Articles on Affordable Care Act (ACA)

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Federal agents execute a search in December 2025 tied to potential Medicaid fraud in Bloomington, Minn. Christopher Juhn/Anadolu via Getty Images

Trump administration is withholding more than $1B in Medicaid funds from California and Minnesota, in latest example of weaponizing real and imagined fraud

For six decades, politicians have blurred the distinction between protecting Medicaid from abuse and using abuse to discredit Medicaid itself.
After a stalemate over extending pandemic-era Affordable Care Act subsidies led to a government shutdown in October 2025, House Democrats in December failed to force a vote on extending them. Chip Somodevilla/Staff via Getty Images News

As millions of Americans face a steep rise in health insurance costs, lawmakers continue a century‑long battle over who should pay for health care

US health care policy will remain fractured until lawmakers address the core question of who is responsible for health care costs.
Concessions to the private sector are one reason why health care is so costly. FS Productions/Tetra images via Getty Images

US health care is rife with high costs and deep inequities, and that’s no accident – a public health historian explains how the system was shaped to serve profit and politicians

Research shows that decades of policy choices shaped today’s fragmented health care system – which is precisely why reform is so difficult.
Americans may lose free coverage for cancer and blood pressure screenings, HIV prevention medication and other essential services. Halfpoint Images/Moment via Getty Images

Preventive care may no longer be free in 2026 because of HIV stigma − unless the Trump administration successfully defends the ACA

After a group of employers refused to provide their employees access to free HIV prevention treatment, the Supreme Court may decide whether insurers are required to fully cover preventive care.
Farmworkers at Del Bosque Farms pick and pack melons on a mobile platform in Firebaugh, Calif., in July 2021. AP Photo/Terry Chea

Providing farmworkers with health insurance is worth it for their employers − new research

At a time when California’s farm operators are struggling to hire enough people, providing better benefits could attract more workers who are citizens or have legal immigration status.

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