health-annual-program-statement-agh-aps-mechanism-supplementing-the-america-first-mous/ To shed greater light on U.S. global health efforts under the AFGHS, this analysis examines the Advancing Global Health APS (AGH/APS) award opportunities announced to date by looking at how funding may be directed across countries and selected areas of global health programming, painting a fuller picture of how continued U.S. global health investment may look in a post-USAID foreign aid landscape.

Abortion Recedes as a Motivator for Democratic Voters Even As Abortion Rights Prevail in Most Ballot Initiatives Audrey Kearney Audrey Kearney Published: November 13, 2026

2026-11-14T07:28:03.539-08:00

https://www.kff.org/quick-insights/abortion-recedes-as-a-motivator-for-democratic-voters-even-as-abortion-rights-prevail-in-most-ballot-initiatives/ An analysis of midterm voter survey data shows that abortion played a smaller role in voters’ decisions to turn out compared to past elections, but abortion rights continues to draw broad support in most states when put directly to voters in ballot initiatives

AI & Emerging Technology State Laws and Professional Guidance Address Human Oversight of AI in Health Care

2026-11-14T07:25:43.077-08:00

https://www.kff.org/health-information-trust/rules-governing-human-oversight-of-ai-in-health-care-could-shape-public-trust/?utm_campaign=22234741-KFF-Information-Trust&utm_medium=email&_hsenc=p2ANqtz-_bgkXKtk74WVFMJypc2H6X13iHvBpPYK6r16lHg0U7GknelbGN6UV9UkPZK2C-88YUGGdRxVujuYzR8tGGafaAKJseDQ&_hsmi=449073615&utm_content=449073615&utm_source=hs_email State lawmakers and professional organizations are developing new approaches to responsible AI use, often focusing on human oversight and accountability for these tools. A new report from the Transparency Coalition, an AI-policy advocacy organization, identified 115 AI-related measures that legislatures in 30 states passed this year. As of mid-October, 108 had been signed into law and seven were awaiting a governor’s signature. The report ranked human oversight of AI in health care and AI disclosure requirements among the most common issues states addressed. Eight states, for example, enacted laws limiting health insurers’ ability to rely solely on AI or automated systems to deny or reduce coverage, including prior authorization for health insurance claims. At least five states have enacted laws this year restricting AI in mental health care, generally requiring therapy to be provided by a licensed human professional. California also enacted a law requiring health facilities to ensure clinicians retain independent judgment when using clinical AI tools. Most of these mental health laws are already in effect, while Rhode Island’s and California’s take effect in January 2027.

Valuing the Global Mortality Consequences of Climate Change Accounting for Adaptation Costs and Benefits* Tamma Carleton , Amir Jina , Michael Delgado , Michael Greenstone , Trevor Houser , Solomon Hsiang , Andrew Hultgren , Robert E Kopp , Kelly E McCusker , Ishan Nath ...

2026-11-14T03:36:58.307-08:00

https://blogs.worldbank.org/es/voices/calor-contaminacin-del-aire-y-perturbaciones-de-la-temperatura-mundial?cid=ECR_E_NewsletterWeekly_ES_EXT&deliveryName=DM293405 Abstract Using 40 countries’ subnational data, we estimate age-specific mortality-temperature relationships and extrapolate them to countries without data today and into a future with climate change. We uncover a U-shaped relationship where extre6me cold and hot temperatures increase mortality rates, especially for the elderly. Critically, this relationship is flattened by higher incomes and adaptation to local climate. Using a revealed-preference approach to recover unobserved adaptation costs, we estimate that the mean global increase in mortality risk due to climate change, accounting for adaptation benefits and costs, is valued at roughly 3.2% of global GDP in 2100 under a high-emissions scenario. Notably, today’s cold locations are projected to benefit, while today’s poor and hot locations have large projected damages. Finally, our central estimates indicate that the release of an additional ton of CO2 today will cause mortality-related damages of $36.6 under a high-emissions scenario, with an interquartile range accounting for both econometric and climate uncertainty of [−$7.8, $73.0]. These empirically grounded estimates exceed the previous literature’s estimates by an order of magnitude.

Rules Governing Human Oversight of AI in Health Care Could Shape Public Trust Joel Luther , Hagere Yilma , and Irving Washington

2026-11-13T07:17:59.102-08:00

https://www.kff.org/health-information-trust/rules-governing-human-oversight-of-ai-in-health-care-could-shape-public-trust/ New regulations and guidelines for the use of AI in health care have sought to answer questions about human oversight and accountability. Separately, a new HHS initiative aims to expand research into potential vaccine injuries, but some medical organizations have questioned how the efforts may be perceived.

Viewpoints: The Stakes Are Huge For Democrats And Abortion Rights; Would You Want To Know If You Might Get Alzheimer's?

2026-11-13T07:16:31.522-08:00

https://kffhealthnews.org/morning-breakout/viewpoints-pre-symptomatic-alzheimers-test-may-warn-of-future-risk-pros-and-cons-of-ai-potential-mind-reading/

Longer Looks: Interesting Reads You Might Have Missed

2026-11-13T07:15:34.349-08:00

https://kffhealthnews.org/morning-breakout/longer-looks-interesting-reads-you-might-have-missed-282/

DC Shooting Suspect Was A Doctor With A Beef Against Condo's HOA, Metro Police Say

2026-11-13T07:14:38.356-08:00

DC Shooting Suspect Was A Doctor With A Beef Against Condo's HOA, Metro Police Say Dr. Matt Lambert died of a self-inflicted gunshot wound during the rampage that left a Logan Circle building manager dead and others wounded, interim Metropolitan Police chief Jeffrey Carroll said. Other state news is about HIV prevention in Texas, a fear of cuts to disability services in Connecticut, and more. https://kffhealthnews.org/morning-breakout/state-watch-111326/

CMS Extends Medicare Enrollment Moratorium For 6 More Months On Hospice, Home Health Agencies

2026-11-13T07:13:27.266-08:00

CMS Extends Medicare Enrollment Moratorium For 6 More Months On Hospice, Home Health Agencies According to the Centers for Medicare & Medicaid Services, the initial moratorium window has allowed the agency to identify potential cases of fraud and the extension is necessary to continue that effort. https://kffhealthnews.org/morning-breakout/health-industry-111326/