A new report finds that participation in the federal food stamp program is down far more than was predicted when the Republican-led Congress approved cuts in 2025. That portends a similar fate for Medicaid, as states ready comparable changes. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss the news. Also, as part of the “How Would You Fix It?” series, Rovner interviews GOP Sen. Bill Cassidy of Louisiana, who chairs the Senate Health, Education, Labor, and Pensions Committee.

Complex computer systems that decide whether people, including the disabled, get Medicaid benefits have a history of errors. Now changes to comply with Trump’s signature tax and domestic policy law are inundating those systems.

Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation — possibly from medical professionals — to prove that they’re too sick to work. Doctors say the rules put them in a tough spot.

Most of the federal Medicaid cuts don’t take effect until 2027, but many states are already cutting budgets in anticipation of getting fewer health dollars from Washington. Meanwhile, Congress is back from break, but progress on legislative priorities remains slow. Anna Edney of Bloomberg News, Alice Miranda Ollstein of Politico, and Sandhya Raman of Bloomberg Law join KFF Health News’ Julie Rovner to discuss these stories and more. And as part of the “How Would You Fix It?” series, Rovner interviews Elizabeth Mitchell of the Purchaser Business Group on Health.

A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax on medical services or prescription medicines. Those types of taxes are unusual, but not unheard of, in the U.S.

With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.

Republicans say California’s use of Medicaid money for social services amounts to waste, fraud, and abuse. But even as Gov. Gavin Newsom voices concern about losing funding, he says he’s proud of the state’s holistic approach to caring for its sickest and most expensive patients.

New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.

Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed — after 21 hours of waiting.

California’s next governor will face tough decisions on a highly controversial piece of healthcare policy: what to do about health coverage for the more than 1.4 million low-income residents without legal status. Democrat Xavier Becerra and Republican Steve Hilton present starkly different choices as public opinion wavers.