Articles on Affordable Care Act (ACA)

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Speaker of the House Mike Johnson addresses the media on Feb. 25, 2025, after the House narrowly passed his budget resolution calling for big spending cuts. Kayla Bartkowski/Getty Images

GOP lawmakers commit to big spending cuts, putting Medicaid under a spotlight – but trimming the low‑income health insurance program would be hard

Two health law scholars explain how the public health insurance program for low-income people and people with disabilities works, and why cutting its cost would be hard to pull off.
Disabled people’s employment rights and access to free health care are among the policy issues that the Trump administration is aiming to change. Catherine McQueen/Moment/Getty Images

Cutting Medicaid and federal programs are among 4 key Trump administration policy changes that could make life harder for disabled people

Tracking disability policies has long been challenging − this will become a harder task under the Trump administration.
Congress has the authority to spend the nation’s money. Presidents try to get around that limitation. ATU Images-The Image Bank/Getty Images

Congress, not the president, decides on government spending − a constitutional law professor explains how the ‘power of the purse’ works

Congress has the authority to control government expenditures. Donald Trump is the latest president to try to get around that power, as he slashes government programs and staff.
A nurse peers through a small window in a COVID-19 unit of Mission Hospital in Mission Viejo, Calif., on Dec. 21, 2020. AP Photo/Jae C. Hong

The moral dimension to America’s flawed health care system

At a moment of soul-searching about health care in the US, an expert on global health puts the American system in perspective.
Trump may have a majority in Congress, but that doesn’t mean he can move ahead with his entire agenda. Al Drago/Bloomberg via Getty Images

Trump’s agenda will face hurdles in Congress, despite the Republican ‘trifecta’ of winning the House, Senate and White House

Gridlock can still happen under unified government, and for reasons that are likely to be on full display in the 119th Congress, where the GOP controls both houses under a Republican president.
The presidential debate on Sept. 10, 2024, did not add much context to what the two candidates would do on health care beyond their own records. Visual China Group/Getty Images

Health care under Harris versus Trump: A public health historian sizes up their records

Harris and Trump have starkly contrasting records on health care. This analysis examines their differing approaches to Medicare, the ACA, drug pricing and other public health efforts.
Doctors have struggled to find the balance between effective pain management and the very real addiction risks that come with prescription pain medication. BackyardProduction/iStock via Getty Images Plus

White patients are more likely than Black patients to be given opioid medication for pain in US emergency departments

Undertreated pain can result in unnecessary suffering and a greater likelihood of long-term chronic pain.
Growth outpaced new enrollment from the Affordable Care Act’s Medicaid expansion. bymuratdeniz/E+via Getty Images

Medicaid enrollment soared by 25% during the COVID‑19 pandemic – but a big decline could happen soon

Pandemic-related policies made it easier for states to afford to cover more people and made that coverage more stable for millions of Americans who rely on the program for health care.
PrEP is almost 100% effective in preventing HIV infection when taken as directed. The Times/Gallo Images via Getty Images Editorial

Free preventive care under the ACA is under threat again – a ruling exempting PrEP from insurance coverage may extend nationwide and to other health services

Judge Reed O'Connor ruled in a case that coverage for HIV prevention medicine PrEP violated the religious freedom of the plaintiffs. It is unclear whether the order will extend nationwide.

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