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9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding

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kffhealthnews.org – Phil Galewitz, KFF Health News – 2024-12-04 04:00:00

SUMMARY: With Republicans taking control of Congress in 2025, Medicaid expansion under the Affordable Care Act (ACA) is at risk, particularly for 3 million people in nine states with trigger laws that automatically end expansions if federal funding is reduced. These states, including Arizona, Arkansas, and Montana, could lose coverage if federal support falls below 90%. The ACA expanded Medicaid to low-income adults, and if funding cuts occur, states would need to make up the difference. This could increase the uninsured population and limit access to care. Conservative groups oppose the ACA, while Democrats argue Medicaid expansion saves lives.

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Kaiser Health News

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

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kffhealthnews.org – Michelle Andrews – 2025-01-06 04:00:00

SUMMARY: In 2023, Michael Adams faced insurance denial for a crucial prosthetic leg replacement. After losing his leg to cancer 40 years ago, he selected a health plan that covered advanced prosthetics, but his insurer deemed the replacement unnecessary, despite his doctor’s long-standing recommendation. This disparity in coverage, particularly between joint replacements and prosthetics, highlights ongoing discrimination in the amputee community. An estimated 2.3 million Americans live with limb loss, and many encounter barriers to obtaining necessary prosthetics. Leah Kaplan also struggled with insurance denial for a myoelectric prosthetic hand, emphasizing the financial and emotional toll of inadequate insurance coverage.

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Syringe Exchange Fears Hobble Fight Against West Virginia HIV Outbreak

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kffhealthnews.org – Taylor Sisk – 2025-01-03 04:00:00

SUMMARY: Despite federal recommendations, West Virginia grapples with a persistent HIV outbreak linked to opioid and methamphetamine use. Since the CDC’s 2021 visit highlighted the crisis, health officials and advocates have fought for syringe service programs to curb the epidemic. However, restrictive local policies hinder these efforts, and a previous program was shut down in 2018 due to political pressure. While alternative programs exist, they struggle with limited resources and support. Experts call for a coordinated statewide testing strategy and greater access to harm reduction services, urging policymakers to prioritize public health over political fears regarding drug use.

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LGBTQ+ People Relive Old Traumas as They Age on Their Own

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kffhealthnews.org – Judith Graham – 2024-12-24 07:00:00

SUMMARY: Bill Hall, a 71-year-old HIV survivor, has endured numerous health challenges, including depression, heart disease, and cancer since contracting the virus in 1986. His struggles are compounded by trauma from childhood, where he faced bullying and abuse in a government boarding school. LGBTQ+ seniors like Hall often face isolation, with many living alone and lacking social support. By 2030, the number of LGBTQ+ seniors is projected to double, increasing their vulnerability to health issues and mental struggles. Many have experienced profound loss from the AIDS crisis, leading to ongoing emotional challenges. Support services remain critical for this aging population.

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